Minor Ailments

INTRODUCTION

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.
ELIGIBILITY

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.

MAF algorithm.JPG

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.

EXCLUSIONS
  • POMs unless covered by NHS Lothian PGD
  • NRT
  • EHC
  • Blacklisted products
  • orlistat
  • simvastatin
  • azithromycin.
  • Homeopathic preparations
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 FORMULARY
Strenuous 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 FORMULARY
Requests should be made in writing to the Lothian Formulary Pharmacist, at the address below.
ACKNOWLEDGEMENTS

Thanks to the following individuals for their contribution to this revision of the Minor Ailments Formulary:-

June Edwards, Community Pharmacist

Kirsten Thomson, Pharmacist, Royal Hospital for Sick Children

Dr Sara Hornibrook, General Practitioner

Dawn Owen, Pharmacy Locality Group Co-ordinator Pharmacist

George Radford, Primary Care Pharmacist, West Lothian

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
              Pentland House
              47 Robb’s Loan
              EDINBURGH
              EH14 1TY