A Minor Ailment Scheme is a service provided by pharmacies for the National Health Service, first established in England in 2008.
Treatment is provided for conditions such as acute coughs, diarrhoea, earache and simple eczema in children. It is designed to enable people with minor health conditions to access medicines and advice they would otherwise visit their doctor for. [1]
The Minor Ailment Service was introduced by NHS Scotland covering all pharmacies in 2006, but was available only to “people who meet certain age, health, and social criteria” - under-16s, under-19s in full-time education, over-60s, individuals on Jobseeker's Allowance and asylum seekers - about 60% of the Scottish population. In September 2018 it was announced that the scheme would be redesigned and extended to the whole population. [2] Almost 90% of patients surveyed on their use of the scheme said their consultation experience was “excellent”. 29% of consultations were for treatment of an allergy, 16% for skin conditions, 11% for gastrointestinal issues, 10% for infections, 8% for respiratory problems and 7% for musculoskeletal pain. [3]
The scheme is to be replaced by the NHS Pharmacy First scheme in July 2020. [4]
In Northern Ireland, the scheme cost £6,366,089 for medicines supplied, and £7,830,424 for fees paid to community pharmacies providing the service from 2013 to 2017. The largest amount, £1,201,495, was spent on Hedrin lotion for the treatment of head lice. [5]
In England, these services were commissioned by individual Clinical Commissioning Groups. Schemes varied. Prescriptions are only provided free of charge if the patient is exempt from paying prescription charges. The Derbyshire Joint Area Prescribing Committee announced in June 2018 that it was decommissioning its scheme, called Pharmacy First, on which they had spent £3 million in 2015/2016, much of it on over-the-counter medicines, which do not need a prescription, and which came within the scope of NHS England's blacklist. [6] In the same month Dudley CCG established a new Pharmacy First with 43 participating pharmacies. [7] 23 schemes in England were decommissioned between 2015 and 2018 and a scheme covering 14 London boroughs will shut in March 2019 leaving schemes operating in only 43% of areas. The median annual spend per scheme is £86,837. [8] A new scheme exclusively for people who are “socially vulnerable” is being planned for London, but it is not yet clear who will be eligible. [9]
The Irish Pharmacy Union is campaigning in 2022 for a Community Pharmacy-based Triage Programme which would include a Minor Ailment Scheme, use of Emergency Medicines, and Minor Injuries. [10]
Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications, aiming to ensure the safe, effective, and affordable use of medicines. It is a miscellaneous science as it links health sciences with pharmaceutical sciences and natural sciences. The professional practice is becoming more clinically oriented as most of the drugs are now manufactured by pharmaceutical industries. Based on the setting, pharmacy practice is either classified as community or institutional pharmacy. Providing direct patient care in the community of institutional pharmacies is considered clinical pharmacy.
A prescription drug is a pharmaceutical drug that legally requires a medical prescription to be dispensed. In contrast, over-the-counter drugs can be obtained without a prescription. The reason for this difference in substance control is the potential scope of misuse, from drug abuse to practicing medicine without a license and without sufficient education. Different jurisdictions have different definitions of what constitutes a prescription drug.
General practice is the name given in various nations, such as the United Kingdom, India, Australia, New Zealand and South Africa to the services provided by general practitioners. In some nations, such as the US, similar services may be described as family medicine or primary care. The term Primary Care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital based services - varies from place to place, and with time. In many countries there are initiatives to move services out of hospitals into the community, in the expectation that this will save money and be more convenient.
The NHS Electronic Prescription Service is part of the NHS National Programme for IT of the National Health Service in England. It enables the electronic transfer of medical prescriptions from doctors to pharmacies and other dispensers and electronic notification to the reimbursement agency, NHS Prescription Services.
NHS Scotland, sometimes styled NHSScotland, is the publicly funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland, 7 special non-geographic health boards, and NHS Health Scotland.
An online pharmacy, internet pharmacy, or mail-order pharmacy is a pharmacy that operates over the Internet and sends orders to customers through mail, shipping companies, or online pharmacy web portal.
The NHS treatments blacklist is an informal name for a list of medicines and procedures which will not be funded by public money except in exceptional cases. These include but are not limited to procedures which the National Institute for Health and Care Excellence (NICE) has ruled of limited effectiveness and particular brand name medicines. In 2017 there was a proposal for 3,200 over-the-counter (OTC) drugs to be restricted and 18 procedures to be added to the list. This generated some controversy amongst doctors with some arguing that OTC should be blacklisted instead, and others believing the move did not take into account individual patient needs.
Charges for prescriptions for medicines and some medical appliances are payable by adults in England under the age of 60. However, people may be exempt from charges in various exemption categories. Charges were abolished by NHS Wales in 2007, Health and Social Care in Northern Ireland in 2010 and by NHS Scotland in 2011. In 2010/11, in England, £450 million was raised through these charges, some 0.5% of the total NHS budget. In April 2021 the charge was raised to £9.35 for up to a three-month supply of each item. In 2022, for the first time since 2010, the charge was not increased.
Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences have developed between these systems since devolution.
The Pharmaceutical Services Negotiating Committee (PSNC) is recognised by the UK Secretary of State for Health as representative of community pharmacy on National Health Service matters. The PSNC's main objective is to secure the best possible remuneration, terms and conditions for NHS pharmacy contractors in England and Wales. Much of the PSNC’s work involves discussions and negotiations with the Department of Health. Community Pharmacy Wales is a related organisation. Most of the English national pharmacy contract negotiated by PSNC has been adopted by the Welsh Assembly Government, but Community Pharmacy Wales has negotiated some local variation.
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).
A pharmacy is a retail shop which provides pharmaceutical drugs, among other products. At the pharmacy, a pharmacist oversees the fulfillment of medical prescriptions and is available to counsel patients about prescription and over-the-counter drugs or about health problems and wellness issues. A typical pharmacy would be in the commercial area of a community.
Healthcare in Wales is mainly provided by the Welsh public health service, NHS Wales. NHS Wales provides healthcare to all permanent residents that is free at the point of need and paid for from general taxation. Health is a matter that is devolved, and considerable differences are now developing between the public healthcare systems in the different countries of the United Kingdom, collectively the National Health Service (NHS). Though the public system dominates healthcare provision, private health care and a wide variety of alternative and complementary treatments are available for those willing to pay.
Well, formerly known as The Co-operative Pharmacy, is the largest independent pharmacy business and the third largest overall pharmacy chain after Boots UK and Lloyds Pharmacy in the United Kingdom. It is the largest pharmacy chain in Wales.
Online doctor is a term that emerged during the 2000s, used by both the media and academics, to describe a generation of physicians and health practitioners who deliver healthcare, including drug prescription, over the internet.
Pharmacy2U is an online pharmacy located in the UK. Pharmacy2U has been involved in piloting the electronic transfer of prescriptions in the UK. They manage NHS repeat prescriptions on behalf of patients. Pharmacy2U was founded by pharmacist Daniel Lee in November 1999. It launched to the public in June 2000.
Dr. Fox is an online clinic launched in January 2010 by Dr Tony Steele and Dan Broughton. The service is owned by Index Medical Ltd and was the first UK online consultation service to allow patients to check their eligibility for treatment without first completing a registration process.
The National Health Service Central Register (NHSCR) is a Scottish Government database accessible to public bodies approved by the Scottish Parliament. The register was established in the early 1950s to facilitate the transfer of patients between Health Board areas or across borders within the countries of the United Kingdom. However, its role has expanded over the decades and it now also provides Scottish local authorities with a Unique Citizen Reference Number or UCRN used to identify people on their own databases.
Pharmacy in the United Kingdom has been an integral part of the National Health Service since it was established in 1948. Unlike the rest of the NHS, pharmacies are largely privately provided apart from those in hospitals, and even these are now often privately run.
Healthcare in Derbyshire was the responsibility of five clinical commissioning groups covering North Derbyshire, Southern Derbyshire, Erewash, Hardwick, and Tameside and Glossop. North Derbyshire, Southern Derbyshire, Erewash and Hardwick announced in November 2018 that they planned to merge.