Appendix 2: Screening for Hypertension and Atrial Fibrillation (AF) in community pharmacy pilot project (BLMK STP) – Pharmacy Patient Pack The Pharmacy Patient Pack Contents: Patient Consent Form [page 2] Patient Loan Form- Home Blood Pressure Monitors [page 3] Pharmacy Monitoring Form (to fax/email to GP) [pages 4-5] Template GP Letter (to fax/email to GP) [page 6] How will this pack be used? Each new patient screened in this needs their own pharmacy patient pack. The pharmacy patient pack is kept in pharmacy. When patients are referred a copy of the Monitoring ‘Pharmacy Form’ and the GP Letter’ will be sent to their doctor. ‘Template The pharmacy patient pack will be stored in line with Data ‘The Protection Act’ (1998). Patient Consent Form Screening for Hypertension and Atrial Fibrillation (AF) in community pharmacy pilot project (Bedfordshire, Luton and Milton Keynes – Sustainability and Transformation Plan [BLMK STP])
Appendix 2: Screening for Hypertension and Atrial Fibrillation (AF) in community pharmacy – pilot project (BLMK STP) Pharmacy Patient Pack The Pharmacy Patient Pack Contents: Patient Consent Form [page 2] Patient Loan Form- Home Blood Pressure Monitors [page 3] Pharmacy Monitoring Form (to fax/email to GP) [pages 4-5] Template GP Letter (to fax/email to GP) [page 6] How will this pack be used? Each new patient screened in this needs their own pharmacy patient pack. The pharmacy patient pack is kept in pharmacy. When patients are referred a copy of the ‘Pharmacy Monitoring Form’ and the ‘Template GP Letter’ will be sent to their doctor. The pharmacy patient pack will be stored in line with ‘The Data Protection Act’ (1998). Patient Consent Form Screening for Hypertension and Atrial Fibrillation (AF) in community pharmacy – pilot project (Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan [BLMK STP])
Appendix-2-Pharmacy-patient-pack-v2-FINAL.docx