Transcript A Vision for Pharmacy in the new NHS

Chris Town
Chief Executive
Greater Peterborough Primary Care Partnership
Chair, New Contractual Framework for
Community Pharmacy Negotiating Group
The Implications and Milestones
of the New Contractual Framework
A Vision for Pharmacy in the new
NHS - Community Pharmacy
 An integral part of the NHS
 Planning and delivering local services
 Supporting self-care
 Responding to diverse needs of patients &
communities
 A Source of innovation in delivery of services
 Helping to deliver aspirations in NSFs
 Helping to tackle health inequalities
A Proposed New Contractual
Framework for Community Pharmacy
• Why change?
 Current arrangements in place for nearly two decades
 Need a framework that better reflects modern service
requirements
 Community pharmacy is an integral part of NHS services
• What changes?
 More flexible/versatile, with focus on higher quality
services, less on prescription volume
 Essential, advanced and enhanced/local services
 Better fit with PCT role in developing local service
provision
New Pharmacy Contractual Framework:
Benefits
• Improved patient choice & convenience
– eg repeat dispensing and ETP
• 24/48 hr access target
– eg minor ailment schemes
• Reducing demand on GPs
– eg pharmacy led clinics - diabetes
New Pharmacy Contractual Framework:
Benefits
• Chronic disease management
– eg medication review, supplementary
prescribing, monitoring through near
patient testing
• Supporting delivery of nGMS
– quality targets, OoHs, enhanced services
• Health inequalities & public health
– eg drug misuse, smoking cessation
New Pharmacy Contractual Framework:
Benefits
• Improved patient safety
– eg learning from patient incidents
• Better value for money
– improved prescribing, reduced waste
– medication review: £2 saved for every £1
invested
– repeat dispensing : £2.60 - £10.00 saved
per patient per month
Pharmacy Contract – Timetable
• Contract specifications agreed between all
parties to the negotiation
• Three different categories –
Essential, Advanced and
Supplementary/Enhanced services
• Negotiation completed re funding levels
• PSNC consultation 92.5% voted in favour
• Implementation April 2005
ETP & Better Pharmacy IM&T
• ETP – electronic transmission of prescriptions
between prescriber, dispenser and PPA
• Read/write access to the patient record
• Connectivity – e-mail/internet eg NeLH, NPSA,
• Sharing of patient information is sensitive.
– concerns of patients and others
 the importance of patient consent
 maintaining confidentiality during data access and
transfer
ETP & Better Pharmacy IM&T
• Discussing with stakeholders need for
pharmacists to have access to patient records
• Role based access
• Inform consultation on elements of patient
information that community pharmacists may
need to deliver appropriate healthcare
services as part of the proposed new contract
• Consult shortly
• Implementation timescale match new contract
New Pharmacy Contractual
Framework: Implementation
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Reflect & link to nGMS
Policy collaborative
Stakeholder engagement
NHS Modernisation Agency & NatPaCT
Refocus Medicines Management
Collaborative
• NPC & CPPE
What are we Doing Locally to
Prepare?
• Have set up a strategy group
• Expanding existing community pharmacy
schemes (Pharmacy First) in accordance with
local needs
• Pathfinder site for repeat dispensing – 2
practices involved locally
• Looking at local service provision and
where gaps are – needs assessment
What are we Doing Locally to
Prepare?
• Setting up a register of all pharmacists
working locally, including locums
• Attendance and feedback at PEC and LPC
• Pharmacy service provision needs to go
into LDP
• Learning needs being identified and
standardised competency assessments
being carried out
Implications for the Pharma
Industry
• Pharmacists as prescribers - both
independent and supplementary ?
• Will this lead to more POM to P switches ?
• Greater role for Pharmacists in Chronic
disease management ?
• Impact of medication reviews ?
• Formulary development as part of closer
links with G.P’s ?