2. Quit Your Way Pharmacy Support Team

• Helpline: 01698 754 888
• Email: PharmacyTobaccoControl@lanarkshire.scot.nhs.uk
• Address: Udston Hospital, Farm Road, Hamilton ML3 9LA

3. PCR

Updating the PCR regularly and at the key points (Quit Date/Week 4/Week 12) ensures data is uploaded to the NHS Lanarkshire database which contributes to the LDP (Local Delivery Plan) Target set by Scottish Government.

By checking reports section on homepage of PCR you will see number of records requiring action.

Payment for delivery of the QYW Stop Smoking Service are made to a pharmacy if PCR entries are correctly submitted at Quit date (£30), 4 (£15) and 12 (£35) but no later than weeks 1, 6, 14 (respectively). No further payment is made if support to the client is made beyond week 12.

A useful support video on using the PCR for updating client records for smoking cessation from Community Pharmacy Scotland can be found here: 

https://www.youtube.com/watch?v=QF4SsPIwht8&feature=youtu.be

Helpful guides on the PCR can be found below

• QYW PCR Hints & Tips
• QYW PCR Visual Aid
• QYW Pharmacy Screenshot Guide

All Community Pharmacists, Pre-registration Pharmacists and Registered Technicians should have a PCR account, which can be set up without access to NHS mail. To register for a PCR account, please complete the below PCR Application Form

PCR Application Form – Click here

PCR Application Forms should be sent to NHSLanarkshire.PharmacyFacilitation@lanarkshire.scot.nhs.uk

If you have forgotten your username or password to your PCR account please contact the ePharmacy helpdesk on 0131 275 6600 and one of the advisors will unlock and issue you a temporary password which is valid for 4 hours. 

The following 6 bitesize presentations cover a mixture of information to help assist in delivering the QYW Stop Smoking Service within Community Pharmacies. When you click on the link it will download and open as a power point presentation.

QYW Bitesize – Our Services gives an understanding of other services involved in QYW Lanarkshire and the use of motivational interviewing and behavioural change to support clients on their quit journey.

QYW Bitesize – About Smoking why we should help people to stop smoking and how this links in with Scottish Government policy. How smoking contributes to Health and Social inequalities. The harmful effects of smoking and the impact of second hand smoke. Tobacco addiction/ withdrawal how stopping smoking has improvements on the body and some information on e-cigarettes and vaping.

QYW Bitesize – PCR the importance of PCR, common errors and how to avoid them, best practice suitable for individual pharmacies and understanding what and when payments are triggered.

QYW Bitesize – Pharmacotherapies what products are on formulary and how to explain/demonstrate to clients how to use the products.

QYW Bitesize – Pregnancy smoking prevalence in pregnant women and why pregnant women should stop smoking. The impact smoking has on parent/child and the impact of second hand smoke and which products pregnant women can use in their quit.

QYW Bitesize – Mental Health how smoking impacts mental health and medications. How stopping smoking can improve mental health and coping mechanisms for someone on their quit journey

TURAS NHS Scotland Smoking Cessation service https://learn.nes.nhs.scot/1475/pharmacy/cpd-resources/nhs-scotland-smoking-cessation-service

PUBLIC HEALTH SCOTLAND Very Brief Advice Module https://learning.publichealthscotland.scot/course/view.php?id=558

To access the TURAS and Public Health Scotland modules, you will require to have an account which you can set up using your own email address.

6. Varenicline PGD & Assessment

Varenicline PGD – Click here

Varenicline Assessment form – Click here

Varenicline PGD is now live for use within NHS Lanarkshire. Registered Healthcare Professionals are covered under a PGD as soon as they accept the professional obligations by signing the Authorisation Sheet, while there is no regulatory or legal requirement for copies of the signed sheets to be submitted to the Board, it is recommended that Boards keep a list of the Registered Healthcare Professionals that are operating under a Patient Group Direction(s). In place of submitting signed sheets to the board, NHS Lanarkshire now has an e-form available for Community Pharmacy Registered Healthcare Professionals to notify boards of PGD sign up: PGD Sign Up

7. Guidance Pack

This document provides some useful information in delivering the smoking cessation programme. Any questions please get in touch with a member of the team on the details provided above.

QYW Pharmacy Guidance Pack

8. Drug Interactions

Are you aware of the drug interactions with smoking? SPS has a helpful website on interactions :

• Considering drug interactions with smoking – SPS – Specialist Pharmacy Service – The first stop for professional medicines advice
• ASH Scotland Drug Interactions – IMPACT document

9. Vaping

Anyone who is vaping AND smoking tobacco can be given NRT, if they are solely vaping they cannot be part of the 12 week programme. The specialist service no longer provides behavioural support to those who are solely vaping. You will find useful information on the following leaflets, that can be printed and shared with patients.

QYW Vaping Facts

HI Vaping Quit Tips

10. Resources/CO Monitor

If you require leaflets, CO monitor resources etc then please complete the following QYW Pharmacy Resource Order Form

Useful short clip on how to use monitor https://www.youtube.com/watch?v=0zFfC1UjFww
The CO monitor belongs to NHS Lanarkshire, if you have any issues or require a replacement monitor, mouthpieces etc. then please contact the QYW Pharmacy Support Team.

The following procedure is common to all monitors:

1. Both the client and the stop smoking practitioner should use sanitiser gel on their hands before the test. Hand sanitiser must be alcohol free to avoid damaging the sensor and giving a false reading.
2. Attach a clean, disposable, mouthpiece (a fresh one for each client) to the monitor.
3. Turn the machine on
4. Ask the client to take a deep breath
5. The monitor will count down 15 seconds and beep during the last 3 seconds
6. The client needs to blow slowly into the mouthpiece aiming to empty their lungs completely
7. The parts per million (ppm) of carbon monoxide in the lungs will be displayed on the screen
8. The mouthpiece should be removed by the client (for infection control reasons)
9. The CO monitor should be cleaned between tests using a non-alcoholic wipe

11. Pharmacy Service Specifications 

Please note the Pharmacy Service Specification is under review by the Scottish Government and will be added here once finalised. For some background, below are the current and historical service specification documents:

• Revised Service Specification COVID19 May 2020 PCA2020(P)09.pdf
• Service Specification July 2019 PCA2019(P)14.pdf
• Service Specification August 2017 PCA2017(P)07.pdf
• Service Specification June 2014 PCA2014(P)12.pdf

12. NHS Lanarkshire Quit Your Way Specialist Service 

To refer a patient to NHS Lanarkshire Quit Your Way Specialist Service please contact via helpline on 01698 754 888. The service will provide the patient with NRT and behavioural support for their quit journey. The specialist service is for anyone who has had repeat quit attempts in the pharmacy with little success (3 or more). The specialist service also provides support for pregnant women and those with mental health who may require more support.

13. Useful Links & Other Information

• https://www.nhsinform.scot/healthy-living/stopping-smoking
• Tobacco Equivalents