UTI PGD Service - NENC ICS Overview

UTI PGD Service - NENC ICS

• This service is for females aged 16-65
• NHS provides ~110 million urgent same-day patient contacts annually, with ~85 million being urgent GP appointments
• Community pharmacy services play a role in self-care for minor ailments (reducing avoidable GP visits)
• Aims to enable supplies of POMs by community pharmacies
• Prevent premature deaths, enhance quality of life, help recovery from illness/injury, and ensure positive care experiences in a safe environment
• The service aims to provide eligible patients access to UTI medication via community pharmacies contracted to PSNE
• The service will be provided by community pharmacies commissioned by the NENC Integrated Care System/Board
• Improve access and choice for people with minor ailments needing FP10 prescriptions
• Increase the scope of minor illnesses treatable by community pharmacists
• Utilise community pharmacy 7-day and out-of-hours services
• Ensure consistent clinical pathways across the NENC ICS/B
• Offer positive care experiences in a single episode of care
• Reduce pressure on other healthcare system parts (e.g., urgent care)
• Reduce referrals from limitations in OTC medicine licensing
• This service helps patients who would otherwise need a prescription for UTI treatment
• Available medicines through the PGD service include Nitrofurantoin MR 100mg capsules and Nitrofurantoin 50mg tablets, with specific inclusion/exclusion criteria
• Treatment is provided by accredited pharmacists following standardised pathways
• Pharmacists provide counselling and safety netting advice (written & verbal)
• Use of urine dipstick tests is acceptable and outlined in Appendix 3 with clear instructions on when and how to use it.
• Pharmacists must complete the PharmOutcomes template for each supply made
• Patients not exempt from prescription charges must be charged at the current rate
• Pharmacists must submit claims to the commissioner monthly
• Referrals to other parts of the system are made if a pharmacist cannot treat the patient in the community pharmacy
• Pharmacists should check Summary Care Records for patient information
• Staff (including locums) must attend training on the PGD implementation
• Pharmacists must fulfil their defined e-learning goals on PharmOutcomes (consultation skills, sepsis, safeguarding level 2, antimicrobial stewardship)
• Any complaints are initially directed to the provider's complaints procedure, with escalation to the NG CCG Customer Services Team if unresolved.
• The PGD has clinical criteria for inclusion and exclusion
• NHS England commissioned Community Pharmacy Consultation Service is not replaced, but an additional/alternative option in cases of clinical appropriateness
• Service must adhere to applicable national/local standards (incl. NICE guidance)
• This service is open to all patients who meet the criteria (Appendix 1)
• Clinical criteria are within the individual PGD
• Payment schedule includes set up fee (£300) and per-consultation fees (£14), additional cost for dipstick tests (£3), and cost of medicine (incl. VAT).
• Pharmacies must complete a "Confirmation of Readiness" to ensure service criteria are met before providing the service; Monthly invoices are automatically generated and sent to the commissioner

Payment Schedule

• £300 initial set-up fee
• £14 per consultation
• £3 for dipstick tests
• Medications' cost (including VAT) if needed
• Additional OTC/P medicines needing external payment

Applicable National/Local Standards

• NICE guidance (e.g., MPG2)
• Primary Care Anti-microbial Guidelines, Lower UTI Guidelines from Competent Bodies (e.g., Royal Colleges)

Appendix 1: Proforma for use in case of IT failure

• Guidelines for safe medication supply in case of IT failure
• Include medication details (Nitrofurantoin MR 100mg/50mg), preparation supplied, and patient information regarding caution and possible side effects

Appendix 2: Quality Requirements

• Table depicting Threshold, Method of measurement, Consequences of breach, and Timing of application of consequence for various quality requirements (e.g., competence declaration, service consistency)

Appendix 3: Urine Dip Stick Analysis

• Detailed instruction on urine dipstick analysis
• Use only on non-catheterised symptomatic females
• Instructions for collection including preparation, and timing for nitrite, protein, blood, and leukocytes results.

This quiz delves into the UTI PGD service provided by the NENC ICS for women aged 16-65. Learn about the role of community pharmacies in improving access and treatment for minor ailments, particularly regarding UTI medication. The service aims to enhance quality of life and ensure safe care experiences through timely provision of prescriptions.