Supervised Consumption Jackie Burns Business and Commissioning - - PowerPoint PPT Presentation

Jackie Burns

Business and Commissioning Officer Public Health Team Tel: 01925 443426 / 07584 217570 Email: jacqueline.burns@warrington.gov.uk

Supervised Consumption

Supervised consumption coverage

• Not all have clients
• Not all have a pharmacist with a DoC

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

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

• New SLA’s start 1 July 2019
• Invoices / Payment
• April
• May

(monthly)

• June
• July / August / September (quarterly)
• CGL Pharmacy Guidance
• April 2019

Updates

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

• f 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
• fficially ‘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

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! 