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SETTING UP A DELIVERY SERVICE

SETTING UP A DELIVERY SERVICE. DDA Annual Conference 2010. Delivery Service. A delivery service is where the medicine is handed to the patient, their carer or another designated person other than on Dispensary premises. On each occasion a delivery service is provided:

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SETTING UP A DELIVERY SERVICE

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  1. SETTING UP A DELIVERY SERVICE DDA Annual Conference 2010

  2. Delivery Service A delivery service is where the medicine is handed to the patient, their carer or another designated person other than on Dispensary premises

  3. On each occasion a delivery service is provided: • Determine whether direct face-to-face contact with the patient or their carer is necessary • Ensure that you have consent from the patient to provide the delivery service

  4. When providing medicines via a delivery service there is still a professional responsibility to ensure that patients are not experiencing adverse effects or compliance difficulties

  5. Maintain appropriate records of the request for the service • The medicine must be delivered securely and on time • Provide any necessary information to enable safe and effective use of the medicine • Provide security and storage requirements for the medicine

  6. Where a delivery is to a person other than the patient or carer ensure that the person has been specifically designated by the patient or carer • Safeguard confidential information

  7. Have a verifiable audit trail for the medicine from the point at which it leaves the Dispensary to the point at which it is handed to the patient or their carer, or returned to the Dispensary in the event of a delivery failure • The Delivery Driver must obtain a signature to prove safe receipt of the medicines

  8. Keep the record of delivery for two years from the date of the last recorded delivery • The relevant Standing Operating Procedure (SOP) should specify the action to be taken when it is not possible to make a delivery • All tasks delegated to members of staff, including delivery, should only occur where the staff members are competent and trained to undertake those tasks

  9. All services and activities, including delivery of medicines should be covered by professional indemnity insurance arrangements • Arrangements should be in place to ensure the safety of the Delivery Driver

  10. Good Governance • Good governance can be assured through the operation of well written Standard Operating Procedures (SOP), understood and adhered to by all staff • SOP should be reviewed on a regular basis and after any near miss or adverse incident

  11. Compliance Aids and Monitored Dosage Systems Compliance aids and monitored dosage systems may be delivered but standard requirements must be met, such as: • Correct labelling; make sure there is adequate space for the labels to be affixed • Information leaflets and appropriate accompanying advice enclosed • Compliance aids must be in good condition and secure; if not return to the Dispensary

  12. Controlled Drugs • Misuse of Drugs legislation covers occasions where a controlled drug may temporarily be in the possession of a Delivery Driver while it is being transferred from one authorised person to another person who is entitled to be in possession of the drug • Controlled drugs cannot be delivered to a collection point because safe custody and record keeping requirements cannot be completed

  13. Checks With Patients at the Point of Delivery Check with the patient or carer as to: • The medicines and number of items the patient expected within the delivery • Any errors identified can then be clarified between the patient and Dispensary

  14. Handling complaints • There is a legal obligation to maintain and update procedures for the handling of complaints • Dispensary staff should be familiar with the complaints procedure, and it should be used to learn from any adverse, or near miss incidents that occur. Remedial actions should be taken as soon as possible • A copy of the complaints procedure should be displayed in the Dispensary • Delivery Drivers should have a copy to refer to, or refer the patient to if necessary

  15. Remote Delivery Dispensed medicines should, where possible, be collected from a pharmacy, dispensary or be delivered directly to a patient at home. Central delivery services should only be considered for patients who experience difficulty in obtaining their dispensed medicines from a pharmacy or dispensary (e.g. patients in outlying areas where these services are not available). They should not be established in areas where patients already have ready access to a pharmacy or dispensary

  16. ANY QUESTIONS?

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