Repeat Dispensing

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Repeat Dispensing
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Repeat Dispensing

• 80 of all prescriptions
• could be handled this way!

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Repeat Dispensing

• Whats in it for me ?
• What does it mean to Surgery staff?

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Repeat Dispensing

• Whats in it for me ?

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Repeat Dispensing

• Whats in it for me ?

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Repeat Dispensing

• Whats in it for me ?
• Primary Care Trust

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Repeat DispensingRecipe for success

• Ingredients
• 1 surgery
• GP software
• An infusion of training
• Carefully selected patients
• Pharmacy participation
• PCT Support

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Repeat Dispensing

• Patient Selection

Can any patient join? What is the
criteria? Avoiding direction of patients
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Repeat Dispensing

• Patient Selection
• What If the wrong patients are selected?
• Standardising selection criteria

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Repeat Dispensing

• Whos prescription is it anyway?

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Repeat Dispensing

• How many patients ?
• Average list size per GP 2,500
• 40 of all patients have a repeat prescription.
  (1000)
• 70 of those have repeats with 4 (or less) items.
  (700)
• What is success?
• Target 10 of those with 4 or less repeats (70)

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Repeat Dispensing

• The way ahead
• Direct patient advertising
• Posters and leaflets in Surgery Pharmacy
  (careful)
• Searches and mailings from surgery (costly)
• Prescription Management Team (PMT) identification
• Pharmacy recruitment
• Liase with surgery (re their selection criteria)
  
• Increased confidence
• The more patients using it the more it will be
  seen as the norm and less of an extra system to
  run (both in surgery and pharmacy)

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Repeat Dispensing

• The Pharmacy Perspective
• Training
• Whats in it for me
• Extra work
• Educating Patients
• Recruitment and retention of patients
• Volume of RDA patients
• End of month submissions

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Repeat Dispensing
TRAINING

• PCT defined Appropriate training
• CPPE distance learning packs
• On-line MCQ
• Certification
• Local CPPE Event
• Locums

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Repeat Dispensing
Whats in it for me?

• Planning workload
• Stock control
• Guaranteed trade
• Service that will benefit MY patients
• Better use of my skills
• New Pharmacy Contract
• Set up fees
• PCTs paying Pharmacy via PPA in global sum (based
  on total prescription turnover)

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Repeat Dispensing
EXTRA WORK

• The Legal Questions
• Recording interventions
• Whos collecting

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Repeat Dispensing
EXTRA WORK

• Storage
• Keeping batch issues safe
• Space
• How to keep batch issues
• Alphabetical?
• Grouped by week number?

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Repeat Dispensing
EXTRA WORK

• Change of Medication/Dosage
• Destruction of batch issues
• Communication with the surgery
• When to communicate
• How Email / telephone (is there any body there)
• With whom?
• Pharmacist can refuse to supply

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Repeat Dispensing
EDUCATING PATIENTS

• It is different
• Use computer system
• Encourage patients to contact prior to order
• Planning workload
• Ask legal questions
• Educating locums

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Repeat Dispensing
RECRUITMENT and RETENTION

• Ensure surgery message on final batch issue is
  understood and actioned
• What are the practice guidelines for recruitment
• Which practices
• What medications will be issued

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Repeat Dispensing
VOLUME OF RDA PRESCRIPTIONS When small is NOT
beautiful!

• Small number of patients
• Specialist system
• Limited staff knowledge and contact
• Patient compliance reduction
• Practice compliance reduction

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Repeat Dispensing
VOLUME OF RDA PRESCRIPTIONS Size matters!

• Greater number of patients
• Needs whole team involvement (inc locums)
• SOP development
• Improved benefits of scheme
• Improves patient experience

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Repeat Dispensing
END OF MONTH SUBMISSIONS

• RA the legal prescription
• RD first issue of batch
• RD subsequent issues of batch

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Repeat Dispensing
ESSENTIAL SERVICE

• Unless the surgeries are producing RDA
  prescriptions it is irrelevant!
• PCT ongoing support to actively involve both
  Pharmacy and Surgery with
• Recruitment
• Patient education
• Patient retention

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Repeat Dispensing

• Mark Baxter 07968 171 397
• Northamptonshire Heartlands PCT