1 e f forte.uk.com t October 2017

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1 t e info@forte.uk.com f forte.uk.com October 2017 EPS, which stands for the Electronic Prescription Services, was commissioned over a decade ago as part of the National Programme for IT for the NHS. It s p e r f e c t l y r e a s o n a b l e objective was to eliminate the FP10 prescription form for patients and facilitate greater choice for patients. Some of your non-dispensing colleagues may have had the system installed and their patients may be using it. Like all big IT projects, it has not been without its problems either for GP surgeries, or for community pharmacies. However, dispensing doctor practices were never in the scope of the project! Yes, you read that correctly. Rural dispensing practices and their patients are not entitled to use the system, and it was commissioned without any solution in mind. The lack of a GP dispensary EPS causes dispensing practices many problems: mostly, as a result of aggressive marketing of the EPS by pharmacies, which has led to dispensing patients inadvertently nominating a local pharmacy to manage their medicines dispensing, inconvenience for patients if the pharmacy is not local and will not deliver and for the practice, of course, there is the loss of dispensing income to consider. Trying to interest anybody in NHS England about righting this appalling wrong has been like pushing water up a hill. The GP IT system suppliers are not terribly interested because there is no funding attached to it. As you may know, the suppliers do not make changes unless they are compelled to do so. The argument sometimes advanced to me is that there are so few rural patients so why does it matter? This is the same argument that you hear every day about post offices, broadband and bus services. You live in a rural area, so you might as well be invisible. Dare I say it: you are a second-class citizen! Yet, you pay the same taxes as everybody else in the country. Well, we have a minority Government now and every vote counts. Are you fed up with a second-class service and being taken for granted? Now you can do something about it. Please write to your MP, they are most likely to be from the Conservative Party, which is desperate to get every vote it can. Tell you your MP that you want EPS for your dispensing practice. If 1 billion could be found for Northern Ireland and its many rural communities, how about 1 billion for the rural mainland? We would like EPS, superfast broadband and a new drug reimbursement system. That will cost the Government considerably less than the DUP extracted for Northern Ireland. Here s a link to the DDA s resource pack for lobbying your local MP: -political-lobby-documents/ Whilst I was writing this article, I was contacted by the agency responsible for EPS, NHS Digital. The Dispensing Doctors Association s lobbying seems to have paid off. They are beginning work to see how they might implement EPS! Please write to your MP anyway, because the funding for it will not necessarily be guaranteed. By Matthew Isom Chief Executive Dispensing Doctors' Association Limited 1

2 The Department of Health has granted the following price concessions for October 2017: Amiloride 5mg tablets Amlodipine 5mg tablets Amlodipine 10mg tablets Anastrozole 1mg tablets Atorvastatin 80mg tablets Betahistine 8mg tablets Betahistine 16mg tablets Bicalutamide 50mg tablets Bicalutamide 150mg tablets Buspirone 10mg tablets Chlorpromazine 25mg tablets Chlorpromazine 50mg tablets Chlorpromazine 100mg tablets Citalopram 10mg tablets Citalopram 20mg tablets Citalopram 40mg tablets Colecalciferol 400unit capsules Dapsone 50mg tablets Duloxetine 20mg capsules Duloxetine 30mg capsules Duloxetine 40mg capsules Duloxetine 60mg capsules Enalapril 5mg tablets Enalapril 10mg tablets Enalapril 20mg tablets Eplerenone 25mg tablets Eplerenone 50mg tablets Exemestane 25mg tablets Gabapentin 300mg capsules Gabapentin 400mg capsules Gabapentin 600mg tablets Haloperidol 1.5mg tablets Hydroxychloroquine 200mg tablets Levetiracetam 250mg tablets Levetiracetam 750mg tablets Mefenamic 500mg tablets Olanzapine 10mg tablets Olanzapine 15mg tablets Olanzapine 2.5mg tablets No additional endorsements are required for price concessions. Price concessions only last for the month in which they are granted. Price concessions can change during the month so additional items are sometimes added. Registered Office: 43 Cox Lane, Chessington, Surrey K19 1SN 2

3 The Department of Health has granted the following price concessions for October 2017: Olanzapine 20mg tablets Olanzapine 5mg tablets Olanzapine 7.5mg tablets Oxazepam 10mg tablets Oxazepam 15mg tablets Pregabalin 150mg capsules Pregabalin 200mg capsules Pregabalin 225mg capsules Pregabalin 25mg capsules Pregabalin 300mg capsules Pregabalin 50mg capsules Pregabalin 75mg capsules Quetiapine 100mg tablets Quetiapine 150mg tablets Quetiapine 200mg tablets Quetiapine 25mg tablets Quetiapine 300mg tablets Rasagiline 1mg tablets Rizatriptan 10mg tablets Sodium Cromoglicate 2% eye drops 13.5ml 9.72 Sumatriptan 100mg tablets Sumatriptan 50mg tablets Terbinafine 250mg tablets Tramadol 50mg capsules Tramadol 50mg capsules Tranexamic Acid 500mg tablets Trimethoprim 50mg/5ml oral suspension SF 100ml 3.99 Valsartan 160mg capsules Valsartan 80mg capsules Vitamin B Co Strong tablets Zolmitriptan 2.5mg orodispersible tablets sugar free Zolmitriptan 2.5mg tablets No additional endorsements are required for price concessions. Price concessions only last for the month in which they are granted. Price concessions can change during the month so additional items are sometimes added. Registered Office: 43 Cox Lane, Chessington, Surrey K19 1SN 3

4 As flu time is now upon us, please ensure that you are correctly claiming for your flu v a c c i n a t i o n s. I t i s important to get these claims in, in a timely manner. This will ensure you receive your payments before you have to pay your bill, if you have negotiated extended credit with your supplier. As a dispensing GP, you will need to complete a FP 34 D (appendix) form for your high volume vaccines each month. This is then sent in with your submission documents and FP10 prescriptions at the end of the month - no later than the 5 th day of the month following that in which it was dispensed. When filling in your FP34D (appendix) form, please remember to supply all the required information as incomplete claims impact on processing and may cause a delay to your payment An entry of, for example, flu vaccines and a quantity is not enough information for the Business Services Authority to process your claim correctly. Influenza Typhoid Hepatitis A Hepatitis B Pneumococcal Meningococcal Please also check that you audit your stock against your claimed submitted to ensure full payment for all vaccines used. Individual FP10s for these vaccines WILL NOT be accepted by the Business Service Authority. If you need further help, or have any questions, visit prescription services You can download an example of a completed form here: Information you must declare on the FP 34 D (appendix) includes: The name of the GP and their index number. The name of the vaccine. The brand / manufacturer s name (be sure to include the brand name if the maker produces more than one brand). The presentation / pack endorsement. The patient s dosage. The total number of doses administered within the month. Please remember, only details of the following six vaccines or combinations of the listed vaccines (e.g., Twinrix, Hepatyrix) are to be entered below. By Hazel Harris Trainer & Dispensary Manager - Wye Surgery 4

5 We are pleased to announce that, as of October 2017, Alliance Healthcare will enter into an exclusive wholesaler distribution agreement to supply Vifor Fresenius Veltassa lines to pharmacies, hospitals and dispensing doctors in England, Scotland and Wales and Northern Ireland. For your convenience, the table below provides full information of the product lines, which can also be found on our website at Veltassa powder oral suspension 8.4g x Veltassa powder oral suspension 16.8g x Purchases of these lines will arrive as part of your usual Alliance Healthcare delivery on a same-day delivery service, and if you already hold an Alliance Healthcare account, there is no need for you to take any further action. In order to receive Vifor Fresenius lines from 1 October, you can simply order from Alliance Healthcare in your usual manner. Exclusively to the Forte Group members, Sally Linch is now on hand as a completely independent c o n s u l t a n t a n d advisor to answer any queries, and offer advice to all our 8501 Members via our e-consultancy service. Whatever your commercial or dispensary query, all you need to do is Sally (sally.linch@nhs.net) with Forte followed by your Alliance Healthcare account number in the subject header and she will reply with an answer within 3 working days. Sally is currently working at White Horse Medical Practice in Oxfordshire where she has successfully managed the dispensary for a number of years with a large team of dispensers, as well as managing the integration of two practices. Sally also works as an independent consultant and trainer. She offers her time to other practices to help train and develop staff on site, so you can concentrate on running the dispensary rather than worrying about outsourcing training courses for staff development. Sally knows that time in the dispensary is scarce, and that running a successful and profitable dispensary requires discipline, protocol and team work. She is an expert regarding all things dispensing, with a particular focus on finance, purchasing and profitability. 5

6 The Forte Group are pleased to invite you and your colleagues to join us to our Open Surgery Workshop with Dr Richard West and Lesley Strong on 16 November at 7pm at Best Western Tillington Hall Hotel, Eccleshall Rd, Stafford ST16 1JJ. Don t miss this exciting opportunity to participate in a vibrant Open Surgery discussion with Dr Richard West and Lesley Strong. This session is aiming to support all delegates with understanding their medical and dispensing business and identifying issues and problems in order to provide detailed solutions to enhance business performance. 16 November 2017 Registration, buffet and exhibition 19:00-19:20 Welcome and introduction 19:20-19:35 Lesley Strong, General Manager, Forte Pharma Ltd Best Western Tillington Hall Hotel, Eccleshall Rd, Stafford, ST16 1JJ Future challenges and opportunities for dispensing doctors 19:35-20:15 Dr Richard West, Chairman, DDA Maximising dispensary profitability 20:15-21:00 Lesley Strong, General Manager, Forte Pharma Ltd Identify the key issues/risks facing your business Identify key areas in purchasing to reduce costs and increase profitability Identify opportunities to increase services Future of dispensing GP dispensing leads, practice/business managers and dispensary managers Please contact us to book your place - info@fortegroup.uk.com. Phone : opt#3 The full training schedule of events is available on our website We look forward to seeing you there The following companies have supported the meeting by way of purchasing exhibitor stand space Alliance Healthcare, Alliance Pharmaceuticals Limited, Chiesi, Forte Direct, and Takeda 6