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Updated 04 May 2012

The forms that we have designed for Forms Disc Vol 3 are:

 

21) CD Tally Sheets.xls

Under the new CD regulations it is now good practise and will eventually be compulsory for you to keep a running total or tally for each type and strength of CD that you stock. At the moment this can be kept physically but at a later date they must be maintained on computer.

22) CD Stock take Record Sheet

At set intervals, depending on how often you dispense an item, you must check the actual stock against this running total. This form is for that count but if there is a discrepancy, it must be investigated. If you cannot resolve it, you must  report it.

23) CD Discrepancy Investigation.

This is used to record the investigation that is carried out within the pharmacy if a stock take reveals a discrepancy between the expected amount of a CD and the actual amount in the cabinet.

24) Record of Controlled Drugs Destroyed

This form is so you can keep a check all CDs destroyed within your pharmacy both those returned by patients and those that are expired stockThis will help you have a clear audit trail of all CDs within your pharmacy.

25) Adjustable letter to all GPs in the area re MUR service.

There are suggestions that some GPs are not happy about the MUR service being run in their area. This letter is intended to explain that the MUR is to help the patient with concordance and it is not a full medicine review. It focuses on how the MUR will help the surgery as well as the patient.

26) Report on MUR money savings

This sheet is to keep a running total of all the financial savings the PCT could have achieved if your suggestions on the care plan had been taken up by the GPs.

27) Medicine Reminder Chart

This is for you to fill in for your patients who have trouble remembering when they should take their tablets. This can be filled in for the patient or by the patient as a general reminder. In some cases this will be enough to help a confused patient by itself without going to the expense of a MDS.

28) Smoking Cessation

This form is to be used for any patient joining your smoking cessation scheme.

The second sheet is for the patient to use to try to help them decide whether they really want to give up.

29) Retail Price List and tips on calculations etc.

This form contains a “personalisable” range of items that can be sold over the counter but that tend to be kept in the dispensary and so have no retail price on them. The second form is to help you and your staff to calculate the percentage mark up you may decide to sell a product for and the profit on cost or on return that selling at the suggested retail price might give you.

As profit margins are one of the most vital parts of your  business it’s important that all your senior staff, if not all your staff  understand these concepts. It also helps you to manipulate VAT etc. It can be used to calculate in the computer.

30) Root Cause Analysis Grid

When an error or near miss has occurred a root cause analysis has to be done – SOP on Vol 5 – and this form is to record the corrective action that has been decided upon to help prevent any of the contributory factors from happening again.

 

Example Form

Product Request Form

Forms Disc 3