Urgent Treatment Centre

Escalation routes for patients referred from Minor Injury Unit (MIU)

This pharmacy will be receiving CPCS referrals from the Urgent Treatment Centre in
Bridgwater. The service is exactly the same as the NHS111 and GP CPCS service – the only
difference being where the referral has originated from.
It is important that ALL pharmacy team members are aware of the pilot and that the
following procedures are followed
1. Patients will be referred from the UTC via Pharm Refer and will appear as referral in
PharmOutcomes

2. PharmOutcomes should be checked regularly (min 3 times a day) for referrals

3. Patients referred from the UTC will be given a referral letter and asked to present with
the letter at the pharmacy/chemist counter.

4. The pharmacist MUST be informed they have a patient who has been referred for a
consultation is waiting to see them.

5. Consultation must take place in the consultation room.

6. PharmOutcomes template to be completed as per usual during the consultation with the
patient including making the patient aware of the need to consent to share the
outcomes etc with their GP

7. Outcomes; (See separate escalation sheet as well)

• Patient given advice only
• Patient given advice and sold a product
• Patient advised to contact GP for non-urgent appointment – patient
  should contact GP practice themselves
• Patient advised to contact other HealthCare professional (dentist,
  physio etc) for non-urgent appointment– patient should contact
  them themselves
• Patient advised to contact NHS111 for non-urgent appointment (this
  should ONLY be suggested out of hours)
• Patient needs to be escalated for an urgent appointment
  – In Hours Pharmacist to contact patients registered GP (use
  escalation number for the practice where it is provided, use
  normal practice number if no escalation number available)
  – Out of hours Please follow normal out of hour protocols i.e.
  NHS111 or 999 /A & E if more urgent support is required.

8. If patient does not turn up at the pharmacy within 12 working hours of referral being
received, then the pharmacy team must try and contact the patient. This should be
recorded on the PharmOutcomes template

9. Once consultation is completed, please press submit on PharmOutcomes as this will
send a copy of your consultation notes to the patients registered GP.

Service Guide – GP CPCS Guide for LPC leads