East and North Hertfordshire Clinical Commissioning Group (CCG)
The CCG has recently emailed all community pharmacies in East and North Hertfordshire CCG area to inform them of upcoming changes to medication of patients in East and North Hertfordshire CCG area in order that they can adjust their stocks accordingly and support patients with their medicines.
As part of the NHS efficiency savings (QIPP 2019-2020), the CCG is reviewing the prescribing of methylphenidate in GP practices across the CCG. The CCG currently spends £301,170 annually on the prescribing of methylphenidate, a switch to prescribing as Delmosart XL® is estimated to save £82,988 annually.
These are in the form of switching brand when prescribing as detailed below:
|Methylphenidate MR 18mg, 27mg, 36mg, 54mg tablets||Delmosart XL® 18mg, 27mg, 36mg, 54mg tablets|
|Concerta XL® 18mg, 27mg, 36mg, 54mg tablets|
Switches will be undertaken by GPs with direct contact to patients, communication will provided by GPs according to individual patient requirements. Please support patients to positively reassure them that these changes simply reflect a change of brand and that the active ingredient remains the same and will not affect their treatment.
If community pharmacies encounter problems with these changes please feedback to the LPC.
For more information please see the ENHCCG Position Statement on the prescribing of Delmosart XL® (Methylphenidate) XL for Attention Deficit Hyperactivity Disorder (ADHD).
OTC medicines for patients living in social care settings (care home and home care patients)
East and North Hertfordshire Clinical Commissioning Group (CCG) has published guidance that sets out their approach to the prescribing of over-the-counter (OTC) medicines for patients living in social care settings (care home and home care patients) with self-limiting conditions and to promote self-care where possible. Individuals will now be expected to purchase OTC medicines for conditions that can be managed through self-care and this includes groups that currently receive free prescriptions (such as children, elderly and those on low incomes). This policy does not cover long-term conditions.
There is also some frequently asked questions developed to support Clinical Commissioning Groups (CCGs) to implement the NHS England guidance for people living in care homes
ENHCCG has recently emailed all community pharmacies to inform you of upcoming changes to medication of patients in the East and North Hertfordshire CCG area in order that you can adjust stocks accordingly and support patients with their medicines.
As part of the NHS efficiency savings (QIPP 2018-2019), the CCG has required the pharmacy and medicines optimisation team to identify a number of potential prescribing savings that can be implemented. These are in the form of switching from brand to generic when prescribing as detailed below:
|Cialis 5mg, 10mg, 20mg tablets||Tadalafil 5mg, 10mg, 20mg tablets|
|Crestor 5mg, 10mg, 20mg, 40mg tablets||Rosuvastatin 5mg, 10mg, 20mg, 40mg tablets|
|Ezetrol 10mg tablets||Ezetimbe 10mg tablets|
When the switches are made a script note will be included for patient information. Please support patients to positively reassure them that these changes simply reflect a change of brand and that the active ingredient remains the same and will not affect their treatment. If community pharmacies encounter problems with these changes please feedback to your local community pharmacy representative or to the LPC. Further changes will be communicated as they are planned.
Care Navigation launched in East and North Hertfordshire
The LPC has been working with East and North Hertfordshire CCG on a pharmacy pathway as part of their Care Navigation project.
The Care Navigation approach is about providing a quick framework for GP receptionists to be able to sign post patients where appropriate to alternative services, saving GP time. This is not about triaging patients, it is about offering choice and making the best use of local services, healthcare workers and agencies. This approach has been implemented successfully in other areas.
The LPC and East and North Hertfordshire CCG have worked together to agree a set of conditions that GP receptionists can signpost patients to be seen for in their local pharmacy. Therefore you may see an increased number of patients attending the community pharmacy. We would encourage you to work with your local GP practice that may be taking part to have access to the GP practice telephone bypass number so that patients who may have been signposted to you by this route can be signposted back to the GP practice for an appointment where you feel that after your assessment a GP practice appointment might be needed.
The relevant information has now been shared with all GP practices that are participating and the project has been launched. The launch will be supported by a central communications campaign including a press release that will soon be sent to local media as well as social media messages which we will share with you when available.
Surveillance data indicates an increase in influenza cases in the community. Prescribers may now prescribe and pharmacists may now supply antiviral medicines for the prophylaxis and treatment of influenza at NHS expense. Hospital clinicians should continue to prescribe antiviral medicines for patients whose illness is confirmed or clinically suspected to be due to influenza, in accordance with PHE guidance for the treatment of complicated influenza. Please see the list of pharmacies stocking antivirals and the alert for further information. CEM-CMO-2018-005.pdf
East and North Hertfordshire Clinical Commissioning Group (CCG) is the organisation responsible for commissioning (planning, designing and paying for) your NHS services. The CCG is made up of local GPs and health professionals, working together with other clinicians and patients, to decide how the local NHS budget of £611m should be spent. The CCG serves over half a million people (552,900) registered at 60 GP Practices across east and north Hertfordshire.
Further information is available on the East and North Hertfordshire CCG website.
My Care Record
East and North Herts CCG have been working on a new initiative that will enable health and care professionals to easily view the GP records of the patients they are treating. The programme will shortly be initially introduced in some acute and community health and care settings across Hertfordshire and West Essex. The programme is separate to the accessibility of the Summary Care Record.
East and North Herts CCG has sent a letter to all pharmacies in East and North Hertfordshire and asking you to help promote the project, which also explains more about the project.
A press release has been published on the CCG website.