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June 2016

t 0370 241 8717

e [email protected]

f 01622 790 754

forte.uk.com

The DDA has received enquiries

from members about whether

they can query their CQC ratings.

Our understanding is that

practices can request a rating

rev iew fo l lowing certa in

conditions:

The only grounds for requesting a

review is that the inspector did not follow the process for

awarding them properly, as described in published

policies and procedures.

A rating review cannot be requested on the basis that you

disagree with the judgments made by an inspector. Such

disagreements would have been dealt with through the

factual accuracy checks and Warning Notice

representations.

If you feel that the CQC has not followed the published

process properly and you wish to request a review of one

or more of your ratings, you must inform the CQC of your

intentions once the report is published.

The CQC will reply with full instructions on how to

request a review. You will have a single opportunity to

request a review of your inspection ratings.

In the request for review form, you must say which

rating (s) you want to be reviewed and all relevant

grounds and circumstances.

If the CQC does not uphold a request for review, you

cannot request a subsequent review of the ratings from

the same inspection report.

When the CQC receives a request for review, they will

explain on their website that the ratings in a published

report are being reviewed.

The request for a review will be handled by CQC staff who

were not involved in the original inspection, with access

to an independent reviewer.

The outcome of the review will be sent to the practice

following the final decision. Where a rating is changed as

a result of a review, the report and ratings will be

updated on the CQC website as soon as possible. It should

be noted that following the conclusion of the review,

ratings can go down as well as up.

I understand that some for of you are concerned that,

where inspections have been pharmacist-led, they were

prone to ‘nit pick’ in relation to the dispensary.

Where you have had experiences like this, and you are a

D D A m e m b e r , p l e a s e c o n t a c t u s a t

[email protected] and I will raise this with the

CQC centrally.

The DDA has done a great deal of work with the CQC over

the last year to state to ensure that inspectors understand

dispensing practices and to provide good quality guidance

for our members to ensure compliance with inspections.

If you are a DDA member and you are following our DDA

Dispensing Guidance 2016, which is available on our

website, then CQC have informed us that you ought to

receive a ‘good’ rating. CQC saw that guidance in draft

form and made appropriate amendments to it. In addi-

tion, the DDA Chairman, Dr Richard West, spoke at one of

the CQC events for pharmacists and other inspectors to

explain the role of dispensing practices in primary care.

There ought to be no reason why CQC inspectors should

not be fully aware of the dispensing practices. If you are

encountering problems, and you are a DDA member,

Matthew Isom,

Chief Executive - Dispensing Doctors' Association Limited

Trading as Forte Pharma Ltd a company registered in England and Wales.

Registered Office: 380 New Hythe Lane, Larkfield, Kent, ME20 6RZ

Company Registration Number: 4023414

For all your Practice Requirements

mailto:[email protected]

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The Department of Health has granted the following price concessions for June 2016:

Bumetanide 1mg tablets 28 £2.50

Celiprolol 400mg tablets 28 £39.69

Cimetidine 400mg tablets 60 £20.24

Dapsone 50mg tablets 28 £46.19

Desmopressin 10micrograms/dose nasal spray 60 dose £24.00

Flecainide 100mg tablets 60 £10.80

Flecainide 50mg tablets 60 £10.80

Isosorbide mononitrate 10mg tablets 56 £3.31

Isosorbide mononitrate 20mg tablets 56 £4.85

Lamotrigine 5mg dispersible tablets sugar free 28 £7.45

Lamotrigine 100mg dispersible tablets sugar free 56 £3.60

Losartan 12.5mg tablets 28 £8.09

Mefenamic acid 500mg tablets 28 £9.25

Nitrofurantoin 100mg tablets 28 £13.99

Nitrofurantoin 50mg tablets 28 £13.20

Procyclidine 5mg tablets 28 £12.20

No additional endorsements are required for price concessions. Price concessions only last for the month in which they are granted.

Price Concessions can change during the month so additional items are sometimes added.

Adrenaline (base) 300micrograms/0.3ml (special) 1 C Basic price £26.45

Atropine 1mg/1ml solution for injection ampoules 10 A Basic price £60.55

Atropine 400micrograms/1ml solution for injection 10 A Basic price £71.17

Dipyridamole 200mg/5ml oral suspension sugar free 150ml A Basic price £112.78 £120.29

Lidocaine 4% cream (special) 5g C Basic price £2.98

Mesalazine 800mg gastro-resistant tablets 84 C Basic price £54.90

Timolol 10mg/Bendroflumethiazide 2.5mg tablets 30 A Basic price £18.84

White soft paraffin 15%/Liquid paraffin light 6% cream (special) 50g C Basic price £1.67

White soft paraffin 15%/Liquid paraffin light 6% cream (special) 150g C Basic price £3.06

White soft paraffin 15%/Liquid paraffin light 6% cream (special) 350ml C Basic price £4.65

Liquid paraffin light 63.4% bath additive (special) 150ml C Basic price £2.84

***Basic drug price based on June 16 Drug Tariff ***Purchase price based on Forte Direct pricing please call for details 0370 2418717 8717

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I recently attended a financial

management study day about

the future of funding in general

practice .The way income into

general practice is paid will

inevitably change and this year

sees the first signs of

that .Everything will eventually

be part of the global sum,

currently £80.59 per patient

(weighted) for a GMS contract. This will make the

payment of practice income much simpler but the

monitoring of it more difficult.

The income generated by the dispensary will be more

important than ever and it is still possible to make or lose

a lot of money for the practice.

It is however a fast moving world and so in order to keep

on top of things you need to be aware of what is

happening NOW...Things have changed since the end of

last year and will no doubt change in 3 months’ time!

How do we stay up to date?

MDS (manufacturers discount schemes)

We have seen a return of the pharmaceutical company

rep. This is good news as they have generally been

absent for some years now. Get to know the reps...They

can be very useful! There are new products and they carry

a discount which is important. There are many new

inhalers available. This is a time to review respiratory pre-

scribing. There are cost savings and increased profits to be

made. This will help the NHS spend and your budget but

also bring income in to the practice.

The same is true for diabetes. There are new products

available which carry considerable discount. It’s time to

review diabetes prescribing.

It is very important to have a practice formulary. This

ensures that all clinicians prescribe the products that the

practice has chosen. Some pharmaceutical

discounts are from pack one which is fine but some are

volume related and so you want to order in the

maximum volume to maximise the income. If clinicians are

prescribing too many different makes of the same drug

income is potentially diluted.

Above all it is so important to have staff that

understand the job that they do;

How easily money can be lost and how to stop it

happening.

How buying correctly can increase income.

Why certain drugs are prescribed and others are not.

Staff training is so important. Let’s embrace it and

ensure that our GP Dispensaries up and down the

country remain for the convenience of our patients and as

viable ongoing businesses.

Sally Linch

Dispensary Manager, independent consultant and staff

We are pleased to announce that Synergy has increased the discount for Comfifast & Comfigrip from 10% to 15%. And

has also added a new product Comfipression to the current MDS scheme . For your convenience please refer to the

table attached for details of the products.

Synergy Comfipression 20%

Synergy Comfifast 15% (New)

Synergy Comfigrip 15% (New)

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We are pleased to announce that Scope Opthalmics has added a new product to the current MDS scheme. For your

convenience please refer to the table attached for details of the products.

Scope Ophthalmics 3866688 HYLO-FRESH 0.03% 10ml 14% (New)

We are pleased to announce that Thornton & Ross has amended discounts and added new lines to their current MDS

scheme. Please refer to the table attached for details of the products.

Thornton & Ross 3865995 FULTIUM D3 3200IU CAPS 20% 10%

Thornton & Ross 3820628 FULTIUM-D3 800IU CAPS 90 20% Removed

Thornton & Ross 3945854 FULTIUM-D3 20.000IU CAPSULES 25% 15%

Thornton & Ross 3945847 FULTIUM-D3 20.000IU CAPSULES 25% 15%

Thornton & Ross 3978780 Fultium D3 Drops 1 x 25ml 15%

Thornton & Ross 3990249 Binosto 5%





We are pleased to announce that Optimum has added a new range of products to their current MDS scheme. For your

convenience please refer to the table attached for details of the products.

Optimum UGO CATHETER VALVE 45% 3882388

Optimum UGO FIX CATHETER STRAP MED 10% 3933397

Optimum UGO FIX CATHETER SLEEVES MED 5% 3940160

Optimum UGO FIX GENTLE CATHETER CLIP 10% 3949054

Optimum UGO 1C 30% 4008546

Optimum UGO 2C L/T LEG BAGS 30% 4008603



Optimum UGO 10 2L DRAINAGE BAG 5% 4008496

Optimum UGO 11 10% 4008504

Optimum UGO 12 2L STR DRAINAGE BAGS 25% 4008512

Optimum UGO 13 25% 4008520

For more regular industry updates and news breaks don’t forget to follow us on

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The beautiful

Park Farm Hotel

in Norfolk played

host to our latest

S t r e n g t h i n

Numbers — Open

Surgery Workshop

in May.

A fantastic group of GPs, PMs and DMs from DD surgeries

from the local area were in attendance, who drove a

fascinating and lively discussion on the pressing

concerns facing their surgeries and community. Lead by

the always excellent and incredibly knowledgeable

Chairman of the DDA, Dr Richard West two questions

were asked;

What Factors Are Affecting Your Dispensary? What

Factors Can You Control?

The practices in attendance were certainly not shy and

came forward with a raft of issues including; EPS

Nominations and Patient Confusion, Discounts and MDS

Deals, Workload and Time, Losing Dispensing Patients

leading to decreased income, Different Requirements

from CCG and surgery/dispensary and 3 month

prescribing.

From here, possible solutions were discussed with input

from all involved, on how these issues can be overcome

with a concise plan of action in the Short, Medium and

Long terms.

Feedback from Delegates;

An average score of 4.7 out of 5 for Overall assess-

ment of Event

An average score of 4.9 out of 5 for Organisation of

Event

100% of responses answered Did Knowledge and In-

formation Gained Meet Expectation—YES

100% of responses answered Will Knowledge and In-

formation Gained be Useful/Applicable in your work—

Definitely/Mostly.

“Very informative. Dr West delivered excellent talk as

usual!”

“Fantastic discussion style, being able to share ideas

with colleagues in similar roles as well as wholesalers

manufacturers to get all points of view”

“Wonderful evening. Thank You.”

“As a new dispensary manager I have found the evening

very informative”

Thank you to all involved for making the event such

an overwhelming success.

The are pleased to invite you and your

colleagues to join our FREE Open Surgery Workshop with

Dr. Lisa Silver and Lesley Strong on the 07/07/16 at 7pm

at the Hilton Warwick Stratford upon Avon, A429

Stratford Road, Warwick, CV34 6RE.

Don’t miss this exciting opportunity to experience an open

surgery workshop with Dr Lisa Silver and Lesley Strong.

This session is aiming to support delegates with under-

standing their medical and dispensing business; identifying

issues and problems and providing detailed ideas for

solutions in order to enhance business performance. This is

your opportunity to bring live practice examples and case

studies, sharing good practice and ideas with local

practices and gain valuable insight into the challenges your

practice are facing in dispensary management.

Please contact us to book your FREE place

Email: [email protected]. Phone: 0370 2418717 #3

The full training schedule of events is available on our

website www.fortegroup.uk.com

We look forward to seeing you all there

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As of 18.05.16 Alliance Healthcare Direct https://direct.alliance-healthcare.co.uk launched its brand new EOC

(Enhanced Order Confirmation). We have been working incredibly hard with Alliance over the last 6 months or so to get

this off the ground. Some of you were involved with the Beta testing we completed earlier in the year with a select

group of key accounts. The feedback from all trial accounts, not just DD but across the whole of Alliance customer

base, has been overwhelmingly positive and all feedback has been considered and input where possible. So a big thank

you all those involved for your assistance and input in making this service available.

The EOC is a truly transparent and effective service provided for all customers who have a valid Alliance Direct website

access. It offers up-to-date order confirmation, delivery date details, and out of stock information as well as a few

functional changes. We hope the EOC to have a big impact on your ease of stock control, service experience with

Alliance Healthcare as well as your patients experience at your surgery by offering the most accurate delivery

information available.

Overview of EOC

Deliveries by expected date functionality – shows delivery schedule for all products ordered electronically

Out of Stock report functionality – shows all electronically ordered products unable to be delivered with a reason why, as well as an expected date of stock availability and the traffic light system showing when stock is ready to

re-order

Stock response by order functionality – shows all electronic orders by the date ordered not when they will be

delivered

EOC Order confirmation/OOS information is available for all orders transmitted to Alliance Electronically

EOC Order confirmation/OOS information is updated and available to view 90s after order is received by Alliance

Stock information (traffic lights) are updated a minimum of 4 times per day

Please find to follow “Your Guide to Alliance Direct” of course if you have any questions you can contact your BDM or

one of the team in the office.

Important announcement coming soon…

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