Supervised Consumption Jackie Burns Business and Commissioning Officer Public Health Team Tel: 01925 443426 / 07584 217570 Email: jacqueline.burns@warrington.gov.uk
Supervised consumption coverage 1 Cohens Unit 6, Westbrook Centre WA5 8UG 2 Dallam Unit 1, Longshaw Street WA5 0FF 3 Greencross T/A Thomas Brown, 51 London Road, Stockton Heath WA4 6SG 4 Greencross T/A Thomas Brown, 1 Allen Street WA2 7JD 5 Hub 3 Hood Manor Centre, Dorchester Rd, Great Sankey WA5 1UH 6 Hub 264 Manchester Road WA1 3RB 7 Lloyds Sainsburys Store, 100 Church Street WA1 2TN 8 Lloyds 52 Earl Street WA2 7PW 9 Lloyds 12 The Cross, Lymm WA13 0HP 10 Lloyds 5 Honiton Way, Penketh WA5 2EY 11 Lloyds 22 Manchester Road, Woolston WA1 3PP 12 Lloyds 1 Station Road, Padgate WA2 0PD 13 Orford (Faith) 16 - 45 Cotswold Road, Orford WA2 9SF 14 Rowlands 3 Thelwall Lane, Latchford WA4 1LJ 15 Rowlands Jubilee Park, Orford WA2 8AG 16 Rowlands Folly Lane WA5 0LZ 17 Rowlands 6 Tanners Lane WA2 7NJ 18 Rowlands Guardian Street WA5 1UP 19 Rydale 16 Chapel Lane, Burtonwood WA5 4HF 20 Superdrug Cockhedge Centre WA1 2QQ 21 Well The Baths Health and Wellbeing Centre, Legh Street WA1 1UG 22 Well 276 Manchester Road WA1 3RB 23 Well 96 Capesthorne Road, Orford WA2 9LN 24 Well 28 Benson Road, Birchwood WA3 7PQ 25 Well 14-15 Fearnhead Cross, Insall Rd, Fearnhead WA2 0HD 26 Well 70-72 Lodge Drive, Culcheth WA3 4ER • Not all have clients • Not all have a pharmacist with a DoC
Supervised consumption data • Supervised consumption is when a service user receives their opiate substitution prescribed medication (methadone / buprenorphine / espranor) which they are required to take on site of the pharmacy • For some service users, they are able to take their medication home to self-administer • CGL make the appropriate clinical decision on what the service user requires • 36% of those prescribed as of December 2018 (125 out of 351 clients) utilised the supervised consumption offer
SLA’s and competence • 26 pharmacies have a Service Level Agreement (SLA) to offer supervised consumption • The SLA stipulates each pharmacy taking part in offering / delivering supervised consumption has to attend training • There also needs to be a named lead who has an ‘in date’ DoC (Declaration of Competence) • Going forward we require you to complete an enrolment on PharmOutcomes to deliver supervised consumption which is linked to your DoC, this should be renewed every 2 years. You will only need to enrol once and PharmOutcomes will hold this information, rather than you having to send your DoC’s into us. Once a DoC expires, you will be given 3 months grace to complete a new one • Failure to comply can result in being removed from the approved list that WBC hold and CGL use to allocate clients
The SLA’s stipulate that a named lead pharmacist at each branch must be competent to deliver these services so they must complete a declaration of competence: Supervised Consumption of Prescribed Medicines Service This will be renewed every 2 years
The CPPE website also has optional e-learning modules which are recommended to complement learning: - Substance use and misuse – delivering pharmacy services (2018) - Substance use and misuse – Module 1: Substances of misuse - Substance use and misuse – Module 2: Harm reduction - Substance use and misuse – Module 3: Communication with patients and support networks - Substance use and misuse – Module 4: Provision of services
Updates • New SLA’s start 1 July 2019 • Invoices / Payment - April - May (monthly) - June - July / August / September (quarterly) • CGL Pharmacy Guidance - April 2019
Missed doses Missed pickups ( from CGL Pharmacy Guidance ) When a service user ‘ misses a pickup’ this could be an early warning sign that they are experiencing difficulties e.g. illicit use. It is essential we are informed within 24 hours of a missed pickup so that we can identify additional support requirements. The process is: Pharmacies should submit ‘notifications of missed collections’ via PharmOutcomes for those receiving supervised or unsupervised doses. This should ideally be completed on the day of the missed pickup, so that actions required can be agreed by CGL the following morning, or within 24 hours. It is essential that this action is completed for those on less frequent collections. e.g. if a service user failed to collect medication on 01/04, a notification should be submitted each day of the missed collection, so on 01/04, 02/04 and 03/04 if they continue to miss
Missed doses SLA states: 3:1 To ensure compliance with the agreed treatment plan by: • Notify Warrington Drug and Alcohol Services (known locally as CGL or Pathways to Recovery) of failure to attend or other non compliance within 24 hours (1 working day) to ameliorate risk • Notify Warrington Drug and Alcohol Services (known locally as CGL or Pathways to Recovery) with concerns over well being • Risk management means it is vital that all pharmacies alert CGL Pathways on day 1 , day 2 and day 3 with regard to service users failing to pick up their prescription/s CGL Guidance states : Three Consecutive Missed Prescription Doses • If a service user misses three or more consecutive days of their medication then the client has officially ‘fell off’ their prescription and should not be dispensed to, as there is a risk of overdose due to a reduction in tolerance levels. If this occurs and the service user presents then please advise them to contact their recovery coordinator or present to the duty team.
Missed doses This notification informs CGL via a secure e-mail if a client has missed a dose
Missed doses
Web based data recording system since February 2018 All supervised consumption providers in Warrington 1 months grace has been built in for claims and payment 3 months grace has been built in for DoC Reports can be pulled off PharmOutcomes anytime and will show ‘live’ data which can be filtered • Commissioner access will not show any identifiable information (i.e. will only show first part of postcode)
• Registering a client has 4 boxes to complete, 1 of which is pre-populated with the date • The other information can be taken directly off their prescription • You only have to do this once • Once they are registered, you can record their supervisions and / or missed dose notifications
• Blue scripts should be inputted onto the system every 2 weeks to match the length of the prescription • This is how the system has been set up to make entering the data easier and quicker…
• 25 registered show as aged under 13 • Take care when entering DOB that you don’t enter current year
GDPR • GDPR (General Data Protection Regulation) - Implementation date 25 May 2018 - Consent / sharing data • A data sharing agreement (under GDPR) is now in place between CGL and Pinnacle • Information Governance leads happy with PharmOutcomes missed dose notifications
Other pharmacy training Sexual Health • Tuesday 2 July, 6.30-8.00pm Warrington Town Hall Needle Exchange • Tuesday 1 October, 6.30-8.00pm CGL Pathways Supervised Consumption • Tuesday 22 October, 6.30-8.00pm Warrington Town Hall
Thank-you!
Recommend
More recommend
