Community Pharmacy Services in Wales: CAS-UTI Service Overview
The CAS-UTI service in Wales extends common ailment services, requiring pharmacists to undergo additional training. Patients aged 16-64, excluding certain criteria, can be referred to this service for urinary tract infection (UTI) assessment. Clinical assessments follow NICE guidance, with urinalysis offered as part of the diagnostic process. The service focuses on providing self-care advice and appropriate management. Collaborative efforts and referral pathways support local implementation.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
CAS-UTI Service The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru
What is the CAS What is the CAS- -UTI service UTI service Extension of the common ailment service Pharmacists need to complete additional training to offer Not available universally initially NHS 111 Wales Pharmacy Services Directory will list providers Cluster and practice collaborative working arrangements can support local implementation and Referral pathways The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru
Who can be referred to CAS Who can be referred to CAS- -UTI Service UTI Service Refer to pharmacy Offer GP appointment Female aged 16 to 64 years (inclusive) If the patient: is pregnant or may be pregnant. Has other medical conditions that could indicate more complicated infection (e.g. kidney disease, uncontrolled diabetes, immunosuppression) Has symptoms indicative of more complicated infection (fever, rigors, backpain, nausea) Has a catheter Is resident in a care home has recurrent UTIs (one or more UTIs in the last 6 months or two or more UTIs in the last 12 months). Exclusion Criteria Females aged 15 or under Females aged 65 or over Male patients Please note: the terms male/man/men and/or female/woman/women are in reference to the sex assigned at birth The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru
Service description Service description Pharmacists providing the CAS-UTI service will clinically assess patients presenting for treatment, following current NICE guidance set out in the Common Ailment Service UTI formulary monograph Patients may be offered urinalysis as part of the clinical assessment to support appropriate diagnosis and management of the patient. Patients will be offered self-care advice and where appropriate, The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru
Possible Consultation outcomes Possible Consultation outcomes Referral to suitable prescriber (GP/ANP/Community Pharmacist etc) where symptoms indicative of more complicated infection or other condition Make recommendations for pain-relief (and make a supply where needed) Supply of Antibiotics (Trimethoprim/Nitrofurantoin) under PGD as immediate or back up supply Advise patients with a UTI and haematuria (visible or detected on urinalysis) to have a follow up urinalysis in six weeks The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru
Communication and referral Communication and referral As for all CAS consultations, pharmacists will provide the GP practice with an electronic summary of the consultation, this will include urinalysis results (where this has been undertaken) and any follow-up advice provided to the patient. Patients requiring urgent referral (within 48hours of the pharmacy consultation) will be given a printed referral letter to take with them, this will also be summarised on the GP electronic consultation summary. Patients who are referred to the pharmacy service but are not eligible to access will be referred back to the GP practice. The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru locally agreed referral processes (such as the unable to treat form) should be
Local Referral Pathways Local Referral Pathways - - PIPS and CAS PIPS and CAS- -UTI UTI Not all pharmacies will offer UTI, either under CAS or IP service, but there will be a mix of provision across clusters CAS Collaboratives and clusters should consider how to gather and communicate this information (considering service availability tool on prescribing.wales portal/NECAF) PIPS GP Pharmacies offering management of UTIs under the Pharmacy Independent Prescribing Service may be able to treat an extended cohort of patients presenting with UTIs. The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru
Resources to support communication Resources to support communication WG assetbank: Welsh Government Communications Services Digital Toolkit CPW - https://cpwales.org.uk/clinical-services-2/ccps/common- ailments-service/ The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru
Any Questions? The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales The Voice of Community Pharmacies in Wales Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru Llais fferyllfeydd cymunedol yng Nghymru
