Minor Ailment Service

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Minor Ailment Service
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Policy

• To establish community pharmacies as the first
  port of call for the NHS treatment of common
  clinical conditions

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Aim

• The Minor Ailment Service (MAS) aims to support
  the provision of direct pharmaceutical care on
  the NHS by community pharmacists to members of
  the public presenting with a common illness.

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Objectives

• To improve access to advice and medicines for
  common illnesses
• To promote care through the community pharmacy
  setting
• To transfer care from GPs and nurses to
  pharmacists where appropriate
• To help address health inequalities

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Minor Ailment Service

• Individual registers with pharmacy
• Individual presents with symptoms
• Pharmacist offers
• Treatment advice
• Advice only
• Referral
• Associated healthy lifestyle advice

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Core components

• Registration
• Care provision
• NHS remuneration reimbursement
• ePharmacy infrastructure
• Support services

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Registration

• Register with one community pharmacy
• Eligible individuals
• Exempt from paying prescription charges
• Excludes pre-payment certificate holders
• Registered with a GP in Scotland
• Not resident in a Care Home
• Central Patient Registration System (PRS)
• Register using CP2

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Registration Process

• Patient data
• Name
• Postcode
• Date of birth
• Gender
• Enter data on PMR system
• Registration confirmed by PRS via N3
• CHI number captured

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Care Provision

• Patient presents at their pharmacy
• Pharmacist checks their eligibility
• Pharmacist consults with patient
• Pharmacist offers
• Treatment and advice
• Advice only
• Referral
• Associated healthy lifestyle advice

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Formulary

• National formulary
• P GSL medicines
• dressings appliances from Part 2 of the Tariff
• selected items from Part 3 of the Tariff
• Some Prescription Only Medicines (POMs) with PGDs
• Use of POM medicine
• Cost effective pack size
• Extended product license use
• NO black-listed products

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Administration

• Registration - complete a CP2 electronically
• Care provision complete a CP2 electronically
• Treatment
• Advice
• Referral
• Annotate in PMR record
• Yellow Card Reporting - CSM Scotland
• NOTE Manual A4 form CP1 only to be used by
  exception

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Pharmacy details are automatically added.
Patient details are automatically added.

• If the CHI is not known at the time of
  registration the DoB is placed in CHI field and 4
  digits are added at the end.
• 0008 shows a patient born in the 19th Century
• 0009 shows a patient born in the 20th Century
• 0000 shows a patient born in the 21st Century

CP2 type and sex of patient is automatically
printed.

• Further automatic additions include
• Date
• PS Contractor Code
• RPSGB Reg Number

A unique barcode is created on the CP2
registration form. The barcode number is also
part of the registration message sent from the
pharmacy PMR. A registration barcode number
begins with the letters RE.
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1. If the CHI is not returned following a
   registration the consultation can still go ahead.
2. The CP2 consultation form will be printed as
   normal but the CHI will be missing. The patient
   signs the CP2 and can leave the pharmacy.
3. Before you can send the CP2 consultation form to
   Practitioner Services, you must wait until you
   receive the CHI in a message and hand write it
   onto the form.

A unique bar code is created on the CP2
consultation form. The barcode number is also
part of the consultation message sent from the
pharmacy PMR. A consultation barcode number
begins with the letters CE.
Endorsing information is added to the CP2.
A maximum of 2 items may be dispensed during 1
eMAS consultation.
If you have given advice or referred a patient to
their GP, this will be indicated on the CP2
consultation form.
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NHS Remuneration Reimbursement

• Banded capitation payment
• 1-250 3,910
• 251-50 5,863
• 501-750 7,817
• gt750 7,817 8.04 per person over
• Reimbursement of drug costs
• Unified budget
• NO dispensing fee

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Supporting Practice

• Service specification practice guidelines
• NES MAS implementation pack
• Quality Outcome Framework
• Prescribing support
• Operational support
• IMT facilitation Programme
• ePharmacy helpdesk
• PRS support team
• SHOW website for the nCPC
• http//www.communitypharmacy.scot.nhs.uk

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Promotional materials
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Some facts and figures

• Almost 700,000 MAS registrations
• Around 50,000 MAS consultations a month
• Cost is 0.15 of the Primary Care GIC

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Indications treated

• Pain
• Head lice
• Sore throats
• Sticky / infected eyes
• Coughs and colds
• Skin conditions