Dear Colleague
The final update of concessionary prices were granted today for October 2024:
DrugPack SizeConcessionary Price
Amantadine 100mg capsules56£17.66
Apixaban 2.5mg tablets60£7.21
Apixaban 5mg tablets56£5.63
Aqueous cream500£6.59
Ascorbic acid 500mg tablets28£36.86
Calcipotriol 0.005% / Betamethasone dipropionate 0.05% gel60£23.46
Carbimazole 5mg tablets *100£10.65
Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops5£5.18
Erythromycin 250mg gastro-resistant tablets28£10.41
Erythromycin ethyl succinate 250mg/5ml oral suspension sugar free100£14.06
Escitalopram 5mg tablets28£2.39
Gabapentin 800mg tablets100£47.20
Haloperidol 1.5mg tablets28£8.20
Haloperidol 5mg tablets28£7.64
Hydrocortisone 10mg tablets30£1.88
Hyoscine hydrobromide 400micrograms/1ml solution for injection ampoules10£40.00
Latanoprost 50micrograms/ml / Timolol 5mg/ml eye drops2.5£3.80
Levetiracetam 250mg tablets60£1.83
Lofepramine 70mg tablets56£24.50
Lorazepam 1mg tablets28£6.82
Metformin 1g modified-release tablets56£4.11
Midazolam 10mg/2ml solution for injection ampoules10£5.58
Morphine sulfate 10mg/1ml solution for injection ampoules10£5.40
Naftidrofuryl 100mg capsules84£10.05
Nicorandil 10mg tablets60£7.58
Nicorandil 20mg tablets60£14.56
Olanzapine 20mg tablets28£4.06
Oxcarbazepine 600mg tablets50£29.90
Oxycodone 5mg/5ml oral solution sugar free250£8.48
Oxytetracycline 250mg tablets28£15.23
Pregabalin 300mg capsules56£2.76
Telmisartan 80mg tablets28£14.47
Terbinafine 250mg tablets14£3.50
* Please note that Carbimazole 5mg tablets 100 has received an increased concessionary price for October 2024; the price rolled over from September 2024 was £1.98.

Concessionary prices will be paid against the usual code, no additional endorsements are needed.

Please continue to notify CPNI of any pricing issues you are experiencing via our Medicine Shortage Reporter.

Concessionary prices are also published on the CPNI website.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Colleague
The third update of concessionary prices were granted today for October 2024:
DrugPack
Size
Concessionary Price
Aqueous cream100£1.11
Clarithromycin 125mg/5ml oral suspension70£4.72
Clotrimazole 500mg pessary and Clotrimazole 2% cream1£6.30
Co-amoxiclav 250mg/62mg/5ml oral suspension100£5.79
Co-amoxiclav 250mg/62mg/5ml oral suspension sugar free100£3.60
Codeine 15mg/5ml linctus200£5.31
Fusidic acid 2% cream15£2.38
Itraconazole 100mg capsules15£6.95
Lactulose 3.1-3.7g/5ml oral solution500£4.56
Memantine 20mg tablets28£2.17
Mometasone 0.1% cream30£3.39
Telmisartan 20mg tablets28£2.29

Concessionary prices will be paid against the usual code, no additional endorsements are needed.

Please continue to notify CPNI of any pricing issues you are experiencing via our Medicine Shortage Reporter.

Concessionary prices are also published on the CPNI website.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear colleague,
SPPG have issued correspondence on 28 October 2024 in relation to maintaining the supply of medicines to patients.

SUMMARY

  • There continues to be unprecedented demands on GP practices and Community Pharmacy services with regards to prescription management.
  • In order to optimise prescribing and minimise supply and waste issues, all primary healthcare professionals are asked to consider options to improve current systems.
  • Prescribers are asked to ensure that medicines are prescribed and supplied in appropriate quantities.  For the majority of patients, SPPG guidance for repeat prescriptions is to ideally maintain quantities at 28 days, and a maximum of 56 days.  Certain exceptions such as HRT and oral contraceptive pill will apply.
  • Prescriptions for care home residents should be maintained at 28 day supply, and it may be necessary on occasion to prescribe quantities greater or less than 28 days’ supply to allow for medication synchronisation.
  • Prescriptions for patients who are receiving their medication via a monitored dosage system should be for a maximum 28 day supply to minimise waste from mid-cycle changes and for pharmaceutical stability reasons.
  • Prescriptions for schedule 2, 3 or 4 controlled drugs should be limited to the quantity necessary for up to 30 days of treatment.  Please note previous correspondence regarding this.
  • Temporary residents, patients travelling overseas, and patients who are resident outside of their usual practice area can receive prescription quantities of up to 3 months supply.
    • Further guidance can be seen here.
    • Patients travelling abroad for longer than 3 months should only receive a supply sufficient to enable them to get to their destination and organise an alternative supply.
  • SPPG recommend that in the majority of cases patients are responsible for ordering their own prescriptions, however there may be circumstances where the community pharmacist may be the most suitable person to provide support for patients with ordering their repeat medications e.g. elderly patients, those with serious mental health illness or learning disability who do not have a representative to do this.

ACTION

SPPG have advised community pharmacies to:

  • Read the SPPG correspondence and share with relevant members of the pharmacy team.
  • Review and audit current prescription management processes.
  • Ensure robust processes are in place for supply of outstanding prescription items by informing patients if prescriptions cannot be dispensed in full and provide an owing slip to facilitate collection of the outstanding medication.
  • Review patient information that is on display and identify opportunities to educate patients on responsible ordering and waste management.
    • Consider adding this link to animation related to medicines waste.
  • Ensure prescription ordering processes and waste management processes comply with professional standards and best practice.

Please contact your local primary care office should you have any queries.

Kind regards,

SENT ON BEHALF OF
Gerard Greene
Chief Executive
Dear Contractor
CPNI is pleased to confirm that the Pharmacy First Service for Sore Throat Winter 2024/25 is being offered to all community pharmacies across the network.

CPNI welcomes the expansion of the Pharmacy First Service and the evaluation of last year’s pilot sore throat service demonstrates the importance of this clinical service within community pharmacy.

SPPG correspondence issued 28th October 2024 regarding the Pharmacy First Service for Sore Throat Winter 2024/25 can be viewed here.

SUMMARY

  • Following a successful evaluation of the pilot sore throat service last year, it has been confirmed that funding has been granted for a similar service this winter.
  • The service will be offered across the pharmacy network from 1st December 2024 for two months initially to patients aged 5 years and over.
  • Where assessment indicates that antibiotics are necessary, this can be provided by a Pharmacist Independent Prescriber or in line with the SPPG PGDs.
  • Mandatory training on service provision will be provided by SPPG at a live Echo session at 7.30pm on Tuesday 5th November 2024.  Details on how to join this meeting are included within the correspondence.
  • The training will be recorded and available to view on the Echo Moodle site for those unable to attend the live session.
  • The fees payable to provide this service are as follows:
    • A one off service set-up fee of £200 per contractor.
    • A consultation fee of £32 per consultation (this includes the costs of RADTs and other consumables).
    • Reimbursement of the cost of medicines on submission of the prescription or pharmacy voucher to BSO.
  • Those pharmacies wishing to provide this service are to complete the form at the following link before 5pm on 6th November 2024.
  • Submissions after the deadline will not be accepted.
  • Further information including contract completion will be provided in the coming days.

ACTION

  • Contractors are asked to read the correspondence issued by SPPG regarding the Pharmacy First Service for Sore Throat Winter 2024/25 and share with all relevant members of the team.
  • Those wishing to provide the Pharmacy First Service for Sore Throat are asked to complete the online form before 5pm on 6th November 2024.
  • Training will be provided by SPPG via Echo at 7.30pm on Tuesday 5th November 2024, those wishing to attend this meeting can access the link within the SPPG correspondence.

Please contact your Pharmacy Advisor if you have any queries regarding this letter.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
This update contains important information for community pharmacy teams.

CPNI ALERTS

DOH(NI) ALERTS

BSO ALERTS

Pharmacy team(s) can keep updated via CPNI’s Contractor Calendar and Contractor Emails.
Or report medicine shortages, pricing and staffing issues via CPNI’s Medicine Shortage Reporter and Situation Reporter.
Please bring this to the attention of your pharmacy team(s).

Kind regards

SENT ON BEHALF OF
Gerard Greene
Chief Executive
Dear Contractor
Community Pharmacists and their teams are invited to the launch of the Royal Pharmaceutical Society (RPS)/ Marie Curie Daffodil Quality Improvement Standards for Community Pharmacy Palliative Care in Northern Ireland. 
The standards have been formally endorsed by the Pharmacy Forum NI, supported by CPNI and SPPG, with input from Specialist Palliative Care Pharmacists.
The important role that community pharmacy teams play in improving the care of palliative patients is recognised, and the standards aim to help the whole pharmacy team build on the good care they already provide.
To hear more about the standards, and a clinical update on medicines use in end of life care, a short virtual meeting is being provided on Wednesday 6 November 2024 at 1pm-1.30pm.
Access to the training provided by the RPS lead and NI Specialist Palliative Care Pharmacists, is available via the following link:

Zoom Meeting link
Meeting ID: 869 6281 5408
Passcode: 857Mbk

This training is open to all community pharmacy staff members who engage with patients with palliative care needs or their carers.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive