Services Database Extended Care Service (Tier 2)

The Community Pharmacy Extended Care Service, Tier 2, aims to provide eligible
patients who are registered with a GP practice contracted to NHS England Midlands
Region with access to support for the treatment of the following:

• Treatment of Impetigo
• Treatment of Infected Insect Bites
• Treatment of Infected Eczema

The service will be provided through Community Pharmacies contracted to NHS
England & Improvement Midlands Region who have signed this local enhanced
service agreement to provide this service.

Aims of the scheme
The overall aim of the scheme is to ensure that patients can access self-care
advice for the treatment of a range of conditions, and, where appropriate, can
be supplied with antibiotics or other prescription only medicines to treat their
condition. This provides an alternative location from which patients can seek
advice and treatment, rather than seeking treatment via a prescription from
their GP or Out of Hours (OHH) provider, walk in centre or accident and
emergency.

• Educate patients to seek advice and treatment from the most appropriate
  healthcare setting
• Improve patient’s access to advice and appropriate treatment for these
  ailments via Community Pharmacy
• Reduce GP workload for these ailments allowing greater focus on more
  complex and urgent medical conditions
• Educate patients with aim of reducing requests for inappropriate supplies of
  antibiotics
• Promote the role of the pharmacist and self-care
• Improve working relationships between doctors and pharmacists

The service is offered as a quicker alternative for patients to access
healthcare. Patient may choose to refuse this service and continue to access
treatments in the same way as they have done previously.