National Health Service (NHS) (and non-NHS) organisations providing CHS need to have access to advice from a suitably experienced senior pharmacist (typically at band 8b or above) with competency in CHS.
Strategic advice
National Health
Service (NHS) (and non-NHS) organisations providing CHS need to have access to
advice from a suitably experienced senior pharmacist (typically at band 8b or
above) with competency in CHS. They may be directly employed or support the
organisation via a contract or SLA. The role of the senior pharmacist will
include responsibility for safe systems for managing medicines across the
organisation. This includes ensuring that controlled drugs are managed within
the legal framework and providing support to the accountable officer (see
Chapter 5).
An ability to access
strategic pharmacy advice is particularly important at a time of rapid change
with services moving from hospital into community settings and redesigned to be
closer to the patient. These changes may bring additional risks that need to be
assessed and managed.
Response to
emergencies may need review, as basic life support only will be available in
community settings, along with dialling 999 when necessary.
There may be
additional issues relating to safe disposal, for example, when cytotoxics are
being administered in a patient’s home. There may be a need for new policies
and procedures to support safe practice. There may be a need for the
development of PGDs for supply and/or administration of medicines within a new
service or for training of new non-medical prescribers. There may need to be advice
on the legal route for the supply of appropriately labelled medicines,
especially for supply under PGD.
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