Appendix A
East & West Suffolk Supervised Consumption
Specification
1. Aims
1.1
To ensure compliance with the agreed treatment plan for supervised consumption by:
 dispensing in specified instalments (doses may be dispensed for the patient to take
away to cover days when the pharmacy is closed),
 ensuring each supervised dose is correctly consumed by the patient for whom it was
intended.
1.2
To reduce the risk to local communities of:
 over usage or under usage of medicines,
 diversion of prescribed medicines onto the illicit drugs market; and
 accidental exposure to the supervised medicines.
1.3
To help service users access treatment by offering referral to specialist drug and alcohol
treatment centres and health and social care professionals where appropriate.
1.4
This service is for service users of 18 years and above.
1.
Service Criteria
2.1
This service will require the trained pharmacist and their staff to supervise the consumption of
prescribed medicines at the point of dispensing in the pharmacy, ensuring that the dose has
been consumed by the patient.
2.2
Examples of medicines which may have consumption supervised include methadone and
other medicines used for the management of opiate dependence.
2.3
The service user will be provided with appropriate health promotion materials.
2.4
The pharmacy will promote safe practice to the user, including advice on sexual health and
STIs, HIV and Hepatitis C transmission and Hepatitis B immunisation.
2.5
Pharmacies will offer a user-friendly, non-judgmental, client-centred and confidential service.
2.
Service Outline
3.1
The part of the pharmacy used for provision of the service provides a sufficient level of
privacy and safety and meets other locally agreed criteria.
3.2
The pharmacy will present the medicine to the service user in a suitable receptacle and will
provide the service user with water to facilitate administration and/or reduce the risk of doses
being held in the mouth.
3.3
Terms of agreement are set up between the prescriber, pharmacist, patient and specialist
service (a four-way agreement) to agree how the service will operate, what constitutes
acceptable behaviour by the client, and what action will be taken by the GP and pharmacist if
the user does not comply with the agreement.
3.4
The service provider, Turning Point, will provide details of relevant referral points which
pharmacy staff can use to signpost service users who require further assistance.
3.5
The service provider, Turning Point, will obtain or produce health promotion material relevant
to the service users and making this available to pharmacies.
3.6
Missed doses – Please advise the prescribing agency when a client has missed a dose.
They may be aware of the reasons and be able to authorise the next instalment of the
prescription, or require the client to make contact with them first. Please use Turning Point
template for DNA reporting attached. Any issues report to Turning Point, telephone 0300 123
0872.
3.7
If a client has missed three consecutive doses you should not dispense you should
contact the prescribing agency. If a client has a pattern of non-attendance, e.g. always
missing the same day or regularly missing days each week you should also advise the
prescribing agency as their prescription/dispensing arrangements require review. Please use
Turning Point DNA template attached. Any issues report to Turning Point, telephone 0300
123 0872.
3.
Health & Safety
4.1
Appropriate protective equipment, including gloves, overalls and materials to deal with
spillages, should be readily available close to the storage site.
5.
Accreditation
5.1
Pharmacists and their staff involved in the provision of the service have relevant knowledge
and are appropriately trained in the operation of the service to a standard agreed with Turning
Point Regular training is a mandatory requirement.
5.2
The pharmacy can demonstrate that pharmacists and staff involved in the provision of the
service have undertaken CPD relevant to this service. Any pharmacy wishing to accredit
themselves for this service must contact the clinical co-ordinator, Turning Point, to arrange
appropriate training.
5.3
Pharmacists and their staff involved in the provision of the service are aware of and operate
within local protocols agreed with Turning Point. The Pharmacies SOP must be based on the
local protocols of this service and must be regularly reviewed.
5.4
Providers will attend at least one meeting per year with Turning Point to promote service
development and update the knowledge of pharmacy staff.
6.
Financial Details
6.1
The annual payment structure which covers supervised consumption and needle exchange
together is as follows:0 to 500 credits
500 to 1500 credits
Remaining credits
=
=
=
£2 each
£1 each
£0.50 each
a)
The number of interventions for needle exchange payments
 1 intervention = 2 credits
b)
The client weeks for supervised consumption
 Number of client weeks x 7 = Total number of credits
Note: a week will be counted even when the client was not supervised for a complete week.
6.2
Payments will be authorised on a quarterly basis on submission of the attached forms to
Turning Point (head office fax number 01473 213062). Data received after the deadline will
not be processed
6.3
Payment will be made by Suffolk County Council.
7.
Performance Monitoring
7.1
The pharmacy must maintain appropriate records to ensure effective on-going service
delivery and audit.
7.2
The pharmacy reviews its standard operating procedures and the referral pathways for the
service on an annual basis.
7.3
The pharmacy participates in an organised audit of service provision and co-operates with
any locally agreed Turning Point or Suffolk County Council led assessment of service user
experience.
7.4
Suffolk County Council reserves the right to request evidence or information that the
contractor is providing the service in a way that is safe, convenient and in accord with the
requirements of this specification. The contractor is required to comply with all reasonable
requests for evidence or information.
Supervised Consumption front sheet and claim form
2015-16 Suffolk Supervised Consumption front sheet and claim form.docx
4 Way agreement
2015-16 Suffolk
-Turning Point - 4 way pharmacy contract.docx
DNA reporting template
2015-16 Draft
Suffolk - Reporting any client who misses a dose.docx