Pharmacy Contract – Clinical Governance

Clinical governance requirements for community pharmacy
PSNC and NHS Employers

This document explains the requirements that came into effect on 1 October 2011, as well as the existing requirements. In some cases templates are provided that contractors can use and adapt, or the document will signpost to existing resources.

  • Source: psnc.org.uk
  • Pharmacy Resource: Publication
  • Register to Access Content: No

Essential Service – Clinical governance requirements in the new community pharmacy contractual framework

Pharmacies have an identifiable clinical governance lead and apply clinical governance principles to the delivery of services. This will include use of standard operating procedures; recording, reporting and learning from adverse incidents; participation in continuing professional development and clinical audit; and assessing patient satisfaction.

  • Source: psnc.org.uk
  • Pharmacy Resource: Service Specification
  • Register to Access Content: No

Clinical governance approved particulars for pharmacies

Documents

  • Incident Reporting
  • Information Governance Programme
  • Patient Satisfaction Survey
  • Premises
  • Pharmacy Practice leaflet
  • Source: gov.uk
  • Pharmacy Resource: Approved Particulars
  • Register to Access Content: No

CG Lead – Outline Job Description

each pharmacy is required to have a clinical governance lead, to act as the main contact on clinical governance matters between the pharmacy and the NHS England Area Team

  • Source: psnc.org.uk
  • Pharmacy Resource: Job Description
  • Register to Access Content: No

Community Pharmacy Patient Questionnaire (CPPQ)

What do pharmacy contractors have to do?
The questionnaire
Analysing the results
What do you do with the questionnaire results?
Where can I get help with conducting the questionnaire?
FAQs

  • Source: psnc.org.uk
  • Pharmacy Resource: Various
  • Register to Access Content: No

NHS complaints procedure

The Clinical Governance Framework requires all pharmacy contractors to have in place arrangements which comply with the requirements of the Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 (the Regulations), for the handling and consideration of any complaints. The Regulations were the outcome of a 2006 Department of Health project, launched following the Shipman inquiry to carry out a fundamental review of the complaints systems in both health and social care.

  • Source: psnc.org.uk
  • Pharmacy Resource: Various
  • Register to Access Content: No

NHS Identity Guidelines – How can pharmacies use the NHS Identity?

Our research shows that people find it helpful and reassuring when they see the NHS Identity applied to primary care services. Therefore, whilst pharmacies are not contractually required to use the NHS Identity, they are encouraged to do so to raise awareness of the NHS services they provide and to signpost patients and the public to them.

  • Source: england.nhs.uk
  • Pharmacy Resource: Guidelines
  • Register to Access Content: No

A Guide to Clinical Audit

In its most basic form, Clinical Audit is improving the care of patients by looking at what you are doing, learning from it, and, if necessary changing practice.

  • Source: psnc.org.uk
  • Pharmacy Resource: Workbook
  • Register to Access Content: No

Clinical Audit

Clinical audit is vital; first and foremost for patient care and safety, and additionally for the development and improvement of your professional practice. We support you in preparing for and conducting your clinical audits so that you can demonstrate your excellent services and identify areas where you can enable real improvements.

  • Source: rpharms.com
  • Pharmacy Resource: Various
  • Register to Access Content: Yes – content available to members of the RPS

Pharmacy Based Clinical Audit : Guidance
NHS Eastern and Coastal Kent

A pharmacy based clinical audit should include the following

  • Source: webarchive.org.uk
  • Pharmacy Resource: Guidance
  • Register to Access Content: No

Community Pharmacy Patient Safety Group

The Community Pharmacy Patient Safety Group provides a forum for community pharmacy organisations, competitors in a commercial sense, to openly share and learn from each other when things go wrong, as well as from other sectors and industries.

  • Source: pharmacysafety.org
  • Pharmacy Resource: Various
  • Register to Access Content: No

Significant event analysis reports guidance

A significant event should be chosen for analysis because:

a)It has impacted on the quality or safety of patient care, or
b)It is thought to be important in the life or conduct of the practice, or
c)It may offer some insight into the care process or systems in the practice.

Discussion and analysis of a significant event should conducted in a non-threatening environment and is focused on reflective learning and taking action, where necessary. Dumfries and Galloway prescribers and pharmacists are encouraged to utilise this method of audit as another way to address CPD.

  • Source: dgprescribingmatters.co.uk
  • Pharmacy Resource: Guidance
  • Register to Access Content: No

Practitioner Performance Advice

We provide impartial advice to healthcare organisations to effectively manage and resolve concerns raised about the practice of individual practitioners.

Practitioner Performance Advice (formerly the National Clinical Assessment Service, NCAS) was established in 2001 and is now a service delivered by NHS Resolution under the common purpose, to provide expertise to the NHS on resolving concerns fairly, share from learning for improvement and preserve resources for patient care.

  • Source: resolution.nhs.uk
  • Pharmacy Resource: Various
  • Register to Access Content: No

Patient Safety Incident Reporting

Since 2005, pharmacy contractors have been required to record patient safety incidents in an incident log and report these to the National Reporting and Learning Service (NRLS).

In 2021, a replacement for the NRLS – the Learn from patient safety events (LFPSE) service – was launched and contractors should now use that system for reporting patient safety incidents.

  • Source: psnc.org.uk
  • Pharmacy Resource: Guidance Notes and Reporting Forms
  • Register to Access Content: No

Seven steps to patient safety: full reference guide

This document contains an overview of the National Reporting and Learning Service (NRLS)’s detailed guide to good practice, which covers building a safer culture and managing, reporting and learning from patient safety incidents. It sets out the seven steps that NHS organisations should take to improve patient safety.

  • Source: webarchive.nationalarchives.gov.uk
  • Pharmacy Resource: Archived Guidance
  • Register to Access Content: No

Seven steps to patient safety in mental health

This document contains a summary of the National Reporting and Learning Service’s (NRLS) seven steps to patient safety in mental health. It covers building a safer culture and managing, reporting and learning from patient safety incidents.

  • Source: webarchive.nationalarchives.gov.uk
  • Pharmacy Resource: Archived Guidance
  • Register to Access Content: No

Seven steps to patient safety for primary care

Seven steps to patient safety for primary care is your guide to patient safety. It is most relevant to staff responsible for clinical governance and risk management, but it also applies to all those who are responsible for providing care for patients in the primary care setting. This guide is equally applicable to managed staff and independent contractor staff with differing accountabilities.

  • Source: webarchive.nationalarchives.gov.uk
  • Pharmacy Resource: Archived Guidance
  • Register to Access Content: No

Seven steps to patient safety in general practice

This best practice guide alerts general practices to the seven steps through which they can work in order to safeguard their patients.

  • Source: webarchive.nationalarchives.gov.uk
  • Pharmacy Resource: Archived Guidance
  • Register to Access Content: No

Central Alerting System

The Central Alerting System (CAS) is a web-based cascading system for issuing patient safety alerts, important public health messages and other safety critical information and guidance to the NHS and others, including independent providers of health and social care.

Alerts available on the CAS website include safety alerts, CMO messages, drug alerts, Dear Doctor letters and Medical Device Alerts.

  • Source: cas.mhra.gov.uk
  • Pharmacy Resource: Central Alerting System
  • Register to Access Content: No

The ‘Never Events’ List 2012 to 2013

The ‘never events’ list has been updated with minor amendments to two of the never event definitions.

  • Source: gov.uk
  • Pharmacy Resource: Publications
  • Register to Access Content: No

Public Interest Disclosure Act 1998

  • Source: legislation.gov.uk
  • Pharmacy Resource: Act
  • Register to Access Content: No

HSC 1999/198: The Public Disclosure Act 1998 whistleblowing in the NHS

  • Source: webarchive.nationalarchives.gov.uk
  • Pharmacy Resource: Archived Health Service Circular
  • Register to Access Content: No

Freedom to speak up in Primary Care

This guidance is for all providers of NHS primary care services (GP practices, dentists, opticians and community pharmacists). It details the principles and actions to apply in primary care to support the raising of concerns by staff about the delivery of primary care services to patients and the management of the matter raised.

  • Source: england.nhs.uk
  • Pharmacy Resource: Guidance
  • Register to Access Content: No

Protect – formly Public Concern at Work

We aim to stop harm by encouraging safe whistleblowing

We have advised around 40,000 people on our free, confidential advice line, trained thousands of managers, senior managers and board members and currently support hundreds of organisations to strengthen their internal whistleblowing or ‘speak up’ arrangements.

  • Source: protect-advice.org.uk
  • Pharmacy Resource: Various
  • Register to Access Content: No

Speak Up

Speaking up is the act of reporting concerns about malpractice, wrongdoing or fraud. Within the NHS and social care sector, these issues have the potential to undermine public confidence in these vital services and threaten patient safety. If you are working in this sector but don’t know what to do, or who to turn to about your concerns, we are the leading source of signposting, advice and guidance.

  • Source: speakup.direct
  • Pharmacy Resource: Various
  • Register to Access Content: No

PSNC’s Guidance to contractors on whistleblowing

Pharmacy contractors are required by the clinical governance provisions in the terms of service, to have a whistleblowing policy.

  • Source: psnc.org.uk
  • Pharmacy Resource: Guidance
  • Register to Access Content: No

General Pharmaceutical Council Guidance on Raising Concerns

This guidance explains to pharmacy professionals (pharmacists and pharmacy technicians) the importance of raising concerns, and their relevant responsibilities.

  • Source: pharmacyregulation.org
  • Pharmacy Resource: Guidance
  • Register to Access Content: No

PSNC Briefing on Chaperone Policy

This briefing sets out guidance for the use of chaperones and procedures that should be considered for consultations, examinations and investigations in community pharmacy. It is also aimed at providing practical advice to community pharmacists working in a variety of locations where availability of a chaperone may not always be possible.

  • Source: psnc.org.uk
  • Pharmacy Resource: Briefing
  • Register to Access Content: No

NHS Clinical Governance Support Team
Guidance on the Role and Effective Use of Chaperones in Primary and Community Care settings

This paper sets out guidance for the use of chaperones and procedures that should be in place for consultations, examinations and investigations.

This paper applies to all healthcare professionals working within an organisation, including medical staff, nurses, health care assistants, allied health professionals, medical students, radiographers and complementary therapists working with individual patients in surgeries, clinic situations, wards, departments, out-patient and in the patient’s home. This guidance also covers any non-medical personnel who may be involved in providing care.

  • Source: lmc.org.uk
  • Pharmacy Resource: Guidance
  • Register to Access Content: No

 

Pharmacy Resources Last Checked: 29/09/2021

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