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Minor Ailment Service

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Policy

To establish community pharmacies as the first port of call for the NHS treatment of common clinical conditions

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Aim

The Minor Ailment Service (MAS) aims to support the provision of direct pharmaceutical care on the NHS by community pharmacists to members of the public presenting with a common illness.

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Objectives

    To improve access to advice and medicines for common illnesses To promote care through the community pharmacy setting To transfer care from GPs and nurses to pharmacists where appropriate To help address health inequalities

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Minor Ailment Service

   Individual registers with pharmacy Individual presents with symptoms Pharmacist offers   Treatment & advice Advice only   Referral Associated healthy lifestyle advice

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Core components

     Registration Care provision NHS remuneration & reimbursement ePharmacy infrastructure Support services

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Registration

    Register with one community pharmacy Eligible individuals   Exempt from paying prescription charges Excludes pre-payment certificate holders   Registered with a GP in Scotland Not resident in a Care Home Central Patient Registration System (PRS) Register using CP2

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Registration Process

    Patient data  Name    Postcode Date of birth Gender Enter data on PMR system Registration confirmed by PRS via N3 CHI number captured

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Care Provision

    Patient presents at their pharmacy Pharmacist checks their eligibility Pharmacist consults with patient Pharmacist offers  Treatment and advice  Advice only  Referral  Associated healthy lifestyle advice

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Formulary

National formulary     P & GSL medicines dressings & appliances from Part 2 of the Tariff selected items from Part 3 of the Tariff Some Prescription Only Medicines (POMs) with PGDs    Use of POM medicine Cost effective pack size Extended product license use

NO

black-listed products

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Administration

  Registration - complete a CP2 electronically Care provision – complete a CP2 electronically  Treatment  Advice  Referral   Annotate in PMR record Yellow Card Reporting - CSM Scotland

NOTE: Manual A4 form & CP1 only to be used by exception

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Pharmacy details are automatically added.

Patient details are automatically added.

If the CHI is not known at the time of registration the DoB is placed in CHI field and 4 digits are added at the end.

 ‘0008’ shows a patient born in the 19 th Century  ‘0009’ shows a patient born in the 20 th Century  ‘0000’ shows a patient born in the 21 st Century CP2 type and sex of patient is automatically printed.

A unique barcode is created on the CP2 registration form. The barcode number is also part of the registration message sent from the pharmacy PMR. A registration barcode number begins with the letters RE.

Further automatic additions include:  Date  PS Contractor Code  RPSGB Reg Number

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1.

A unique bar code is created on the CP2 consultation form. The barcode number is also part of the consultation message sent from the pharmacy PMR. A consultation barcode number begins with the letters CE.

2.

3.

If the CHI is not returned following a registration the consultation ahead.

can

still go The CP2 consultation form will be printed as normal but the CHI will be missing. The patient signs the CP2 and can leave the pharmacy.

Before you can send the CP2 consultation form to Practitioner Services, you must wait until you receive the CHI in a message and hand write it onto the form. Endorsing information is added to the CP2.

If you have given advice or referred a patient to their GP, this will be indicated on the CP2 consultation form.

A maximum of 2 items may be dispensed during 1 eMAS consultation.

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NHS Remuneration & Reimbursement

Banded capitation payment     1-250 251-50 501-750 >750 £3,910 £5,863 £7,817 £7,817 + £8.04 per person over Reimbursement of drug costs  Unified budget

NO

dispensing fee

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Supporting Practice

     Service specification & practice guidelines NES MAS implementation pack Quality Outcome Framework Prescribing support Operational support  IM&T facilitation Programme  ePharmacy helpdesk  PRS support team  SHOW website for the nCPC

http://www.communitypharmacy.scot.nhs.uk

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Promotional materials

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Some facts and figures

 Almost 700,000 MAS registrations  Around 50,000 MAS consultations a month  Cost is 0.15% of the Primary Care GIC

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Indications treated       Pain Head lice Sore throats Sticky / infected eyes Coughs and colds Skin conditions