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:
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 Guidance GMMMG There has been a recent update in the GMMMG recommendations for inhalers used in COPD.
Please could you make yourself familiar with this document and bare it in mind if you recommend changes to any patient as part of a MUR or NMS or Inhaler Technique Service as there has been a couple of examples highlighted where a pharmacist has made a recommendation to a GP outside of these guidelines–      

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

 

Please see Here for a list of service providers.

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