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CONTINUING PROFESSIONAL DEVELOPMENT
SUPPORTING PHARMACY PRACTICE
Case study continued
After engaging Sally in a conversation about her diazepam use you discover that she has been taking two to three tablets daily rather than one tablet daily as stated on her prescriptions. As she has just started on methadone, you both agree it would be safer for her to pick up her diazepam daily. You then call the doctor to inform him of this arrangement and he agrees, suggesting that you start off by supplying Sally two tablets daily and he will review her progress at her next appointment.
Conclusion
A staged supply service when conducted appropriately can be very beneficial and rewarding for both the pharmacist and the patient. For some patients it may increase the safety of their medicine use, and for others it may just be the help they need to take their medicines correctly.
References
1. Pharmaceutical Society of Australia. Standard and guidelines for pharmacists providing a staged supply service for prescribed medicines. Canberra:
PSA; 2011. At: www.psa.org.au/supporting-practice/professional-practice- standards/staged-supply-services
2. The 6CPA. The 6th Community Pharmacy Agreement: Staged supply. 2015. At: www.6cpa.com.au/medication-adherence-programmes/staged-supply/
3. The Pharmacy Guild of Australia. Community pharmacy roadmap program
development template: Staged supply. At: www.guild.org.au/docs/default- source/public-documents/tab---the-guild/Strategic-Direction/staged-supply. pdf?sfvrsn=0
4. Nova Public Policy. Review of the staged supply of PBS medicines final report. Canberra: NPP; 2010. At: www.guild.org.au/docs/default-source/member- documents/news-and-events/guild-publications/other-publications/staged- supply-final-report.pdf
5. Hawkins N. Prescription opiate abuse: managed by GPs with authorized staged supply. In: RACGP conference; 2015. At: http://racgpconference.com. au/wp-content/uploads/2015/10/ID003-Staged-Supply-of-Opiates-on- Authority-for-Prescription-Opiate-Abuse-Dr-Hawkins.pdf
6. The Pharmacy Guild of Australia. Quality Care Pharmacy Program P2K Staged supply procedure; 2011. At: www.qcpp.com/knowledgehub/fast-track2/ fast-track-2
7. Australian Government Department of Health. Pharmacy Trial Program. 2016. At: www.health.gov.au/internet/main/publishing.nsf/Content/pharmacy-trial- programme
8. Australian Government Department of Health. Supporting pharmacist delivery of primary health care services through the Pharmacy Trial Program: discussion paper; 2016. At: www.health.gov.au/internet/main/publishing.nsf/ Content/C517F95B09753DAFCA257F6000829193/$File/discussion-paper- pharmacy-trial-program.pdf
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CPD CREDIT
GROUP 2
4. As part of the staged supply service which of the following is NOT appropriate?
a) A patient’s medicines can be kept anywhere in the pharmacy even if that means they are in full view of other customers.
b) An agreement between the pharmacist and consumer/agent should be signed.
c) A service fee may be applied.
d) A staged supply record should be kept.
KEY LEARNING POINTS
• A staged supply service can be initiated by multiple people including the patient, a case worker, or the pharmacist.
• The service should be conducted following the PSA standard and guidelines, and be well documented.
• Most medicines on staged supply programs are those with higher abuse potential, but these are not the only medicines that can be involved.
• Pharmacists should consider the costs incurred in providing a staged supply service, when deciding whether to create a service charge.
QUESTIONS
Each question has only one correct answer.
1. Which of the following MOST accurately describes a staged supply service?
a) Thepharmacistgivesthewholesupplyof the prescription at once.
b) Thepharmacistsuppliesonlyapartofthe prescription quantity at specified intervals.
c) The pharmacist supplies the full quantity of the prescription to a carer who then supplies small quantities to the patient.
d) The pharmacist supplies the patient with daily medicine doses to be taken in-store only.
2. Which of the following patients would be LEAST likely to benefit from a staged supply service?
a) Amiddle-agedmanreliablytaking atorvastatin every morning.
b) Ayoungfemalerecentlyadmittedto hospital for accidental overdose of olanzapine.
c) A male living in shared accommodation who has previously had his diazepam stolen.
d) Afemalewhohasnotbeenpickingupher escitalopram prescription regularly and admits to often forgetting to take it.
3. Which of the following options is CORRECT? To be eligible to receive staged supply Pharmacy Practice Incentive programme payments under 6CPA a pharmacy:
a) Does not have to be a Section 90 Pharmacy.
b) Must be accredited by an approved Pharmacy Accreditation Program.
c) Does not need to agree to publicly display and comply with the Community Pharmacy Service Charter and Customer Service Statement.
d) Does not need to register for the programme via the 6CPA Registration and Claiming Portal.
Australian Pharmacist January 2017 I ©Pharmaceutical Society of Australia Ltd. 45
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