This update contains important information for community pharmacy teams.

Please note that this summary covers the period 10 – 21 July 2023 due to the July holidays.

 CPNI ALERTS 

 DOH(NI) ALERTS 

 BSO ALERTS 

Contractors whose staff members wish to give their feedback on the “Know Check Ask” campaign can do so by completing the survey which is available here.

Pharmacy team(s) can keep updated via CPNI’s Contractor Calendar and Contractor Emails.

Or report medicine shortages, pricing and staffing issues via the CPNI’s Medicine Shortage Reporter and Situation Reporter.

Please bring this to the attention of your pharmacy team(s).

Kind regards

SENT ON BEHALF OF
Gerard Greene
Chief Executive

Dear Contractor

PHA have issued an early communication regarding the Autumn 2023-24 Vaccination Programme. While the exact details and service specifications will take a little longer to be finalised, PHA want to share information about what they expect in this year’s JCVI advice and subsequent letters from the Department of Health to assist you with any planning. Please note, this information is subject to change pending a final statement from JCVI and subsequent HSS letters from the Department of Health.

SUMMARY

The communication outlines:

  • the expected cohorts eligible for flu and COVID-19 vaccinations;
  • the timing of the vaccination programme;
  • the vaccines that are likely to be used.

ACTION

  • Ensure this communication is brought to the attention of pharmacy team members involved in the community pharmacy vaccination service.
  • Should you have any further questions please contact pha.immunisation@hscni.net

Kind regards

This image has an empty alt attribute; its file name is SIGNATURE-Chief-Executive-Gerard-F-Greene-1.jpg

SENT ON BEHALF OF
Gerard Greene
Chief Executive

Dear Colleague

The third update of concessionary prices were granted today for July 2023:

DrugPack SizeConcessionary Price
 Acamprosate 333mg gastro-resistant tablets168£23.59
 Aciclovir 800mg tablets35£4.25
 Alverine 60mg capsules100£3.59
 Amiloride 5mg tablets28£12.59
 Bimatoprost 100micrograms/ml eye drops3£3.84
 Bumetanide 1mg tablets28£2.77
 Carbocisteine 250mg/5ml oral solution300£6.91
 Carvedilol 6.25mg tablets28£1.59
 Clarithromycin 125mg/5ml oral suspension70£4.15
 Clonazepam 2mg tablets100£24.30
 Clonazepam 500microgram tablets100£24.95
 Clotrimazole 500mg pessaries1£9.85
 Co-careldopa 25mg/100mg tablets100£6.95
 Docusate 50mg/5ml oral solution sugar free300£17.14
 Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops
 0.2ml unit dose preservative free
60£19.56
 Eplerenone 25mg tablets28£3.29
 Febuxostat 80mg tablets28£3.27
 Flecainide 100mg tablets60£3.55
 Hydrocortisone 1% cream30£1.98
 Hydroxychloroquine 200mg tablets60£4.42
 Lamotrigine 100mg tablets56£2.21
 Lansoprazole 30mg orodispersible tablets28£5.18
 Latanoprost 50micrograms/ml eye drops2.5£2.15
 Lofepramine 70mg tablets56£14.60
 Mercaptopurine 50mg tablets25£9.42
 Metformin 1g modified-release tablets56£2.25
 Methylphenidate 10mg tablets30£3.08
 Moxonidine 200microgram tablets28£5.47
 Mycophenolate mofetil 500mg tablets50£6.73
 Orlistat 120mg capsules84£24.50
 Pregabalin 300mg capsules56£3.12
 Pregabalin 75mg capsules56£2.10
 Risperidone 1mg/ml oral solution sugar free100£3.13
 Rosuvastatin 10mg tablets28£1.21
 Rosuvastatin 20mg tablets28£4.89
 Rosuvastatin 40mg tablets28£1.70
 Rosuvastatin 5mg tablets28£0.95
 Travoprost 40micrograms/ml / timolol 5mg/ml eye drops2.5£4.95

Concessionary prices will be paid against the usual code, no additional endorsements are needed.

Please continue to notify CPNI of any pricing issues you are experiencing via our new Medicine Shortage Reporter .

Concessionary prices are also published on the CPNI website.

Kind regards

This image has an empty alt attribute; its file name is SIGNATURE-Chief-Executive-Gerard-F-Greene-1.jpg

SENT ON BEHALF OF
GERARD GREENE
Chief Executive

Dear Contractor

The Department of Health NI has issued correspondence dated 20 July 2023 in relation to the serious shortage protocols in place for clarithromycin products (SSP053 and SSP054), extending the expiry dates until Friday 29 September 2023.

BACKGROUND

  • SSPs made under the Human Medicines Regulations 2012 are an additional tool to manage and mitigate medicines shortages.
  • SSPs enable community pharmacists to supply specified medicines in accordance with a protocol rather than a prescription, without needing to seek authorisation from the prescriber – saving time for patients, pharmacists and prescribers.
  • Pharmacists should refer to the latest versions of the existing SSPs which are now available on the Business Services Organisation dedicated page on its website HERE.
  • Operational guidance on the implementation of SSPs in Northern Ireland can be found on the BSO website HERE.

ACTION

Contractors should:

  • Review the letter dated 20 July 2023 and ensure that their dispensary teams are aware of this update.
  • Note that the expiry dates of the existing SSPs for clarithromycin products (SSP053 and SSP054) have been extended until Friday 29 September 2023.
  • Note guidance relating to the decision pathways for SSPs; notification of GPs; the need for patient/carer agreement, and action to take when this is not given; professional judgement; and actions regarding unclear quantities.

Contractors should contact their local SPPG office in the first instance should further information be required.  CPNI colleagues are also available for assistance.

Kind regards

This image has an empty alt attribute; its file name is SIGNATURE-Chief-Executive-Gerard-F-Greene-1.jpg
SENT ON BEHALF OF
Gerard Greene
Chief Executive

Dear Contractor

The Pharmaceutical Society of Northern Ireland (PSNI) issued correspondence to registrants on 20 July 2023 with regard to meeting regulatory standards during periods of global and national shortage of medicines.

SUMMARY

  • The PSNI statement has been issued jointly with the following regulatory organisations:
    • General Pharmaceutical Council
    • General Medical Council 
    • Health and Care Professions Council
    • Nursing and Midwifery Council
  • The statement refers specifically to concerns that patients with Type 2 diabetes are experiencing problems accessing GLP-1 receptor agonists (GLP-1 RAs), while it is known that these are being widely prescribed for weight loss purposes and in some cases prescribed off-label.
  • The statement reminds health and care professionals, including prescribers, that they are expected to take account of the RPS ‘Competency Framework for all Prescribers’ and apply this to reflect different areas of practice or situations. 
  • The statement reminds health and care professionals of recent alerts and resources regarding the GLP-1 RA shortage including:

ACTION

Contractors should:

  • Review the PSNI statement and share the information with relevant members of the pharmacy team.

Contractors should contact their local SPPG office in the first instance should further information be required.  CPNI colleagues are also available for assistance.

Kind Regards

SENT ON BEHALF OF
Gerard Greene
Chief Executive
Dear Contractor,
SPPG issued correspondence on 20 July 2023 in relation to the de-prescribing of vitamins (excluding Vitamin D) and minerals in adults.
 SUMMARY 
The SPPG Correspondence advises:
– In addition to the ongoing work around cost-effective prescribing across all therapeutic areas, a focus of activity for this year in primary care will be “deprescribing”.
– This will include the deprescribing of vitamins and mineral preparations  in Primary Care.
PrescQIPP Vitamins and Minerals Guidance has been adopted for use in N Ireland and should be referred to for further information.
– Community Pharmacies are asked to: 
> Assist patients who want to take vitamins and minerals for dietary supplementation or as a “pick-me-up” to select appropriate over-the-counter products.
> Ensure all staff, including counter assistants, reinforce healthy eating messages and are able to signpost to relevant patient support materials.
 ACTION 
– Ensure the information in the SPPG correspondence and guidance is brought to the attention of relevant members of the pharmacy team

Kind Regards

SENT ON BEHALF OF
Gerard Greene
Chief Executive