ADAC – Module 4: Pre-2017 Textbook (Scotland)

A number of changes have occurred since the publication of your Module 4 textbook. In order to ensure that your knowledge is current, please read and implement the additional text below.

Module 4: The Drug Tariff – Scotland

A number of changes have occurred since the publication of your Module 4 textbook. In order to ensure that your knowledge is current, please read and implement the additional text below.


 

Preceding Section 1: The Drug Tariff Scotland

Please remove the following text from your Module 4 Textbook:

“• A copy of the Black List*

 

*Available from Community Pharmacy Scotland (CPS) Tel: 0131 467 7766. These can also be downloaded from www.communitypharmacyscotland.org.uk.”

 

Preceding Section 1: Useful Websites

Your Module 4 Textbook will state:

“Community Pharmacy – maintained by Practitioner Services, a division of NHS National Services Scotland www.communitypharmacy.scot.nhs.uk

 

Practitioner Services – provide a range of services to support health professionals in Scotland www.psd.scot.nhs.uk/professionals/pharmacy”

 

Please change this to:

“Practitioner Services Scotland, part of NHS National Services Scotland – provide services on behalf of Health Boards to support community pharmacies and other healthcare professionals delivering primary care across Scotland

https://nhsnss.org/services/practitioner/pharmacy/

 


 

Section 2: Forms Used in Scotland

CPUS

Please remove the following paragraph from your Module 4 Textbook:

“All pharmacists in Scotland are paid an Unscheduled Care Payment to cover any additional work involved in such unscheduled care. The Unscheduled Care Payment is paid to pharmacies on a monthly basis and is dependent on the hours they are open for.”

 


 

Section 3: Medicines, Food & Cosmetics

Your Module 4 Textbook will state (just before the heading ‘Standards for Dispensed Medicines’):

“They apply only to drugs, food, drink, cosmetic and toiletry items.”

 

Please change this to:

“The following types of products are often classed as ‘pay and report’ items:

 

  • Food products not included in the Advisory Committee on Borderline Substances (ACBS) list
  • Cosmetic products not listed in the ACBS list or BNF
  • Unlicensed herbal products

• Unlicensed products listed in Part 7U of the Drug Tariff (covered in section 15 of this Module)”

 


 

Section 4: Stock Order Forms (GP10A)

Your Module 4 Textbook will contain a weblink to a list of items allowed only on GP10A forms. Please change this weblink to:

http://www.communitypharmacyscotland.org.uk/media/1683/compendium-of-disallowed-products-2009-18.pdf

 

Also, your Module 4 Textbook will state:

“Items NOT allowed on GP10A include pregnancy testing kits, Multistix GP, Uristix, finger cots, gloves (cotton, latex, sterile, linen, rubber), hypodermic syringes and needles, and portable oxygen.”

 

Please change this to:

“Items not allowed on GP10A include hypodermic syringes/needles and portable oxygen.”

 


 

Section 8: How Appliances are Classified

Note

Your Module 4 Textbook will state:

“You will need to be aware of the differences in treatment of certain products on GP10 as opposed to GP10A forms (stock orders). In general if an item is prescribable on prescription then it is also prescribable on stock order. However, some items may only be prescribed on GP10 and others may only be prescribed on GP10A. Such items are identified in the Tariff.”

 

Please change this to:

“If an item is prescribable on a GP10 prescription then it is usually prescribable on a GP10A stock order. However, some appliances may only be prescribed on certain forms. Such items are identified in the Drug Tariff, such as in Part 3.”

 


Section 13: Independent Prescribers

Please replace this section with the following text:

“Nurses, pharmacists, optometrists, physiotherapists and podiatrists/chiropodists may undertake a programme of approved training to become independent prescribers. Independent prescribers can prescribe as follows:

 

  • Pharmacist and nurse independent prescribers – can prescribe any licensed medicine, or appliance within their level of competence, including for `off licence’ use, ACBS items and ‘SLS’ items. They can also prescribe and administer Schedules 2-5 Controlled Drugs (CDs), except diamorphine, cocaine and dipipanone for the treatment of addiction

 

  • Optometrist independent prescribers – can prescribe licensed medicines for conditions affecting the eye and surrounding tissue only. They cannot prescribe any other medicines, appliances or any CDs

 

  • Physiotherapist independent prescribers – can prescribe any licensed medicine for any condition within their competence within the overarching framework of human movement, performance and function, including a limited list of CDs to be administered by specified routes only, for the treatment of organic disease or injury

 

  • Podiatrist independent prescribers – can prescribe any licensed medicine within their competence and relevant to the treatment of disorders affecting the foot, ankle and associated structures, including a limited list of CDs to be administered by specified routes only, for the treatment of organic disease or injury

 

In addition, the following requirements apply to all independent prescribers, who must:

 

  • Prescribe within their own level of competence and expertise
  • Prescribe medicines generically, except where this is clinically inappropriate or no approved generic name exists
  • Not prescribe medicines in the Black List
  • Not prescribe unlicensed medicines”

 

Section 13: Supplementary Prescribers

Please add “midwives” to the list of those who can work as supplementary prescribers.


 

Section 14: Amendments to the Tariff

Your Module 4 Textbook will state:

“Where changes to the Tariff occur they are incorporated into the main body of the Tariff in the relevant places. No distinction is made between additions to the Tariff and products for which there have been price changes only. No information is given in the Tariff on products which have been deleted.”

 

Please change this to:

“Where changes occur, they are incorporated into the Drug Tariff. No indication is made for products that have been newly added or removed. However, Part 7 does indicate when the price of a medicine has increased (green arrow) or decreased (red arrow).”


 

Section 15: Introduction

Please remove the highlighted word from the following sentence in your Module 4 Textbook:

“For branded products where there are several sizes available, you need to make it clear which pack you have used or you will be paid from the most cost effective pack.”

 

Also, please add the following text to this section:

“For products in the Drug Tariff where only one pack size is listed, endorsement of the pack size is not necessary.”

 

Section 15: Broken Bulk

Your Module 4 Textbook will have a list of items you can claim broken bulk on. Please replace the first point with the following:

“(i) Medicinal products not listed in Part 7”

 

Please also replace the third and fourth points with the following:

“(iii) Dressings, appliances, elastic hosiery and incontinence appliances listed in Parts 2, 3, 4 and 5 of the Drug Tariff, where the quantity prescribed is less than the minimum quantity listed in the Drug Tariff”

 

Section 15: Out of Pocket Expenses

Your Module 4 Textbook will have a list of items you can not claim out-of-pocket expenses on. Please replace this list with the following two lists:

 

“You can not claim out-of-pocket expenses on:

 

(i) Medicinal products listed in Part 7 and Part 7U of the Drug Tariff

(ii) Dressings, appliances, elastic hosiery, incontinence appliances and chemical reagents listed in Parts 2, 3, 4, 5 and 9 of the Drug Tariff

 

You can claim out-of-pocket expenses on items which you are not frequently required to supply, for the following categories:

 

(i) Stoma appliances listed in the stoma appliances reimbursement prices document

(ii) Licensed medicinal products not listed in the Drug Tariff

(iii) Specials listed in Part 7S of the Drug Tariff, and specials or unlicensed medicines not listed in the Drug Tariff, where:

(a) Approval from the local NHS Board has been obtained, prior to ordering the specials

(b) Next day dispensing is considered to be necessary”

 

Section 15: Dispensing Fees

Special preparations and imported unlicensed medicines

Your Module 4 Textbook will state:

“For items that are not listed in Part 7S that will be ordered as a specials or an import, your pharmacy must seek reimbursement authorisation from your Health Board before ordering or dispensing the product.”

 

Please change this to:

“For specials not listed in Part 7S or 7U, and not available from an NHS manufacturing unit, your pharmacy must seek authorisation from your local Health Board before ordering the product, by submitting an authorisation request form.”

 

Please also add the following text to this section:

“Part 7U of the Drug Tariff

 

The following endorsements are required for these prescriptions, in both paper and electronic format:

 

  • ‘MIL’ followed by the manufacturer’s/importers’ licence number
  • ‘BAN’ followed by the batch number of product

 

NB: Prices are based on manufacturers’ price lists, and include a handling/carriage charge. These items are subject to ‘pay and report’.

 

 

Special not listed in the Drug Tariff

The following endorsements are required for these prescriptions, in both paper and electronic format:

 

  • ‘SP’ followed by the invoice price (excluding VAT), in pence format ‘pppp’
  • ‘MIL’ followed by the manufacturer’s/importers’ licence number
  • ‘BAN’ followed by the batch number of product
  • ‘HC 3000’ (this is to claim the fixed handling fee of £30)
  • Any out-of-pocket expense claims made (as previous set out)

 

Medicinal products prepared under the manufacturing part of the Section 10 exemption from the Medicines Act 1968

These are extemporaneously prepared medicinal products, and must be endorsed with the following:

 

  • ‘EXT’
  • Ingredient names
  • Pack size of each ingredient (even if you split the pack – no need to claim broken bulk)
  • Cost of each ingredient (unless it is listed in the Drug Tariff)
  • Any out-of-pocket expense claims made (as previous set out)

 

NB: With each monthly submission of prescriptions for payment, you must also send a copy of the invoice for each specials.”

 

Section 15: Electronic Endorsements

Your Module 4 Textbook will state:

“For more information on NHS care services visit the CPS website www.communitypharmacyscotland.org.uk. For detailed information about endorsing prescriptions, refer to the Endorsing Guide For Electronic and Paper Prescriptions, found on the Community Pharmacy website www.communitypharmacy.scot.nhs.uk.”

 

Please change this to:

“For more information on NHS care services visit the Practitioner Services Scotland (PSS) website https://nhsnss.org/services/practitioner/. For more information about endorsing prescriptions, refer to https://nhsnss.org/services/practitioner/pharmacy/endorsing-guide/full-table-of-contents/.”

 

Section 15: Prescriptions which are Incomplete with Respect to Quantity or Strength

Your Module 4 Textbook will state:

“Information on endorsing is available in the Endorsing Guide on the CPS website at http://www.communitypharmacy.scot.nhs.uk/endorsing_guide/Section1/introduction.html.”

 

Please change this to:

“A sample prescription is available in the Endorsing Guide on the NHS National Services Scotland website at https://nhsnss.org/services/practitioner/pharmacy/endorsing-guide/2-reimbursement-endorsements/22-other-reimbursement-endorsements/228-prescriber-contacted-pc-patient-medication-record-pmr/


 

Section 17: What to do with Prescriptions at the end of the Month

Please replace all instances of “Practitioner Services Division (PSD)” with “Prescription and Counter Fraud Services (P&CFS)”.

 

Your Module 4 Textbook will also state:

“Guidance on submission of prescriptions can be found on www.psd.scot.nhs.uk.”

 

Please change this to:

“Guidance on submission of prescriptions can be found in Part 14 of the Drug Tariff and on https://nhsnss.org/services/practitioner/pharmacy/prescriptions/prescription-submission/.”


Section 18: Answers to Intertext Questions

 

Due to the frequent changes of the Drug Tariff, published monthly, some of the answers to the inter-text exercises have changed since the publication of your Module 4 Textbook. We suggest that you disregard the answers provided in Section 18 where appropriate and refer to the latest Drug Tariff.

 


 

 

Download ADAC Module 4 Addendum for Pre-2017 textbook – Scotland