What Community Pharmacy does ... and how it can help PCOs improve patient care

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What Community Pharmacy does ... and how it
can help PCOs improve patient care
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Pharmacists Education

• Undergraduate training
• 4 year MPharm degree course which includes
• pharmacology, pharmaceutics, clinical pharmacy
• One year pre-registration training professional
  exams
• Registration as a pharmacist with the Royal
  Pharmaceutical Society of Great Britain
• Postgraduate training
• Current CE requirements of 30 hours per year
  minimum
• CPD portfolios being introduced by RPSGB
• Additional certificates, diplomas and masters
  degrees in pharmacy or business related topics
• CPPE/CPP/Accreditation/Skills for the Future
  course

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What do Community Pharmacists do?

• General issues and core roles
• recognised as the expert on medicines 
• see more people than other healthcare
  professionals
• see people that are healthy as well as ill in a
  patient empowered environment
• healthcare advice
• health promotion/public health
• NHS prescriptions
• Self-care and OTC medicines

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What else can they do?

• NHS Devolved services
• oxygen, care homes, rota
• Additional services
• minor ailments schemes
• CDM/disease management e.g. INR
• lifestyle screening e.g. CHD
• repeat dispensing
• out of hours

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What else can they do?

• substance misuse - supervised methadone/
  buprenorphine, NES
• pharmacist intervention schemes
• GP prescribing advice
• medicines management
• out of hours/triage role for 24/48 hour access
  targets                
• any other local services - actual or wish list!
• Local Pharmaceutical Services (LPS)
• mention pilots here if required

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How can community pharmacists help the PCO meet
its targets?

• National targets
• NHS Plan/NHS Improvement Plan
• NSFs
• Pharmacy in the Future/A Vision for Pharmacy
• NICE
• Clinical Governance
• Three year planning - assist in meeting targets
  set within Planning and Priorities Framework

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How can community pharmacists help the PCO meet
its targets?

• Local targets
• Multidisciplinary working - best results obtained
  where all professions work together
• nGMS - QOF

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How can community pharmacists help the GP
Practice/PCO?

• Cost effective prescribing
• waste reduction
• GP prescribing advice (formal and ad hoc)
• medication review/MUR etc
• Patient benefit
• lifestyle checks
• monitoring - BP/diabetes/INR/cholesterol
• advice on medicines/ review/OTC interactions
• minor ailments service/triage

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How are community pharmacists currently paid?

• Global sum arrangements
• PPA - item reimbursement/container allowance
• Contractors capital expenditure self funded
• Additional services funded through
  PCT/practice/social services/alternative sources

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The new NHS Community Pharmacy Contract

• A new contract for community pharmacies is being
  negotiated
• The contract will reward quality services
• more information in new contract presentation
  on PSNC website www.psnc.org.uk/contract

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What is the LPC?

• Body recognised in Statute
• Represents views of community pharmacy
  contractors to PCO
• Negotiates on behalf of community pharmacy
  contractors

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Further information

• www.psnc.org.uk
• Possible handouts
• NHS Confederation briefing community pharmacy
  (http//www.psnc.org.uk/uploaded_txt/NHSC20Briefi
  ng20on20pharmacy.pdf)
• NatPaCT PEC paper (5) Understanding community
  pharmacy in the future (http//www.natpact.nhs.uk/
  uploads/pec20papers20520-20Pharmacy.pdf)

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More help needed with a presentation?

• Contact
• Barbara Parsons 01296 438404 barbara.parsons_at_psnc.
  org.uk
• Alastair Buxton 01296 438425 alastair.buxton_at_psnc.
  org.uk