Transcript The vision for NHS Community Pharmacies

NHS England’s Community
Pharmacy Call to Action
PSNC workshop for
LPCs
January 2014
psnc.org.uk/cta
Programme
1.
2.
3.
4.
5.
6.
7.
Scene setting and context
A brief summary of the CTA
Discussion session – local stakeholders
Making the case
Discussion session – making the case
Summary of initial suggested actions for LPCs
Discussion session – other actions for
LPCs/resource needs
8. Q&A
psnc.org.uk/cta
The aim of PSNC’s work on
the CTA
To ensure the response to the
community pharmacy CTA
drives the NHS England strategy
to include large-scale extension
of pharmacy services across the
4 domains of PSNC’s Vision
psnc.org.uk/cta
Reminder - the four
domains of services
Optimising the use of medicines
Supporting people to live
healthier lives/public health
Supporting people
to self-care
Supporting people to live
independently
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What does that look like?
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Pharmacy = an attractive provider
Credible in delivering services
Supported by the full range of stakeholders
Unobstructed - obstacles are neutralised
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How do we achieve it?
• Recognise the importance of stakeholder
support – identify and use them locally
• Recognise the potential barriers – address and
neutralise them
• Focus the LPC contribution – be guided but
not constrained by the NHS AT process
• Respond within the framework of the four
consultation questions
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A brief summary of the
CTA
psnc.org.uk/cta
NHS England’s Call to Action on
Community Pharmacy
• Improving health and patient care through
Community Pharmacy – a Call to Action
published on 10th December 2013
• Follows the publication in the summer of The
NHS belongs to the people – A call to action and
• Improving General Practice – a Call to Action
• Similar documents on dentistry and eye care are
expected to be published soon
psnc.org.uk/cta
What is its purpose?
NHS England is working to develop a plan for future
primary care services. As part of that it wants to
secure community pharmacy services that:
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deliver great outcomes;
are cost effective;
reach into every community; and
make the most of pharmacists’ expertise and
pharmacy’s unique accessibility
psnc.org.uk/cta
What is its purpose?
By stimulating debate in local communities, the
CTA will:
• shape local strategies for community pharmacy;
and
• inform NHS England’s national approach to
commissioning community pharmacy services
psnc.org.uk/cta
What will happen locally?
• The NHS England area team will host a local discussion
event prior to mid-March for:
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Everyone who works in community pharmacy
Clinical Commissioning Groups
Commissioning Support Units
Community trusts and hospital trusts
Health and Wellbeing Boards and Local Authorities
Patients, carers and local Healthwatch
Area team staff, including LPN chairs
Local Education & Training Board and academic health
science networks
You have probably already had contact with your AT about this.
psnc.org.uk/cta
What will happen nationally?
• NHS England will work closely with a range of national
partners including:
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PSNC and the other pharmacy organisations
the Department of Health
Public Health England
Health Education England
Local Government Association
patient groups
employers and pharmacy educators
to develop its strategic approach to commissioning
community pharmacy services
psnc.org.uk/cta
Why does it matter?
• Following the CTA, NHS England will publish
more detail on how it plans to commission
community pharmacy services nationally
• This will link to its approach to commissioning
general practice and other services
psnc.org.uk/cta
Why does it matter?
• This is our greatest opportunity to persuade
the NHS of the credibility of community
pharmacies as providers of services,
commissioned at national or local level
• There will undoubtedly be responses arguing
against expanding community pharmacy
services, and that resources should be given
to CCGs
• Community pharmacy must counter those!
psnc.org.uk/cta
Why does it matter?
• The results of the CTA will determine policy on
future commissioning of community
pharmacy services
• It is an opportunity we cannot afford to miss!
psnc.org.uk/cta
Local discussions
• Key questions will be aimed at agreeing how
best to develop high quality, efficient services
that can improve patient outcomes and can be
provided by pharmacists and their teams in a
community pharmacy setting
• Also, how NHS England can best support these
local changes, e.g. through the way the CPCF
is developed
psnc.org.uk/cta
Local discussions
• Area teams will work with local communities
to develop strategies based on the emerging
principles set out in the Call to Action
• The Local Professional Network chair will
discuss what changes need to be made to
support these local needs and emerging
strategies with other local commissioners
psnc.org.uk/cta
What
questions are
they asking?
psnc.org.uk/cta
NHS England’s questions
1) How can we create a culture where the public in
England are aware of and utilise fully the range of
services available from their local community
pharmacy now and in the future?
2) How can the way we commission services from
community pharmacy maximise the potential for
community pharmacy to support patients to get
more from their medicines?
psnc.org.uk/cta
NHS England’s questions
3) How can we better integrate community
pharmacy services into the patient care pathway?
4) How can the use of a range of technologies
increase the safety of dispensing?
psnc.org.uk/cta
Discussion session - Who
are the local stakeholders
to get engaged in the CTA?
psnc.org.uk/cta
Healthcare stakeholders
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CCG – who in the CCG?
GPs
Healthwatch
Patient groups – which ones?
Other ideas…
psnc.org.uk/cta
Non-healthcare stakeholders
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Local authority – who in the LA?
HWB
Local councillors, MPs – pharmacy visits?
Other ideas…
psnc.org.uk/cta
Discussion 1
• Map your local healthcare and non-healthcare
stakeholders, thinking about the four domains of
services and which NHS England questions are
most relevant to them
• Can your contractors help contact stakeholders?
• What can they say or do to support your CTA
submission?
• Can they be persuaded to respond directly?
• Are there any risks to contacting them?
psnc.org.uk/cta
Making the case
What does good look like?
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Making the case (1)
• Not a pharmacy wish list – it must relate to pt outcomes
• Should be a whinge free zone
• Base your response on the four domains from the PSNC
Vision – this was clearly supported by contractors
• Highlight the importance of national commissioning to
drive pharmacy delivery of outcomes for patients
• Responses need a local flavour – formulaic responses will
have less impact
psnc.org.uk/cta
Making the case(2)
• Don’t let the local AT process constrain your
response
• Strengthen the case with external support/
endorsement. Can the stakeholders you have
identified provide content or support for your
response?
• Consider the possibility of negative responses
that may be fed into the AT. Decide how you can
neutralise these messages
psnc.org.uk/cta
Discussion session –
Making the Case
psnc.org.uk/cta
Discussion 2
• Discuss the four question areas and consider
what you may include in your response
• Consider the 4 domains of pharmacy services
and the contents of the PSNC Vision
psnc.org.uk/cta
Summary of initial
suggested actions for
LPCs
psnc.org.uk/cta
Initial suggested actions for LPCs
(1)
• Agree who will lead the work of the LPC on the
CTA
• Where necessary, discuss the approach to
working with the AT with other LPCs covered by it
• Discuss the CTA with your
– AT primary care team
– Chair of the pharmacy LPN
Suggest how you can help the AT to communicate
with contractors and other local stakeholders
psnc.org.uk/cta
Initial suggested actions for LPCs
(2)
• Highlight the CTA and the importance of
engaging with it to your contractors via your
newsletter, email network and website (draft
wording is available on the PSNC website for
you to personalise and use locally)
• Offer to assist the AT/LPN Chair with
organising a local engagement event on the
CTA [but don’t let joint working dilute the LPC
response]
psnc.org.uk/cta
Initial suggested actions for LPCs
(3)
• Consider organising a meeting for contractors on
the CTA; this could be organised in partnership
with neighbouring LPCs
– At the event, seek examples of best practice which can
be included in your LPC’s response and can be shared
with PSNC
– Consider inviting a local CCG leader or senior AT
official to speak at the event
– Subject to availability, PSNC is also happy to provide a
speaker for local events
psnc.org.uk/cta
Initial suggested actions for LPCs
(4)
• Identify good examples of pharmacy services that
demonstrate how pharmacy services can help the
NHS provide better, more accessible patient care
• Approach local patient groups, local Healthwatch,
CCGs and other non-pharmacy stakeholders to
highlight the call to action and encourage them to
participate
– A PSNC flyer on the CTA designed for local use with
non-pharmacy stakeholders is available
psnc.org.uk/cta
Initial suggested actions for LPCs
(5)
• Complete the online questionnaire by
18th March 2014 and/or submit a more
substantive response to your AT
• NHS England has asked for examples of ATs
working well with LPCs and pharmacies to
deliver improvements to care – if you have a
good example, send this
to [email protected] and please copy
to Alastair Buxton
psnc.org.uk/cta
PSNC resources to help you
• PSNC Briefing 111/13: NHS England’s Community
Pharmacy Call to Action – guidance for LPCs
• Template PowerPoint Presentation for use at LPC
meetings for pharmacy teams
• NHS England’s CTA questions and prompts for
discussion (Microsoft Word)
• Template article on the CTA for LPC
newsletters/email bulletins/website (Microsoft
Word)
• Second template article on the CTA for LPC
newsletters/email bulletins/website incorporating
an invitation to an LPC meeting on the CTA
(Microsoft Word)
• Flyer on the CTA for LPC use with non-pharmacy
stakeholders (e.g. use with local patient groups,
CCGs, HWB
psnc.org.uk/cta
Discussion 3
• Prepare your local action plan
• What other resources could PSNC
provide to help you? (include this on
your feedback form)
psnc.org.uk/cta
Q&A
psnc.org.uk/cta
Thank you for your participation
• We will circulate a list of additional actions LPCs
could take and a revised stakeholder map
following the three events
• Let us know about other things we could do to
support your work on the CTA
• Please complete the feedback form
• Please send us good examples of local services to
include in PSNC’s response
Have a safe journey home
psnc.org.uk/cta