Completing a Contraception Service

You must record the patient consents to receive the service and share data before recording any other data. To record consent:

1. Select VIEW DATA SHARING DETAILS to display the data sharing details:

   

2. Select Close to exit the data sharing details and return to the Consent section.

3. In the Consent section, select either:

   • Yes - To record that the patient consents to data sharing, and continue to the Consultation Details section, or

   • No - To record that the patient does not consent to data sharing, and then select CLOSE to close the Contraception Service screen. This episode saves to the Completed Episodes tab.

Complete the details of this consultation as appropriate:

• Date of consultation - Select Calendar to open a calendar and select a date, or select NOW to add the current date and time.

• Time of consultation - Select Show time picker to enter the time of consultation, or select NOW to add the current date and time.

• Method of consultation - Select a method of consultation from the available list:

  • Face to face communication

  • Telephone

  • Telemedicine (Video Call)

• Method of entry to service - Select a method of entry to the service from the available list:

  • Patient identified in the pharmacy

  • Referred by GP practice - Enter the Date of referral in the section provided:

    

  • Referred by GP practice CPCS - Enter the Date of referral in the section provided:

    

  • Sexual health service - Enter the Date of referral in the section provided:

    

  • Onward referral from another pharmacy - Enter the Date of referral in the section provided:

    

  • 111 online - Enter the Date of referral in the section provided:

    

Select the appropriate response to each question and add any additional information when prompted:

Has the patient had a gap of any length in their oral contraception? - Select either:

• Yes - If you select Yes a warning message displays advising 'People who have had a gap (of any duration in length) in their OC cycle, cannot be re-initiated on their original prescription as part of this service.', or

  Important - A consultation should still be completed if you have contacted the patient but cannot supply Contraception.

• No

Has the National Care Records Service been checked? - Select either:

• Yes, or

• No

Has the Electronic Prescription Service been checked for a current contraceptive prescription? - Select either:

• Yes, or

• No

Has the patient noticed any new symptoms or side effects since their last GP appointment? - Select either:

• Yes - If you select Yes, you are prompted to provide more details in the free text section, or

  Training Tip - This is a free text entry section allowing up to 500 characters.

• No

Does the patient have any relevant allergies or adverse reactions? - Select either:

• Yes - If you select Yes, you are prompted to describe relevant allergies or adverse reactions in the free text section, or

  Training Tip - This is a free text entry section allowing up to 500 characters.

• No

Does the patient have any relevant past medical surgical and mental health history? - Select either:

• Yes - If you select Yes, you are prompted to describe relevant past medical, surgical and mental health history in the free text section, or

  Training Tip - This is a free text entry section allowing up to 500 characters.

• No

The Contraception Service allows pharmacists to initiate a new supply of Oral Contraception (OC), or provide ongoing supplies of OC to their patients:

Complete as appropriate:

• Service type - Select the type of service and complete the details appropriately:

  • Initiation - Select if a person wishes to start Oral Contraception (OC) for the first time or needs to restart OC following a pill free break. A person who is being switched to an alternative pill following consultation can also be considered as an initiation.

  • Ongoing monitoring - Select if a person has been supplied with OC by their general practice, a sexual health clinic, or a pharmacy, and a subsequent equivalent supply is needed. Their current supply of OC should still be in use.

• Service reason - Select a service reason from the available list. Different options display depending on the service type selected:

  • Initiation of oral contraception - First time pill user (Initiation)

  • Re-initiation of oral contraception - has been on pill before (Initiation)

  • Switching oral contraception (Initiation)

  • Ongoing monitoring / supply - GP/SRHC initiated (Ongoing monitoring)

  • Ongoing monitoring / supply - Pharmacist initiated (Ongoing monitoring)

• Current/Intended method of oral contraception - Select the patient's current or intended method of oral contraception:

  

  Combined Oral Contraceptive

  Selecting Combined Oral Contraceptive requires you to add the following:

  Blood Pressure Reading

  

  Complete as follows:

  Training Tip - Select NICE Blood Pressure Guideline to access NICE blood pressure guidelines in a new browser tab.

  • Systolic reading (mmHg) - Enter a systolic value.

  • Diastolic reading (mmHg) - Enter a diastolic value.

  • Source of BP reading - Select from either:

    • Pharmacy, or

    • Patient - You must enter the Date of BP reading in the section provided:

      

  BMI Reading

  

  Complete as follows:

  Training Tip - Select NHS BMI Calculator to access the NHS BMI calculator in a new browser tab.

  • BMI reading - Enter a BMI value.

  • Source of BMI reading - Select either:

    • Pharmacy, or

    • Patient - You must enter the Date of BMI reading in the section provided:

      

  Supply Details

  

  Has oral contraception been supplied? - Select either:

  Yes

  The Contraception product supplied screen displays:

  

  To add a contraception product to the Contraception Service:

  1. Select ADD CONTRACEPTION SUPPLY DETAILS . The Add Contraception Product screen displays:

     

     Complete as appropriate:

     • Product Supply Type - Select a product supply type, either:

       • Patient Group Direction (PGD)

       • Independent Prescriber (Rx)

     • Combined Oral Contraceptive product prescribed - Enter the name of the product, or select a product from the available list.

       Training Tip - The product list automatically updates as you type.

     • Pack dispensed - Enter the name of the product, or select a product from the available list.

       Note - The Pack dispensed section updates automatically where there is only one product available.
       Training Tip - The product list automatically updates as you type.

     • Number of packs supplied - Enter the number of packs supplied.

       Important - The number of tablets is calculated on the size of the pack selected and the number of packs supplied. The total quantity of tablets cannot be above 365, indicating more than the maximum 12 month supply.

     • Dose duration - Select a dose duration from the available list, either:

       • 3 months

       • 6 months

       • 9 months

       • 12 months

       Important - When a patient is being initiated on a supply of an oral contraceptive, the dose duration should not exceed 3 months.

     • Days supply - Enter the number of days supplied.

     • Dose directions - Enter the dose directions.

  2. Select SUBMIT to add the product to Contraception product supplied:

     

     Training Tip - Select DELETE to delete a product, or EDIT to edit the product.

  3. Select Yes or No to confirm if the patient consents to share information about the supply with their GP. Selecting Yes displays the patient's registered GP details, if required, select EDIT to edit the GP details:

     

     Note - When completing a Contraception service an electronic GP Notification is automatically sent to the patient's registered GP practice using these details. If the GP Notification fails to send, it must be sent securely to the patient's registered GP practice, for example, by NHSMail.

  No

  The No supply outcomes screen displays:

  

  Complete as appropriate:

  • No supply outcomes - Select one of the following outcomes:

    • Clinically inappropriate & referred/signposted
    • Declined by patient
    • Other

  • No supply reason(s) - Select one or more reasons from the available list.

    Training Tip - Select Delete to remove a reason.
  Progestogen Only Pill

  Selecting Progestogen Only Pill requires you to add the following:

  Supply Details

  

  Select either:

  Yes

  The Contraception product supplied screen displays:

  

  To add a contraception product to the Contraception Service:

  1. Select ADD CONTRACEPTION SUPPLY DETAILS . The Add Contraception Product screen displays:

     

     Complete as appropriate:

     • Product Supply Type - Select a product supply type, either:

       • Patient Group Direction (PGD), or

       • Independent Prescriber (Rx)

     • Progestogen Only Pill product prescribed - Enter the name of the product, or select a product from the available list.

       Training Tip - The product list automatically updates as you start typing.

     • Pack dispensed - Enter the name of the product, or select a product from the available list.

       Training Tip - The product list automatically updates as you start typing.
       Note - The Pack dispensed section updates automatically where there is only one product available.

     • Number of packs supplied - Enter the number of packs supplied.

       Important - The number of tablets is calculated on the size of the pack selected and the number of packs supplied. The total quantity of tablets cannot be above 365, indicating more than the maximum 12 month supply.

     • Dose duration - Select a dose duration from the available list, either:

       • 3 months

       • 6 months

       • 9 months

       • 12 months

       Important - When a patient is being initiated on a supply of an oral contraceptive, the dose duration should not exceed 3 months.

     • Days supply - Enter the number of days supplied.

     • Dose directions - Enter the dose directions.

  2. Select SUBMIT to add the product to Contraception product supplied:

     

     Training Tip - Select DELETE to delete a product, or EDIT to edit the product.

  3. Select Yes or No to confirm if the patient consents to share information about the supply with their GP. Selecting Yes displays the patient's registered GP details, if required, select EDIT to edit the GP details:

     

     Note - When completing a Contraception service a GP Notification is automatically sent to the patient's registered GP practice by NHSMail using these details. If the GP Notification fails to send, it must be sent securely to the patient's registered GP practice, for example by NHSMail.

  No

  The No supply outcomes screen displays:

  

  Complete as appropriate:

  • No supply outcomes - Select one of the following outcomes:

    • Clinically inappropriate & referred/signposted
    • Declined by patient
    • Other

  • No supply reason(s) - Select one or more reasons from the available list.

    Training Tip - If required, select Delete to remove a reason.

• Other method(s) of contraception used by patient (Optional) - Select one or more methods of contraception from the available list.

Training Tip - If required, select Delete to remove a method of contraception.

If the patient requires signposting or escalating to another service, select Yes and then select which action is required, either:

• Signposting, or

• Escalation - The option to escalate is only available where an OC has not been supplied.

Signposting

1. Select Signposting to display the Signposted to options:

   

2. Select an option from the available list:

   • GP Practice

   • Out of hours GP/IUC

   • Sexual Health Clinic

   • Alternative Community Pharmacy

   • Other - You are prompted to enter more information:

     

     Training Tip - This is a free text entry section allowing up to 250 characters.

3. If required, enter the service's ODS code:

   

4. If required, enter any additional information or advice given to the patient in Information and advice given (Optional).

5. Enter a clinical summary of the consultation with your patient in Clinical Summary.

   Note - This is sent to the patient's GP practice on completion if the patient has consented to information sharing.

Escalation

Note - The option to escalate is only available where an OC has not been supplied.

 

1. Select Escalation to display the Escalated to options:

   

2. Select an option from the available list:

   • GP Practice

   • Out of hours GP/IUC

   • A&E

   • 999

   • Urgent Treatment Centre

   • Other - You are prompted to enter more information:

     

     Training Tip - This is a free text entry section allowing up to 250 characters.

3. If required, enter the service's ODS code:

   

4. If required, enter any additional information or advice given to the patient in Information and advice given (Optional).

5. Enter a clinical summary of the consultation with your patient in Clinical Summary.

   Note - This will be sent to the patient's GP practice if the patient has consented to information sharing.

This section automatically populates with the logged in user's details:

Select the clinician's role from the available list and update the details manually if required:

• Pharmacist

• Independent Prescriber, or

• Pharmacist Technician