Services Database Supervised Consumption (Salford Area)

Aims
To reduce the risk to local communities of:

• Overuse or underuse of medicines
• Diversion of prescribed medicines onto the illicit drugs market
• Accidental exposure to the dispensed medicines

 
Objectives
To ensure compliance with the agreed treatment plan by;

• Dispensing prescribed medication in specified instalments
• Ensuring each supervised dose is correctly administered to the patient for whom it was intended (doses may be dispensed for the patient to take away to cover days when the pharmacy is closed)
• Liaising with the prescriber, Achieve Bolton, Salford and Trafford Clinical team (see contacts page 15) and others directly involved in the care of the patient (where the patient has given written permission)
• Monitoring the patient’s response to prescribed treatment; for example, if there are signs of overdose, especially at times when doses are changed, during titration of doses, if the patient appears intoxicated or when the patient has missed doses and if necessary withholding treatment if this is in the interest of patient safety, liaising with the prescriber or named key worker as appropriate
• Improving retention in drug treatment
• Improving drug treatment delivery and completion

Pharmacist Training & Qualifications
This service will only be commissioned through pharmacy contractors that have a competent by Declaration of Competence (DoC) pharmacist on duty 75% of the pharmacy opening hours.
To gain accreditation, pharmacists routinely involved in the provision of this service must have made the CPPE ‘Supervised consumption of prescribed medicines’ Declaration of Competence. Before making this declaration of competence the following must be completed:

• The distance learning package ‘Substance Use and Misuse” (2^nd Edition May 2012) available from the Centre for Postgraduate Pharmaceutical Education (CPPE). This is available online and takes approximately 10 hours.

Information is available from https://www.cppe.ac.uk/mycppe/login#doc
And

• The CPPE assessment ‘Substance Use and Misuse – delivering Pharmacy services (2015)

The Substance Misuse in General Practice website is also a useful source of information and guidance and contains discussion groups to support those working with substance users. This can be found at www.smmgp.co.uk
The UK psychiatric pharmacists’ substance misuse e-mail group (www.ukppg.org.uk) is another forum for discussion.
If in exceptional circumstance Achieve Bolton, Salford and Trafford choose to commission this service from a pharmacy who employs a pharmacist that have not completed their qualification, commencement of the required training will be expected within four weeks of their being accepted on to the programme and successful completion within 12 weeks. Achieve Bolton, Salford and Trafford must be informed once the qualification has been awarded with copies of certificates of completion submitted to Achieve Bolton, Salford and Trafford Senior Clinical Nurse.
Local training will also be provided by Achieve Bolton, Salford and Trafford at the commencement of the scheme and updates if there are significant changes to clinical practice.
 
Pharmacy Technician Training & Qualifications
Pharmacy Technicians involved in the provision of this service must be registered with the GPhC and have completed the same learning modules, assessment and declaration of competence as described above. Information is available from www.cppe.man.ac.uk.  Alternatively, a supervising accredited pharmacist must sign off the DOC for the appropriately qualified, trained and competent dispensing assistant.