Overview of Services 2020

Midland Community Pharmacy Group (MidCPG) is a not for profit charitable trust, governed by a board of directors and has operated in Hamilton since 2005 with a membership of approximately 120 pharmacies from across the Midland Region (Waikato, Rotorua, Taupo, Turangi and Tairawhiti). 

  • MidCPG implements and facilitates the delivery of DHB funded contracts via accredited Community Pharmacists for a range of patient centred education projects as described below and at www.midcpg.co.nz.
  • MidCPG advocates for community pharmacy in many varied forums both regionally and nationally.  MidCPG is a key partner in the development of multi-disciplinary teams and integration across Primary Health Care. 
  • MidCPG aims to support Community Pharmacy with tools and clinical assessment skills with the end goal of improving the health outcome of patients throughout the region.
  • MidCPG supports Community Pharmacies by providing clinical pathways and tools, with the end goal of improving the health outcomes of patients throughout the region

1.    Services Available from Community Pharmacy

Emergency Contraceptive Pill Service

Emergency Contraceptive Pill (ECP) free to under 25 year old women (residents of NZ)

  • Pharmacists must be ECP accredited via PSNZ to provide this service

Smoking Cessation Consultation and provision of NRT

Pharmacists Smoking Cessation consultation and where appropriate provision of NRT (Patches, Gum or Lozenges) for patients wishing to quit smoking.  The aim is to remove barriers for patients accessing smoking cessation services and support, patients may be provided NRT at the time of consult or referred to GP for other options ie: Champix.

  • Service includes provision for a referral onto an extended PHO smoking cessation service.
  • Pharmacists must be accredited via MidCPG online training programme.   

SSRI Education and Support

A free standardised education consultation to support and monitor patients newly diagnosed with mild to moderate depression and initiated on a SSRI (Selective Serotonin Re-uptake Inhibitor) medication.

  • The service focuses on increasing medication adherence and optimising the use of SSRIs.
  • Pharmacists must be accredited via MidCPG online training programme. 

Oral Anticoagulant Education (Warfarin, Dabigatran and Rivaroxaban)

A free comprehensive Oral Anticoagulant (OAC) medication consultation intended to reduce the risk of warfarin, dabigatran or rivaroxaban related adverse events and to optimise OAC therapy.

  • To improve patients’ understanding of the use of their OAC medication so they can better manage their own therapy and to reduce the risk of adverse events.
  • Pharmacists must be accredited via MidCPG online training programme. 

 Gout Education and Support

In NZ, gout carries significant morbidity and increased risk of mortality. It disproportionately affects people who already have generally poorer health outcomes.

  • The service involves identifying patients with gout and offering education and advice on the optimal management of gout, including medicine education and lifestyle advice.
  • The gout service primarily targets Maori and Pacific people as they are 3-4 times more likely to suffer from gout due to genetic factors.
  • Pharmacists must be accredited and complete MidCPG online training programme 

Methotrexate Education Service

This service aims to ensure the safe use of methotrexate and to minimise potential harm. Low-dose oral methotrexate is commonly used in the treatment of patients with rheumatoid arthritis, other rheumatologic diseases, various inflammatory conditions, as well as severe psoriasis. Methotrexate is an effective medicine for these indications, however, if prescribed incorrectly or taken incorrectly it can be harmful and even fatal.

  • Pharmacists must be accredited and complete MidCPG online training programme 

 Childhood Asthma Management Service

This service aims to optimise children’s asthma management and ultimately reduce exacerbations and hospital presentations in children aged between 4-11 years old diagnosed with asthma. The service includes:

  • Assessing children’s asthma control by utilising the Childhood Asthma Control Test (ACT), discussing the outcome and setting a personal ACT goal. 
  • Providing  comprehensive education about asthma, medicines, adherence, healthy homes, flu vac etc and assessing inhaler technique
  • Pharmacists must be accredited and complete MidCPG online training programme 

 Sore Throat Management for the prevention of Rheumatic Fever

Sore Throat Management in Community Pharmacy was developed following the Ministry of Health's Rheumatic Fever Prevention Programme (RFPP).  The sore throat swabbing service is offered to eligible children and their households across the Waikato, to identify and treat Group A Streptococcal (GAS) throat infections and prevent rheumatic fever and heart damage. 

  • Eligibility Criteria for this service is as follows:
  • Must have a sore throat and be 4 – 19 years of age
  • Maori or Pacific Island child OR
  • Non-Maori, non-Pacific child living in an NZ dep quintile five area
  • If an eligible child has a positive GAS result any symptomatic household members aged 3 – 35 years also become eligible for free throat swabbing and treatment
Pharmacists must be accredited via MidCPG training programme 

 TDAP vaccination for pregnant women

The first year of life is the most vulnerable age group for pertussis (whooping cough). The Tdap booster vaccine (not primary course doses) can now be accessed via community pharmacy to improve uptake by adults in close contact with infants. This includes parents, grandparents, health workers, and caregivers. Free Tdap vaccine can be offered to eligible women during pregnancy in 2nd or 3rd trimester.

  • Pharmacists must be qualified vaccinators and their pharmacies must be cold chain accredited via immunisation Advisory Centre (IMAC).

 Pharmacy Medicine Waste and Patient Sharps Disposal Service

Pharmacies have access to a free and safe medication waste disposal service for expired and returned medicines from patients.  Patients can also access sharps containers from their pharmacy and return the full container for safe disposal.

  • EXCLUDES CYTOTOXICS.

 Childhood Skin Conditions Pilot e (Eczema and Impetigo)) - Ngaruawahia, Huntly, Ngatea,

This service is being trialled to address inequalities in health outcomes for preventable conditions such skin infections caused by poorly managed eczema and impetigo with the aim to prevent hospital and A+E admissions.  The free service follows a standardised algorithm and checklist for pharmacists to review children’s skin conditions, with provision of patient information. education and where appropriate free products to treat and manage the condition.

  • Patients are referred to their GP as per the Service Algorithm.  This service is for mild to moderate skin eczema and impetigo. 
  • Pharmacists must be accredited and complete MidCPG training programme 

Medicine Use Review (MUR) in Community Pharmacy

A FREE service to patients who fit eligibility with the aim to improve a patient’s medicine understanding and adherence.

  •  This service does not involve a clinical medication review but focuses on patient’s medication adherence and medicine knowledge.
  •  The service targets patients with Diabetes, CVD and Respiratory conditions.
  •  Pharmacists must have completed PSNZ MUR accreditation and hold a MUR contract with their local DHB.

 Pre Medication Oversight Medicine Assessments

The Pre Medication Oversight (Pre MO) Medicine Assessment Service involves a pharmacist assessing a patient’s ability to take their medicines safely and to rationalise the medicines to the simplest regime, which helps to minimise Medication Oversight visits. It also involves removing any unwanted, expired medicines the patient may have.  This is a free service for patients.

 2.    Services that MidCPG provides external to community pharmacy

 Mobile Medicine Management Service

MidCPG employs two Mobile Pharmacists providing Medicine Use Review (MUR) services to patients across the Waikato.

  • Mobile Pharmacists also arrange medication education sessions/forums for patients/kaumatua groups across the Waikato.
  • Patients can be referred by emailing pharmacyreferrals@midcpg.co.nz

 What is a Medication Use Review (MUR)?

A MUR is a FREE one-on-one session between a patient and a MUR qualified pharmacist.  MURs are intended for patients with medicines adherence issues and/or poor understanding or confusion with their medicines.  The aim is to improve patients adherence to their medication by improving understanding of  medicines, and when and how best to take them.  The mobile pharmacist receives a referral to visit the patient then gathers information on the patient’s medication to ensure they have the most up to date list of medicines. The mobile pharmacist will visit the patient in their own home (whanau, caregivers are welcome to attend sessions) and develop strategies with the patient and their whanau to resolve any issues in order to improve medication adherence. Once the visit has been completed, a report will be sent to patients GP, the referrer and patients regular pharmacy.

 HOOP (Health Outcomes of Older Persons) Pharmacist

The HOOP pharmacist works closely with community-based older people and their care team to improve patient outcomes by undertaking timely medicine reviews and education that optimise the safe, effective, rational and economic use of medicines with the objective of keeping the older person safe and well in their homes for longer.

The HOOP pharmacist is responsible for providing safe patient-centred, culturally appropriate and individualistic care to the older population. 

Strong and Stable Fall Prevention Programme

“Strong & Stable” is an ACC falls prevention programme managed and facilitated by Midland Community Pharmacy Group.  The programme facilitates group based strength and balance classes run by trained instructors for older people in Waikato communities with an aim to increase leg and core strength and improve balance to reduce falls and fractures.

  • Group sessions are scheduled throughout the week across the greater Waikato
  • Any older person can attend sessions
  • Doctors, nurses, physios, pharmacists, and other health professionals can refer to approved classes.

Other services offered in Community Pharmacy

There is a range of other services available to patients from community pharmacies outside MidCPG contracts.

This includes but is not limited to:

  • Compliance packing
  • Blood pressure monitoring and advice
  • Blood glucose education and advice
  • Shingles, meningococcal, influenza, and MMR vaccination
  • UTI consultation and trimethoprim provision where appropriate
  • Erectile dysfunction consultation and sildenafil provision
  • Conjunctivitis consultation and chloramphenicol provision
  • Plus lots more – if patients have queries they are advised to speak to their Community Pharmacist.