This is a reminder that all contractors must submit their annual contract monitoring documentation and complete their Information Governance assurances.   

The deadline for both of these for 2013/14 is 
31 March 2014.

Further detail about both can be found below.

CONTRACT MONITORING

Every Pharmacy needs to submit the following Documentation to the area team.

• Action Plan – resulting from CPAF Pharmoutcomes assessment
• 2013/14 Pharmacy based Audit
• 2013/14 Patient Satisfaction Survey
• 2013/14 Annual Complaints Report
• Patient Leaflet

In Northumberland, Cumbria, Tyne & Wear areas these need to be sent to Linda Bosher whose details are below.  Ideally they would prefer the documentation to be emailed to them.  Should you have any queries please contact Linda direct.

Linda Bosher
Assistant Primary Care Commissioning Support
County Durham, Darlington & Tees Area Team
Cumbria, Northumberland, Tyne & Wear Area Team
NHS England
Rapier House
Colima Avenue
Sunderland Enterprise Park
Sunderland
SR5 3XB
 
Direct Dial:       0191 502 6572
Switch Board:  0191 502 6542
Fax:                  01325 553096
 Email:               linda.bosher@nhs.net


INFORMATION GOVERNANCE

All NHS Providers, including community pharmacies, need to provide information governance assurances to the NHS on an  annual basis. This is done via the completion of the online information governance toolkit (Version 11).

Further information on the information governance requirements for this year can be found on the PSNC Website.  This can be accessed by clicking HERE.

The MHRA has issued class 2 drug alerts for Wockhardt and Pinewood Laboratories following manufacturing site inspections.

Pharmacies will need to take action within the next 48 hours and should note the large number of products  affected this time. 

16 different prescription only medicines in a variety of strengths made by Wockhardt Ltd  are affected following manufacturing deficiencies identified by the MHRA at Wockhardt’s Waluj site in India.

The medicines affected by the precautionary recall include those used for the treatment of infections, high blood pressure, diabetes, epilepsy, depression, schizophrenia, Parkinson’s disease, dementia in Alzheimer’s patients and thyroid conditions.

Full Details of the recalls 

1. Class 2 Drug Alert (Action within 48 Hours): Multiple products - Wockhardt UK Limited (EL (13)A/19) - This includes a list of all the medicines that are affected by the precautionary recall.

2. Class 2 Medicines recall (Action within 48 Hours): Erythromycin Oral Suspension - Pinewood Laboratories Limited (EL (13)A/20)

Patients do not need to return their medicines because there is no evidence that the medicines affected by the precautionary recall in the UK are defective. Therefore, it’s important that people continue to take their medicines as prescribed.

This is not a patient level recall because although the medicines that are affected have not been manufactured to Good Manufacturing Practice (GMP) standards, there is no evidence of a patient safety risk from medicines that have been sold in the UK. However, the MHRA has to act in the interests of public health as poor manufacturing standards cannot be allowed to continue.

The deficiencies identified by the MHRA during a routine inspection in March included a low risk of cross-contamination because of poor cleaning practices and defects in building fabric and the ventilation systems at the site. There was also evidence of forged documents relating to staff training records that had been rewritten. The MHRA is working with Wockhardt and other international regulators to resolve these issues.

Gerald Heddell, the MHRA’s Director of Inspection, Enforcement and Standards, said:

“This is a precautionary recall. People can be reassured that there is no evidence that medicines made by Wockhardt are defective so it’s important people continue to take their medicines as prescribed.  

“All batches of medicines manufactured outside the European Union are tested on importation to the UK before they reach patients. However, we have taken this precautionary action because the medicines have not been manufactured to the right regulatory standards.

“We are working with the Department of Health to ensure that people have access to the medicines they need. Anyone who has questions should speak to their pharmacist or GP.”

The medicines that are involved in the recall are available for patients from alternative manufacturers in most cases, either in equivalent strengths or varying strengths. Where there are no alternative manufacturers of the same medicines, substitutes are available and these should be selected by a healthcare professional.

The Department of Health is working closely with the companies concerned to help ensure that patients are able to get their medicines when they need them.