Dear Contractor
The Department of Health NI has issued correspondence dated 18 October 2024 extending the expiry date of SSP074, relating to isosorbide mononitrate preparation Monomax XL 60mg tablets, to Friday 15 November 2024.

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 18 October 2024 here, and ensure that their dispensary teams are aware of the specific details relating to this SSP;
  • 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

Mike

SENT ON BEHALF OF
PROF MIKE MAWHINNEY
Head of Regulatory Affairs

This update contains important information for community pharmacy teams.

CPNI ALERTS

DOH(NI) ALERTS

BSO ALERTS

Pharmacy team(s) can keep updated via CPNI’s Contractor Calendar and Contractor Emails.
Or report medicine shortages, pricing and staffing issues via 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
For the attention of Community Pharmacies providing the Autumn 2024 COVID-19 and Seasonal Influenza Community Pharmacy Vaccination Service
Dear Colleague
SPPG have issued correspondence providing an update in relation to the Autumn 2024 COVID-19 and Seasonal Influenza vaccination programme.

SUMMARY

Eligible Cohorts
SPPG have highlighted the differences between the eligible cohorts for Flu and COVID-19 vaccinations

Cohort      COVID-19               Flu
CarersNoYes
Household contacts of
immunosuppressed
NoYes

Fluad Tetra Packaging

  • The packaging for the Fluad Tetra Flu vaccine contains a note on the box ’50 years and older’. Please ensure to only vaccinate those aged 65 years and over.

Minimising Vaccine Wastage

  • To minimise waste, PHA have requested vaccination providers to adhere to the following:
    • Arrange cluster appointments
    • Only give single vaccinations from multidose vials in exceptional circumstances.
    • Order vaccine quantities that will not exceed two week’s activity. Please note: Comirnaty 1 box is equivalent to 10 vials (60 doses).
    • Refer to the SPPG guidance on minimisation of vaccine wastage.

Vaccine Product

  • The only vaccine authorised for use in the Autumn COVID-19 CPVS is Comirnaty® JN.1 (30mcg/dose) dispersion for injection. Please note the adult dose in 0.3ml.

VMS

  • A VMS update on 15 October 2024 has implemented the following changes:
    • Reinstated the clinical question on myocarditis and pericarditis in the co-administration flow.
    • Facility to edit expiry date for the thawed COVID vaccine regardless of the order of data entry.
    • Facility to display the location name on the warning message when previous vaccination was re-booked.

If these updates cannot be seen, SPPG advise to perform a cache clearing refresh in the web browser.

  • VMS writeback to GP clinical systems:
    • PHA are aware of an IT issue preventing the record being copied from VMS into Emis GP system.
    • GP practices have been asked to check VMS for current vaccination status of patients while this is being resolved as soon as possible.

ACTION

Contractors providing the service should:

Please do not hesitate to contact the CPNI office should you require any further information.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Contractor
Reminder- Correspondence has been issued by the Pharmacy Forum 8 October 2024 to invite pharmacists to attend the 99th AGM of the Pharmaceutical Society NI.
The annual general meeting will be a hybrid event hosted at Society House, 73 University Street, Belfast on Thursday 17 October 2024 7.15pm-9.15pm

Attendees have the option of attending in-person or online, and can register for the event here.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Colleague
The first update of concessionary prices were granted today for October 2024:
DrugPack SizeConcessionary Price
Cefalexin 500mg capsules21£2.67
Chloramphenicol 0.5% eye drops10£2.90
Clarithromycin 250mg/5ml oral suspension70£8.48
Clomipramine 50mg capsules28£7.93
Escitalopram 10mg tablets28£1.65
Flucloxacillin 250mg/5ml oral solution sugar free100£5.63
Ketoconazole 2% shampoo120£24.00
Levetiracetam 500mg tablets60£5.50
Memantine 10mg/ml oral solution sugar free50£27.97
Metformin 500mg modified-release tablets56£2.93
Metformin 500mg/5ml oral solution sugar free150£22.45
Methylphenidate 54mg modified-release tablets30£73.62
Metronidazole 0.75% cream40£12.35
Mometasone 0.1% ointment30£3.39
Nefopam 30mg tablets90£3.89
Nortriptyline 10mg tablets100£4.54
Olanzapine 10mg tablets28£4.27
Olanzapine 15mg tablets28£3.74
Olanzapine 2.5mg tablets28£1.40
Olanzapine 5mg tablets28£2.54
Olanzapine 7.5mg tablets28£1.29
Ondansetron 8mg tablets10£3.37
Pregabalin 150mg capsules56£2.65
Pregabalin 200mg capsules84£4.30
Pregabalin 50mg capsules84£11.93
Quetiapine 100mg tablets60£12.39
Quetiapine 150mg tablets60£15.50
Quetiapine 25mg tablets60£3.02
Quetiapine 300mg tablets60£13.24
Rizatriptan 10mg tablets3£8.15
Ropinirole 500microgram tablets28£12.37
Sodium cromoglicate 2% eye drops13.5£3.14
Tacrolimus 0.1% ointment30£25.92
Tacrolimus 0.1% ointment60£47.28

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 Medicine Shortage Reporter.

Concessionary prices are also published on the CPNI website.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
**FAO LIVING WELL PHARMACIES ONLY**
Dear Contractor
Correspondence has been issued by SPPG 15th October 2024 to those pharmacies yet to submit an evaluation survey for the Living Well campaign ‘Live longer and stronger’.

SUMMARY

  • The survey for the campaign ‘Live longer and stronger’ is open and can be accessed here.
  • The survey must be completed by 6pm 28th October 2024, please ensure to reach the final screen to confirm submission.

ACTION

Contractors who have yet to complete the Living Well survey for the campaign ‘Live longer and stronger’ are asked to read the correspondence issued by SPPG 15th October 2024 and share with relevant team members.

For any further information please contact CPNI offices.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive