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
Dear Contractor
CPNI has received notification that The Department of Health NI has issued correspondence dated 15 December 2023 in relation to a serious shortage protocol (SSP) in place for clarithromycin 125mg/5ml oral suspension (SSP053), extending the expiry date until Friday 12 January 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.
  • Operational guidance on the implementation of SSPs in Northern Ireland can be found on the BSO website.

ACTION

Contractors should:

  • Review the letter dated 15 December 2023 and ensure that their dispensary teams are aware of this update.
  • Note that the expiry date of the existing SSP for clarithromycin 125mg/5ml oral suspension (SSP053), has been extended to Friday 12 January 2024.
  • 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

For the attention of Community Pharmacies providing the Seasonal Influenza Community Pharmacy Vaccine Service
Dear Contractor
CPVS Update nine issued on 14 December relating to the vaccination service.

SUMMARY

Influenza Vaccination for High-Risk Avian Animal Workers

  • High-risk avian animal workers (those undertaking bird culling or cleaning at confirmed avian influenza outbreak premises or handling live birds which are unwell) have been added to the list of eligible cohorts for the Flu CPVS.
  • Please see the CMO letter issued 1st December 2023 linked here and the updated Green Book chapter linked here for more information.
  • The Influenza PGD has also been updated to include this change and is available on both the PCI and BSO websites.
  • VMS has been updated to include the option of ‘Bird Culler’ when selecting patient risk category.

ACTION

  • Contractors should review the CPVS update and share the information with relevant members of the pharmacy team.

Please do not hesitate to contact CPNI for any further information.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Contractor
CPNI wishes to bring to your attention some recently updated information on the NICPLD website regarding the process for applying for the Independent Prescribing (IP) course in 2024.

SUMMARY

  • Contractors will be aware that planned reforms to the initial education and training of pharmacy students in Northern Ireland will mean pharmacists joining the register from 2026 onwards will be annotated as Independent Prescribers (IPs).
  • Those pharmacists already on the register or joining the register prior to 2026 may become IPs by successfully completing a recognised IP training course such as that provided by NICPLD.
  • Changes were introduced to the IP application criteria in January 2023 which mean applicants are no longer required to have been practising for at least two years post registration, or to produce evidence of clinical and therapeutic experience in their intended prescribing area.
  • To reflect these changes the course application forms were updated in 2023. 
  • It is now planned that the application process will move online for the next IP training course starting Aug/Sept 2024 (Cohort 18).
  • The application forms and online portal are currently being finalised by NICPLD and the portal will be open for submissions from 22 January 2024 to Monday 26 February 2024.
  • An application submission will not be considered complete until all elements have been received by NICPLD.
  • A recorded lecture explaining how to use the portal will be available from 17 January 2024.
  • Whilst the process is online and the application forms will look different, similar information will be requested, therefore the forms on the NICPLD website can act as a guide until the online portal is ready.
  • Places will be allocated on a first come first served basis (assuming all criteria are fulfilled).

ACTION

Contractors are advised to note:

  • The updated information provided on the NICPLD website.
  • The portal for online applications will be open from 22 January 2024 to Monday 26 February 2024
  • Successful applicants will commence training in August/September 2024.

Please contact a member of the CPNI team should you have any queries.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Colleague
The first update of concessionary prices were granted today for December 2023:
DrugPack SizeConcessionary Price
Acamprosate 333mg gastro-resistant tablets168£22.76
Aciclovir 800mg tablets35£3.60
Amiloride 5mg tablets28£15.70
Amisulpride 100mg tablets60£17.50
Amisulpride 200mg tablets60£30.96
Atorvastatin 10mg tablets28£1.11
Atorvastatin 20mg tablets28£1.30
Atorvastatin 40mg tablets28£1.49
Atorvastatin 80mg tablets28£3.30
Beclometasone 50micrograms/dose nasal spray200£2.63
Benzoyl peroxide 5% / Clindamycin 1% gel60£22.15
Betahistine 16mg tablets84£8.34
Betahistine 8mg tablets84£3.62
Betamethasone valerate 0.1% cream100£4.05
Bimatoprost 100micrograms/ml eye drops3£4.48
Bimatoprost 300micrograms/ml / Timolol 5mg/ml eye drops3£4.58
Brinzolamide 10mg/ml / Timolol 5mg/ml eye drops5£9.52
Brinzolamide 10mg/ml eye drops5£4.65
Bumetanide 1mg tablets28£2.78
Calcipotriol 0.005% / Betamethasone dipropionate 0.05% ointment30£9.60
Carvedilol 6.25mg tablets28£1.29
Chloramphenicol 1% eye ointment4£4.69
Clotrimazole 1% cream20£1.77
Clotrimazole 1% cream50£4.52
Clotrimazole 500mg pessaries1£9.95
Co-amilozide 5mg/50mg tablets28£10.08
Co-amoxiclav 500mg/125mg tablets21£4.38
Co-codamol 15mg/500mg tablets100£3.29
Codeine 30mg tablets28£1.08
Codeine 30mg tablets100£3.86
Cyclizine 50mg tablets100£4.35
Dexamfetamine 5mg tablets28£22.85
Docusate 50mg/5ml oral solution sugar free300£18.32
Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 0.2ml unit dose preservative free60£25.03
Eplerenone 50mg tablets28£4.01
Etoricoxib 60mg tablets28£3.40
Flecainide 100mg tablets60£3.25
Glycopyrronium bromide 200micrograms/1ml solution for injection ampoules10£13.32
Haloperidol 1.5mg tablets28£3.15
Hydroxocobalamin 1mg/1ml solution for injection
ampoules
5£11.89
Isotretinoin 20mg capsules30£11.21
Lamotrigine 200mg tablets56£5.74
Lamotrigine 25mg tablets56£1.95
Lamotrigine 50mg tablets56£3.48
Lamotrigine 5mg dispersible tablets sugar free28£10.05
Lansoprazole 30mg gastro-resistant capsules28£1.29
Latanoprost 50micrograms/ml / Timolol 5mg/ml eye drops2.5£3.57
Letrozole 2.5mg tablets14£2.41
Levetiracetam 100mg/ml oral solution sugar free300£10.01
Lofepramine 70mg tablets56£14.25
Mebeverine 200mg modified-release capsules60£6.01
Methylphenidate 10mg tablets30£2.99
Midazolam 10mg/2ml solution for injection ampoules10£5.32
Mometasone 0.1% ointment30£4.38
Orlistat 120mg capsules84£25.36
Pantoprazole 20mg gastro-resistant tablets28£2.19
Pantoprazole 40mg gastro-resistant tablets28£2.70
Pregabalin 225mg capsules56£2.56
Prochlorperazine 5mg tablets28£1.99
Promethazine hydrochloride 10mg tablets56£17.26
Risperidone 500microgram tablets20£2.98
Ropinirole 250microgram tablets12£6.15
Ropinirole 2mg tablets28£21.73
Rosuvastatin 10mg tablets28£1.21
Rosuvastatin 40mg tablets28£1.75
Telmisartan 20mg tablets28£3.45
Terbinafine 1% cream15£3.19
Terbinafine 1% cream30£7.09
Timolol 0.25% eye drops5£1.85
Warfarin 1mg tablets28£0.80
Warfarin 3mg tablets28£0.84
Warfarin 5mg tablets28£1.75
Zolmitriptan 2.5mg orodispersible tablets sugar free6£17.52
Zolmitriptan 2.5mg tablets6£16.45
Zolmitriptan 2.5mg tablets12£32.90
Zopiclone 3.75mg tablets28£1.55
Zopiclone 7.5mg tablets28£1.60

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
Dear Contractor
CPNI has received notification that The Department of Health NI has issued correspondence dated 8 December 2023 in relation to a serious shortage protocol (SSP) in place for clarithromycin 125mg/5ml oral suspension (SSP053), extending the expiry date until Friday 15 December 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.
  • Operational guidance on the implementation of SSPs in Northern Ireland can be found on the BSO website.

ACTION

Contractors should:

  • Review the letter dated 8 December 2023 and ensure that their dispensary teams are aware of this update.
  • Note that the expiry date of the existing SSP for clarithromycin 125mg/5ml oral suspension (SSP053), has been extended to Friday 15 December 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

Mike

SENT ON BEHALF OF
PROF MIKE MAWHINNEY
Head of Regulatory Affairs