AIMS OF THE MINOR AILMENT SERVICE (MAS)
- Improve access for patients
- Promote care through community pharmacy setting
- Transfer care from GPs and nurses to community pharmacist where appropriate
- Help address health inequalities.
The following patients are currently eligible to register for the service:
under 16 years of age or under 19 years of age and in full time education
aged 60 years and over
have a valid maternity exemption certificate, medical exemption certificate, or war pension exemption certificate
receive Income support, Income-based Jobseeker’s allowance, Income-related Employment and Support Allowance, or Pension Credit Guarantee Credit
named on, or are entitled to, an NHS tax credit exemption certificate or a valid HC2 certificate
Patients are EXCLUDED if they are not in list above; not registered with a Scottish GP practice;are temporary residents or are patients in a care home.
The patient or representative (e.g. parent/carer) presents with a symptom to the pharmacy. The pharmacist assesses the symptoms in order to reflect on the most appropriate course of action i.e. advice, refer or prescribe.
PRESCRIBING FOR MINOR AILMENTS
When a PHARMACIST decides it is necessary to provide treatment s/he should, wherever possible, prescribe generically and in line with information given in:
1. The LOCAL MAS formulary
2. The NHS formulary which allows the following groups of medicines
· P and GSL medicines not blacklisted
· Dressings and appliances in Part 2 of the Scottish Drug Tariff
· Selected items in Part 3 of the Scottish Drug Tariff
3. Part 7B of the Scottish Drug Tariff which gives guidance on choosing appropriate pack sizes to ensure correct payment for prescribing items on eMAS.
- POMs unless covered by NHS Lothian PGD
- Blacklisted products
AIMS OF LOTHIAN MINOR AILMENTS FORMULARY (MAF)
- Provide a formulary list which complies with LJF
- Provide a list of medicines which are evidence based and cost effective
- Provide prescribing notes to facilitate consistency in practice.
USE OF MINOR AILMENTS FORMULARYStrenuous efforts have been made to check the accuracy of the Minor Ailments Formulary, but it is in the interests of practitioners to ensure that it is adequate for their purposes. It highlights the most likely medicines to be used in managing minor ailments in community pharmacy practice, but it is not exhaustive nor does it have any legal status. It is the responsibility of practitioners to ensure that any medicine selected and prescribed within the Minor Ailments Service is the most appropriate for the individual patient, the dose and duration of therapy are correct and it is licensed for that use.
REQUESTS FOR ADDITION OF DRUGS TO MINOR AILMENTS FORMULARYRequests should be made in writing to the Lothian Formulary Pharmacist, at the address below.
Thanks to the following individuals for their contribution to this revision of the Minor Ailments Formulary:-
June Edwards, Community Pharmacist
Katharine Fok, Pharmacist, Royal Hospital for Sick Children
Dr Sara Hornibrook, General Practitioner
Anne Lorimer, Pharmacy Locality Group Co-ordinator Pharmacist
Formulary Committee Members
Paediatric and Neonatal Drugs and Therapeutics Committee Members
Pharmacy Practitioner Champions Group
The Minor Ailments Formulary working group would appreciate feedback on all aspects of the Minor Ailments Formulary.
Contact: Lothian Formulary Pharmacist
Medicines Management Team
47 Robb’s Loan