For the attention of Community Pharmacies providing the Autumn 2024 COVID-19 Community Pharmacy Vaccine Service
Dear Colleague
SPPG have issued correspondence 3rd October 2024 to advise that the vaccination protocol for the Autumn 2024 COVID-19 vaccination programme has been uploaded onto the BSO website.
**FOR THE ATTENTION OF PHARMACY COLLECT NI (LFD DISTRIBUTION) PHARMACIES ONLY**
Dear Contractor
In July 2024, correspondence was issued by SPPG providing an update on new LFD stock to be used in the Pharmacy Collect NI service. Further correspondence has since been issued by SPPG on 2nd October 2024 highlighting a number of points which have arisen following recent post payment checks by BSO.
SUMMARY
Regarding the supply of LFD tests, contractors are reminded to supply:
3 Hotgen sachets per transaction for non-care home residents.
20 Hotgen sachets per transaction for care home requests.
Payment of the service is £1.50 per transaction rather than per test supplied. The current specification requires either 3 or 20 tests to be supplied per transaction.
Contractors are reminded to submit the eform to BSO once weekly on a Monday detailing the number of transactions carried out on the preceding 7 days.
Contractors should keep a record of the number of transactions completed for verification against BSO payments.
Details of the LFD distribution can be found in the service specification on the BSO website, and all staff involved in LFD distribution should be fully trained of the current processes and any updates received by SPPG.
ACTION
Contractors are requested to review the correspondence issued by SPPG regarding the Pharmacy Collect NI LFD Distribution Service and share with all relevant members of the team.
Do you have a story to share about the value of Community Pharmacy?
If so, we’d like to hear from you.
We are gathering a bank of PR stories to show the benefit and value of community pharmacy to local communities, demonstrating ways in which the network provides access to high quality healthcare expertise and advice close to home, without the need for an appointment.
This might be a specific service (e.g. Pharmacy First, Emergency Supply, vaccinations), or a health intervention that you or one of your team made in an emergency/non-emergency type situation.
One previous example was on noticing a change in a patient’s behaviour, and after discussing this with the patient, their community pharmacist signposted them onto the relevant health professional, subsequently the patient received a dementia diagnosis. The patient was extremely thankful that they were able to access specialist care at an early stage and went on to acknowledge just how important the pharmacist’s intervention was during a radio show featuring dementia.
If you have some examples no matter how minor you may feel they are, please complete this form and return to judea@communitypharmacyni.co.uk or if you would like to discuss some potential examples, please do get in touch.
Thank you in advance.
Kind regards,
Jude
SENT ON BEHALF OF JUDE AUSTIN Communications Manager
Dear Contractor
In response to the interest shown in the three upcoming workshops aimed at outlining the outworkings of the Windsor Framework and the implications for community pharmacy here, NICPLD has increased the number of spaces available.
Contractors are urged to ensure that appropriate member(s) of their dispensary teams attend one of these sessions which will also include discussions on supply against EEA prescriptions and the movement of medicines to and from Northern Ireland.
Background
The implementation of the Windsor Framework (WF) from 1 January 2025 will have implications for the medicines supply chain across the United Kingdom and in Northern Ireland in particular. The outworkings of the Framework will introduce new packaging and licensing arrangements for medicines placed on the Northern Ireland market and will have implications for the Falsified Medicines Directive.
NICPLD has arranged three workshops for pharmacists and pharmacy technicians to be hosted by a range of experts in the field of medicines regulation.
Canice Ward: Head of Medicines Regulatory Group, Department of Health
Sean Curley: Principal Pharmaceutical Officer, Department of Health
Catherine Lenihan: Head of Regulatory Reform, Medicines and Healthcare products Regulatory Agency (MHRA)
Fionn Craig: Deputy Director of EU Regulations, Devolution and the Union, Department of Health and Social Care
Noah Thorold: Northern Ireland, Gibraltar and Crown Dependencies Policy, Department of Health and Social Care
Maria Jones: Policy Lead on Medicines Regulatory Policy Northern Ireland – Windsor Framework, Department of Health and Social Care
Aim
To enable pharmacists and pharmacy technicians to understand the implications the Windsor Framework Agreement will have on medicines and the pharmacy sector from 1 January 2025.
Learning Outcomes
Having attended this workshop, you will be able to understand:
The new packaging and licensing arrangements for medicines placed on the Northern Ireland market from 1 January 2025
The implication of the Windsor Framework Agreement on the EU Falsified Medicines Directive
The supply of medicines using prescriptions from EEA prescribers from NI pharmacies
Changes to the supply of medicines to and from NI from 1 January 2025
How to raise potential concerns about any future EU legislation that may have an impact on pharmacy and medicine supplies in NI.
Summary
It is important that contractors and their teams are prepared for the implementation of the Windsor Framework on 1 January 2025, and contractors are asked to:
Note the workshops being offered
Try to ensure that appropriate member(s) from their dispensary teams attend one of these sessions.
CPNI colleagues are available to discuss any aspects of the new arrangements. Any questions relating to the venues should be directed to the NICPLD team.
Kind regards
Mike
SENT ON BEHALF OF PROF MIKE MAWHINNEY Head of Regulatory Affairs
LIVING WELL PHARMACIES ONLY: SURVEY LAUNCH DATE
**FAO LIVING WELL PHARMACIES ONLY**
Dear Contractor
Correspondence has been issued by SPPG on 1st October 2024 regarding the Living Well Campaign.
SUMMARY
The survey for the campaign ‘Live longer and stronger’ has opened on 30th September 2024 and can be accessed here.
The survey will remain open until 6pm on 28th October 2024.
The current campaign ‘Sexual Health’ began on 1st October 2024 and online resources for this campaign can be found on the BSO website.
ACTION
Contractors are asked to review the correspondence issued by SPPG on 1st October 2024 regarding the Living Well Service and share with relevant team members.
The survey for the campaign ‘Sexual Health’ is now available and must be completed before 6pm on Monday 28th October 2024.
For any further information please contact CPNI offices.
Kind regards
SENT ON BEHALF OF GERARD GREENE Chief Executive
Drug Tariff Update
Dear Colleague
CPNI has been liaising with BSO and DOH(NI) colleagues in relation to various issues that have been reported to us by contractors, and we can provide the following update:
Forxiga 5mg and 10mg Tablets Following significant reports and provision of evidence from contractors highlighting that there is no discount available for the purchase of Forxiga tablets, CPNI made representation to BSO colleagues. CPNI can confirm that Forxiga 5mg and 10mg tablets have been moved to zero discount. This change is effective from August 2024 prescriptions, and a retrospective adjustment should have been made in the September 2024 payment for any prescriptions dispensed from May 2024. It is estimated that this change will result in approximately £500k clawback not being deducted per annum from the Forxiga reimbursement payments to contractors.
Lyclear Cream Lyclear Cream has been out of stock since early June 2024 to date. BSO have agreed that any Lyclear Cream dispensed under the Pharmacy First: Everyday Health Conditions will be reimbursed as the Drug Tariff price for the generic permethrin cream. This payment will have been made for prescriptions dispensed from July 2024 to date, and an adjustment should have been received for any June 2024 prescriptions dispensed. The price will be reviewed on a monthly basis. Please continue to inform CPNI colleagues of any further stock issues in this regard.
Juvela Product Price Changes A report was received regarding Juvela products, whereby the manufacturer has increased numerous prices across the range. This was reported to BSO colleagues by CPNI, and we can confirm that the increased prices have been applied to August 2024 prescriptions onwards. A retrospective adjustment for the increased list price has been made for prescriptions dispensed from May to July 2024, and should have been paid with the BSO payment made at the end of September.
Secure Transfer of Prescriptions After representation from CPNI regarding the remuneration for the transfer of prescriptions to BSO, it can be confirmed that the amount paid to contractors has been increased from £14.10 to £25.00 per month.
Chloraprep 3ml Applicator In January 2024, reports had been received from contractors that the price to purchase Chloraprep 3ml applicator (25 pack) had increased from £23.00 to £32.73. CPNI raised this issue with BSO, and it has been agreed to increase the reimbursement price to £32.73 for prescriptions dispensed from June 2024. A retrospective adjustment from January to May 2024 will also have been made with the August 2024 payment for any prescriptions dispensed during that period. The supply of chloraprep 3ml applicators is continuously being reviewed by BSO.
Knee Pressure Offloading Devices After representation by CPNI, knee pressure offloading devices have been added to the zero discount list from July 2024.
Drug Reimbursement Price Changes Following representation, CPNI can confirm that the reimbursement prices for the following products have been re-determined. A retrospective adjustment has/will be made by BSO in the coming months.
Drug
Old List Price
New List Price
Lurasidone 18.5mg tablets pack size 28 (From April 2024)
£37.60
£80.00
Lurasidone 37mg tablets pack size 28 (From April 2024)
£37.60
£80.00
Lurasidone 74mg tablets pack size 28 (From April 2024)
£37.60
£80.00
Adrenaline (base) 150micrograms/0.15ml (1 in 1,000) solution for injection pre-filled disposable devices pack size 1 (From July 2024)
£53.80
£60.69
Adrenaline (base) 150micrograms/0.3ml (1 in 2,000) solution for injection pre-filled disposable devices pack size 1 (From July 2024)
£53.80
£60.69
Adrenaline (base) 150micrograms/0.3ml (1 in 2,000) solution for injection pre-filled disposable devices pack size 2 (From July 2024)
£107.60
£121.38
Adrenaline (base) 300micrograms/0.3ml (1 in 1,000) solution for injection pre-filled disposable devices pack size 1 (From July 2024)
£53.80
£60.69
Testosterone 16.2mg/g transdermal gel (20.25mg per actuation) pack Size 88g (From August 2024)
£31.11
£39.94
Testosterone 40.5mg/2.5g transdermal gel unit dose sachets pack size 30 (From August 2024)
£31.11
£39.94
Estradiol 0.06% transdermal gel (750microgram per actuation) pack size 80g (From August 2024)
£6.17
£9.15
A change to the reimbursement price will also be applied to the following branded prescription items, in the months detailed below:
Aptamil first milk liquid 200ml (January-April 2024)
£0.92
£1.06
Latuda 18.5mg tablets pack size 28 (From April 2024)
£37.60
£80.00
Latuda 37mg tablets pack size 28 (From April 2024)
£37.60
£80.00
Latuda 74mg tablets pack size 28 (From April 2024)
£37.60
£80.00
EpiPen 300micrograms/0.3ml (1 in 1,000) solution for injection auto-injectors pack size 1 (From July 2024)
£53.80
£60.69
EpiPen 300micrograms/0.3ml (1 in 1,000) solution for injection auto-injectors pack size 2 (From July 2024)
£107.60
£121.68
EpiPen Jr.150micrograms/0.3ml (1 in 2,000) solution for injection auto-injectors pack size 1 (From July 2024)
£53.80
£60.69
EpiPen Jr.150micrograms/0.3ml (1 in 2,000) solution for injection auto-injectors pack size 2 (From July 2024)
£107.60
£121.68
Jext 150micrograms/0.15ml (1 in 1,000) solution for injection auto-injectors pack size 1 (From July 2024)
£53.80
£60.69
Jext 300micrograms/0.3ml (1 in 1,000) solution for injection auto-injectors pack size 1 (From July 2024)
£53.80
£60.69
Testogel 16.2mg/g gel Pack size 88g (From August 2024)
£31.11
£39.94
Testogel 40.5mg/2.5g transdermal gel sachets pack size 30 (From August 2024)
£31.11
£39.94
Oestrogel Pump-Pack 0.06% gel Pack size 80 (From August 2024)
£6.17
£9.15
Nutrison water for gastroenteral feeds Pack size 1litre (From January to July 2024)
£2.16
£2.43
Please continue to notify CPNI of any pricing issues you are experiencing via our Medicine Shortage Reporter.
Kind regards
SENT ON BEHALF OF GERARD GREENE Chief Executive
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