Dear Colleague
Correspondence dated 5th September 2024 regarding the Pharmacy First Emergency Hormonal Contraception (EHC) Service has been issued by SPPG.

SUMMARY

  • The Pharmacy First EHC service has been commissioned in NI since July 2022.
  • To date, service activity levels indicate that the service is widely utilised and patient feedback has been positive.
  • MOIC has been commissioned by SPPG to undertake a review of the service to determine the aims and objectives as outlined in the service specification, are being achieved.
  • This review will provide useful evidence to demonstrate the value of the service provided by community pharmacy which will help further expand the range of clinical services provided by community pharmacists in line with the Strategic Plan.
  • As a first step to the review, MOIC will require access to a sample of Pharmacy First EHC consultation records:
    • Approximately 60 community pharmacies will be selected randomly by MOIC to submit a certain sample size of consultation records to SPPG.
    • In addition to the 60 selected pharmacies, all consultation records undertaken for young women under 16 years will also be required by MOIC.
  • SPPG Pharmacy Advisors will be in contact via telephone with all the selected pharmacies to outline the submission of records, and the support available to community pharmacy.
  • Pharmacies are not required to redact records as this will be done by SPPG before sharing with MOIC.

ACTION

  • Contractors are asked to read the correspondence issued by SPPG 5th September 2024 and share with relevant team members.
  • Pharmacies do not need to take any action until they are contacted by their SPPG Pharmacy Advisor.

Any queries regarding this letter can be directed to SPPG advisors at local offices.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive

Dear Contractor

Further to CU#240903A CPNI have continued to work with SPPG colleagues regarding the 2024 Northern Ireland Autumn Vaccination Programme.

I can now confirm that an agreed way forward has been reached for community pharmacy to participate in the 2024 Autumn Vaccination Programme for both flu and COVID, including care home residents.

The item of service fees payable for administering flu and COVID vaccines are set at a national level in England and cannot be changed. We have retained the set-up fees and tiered payments for both walk-in vaccinations and care home vaccinations and the additional payment for vaccinating care home residents will now be £15 per vaccinated resident.

CPNI has worked hard to embed the community pharmacy role within the Northern Ireland vaccination programme and we want to build on this moving forward.

SPPG communications will be issued shortly and they will provide further details on the arrangements for the Autumn Community Pharmacy Vaccination Programme.

As always, it is a decision for each contractor as to which additional services they wish to provide.

Please do not hesitate to contact CPNI office should you require any further information.

Kind regards

Katherine

SENT ON BEHALF OF
KATHERINE KIDD
Head of Pharmacy Development

Dear Contractor

CPNI have been liaising with SPPG colleagues on the community pharmacy vaccination service for Autumn 2024. Due to reduced funding being proposed for the Autumn COVID vaccination programme and as a result of the wider pressures facing community pharmacy contractors at this time, CPNI have advised SPPG that community pharmacy will only be able to participate in the walk-in flu vaccination programme and would not be in a position to provide the COVID vaccination service nor vaccinations to care home residents.

We will continue to engage with SPPG on the service and will of course keep you updated of any developments.

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Colleague
Correspondence dated 30th August 2024 regarding the Community Pharmacy Stop Smoking Service has been issued by the PHA.

SUMMARY

  • The delivery of Stop Smoking Services across Northern Ireland has contributed to the reduction of smoking prevalence to 14%.
  • In the coming months, the PHA will be linking closely with all Stop Smoking Service providers to ensure the service continues to be of high quality and fit for purpose.
  • From 14th October 2024, the PHA and SPPG will be undertaking a data review of Stop Smoking Services that were delivered between 1st April 2023-31st March 2024
  • This review will aim to demonstrate that the work of Community Pharmacy is accurately reported, and is delivered in line with best practice.
  • The PHA are asking that all Stop Smoking client data is accurately uploaded onto the electronic monitoring system before Friday 27th September 2024.
  • All 4 and 52 week follow-ups that have not expired, i.e. within 12 months, are eligible to be claimed for.
  • The PHA/SPPG may contact some service providers at a later date to discuss service activity and PV1 activity for this period.
  • The PHA wish to remind Stop Smoking Service providers that the Quality Standards for Stop Smoking Services in NI, require carbon monoxide validation for all clients at the 4 week follow-up. This is an area which has been identified as requiring improvement and will be monitored as part of the quality improvement process.

ACTION

Contractors should:

Any queries regarding this letter can be directed to PHATobaccoAdmin@hscni.net

Kind regards

SENT ON BEHALF OF
GERARD GREENE
Chief Executive
Dear Colleague
The final update of concessionary prices were granted today for August 2024:
DrugPack SizeConcessionary Price
Apixaban 2.5mg tablets60£14.99
Apixaban 5mg tablets56£14.99
Benzydamine 0.15% mouthwash sugar free300£4.51
Calcipotriol 0.005% / Betamethasone dipropionate
0.05% gel
60£24.83
Captopril 12.5mg tablets56£12.84
Captopril 25mg tablets56£15.98
Captopril 50mg tablets56£18.91
Clarithromycin 125mg/5ml oral suspension70£4.75
Clarithromycin 250mg/5ml oral suspension70£9.11
Clonidine 25microgram tablets112£13.39
Co-amoxiclav 125mg/31mg/5ml oral suspension
sugar free
100£2.60
Co-amoxiclav 250mg/125mg tablets21£3.13
Co-amoxiclav 500mg/125mg tablets21£3.39
Codeine 15mg tablets28£0.99
Codeine 15mg tablets100£3.53
Co-tenidone 50mg/12.5mg tablets28£6.42
Duloxetine 40mg gastro-resistant capsules 56£8.38
Erythromycin 250mg gastro-resistant tablets28£17.78
Escitalopram 5mg tablets28£1.99
Etoricoxib 60mg tablets28£6.91
Etoricoxib 90mg tablets28£6.85
Flucloxacillin 250mg/5ml oral solution sugar free **CP REDETERMINED BY DHSC 30 AUG 24**100£5.63
Glimepiride 4mg tablets30£1.20
Haloperidol 1.5mg tablets28£14.95
Haloperidol 5mg tablets28£9.59
Ketoconazole 2% shampoo120£24.95
Lacosamide 200mg tablets56£10.63
Lercanidipine 10mg tablets28£2.44
Levetiracetam 500mg tablets60£4.48
Lisinopril 20mg / Hydrochlorothiazide 12.5mg tablets28£7.50
Memantine 10mg/ml oral solution sugar free50£26.53
Methenamine hippurate 1g tablets 60£16.78
Methylphenidate 54mg modified-release tablets30£73.62
Midazolam 10mg/2ml solution for injection ampoules10£5.50
Mometasone 0.1% cream30£3.52
Nabumetone 500mg tablets56£16.45
Naftidrofuryl 100mg capsules84£9.20
Olanzapine 10mg tablets28£5.34
Olanzapine 20mg tablets28£3.50
Oxytetracycline 250mg tablets28£18.50
Perindopril erbumine 2mg tablets30£3.00
Perindopril erbumine 4mg tablets 30£3.30
Primidone 250mg tablets100£79.00
Pyridostigmine bromide 60mg tablets200£17.95
Quetiapine 100mg tablets60£15.04
Quetiapine 150mg tablets60£18.12
Quetiapine 200mg tablets60£32.00
Quetiapine 25mg tablets60£5.68
Quinagolide 50microgram tablets and
Quinagolide 25microgram tablets
6£34.86
Quinine sulfate 200mg tablets28£6.32
Quinine sulfate 300mg tablets28£2.95
Ropinirole 2mg tablets28£32.05
Sevelamer 800mg tablets180£27.97
Sodium chloride 0.9% nebuliser liquid 2.5ml
unit dose ampoules
20£9.50
Sodium cromoglicate 2% eye drops13.5£3.03
Spironolactone 50mg tablets 28£3.49
Tadalafil 5mg tablets28£1.84
Tamoxifen 20mg tablets30£2.65
Terbinafine 250mg tablets14£6.44
Trospium chloride 20mg tablets60£11.05
Venlafaxine 225mg modified-release capsules28£18.00
Venlafaxine 75mg modified-release tablets30£2.80

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
This update contains important information for community pharmacy teams.

CPNI ALERTS

DOH(NI) ALERTS

BSO ALERTS

DRUG TARIFF NEWS

  • The Drug Tariff and Advance Notice are available here.
  • Clopixol Product Issues
    • An issue with all Clopixol products has been brought to the attention of CPNI.  There is stock currently available to community pharmacy in NI, however, pharmacy teams cannot order this stock online but can place an order with their wholesaler via telephone.
  • Rivaroxaban Reimbursement Changes from September 2024
    • An advance notice has been issued by BSO regarding changes to the September 2024 NI Drug Tariff and details the new list prices and category changes of rivaroxaban products:
      • Rivaroxaban 2.5mg tablets (56) from Category C to Category A. Price change £50.40 to £16.87
      • Rivaroxaban 10mg tablets (30) from Category C to Category A. Price change £54.00 to £9.40
      • Rivaroxaban 15mg tablets (28) from Category C to Category M. Price change £50.40 to £6.75
      • Rivaroxaban 20mg tablets (28) from Category C to Category M. Price change £50.40 to £6.75

Changes to Category M are usually made each quarter in the following months: January, April, July, and October. However, the change above has been implemented one month earlier.

Opioid Safety Collaborative Event

CPNI wish to make contractors aware of an upcoming HSC Opioid Improvement Collaborative Event taking place on 19 September 2024 in Riddel Hall, Belfast.  Further information is available within the event flyer.  Community pharmacy contractors who wish to attend are welcome to register by completing the online form, or alternatively they may contact a member of the CPNI team for further information.

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