Improving Inhaler Technique Through Pharmacy – Service Resources

This service is commissioned by NHSE Greater Manchester. Start date 1st August 2017.

Letters sent on 10/10/2018 updating the service: Inhaler 2018 SLA update letter and CHL Handover Letter Adult Inhaler 2018.

Getting Started:

Read the service specification and address any learning needs
Read the service guide
Develop your SOP. A template is available below
All pharmacists to complete DOC on the CPPE website and keep a copy in your pharmacy

Check your resources. Do you have:

ACT and CAT forms printed
A range of placebo inhalers
An Incheck Device and mouth pieces
Consultation forms (remember you can add data directly to PharmOutcomes

All you then need to do is brief your staff, put up your posters and send the briefing to your local practices.

Below you will find links to a range of documents to support service delivery in your pharmacy

Essential Documents
Service Level Agreement	Inhaler Technique SLA 2018
Service Specification	Inhaler Technique Service Spec 2017
ACT Form	Asthma Control Test
CAT Form	CAT Form
CAT User Guide	CAT User Guide
SOP (Please Note: This is a template SOP which you can adapt for use in your particular pharmacy. It should be reviewed (in conjunction with the service specification) agreed and signed off by your pharmacy superintendent before implementation. Pharmacists providing the service must be familiar with the service specification before providing the service.	Inhaler Technique SOP template
Service Guide	GM Improving Inhaler Service Guide 2018
Consultation Form – Including initial and follow-up visits and consent	Inhaler technique Consultation Form Final

Documents and Resources To Support Delivery
Podcasts	http://wessexahsn.org.uk/videos/show?tag=Inhaler%20Technique
GP Briefing	Download a briefing you can send to your local GPs GP letterv2 – Improving Inhaler Technique
Patient information sheet	This Inhaler Technique – Patient fact sheet explains who the service is for, the benefits, and what will happen
CPD modules from CPPE	Various e-modules are available to support Declaration of Competence, including: CPPE – Inhaler Technique for Health Professionals https://www.cppe.ac.uk/programmes/l/inhalers-e-02/ CPPE – Inhaler Technique Training Videos – https://www.cppe.ac.uk/programmes/l/inhalers-e-00/
CPD modules from Primary Care Respiratory Academy	These CPD e-modules from the Primary Care Respiratory Academy will help support Declaration of Competence. You can access them all at http://www.respiratoryacademy.co.uk/clinical-resources/cpd-modules/ and they cover: Inhaler devices; Supported self-management in COPD; Management of comorbidities in asthma; Management of comorbidities in COPD; Smoking cessation; Spirometry; Acute exacerbations of COPD; Supported asthma self-management; Childhood wheeze; and The value of tests in respiratory disease. The Primary Care Respiratory Academy has been developed and produced by Cogora, working in partnership with the Primary Care Respiratory Society UK (PCRS-UK) with endorsement from the British Lung Foundation. Cogora publish Pulse, Nursing in Practice and Healthcare Leader. The initiative is supported by funding from Pfizer, on behalf of the Novartis-Pfizer Alliance, and from Napp Pharmaceuticals.
FAQs for pharmacy teams	Download the Frequently Asked Questions sheet
Asthma UK Resources	https://www.asthma.org.uk
Smokefree	https://www.nhs.uk/smokefree
Cancer Research UK	CancerResearchUK
Be Clear on Cancer	http://www.cancerresearchuk.org/health-professional/early-diagnosis-activities/be-clear-on-cancer
NICE Clinical Knowledge Summary – Asthma	http://cks.nice.org.uk/asthma
NICE Clinical Knowledge Summary – COPD	http://cks.nice.org.uk/chronic-obstructive-pulmonary-disease
BTS Guidance – Asthma	https://www.brit-thoracic.org.uk/standards-of-care/guidelines/btssign-british-guideline-on-the-management-of-asthma/
GMMMG	COPD Formulary – GMMMG-COPD-Inhaler-Guide-September-2018.pdf Respiratory Formulary – http://gmmmg.nhs.uk/docs/formulary/ch/Ch3-complete.pdf Asthma management plan – http://gmmmg.nhs.uk/html/cgp.php
GOLD COPD guidance	https://goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf
Promotional Poster	Inhaler technique poster for patients
Prescription bag stickers	Prescription bag stickers