9 Amendment of paragraph 18
1 Amend paragraph 18 (service outline in respect of signposting) as follows.
2 After sub-paragraph (1) insert —

“1A Where, on presentation of a prescription form or repeatable prescription, a pharmacist is unable to provide an appliance or stoma appliance customisation because the provision of the appliance or customisation is not within the pharmacist’s normal course of business, the pharmacist must —
(a) if the patient consents, refer the prescription form or repeatable prescription to another pharmacist or to a supplier of appliances; and
(b) if the patient does not consent to a referral, provide the patient with contact details of at least two people who are pharmacists or suppliers of appliances who are able to provide the appliance or stoma appliance customisation (as the case may be), if these details are known to the pharmacist.”

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3 In sub-paragraph (3), after “under sub-paragraph (1)” insert “or (1A)”.