The End of Life COVID-19 Medicines Service to supply “Just In Time” emergency medication pack (JEMP) scheme is to be stood down across Wales as of 1 July 2021. The service was implemented in response to the first Covid-19 surge to improve access to the supply of palliative medicines. The overall approach was intended to reduce uncertainty and delays in securing medicines and increasing the agility of potentially limited supplies (making stock go further).
As the supply chain for palliative medicines remains robust a decision has been made to pause the use of the JEMP scheme. Health Boards will continue to support anticipatory prescribing and rapid access to medicines commonly prescribed in palliative care via existing schemes.
The service will deliver medication directly to the patient within a 2 hour timeframe from receipt of a request.
One of the most common causes of delays for patients and carers in obtaining controlled drugs is prescribers writing prescriptions that do not fulfil legal requirements.
A prescription should be generated to reflect the contents of the JEMP box and must meet controlled drug prescription requirements:
It is not possible to tailor the contents of the JEMP as they are prepared in advance. There can be no substitution and the quantities must be exact. Medication not included within the JEMP cannot be supplied via the End of Life COVID-19 Medicines Service.
There is the possibility of medicine shortages in the future, thus it is important that the prescription is accurate as the content of the pre-packed JEMP may change. The JEMP currently contain the following medicines and quantities:
|Morphine sulphate injection||10 mg/ml||10|
|Midazolam injection||10 mg/2 ml||10|
|Hyoscine hydrobromide injection||400 mcg/ml||5|
|Levomepromazine injection||25 mg/ml||5|
|Haloperidol injection||5 mg/ml||5|
|Water for injection||10 ml||5|
SPOC telephone number: 0300 123 4092 (this phone line is available 24/7; if you are calling between 22:00 and 08:00 you will need to choose Option 3).
In order to send a digital image of the prescription to the SPOC, prescribers will need a Hospify account. Hospify is an app for sending messages and images (like an NHS Whatsapp). It has been designed for use by clinicians to allow encrypted messaging, and NWIS have advised it meets all NHS Wales IG and GDPR requirements. It has to be downloaded from an app store. You have to have an NHS email to be able to register to use it. Prescribers will need to ‘Add’ Health Courier Service Wales to their connections before they start sending messages. OOH clinicians can also ask the 111 admin/ shift leads to send the prescription image in their behalf. Further details are available on the above website.
Communication release: End of Life COVID-19 Medicines Service to supply Just in Time Emergency Medicine Packs (JEMP) (Updated 23/10/2020)
Access to End of Life Care Medicines during the COVID-19 pandemic
Action Card - Introduction
Action Card 1 - Clinician / GP / OOH (Updated 18/05/2020)
Action Card 2 - SPOC control room (Updated 09/10/2020)
Action Card 3 - Courier service (Updated 09/10/2020)
EoL Medicines Service - Service Description (Updated 09/10/2020)
Hospify - User Guide
All Wales Syringe Driver Chart
PRN Community Chart
For further information on COVID-19 palliative care documents and information, please visit the Palliative Care Wales Document Library or the End of Life Care section on the NHS Wales Health Collaborative website.