5 stage approach2/3 lecturesmcq long answers ethic problem walk through it mcq- law and ethics sample paperwill pull a lot of questions through theretextbook to law and ethics fastrack to law and ethics

diabetes

MHRA- medicines health and product regulatory agencyAims: - Protect the public through regulation and ensuring acceptable risk/benefit ratios of new products-Promote public health by encouraging understanding of use of products-Improve public health by ensuring appropriate products available

MHRA achieves this by system of licensing.

Pharmacist duty to check whether prescription is suitable for the patient even if it falls within the therapeutic range. Hoxton case in usa

a prescription is a legal document that states what the prescriber wants supplied, to whom and how much.

Patient Group Directions (PGD) allows supply without a prescription must be a protocol signed by a doctor, dentist and pharmacist specific conditions which they can be supplied

Record Keeping ( mep) know the exceptions know the particulars to be recorded

Emergency supply- Know the differences between supply at the request of a practitioner and at the request of a patient

Wholesale Dealing need a license to wholesale new rules since july 2012 which state takes place on occasional basis quantity is small to meet the patients need. Supply not for profit basis.

Supplying unlicensed medicines-cannot wholesale unless you have license from mhra

Human Medicines Regulation- Deal with any illegal activities involving medicines and their availability, manufacture, import, sale, supply and administration from sale and supply of unlicensed products to manufacture and distribution of licensed products.

HMR part 12- A person commits an offence if he or she, to the prejudice of the purchaser, sells any medicinal product, and that product is not of the nature or quality demanded by the purchaser or specified in the prescription.

HMR part 13- A person commits an offense if he or she in the course of a business sells or supplies a product and the medicinal product is in a container or package which is labelled or marked in a way whichfalsely describes the product; or is likely to mislead the purchaser or another as to the nature or quality of the product or as to the uses or effects of medicinal products of that description. - The offences are either way, punishable by up to two years' imprisonment when tried in the Crown Court, or a fine if tried in the magistrates' courts

cannot sell product with a banned substance.

Misuse of Drugs Act 1971- An Act to make new provision with respect to dangerous or otherwise harmful drugs and related matters, and for purposes connected therewith. 27th May 1971

Offenses under the act include- Possession of a controlled drug unlawfullyPossession of a controlled drug with intent to supply itSupplying or offering to supply a controlled drug (even where no charge is made for the drug)Allowing premises you occupy or manage to be used unlawfully for the purpose of producing or supplying controlled drugs

Class A drugs: possession 7+ years , supply- lifeCocaine and crack (a form of cocaine), ecstasy, heroin, LSD, methadone, magic mushrooms and any Class B drug which is injected.Class B drugs:possession 5+ years , supply 14+ fineAmphetamine, barbiturates, codeine and cannabis.Class C drugs:Possesion 2 + years supply 14+fineMild amphetamines, anabolic steroids and minor tranquillisers.

MDMA now classified as a class b drug

The Misuse of Drugs Regulations 2001Divided Controlled Drugs (CDs) into five schedules corresponding to their therapeutic usefulness and misuse potential.

A number of changes affecting the prescribing, record keeping and destruction of CDs have been introduced as a result of amendments to the Misuse of Drugs Regulations 2001. Standardized forms are required for cd 2 and cd3

Original private CD Rxs must be submitted to the relevant NHS agency. A copy must be kept in the pharmacy for 2 years from the date of supply.

Max quantity of schedule 2, 3 or 4 CDs should not exceed 30 days. If more than 30 days is prescribed, the prescriber should be able to justify the quantity requested.

Schedule 2, 3 and 4 CD prescriptions are only valid for 28 days. The 28 days will either start from the date the prescription was signed by the prescriber issuing it or the date indicated by him / her as being the start date.Schedule 2, 3 and 4 CDs cannot be supplied more than 28 days after the appropriate date. If owings are not collected, you need to endorse the prescription with the amount of CD that you have supplied and submit it in the normal way.The first instalment must be dispensed within 28 days of the appropriate date, after which the prescription can run until all the instalments are filled

Health and Safety at work act. Identify the hazards Decide who might be harmed and how Evaluate the risks and decide on precaution Record findings and implent themSale and supply poisons from pharmacy A non medicinal poison is a substance included in the Poisons list Sale and supply is controlled by the poisons list order 1982 Not regarded as relevant day to day practiceThe PoisonsPart 1- may only be sold from pharmacies, under the supervision of the pharmacist.Part 2- May be sold from pharmacies and listed sellers

Schedule 1 and schedule 4 poisons most important to pharmacySchedule 1- Arsenic used as insecticideSchedule 4 sulphuric acid; can be sold from sellers usally at specified strengthsRefer to GHPC as unlikely to come across these

Data Protection Act1.Information to be processed fairly and lawfully2.Information must be used for specified and lawful purposes3.Personal data shall be adequate, relevant and not excessive4.Personal data shall be accurate and, where necessary, kept up to date5.Personal data shall not be kept for longer than is necessary6.Personal data shall be processed in accordance with the rights of data subjects7.Appropriate security measures8.Personal data must stay within the EEA

Caldicott Review

Six Caldicott principles, applying to the handling of patient-identifiable information, are:1.Justify the purpose(s) of every proposed use or transfer,2.Dont use it unless it is absolutely necessary, and3.Use the minimum necessary.4.Access to it should be on a strict need-to-know basis.5.Everyone with access to it should be aware of their responsibilities, and6.Understand and comply with the law.

The Sale of Goods act 1979You have a right as a consumer to goods or services: of satisfactory quality fit for their purposes, as described -

EnvironmentMust pass waste on to an authorised carrier.See section 3.5 of July 2012 MEPPharmacies dont now need to register an exemption from the waste regulations but only for temporary storage and up to 5 cubic metresDont take tablets out of blisters

NHS created in 1948 principle was to provide access to care for all on the basis of need rather than ability to pay. Health and Social Care act 1998The Health and Social Care Bill contains significant measures to modernise and integrate health and social care - four key policy areasCare Quality CommissionProfessional regulationPublic health protection measuresHealth in Pregnancy Grant

Pharmacy in the NHSHospital (2ry Care)Pharmacists employedMostly internal prescription proceduresGreater extension of roles (technicians etc.)

Community (1ry Care)Pharmacist contractedAll scripts come from outsideLess extension of roles

The Health and Social Care Bill 2011It takes forward Equity and excellence: liberating the NHS (July 2010) and the subsequent Government response Liberating the NHS: legislative framework and next steps (December 2010), which require primary legislation. It also includes provision to strengthen public health services and reform the Departments arms length bodies.

Essential services of Pharmacist providesDispensingRepeat DispensingSupply of AppliancesWaste medication disposalHealthy Lifestyles service (Public health)Signposting patients to other healthcare professionalsSupport for self-careClinical governance

Advanced servicesAccreditation requirements

Premises (Consultation area)Patient & Pharmacist can sit down togetherThey can talk without being overheardThe area is clearly signed as a private consultation area

PharmacistCompetency assessment

Advanced services accreditation requirementstrainingfacilities

gradual transition to providing the service giving time to implement changes

Advanced servicesMedicines Use Review (MUR)

Prescription Interventions

New Medicine Service NMS

Examples of Enhanced Services-Care home services-Minor ailments-EHC service-Smoking cessation-Needle exchange-Diabetes screening-Substance use services-CHD Screening

Patient group directionsExamples of the information that you need to know--A description of those patients excluded from treatment -A description of the circumstances under which further advice -Appropriate dosage and maximum total dosage, quantity, etc

Information GovernanceSome of the key indicators that must be declared -Pharmacy IG LeadInformation Governance PolicyContractual Confidentiality ClausesStaff Awareness and TrainingPatient Consent Incident Reporting

What is a Pharmacist?You can apply to register with the GPhC as a pharmacist if you:have aUK-recognised pharmacist's qualificationare an European Economic Area(EEA) national with an EEA pharmacist's qualification an overseas (non-EEA) qualified pharmacist, or anon-EEA national with an EEA pharmacy qualification (other than a UK pharmacy qualification).

What is a Pharmacy Technician?To register as a pharmacy technician you need a level 3 NVQ Diplomain Pharmacy Service SkillsPharmacy technicians with appropriate qualifications can register with the General Pharmaceutical Council.Registration is mandatory and only pharmacy technicians with acceptable qualifications will be able to join. Those not registered, but practising as a pharmacy technician or referring to themselves assuch, are breaking the law and can be prosecuted.Accredited underpinning knowledge programme and completion of work experience in a pharmacy.

GPhCThe General Pharmaceutical CouncilLegal obligation to regulate the profession in order to protect the publicKeeps the register of pharmacists and pharmacy technicians

GPhC functionsThe General Pharmaceutical Council (GPhC) is the independent regulator for pharmacists, pharmacy technicians and pharmacy premises in Great Britain.It is their job to protect, promote and maintain the health, safety and wellbeing of members of the public by upholding standards and public trust in pharmacy.Their principal functions include:approving qualifications for pharmacists and pharmacy technicians and accrediting education and training providers;maintaining a register of pharmacists, pharmacy technicians and pharmacy premises;setting standards for conduct, ethics, proficiency, education and training, and continuing professional development (CPD);establishing and promoting standards for the safe and effective practice of pharmacy at registered pharmacies;establishing fitness to practise requirements, monitoring pharmacy professionals' fitness to practise and dealing fairly and proportionately with complaints and concerns.

Standards of conduct ethics and performanceSeven Principles1.Make patients your first concern2.Use your professional judgement in the interests of patients and the public3.Show respect for others4.Encourage patients and the public to participate in decisions about their care5.Develop your professional knowledge and competence6.Be honest and trustworthy7.Take responsibility for your working practices

Sanctions available to fitness to practice committeea) warning to the practitioner, and direct that details of the warning should be recorded in the practitioners entry in the Registergive advice to any other person or organisation involved in the investigationb) impose conditions on the practitioner for a period not exceeding three years;c) suspend the practitioner from the Register, for a period not exceeding twelve months; d) remove the practitioners name from the Register of Pharmacists or Pharmacy Technicians.

Sanctions available under FTP committee (health reasons)a)issue a warning to the practitioner, and direct that details of the warning should be recorded in the practitioners entry in the Register

b) impose conditions on the practitioner for a period not exceeding three years; and

c) suspend the practitioner from the Register of Pharmacists (max 12 months)

Changes to requirements of schedule CD 1,2,3 The regulations permit requisitions for CDs to be computer generated or handwritten.

The signature of the recipient (i.e. the person ordering the CDs) must be hand written.

The requisition must contain the following fields of information: the name, address and profession or occupation of the recipient; the purpose for which the drug is supplied; and the name, form and strength of the drug and the total quantity to be supplied the date on which it was suppliedUse of the pharmacy stamp which includes the full address of the pharmacy from where the supply is made, should enable this requirement to be met.

Vet MedicinelPOM-V may be sold or supplied with a prescription from a vet & may be supplied by pharmacists & vets.

lPOM-VPS for food producing animals. May be supplied by vet, pharmacist, suitably qualified person (SQP) in accordance with a prescription from one of these persons

lNFA-VPS for non food producing animals. May be supplied by a vet, pharmacist or SQP.

lAVM-GSL authorised vet medicine GSL.

Vet. Surgeon for a POM-V medicine must:Carry out a clinical assessment on the animal.The animal must be under the Vet surgeons care.Must only prescribe minimum amount of veterinary medicine required for treatment.Pharmacists should check with the Vet Surgeon if they are concerned about the quantities prescribed on a prescription.

POM-VPSlVeterinary Surgeon, Pharmacist and SQP can prescribe.Does not have criteria for clinical assessmentPrescription can be oral or written if being elsewhere for supplyMust only prescribe minimum amount of medicine required for treatment

AVM-GSL authorized pet medicineavailable on general supplyno restrictionscan be sold anywhere

Prescribing Cascade- Prescribed by bet and supplied by vet or pharmacistMust supply product named on the prescriptionIf generic must supply product named on the prescriptionIf no authorized vet meidicne a vet can treat in this order medicines authorised for different species or different condition in same speciesmedicines authorised for human use in UKVet medicine not licensed in U.K but licensed in another E.U member state medicine extemporaneously prepared made to vet surgeons specifications

Prescribin casecade for food producing animalsOnly authorized products may be administeredWithdrawal of milk and eggs for 7 days28 days for meat500 degree days for fish

advice on supply if a pharmacist provides vet medicine they must provide advice on how to safely administeradvise on any warnings or contra-indications on the label or package leafletbe satisfied that the person is competent to use it safely & intends to use it for a use which it authorised

RX requirementsName and address of prescriber Qualifications of prescriberName and address of ownerSpeciesDate of prescription Signature

CD prescriptionlA declaration written on it to say that the CD is prescribed for an animal or herd under his care

PSNC ( Pharmaceutical services Negotiating Committee)LPC local pharmaceutical committee

Clinical Governance and patient safety- CG is the cornerstone around which NHS organisations demonstrate continuous quality improvement. There are seven components to Clinical Governance 1.Patient and Public Involvement 2.Clinical Audit 3.Risk Management 4.Clinical Effectiveness5.Staffing and Staff Management 6.Education, Training and Continuing Professional and Personal Development 7.Using Information

The outcomes of strong Clinical Governance Framework are:Improved patient care Effective use of resources Engaged and informed staff Improved customer service Reduced risk of litigationThe pharmacy contract requires that every pharmacy has a Clinical Governance Lead. This person does not need to be a pharmacist.

Negligence and Law of TortPart of civil lawtort is an act or omission that causes harm to someone, whether intentionally or not.Breach of a duty under a contract.

Most common in healthcare is negligence or battery

Negligence-Three things need to be provedA duty of care between health professional and service userA breach of this duty of careThis breach caused harm to the service user.

Burden of proof is proved on balance of probabilities unlike criminal law.

Intro to ethicsValues - are concepts or ideals that give meaning to an individuals life and provide a framework for decisions and actions. They can include religious beliefs, family relationships, prejudices, and roles. Morals - can be defined as the standards of right and wrong associated with individuals, groups, and society in general. Ethics - can be defined as declarations of what is right or wrong and what ought to be. Ethical dilemma - ethical dilemmas arise when moral claims conflict with each other and represent a difficult problem seemingly incapable of a satisfactory solution, or a situation involving choice between equally unsatisfactory alternatives

Consent, Confidentiality and Child ProtectionPurpose of Consent to treatment-moral purpose, clinical purpose, legal purpose

Consent: LAW valid consent capacity to decide, sufficient information, acts voluntarily

Capacity- understand information provided-retain and believe itweight it in the balance to make a choice

Sufficient Information- tort of negligence-material or significant risks must be disclosed. Patients questions answered truthfully.

Voluntary-no pressure or undue influence either to accept or refuse treatment or caresources of pressurepartners; family members; health or social care professionals. Re T (Adult: Refusal of Treatment) (1992)Best Interests no one can consent to treatment on behalf of an incompetent adult doctrine of necessity can be invoked for emergency treatment treatment can be given on basis of best interests

Childs right to consentS8 family Law Reform Act 1969: 16-17 years of ageGillick Competentno specific age depends on individual child child capable of understanding and who has the intelligence to understand fully what is proposed Lord Scarmanparent can act for a child who is not Gillick Competent but cannot override a Gillick Competent childs consent

Consent treated differently to refusalparents, guardian or court able to over-rule refusal by a Gillick competent adolescent to receive treatment which is in her best interests Re R (A minor) (1992); Re W (A Minor) (Medical Treatment: Courts Jurisdiction) (1992)

Gillick competence depends on seriousness of the decision taken as well as cognitive powers and maturity Re L(Medical Treatment: Gillick Competence) (1998)

Confidentiality-Professional obligation moral dutyHippocratic oathWhatever I see or hear, professionally or privately, which ought not to be divulged, I will keep secret and tell no one. Geneva DeclarationI WILL RESPECT the secrets which are confided in me, even after the patient has diedProfessional guidelinesCodes of Ethics; GMC & BMA guidelines

Ethical aspectsDeontological treat others as you would be treated yourselfUtilitarianKeeping confidences maximises happiness (utility)Virtue ethicsfaithfulness, maintain trust

TortTort of Negligence need to prove breach confidentiality caused damageNo general privacy tort however....Wainwright v Home Office [2003]But implications of the ECHR- privacy is an issue to be taken into accountCampbell v MGN [2004]

Special caseschildren with capacity obligation of confidencewithout capacity law requires best interests approachincompetent adultslaw requires best interests approach deceased persons

When to breach confidentiality-Danger to self, third party or public W v Egdell (1990)Freedom of the Press Public Concern- Graham Pink CaseWith consent kept to minimum CaldicottWhen in best interests of person without capacity

Confidentiality in the NHSThe 6 Caldicott Principals1.Justify the purpose for using confidential information2.Only use when absolutely necessary3.Use the minimum that is required4.Access should be on a strict need-to-know basis5.Everyone must understand his/her responsibilities6.Understand & comply with law

Statutory Requirements Certain Infectious DiseasesRoad Traffic Act must provide to police on request any information requested (not medical records for criminal investigation needs a judges order)Prevention of Terrorism ActMisuse of Drugs ActAbortion Act 1967Health and Safety at Work Act (1974)

Child ProtectionChildrens Act 2004All organisations with responsibility for services to children, including healthcare organisations, must make arrangements to ensure that in discharging their functions they safeguard and promote the welfare of childrenEvery local authority has to establish a Local Safeguarding Children Board (LSCB)key principals-be alert to the possibility of child abus and neglectbe able to recognize and act upon indications that a childs safety/ welfare may be at risk.

Indicators of abuse in child -unexplained/unusual injuries1evidence of poor overall careeveidence of std, self harmevidence of inapproopratiate sexual activitybehavioural problems

Indicators of abuse in parent / carerProvides inconsistent explanation of injuriesDelays seeking treatment/adviceShows detachmentIs reluctant to give informationExhibits aggressive behaviour towards child

what to do if you suspect abuse talk to senior collegues, childs gp, or pct If after discussion, contact named professional for child protection at local council or the police, if an emergency. If report is phoned, confirm in writing within 3 days Make a record of all concerns and discussions

Reporing sexual activity in childrenUnder 13 considered too young in law and is likely to result in some action13-16 is an offence but less so if consensual

Information Sharing Information sharing among practitioners and other agencies is essential when a child is at risk.Attempt to gain consentIf there is no consent, the childs best interests come firstMay not need to give all personal details on discussion

Emergency Supply-Verbal orders- can be given in hospitals but usually reserved for emergency situations- written directions to supply ( prescription chart)

Patient Group Directions- Written direction relating to supply and administration of POM Signed by dr, dentist or pharmacist Must specify inclusion and exclusion criteria

Supplementary prescribing form (april 2003)Clinical management planAgreement among patient, independent prescriber (doctor/dentist) and supplementary prescriber.Medicines legislation has been amended to enable podiatrists, radiographers, physiotherapists and optometrists to become supplementary prescribers (Original status to nurses, pharmacists and midwives)

Independent PrescribingNurses, midwives and heath visitors have been Independent prescribers (working to a formulary) for some time.Extended to pharmacists (May 2006).In August 2013 physiotherapists/podiatrists were added to the list of who can be independent prescribersAll should be working to the single competency framework

Emergency SuppliesPOMs can be supplied without script in some circumstances1.At the request of the patient2.At the request of a doctor, a supplementary prescriber, a community practitioner nurse prescriber, a nurse independent prescriber or a pharmacist independent prescriber, dentist but not a vetVETS CANNOT request emergency supply

At request of patientInterview person requesting the medicationMust be impractical to obtain a scriptImmediate needPreviously supplied by doctor registered in UK, EEA or SwitzerlandDose30 days supply maximum.(5 days for CD schedule 4 or 5 or phenobarbitone for epilepsy)Emergency supply on label.Records must be keptNOT CD schedule 2 or 3(Except phenobarbitone for epilepsy) or certain other productsMust consider consequences of not supplying (You can supply when the surgery is open!)

Emergency supply at request of patient

Make an entry in POM book, stating:Date POM was sold/suppliedName, quantity, form and strengthName and address of patientNature of emergency i.e. why?

ES at request of prescriberAny length of supplyPharmacist must be satisfied that request is by an appropriate prescriber who by some reason of an emergency cannot supply a RxPOM supplied in accordance with prescribers directionsNot CD schedule 2 or 3 (except phenobarbitone for epilepsy)Must have script within 72 hours

Records for ES at request of practitionerEntry is made in the POM register on that day (or if impracticable the next day) with the following:Date which medicine sold/suppliedName, quantity, form and strengthName and address of practitionerName and address of patientDate on RxWhen receive Rx, amend entry to include date on which the Rx received

Pandemic arrangementsEmergency supplyDont need to interview patientJust check theyve had it before and dose is appropriateSupply of POMsProtocols will be issued by NHS EnglandRecords of who supplies and who receivesSupply of POMs and Ps from pharmaciesMay be relaxed

up to 30 days emergecncy supply can be given.

5 STAGE PROCESS

Gather relevant factsPrioritise and ascribe valuesGenerate optionsChoose an optionRecord the situation

1)gather relevant facts-criminal law, nhs law, civil law, standards of coduct ethics and behaviour, professional and other knowledge

2) prioritize and ascribe values- what are interest of people affected-patient/customer, the public, carers/relatives, other healthcare professionals, your employer, yourselfrequires you to consider carefully and, probably more importantly, put your own feelings to the background to consider the greater good

3) Generate Options What could you do Consequences of each option How likely are the consequences

4) choosing an option-what should you do and can u justify the choice

5) record your actions date and time of incidence names of all involved exact details of all events that occurred include all relevant information

Mrs Fraser comes in to your pharmacy on Saturday afternoon and says that her mother, who has diabetes and is frail, is at Mrs Frasers home in quite a state. Her mother has come to stay for the weekend and forgot to pack her metformin 500mg tablets. Mrs Fraser has tried ringing her own surgery but could get no reply. What can you do?

1) gather relevant information needs emergency supply criminal law- POM medication, however allowed to give emergency supply NHS law- allowed to give emergency supply Civil- consider consequences of supplying vs not supplying

2) Prioritze and ascribe values-the patient/ customerthe publicpharmacy professionemployers yourself

3) generate options-Do not make the supplyDont make the supply and suggest further actionMake the supply in accordance with the emergency supply regulationsContact a doctor and make an emergency supply on his instructionDelay to seek adviceRefer to A&E or walk in centre

4) choose an option make the supply in accordance with the emergency supply regulations

5) record your actions date and time of event names of people who were involved factors affecting your decision An entry needs to be made in the POM register with the following information on the day of supply the date the POM was supplied the name (including strength and form where appropriate) and quantity of medicine the name and address of the patient requesting the mediaction why patient is unable to provide a prescription labeling should have emergency supply written on it.

CPD (AERP)Is continued professional developmentAs a pharmacist/techncian it is your duty to keep up with the quality of development of the profession. The way to do this is filling out a CPD-CPD can be recorded online at the website, on another computer or even a hard copy document-more than 9 cpd entries should be recorded every year- record of CPD should be kept in complainace with good practice critieria-record how cpd has contributed to development of your profession-submit CPD

Action- is where the learning takes place. CPD cycle may start here, if unplanned learning has occurred. Record in CPDEvaluation- end stage of CPD cycle where you asses if you have reached your learning goals, and how it will benefit your practiceReflection- thinking about your pharmacy practice as a professionalPlanning- deciding how and when you are going to learn what you want to learn to do.

Oppurtunities for CPD- 1) work based learning- for example, when a new product or technique is introduced, when undertaking work shadowing, when asked to review a protocol2) Self Directed learning-e-learning. Journals from pharmaceutical journal3) Formal Learning- attending courses or study days to increase knowledge (yields cpd entry)4) Professional Activity- participating in specialist groups, giving lectures and presentations

How long are Controlled Drugs prescriptions valid for?

28 days

Which of the following answers best describes the legal categories of medicines that require an indication of legal status on the box?Answer

Pom and p

The MHRA can only enforce UK law, the European Medicines Agency have to enforce European LegislationAnswer false

How frequently must a UK pharmacy renew its registration with the General Pharmaceutical Council?Answer yearly

Schedule 5 CD's are the most heavily regulatedFalse

Under the Health and Safety at Work Act, employers must make sure there are no risks to employees as a result of their employment.falseAll schedule 1, 2 and 3 drugs must be recorded in the CD registerFalse

Any person manufacturing a medicinal product must have a marketing authorisation for that product.Answer false

If a person brings a claim for negligence seeking to sue a pharmacist for not supplying a medicine on emergency supply, under which branch of law is it likely to be heard?civil

If a mistake is made in the Controlled Drugs register which is the ONE MOST acceptable way to correct it?Asterisk, cross then write at bottom and sign and date it

Which of the following best describes a medicinal product?Answer treats diseases

Only a person registered with the General Pharmaceutical Council may use the title 'Pharmacy Consultant'. FalseIt is illegal to make an emergency supply if there is an open GPs surgery close to the pharmacyAnswer false

Which of the following is TRUE with regards to the Caldicott Review 1997?Access to it should be on a strict need-to-know basis

Chloropicrin is described in the alphabetical list of non-medicinal poisons as 'P1; S1'. Which ONE of the following statements best describes the meaning of this under the poisons act? (You can check this in the MEP)

A: It is a product which appears in the Poisons List and 'S1' means it can only be sold from a registered pharmacy under the supervision of a pharmacist.

A patient asks if he can return a box of MST Continus (modified release morphine sulphate) 10 mg tablets which are no longer needed. The box is unopened and the tablets donotexpire for a further two years. What should you do?

A: accept the tablets and arrange for their disposalwithoutentering receipt in the Controlled Drug register

Vets can become supplementary prescribersFalse

If a doctor prescribes an unlicensed product which of the following options is most appropriate for the pharmacist to do?Agree to dispense the prescription assuming responsibility for its clinical validity.

Which of the following is true regarding the advertising of medicinal products to health professionals compared to advertising to the general public?Adverts for prescribers need to mention side effects whereas those for the public don't

Which of the following answers best describes the legal categories of medicines that require an indication of legal status on the box?Pom only

What is the maximum length of time a manufacturing licence is valid for?5 years

Part 2 poisons mayonlybe sold from pharmacies under the supervision of a pharmacistTrue

Any person manufacturing a medicinal product must have a marketing authorisation for that product.True

Which of the following best describes the legal situation regarding poisons?Poisons are governed by 'schedules' which can be amended by 'parts' of the Poisons rules

Which of the following is true regarding the advertising of medicinal products to health professionals compared to advertising to the general public?

Under the Health and Safety at Work Act, employers must make sure there are no risks to employees as a result of their employment.false

Employers have to take out insurance against risk to their employeesTrueWhich of the following statements is true regarding Private CD prescriptions?Cd2 and 3