Pharmacy in the future Pharmacy Forum – June, Marbella Leyla Hannbeck FRPharmS, MBA, MSc, MA Director of Pharmacy Twitter: @LeylaHannbeck

Agenda Community pharmacy and: The NHS Technology Workforce Others.......

Community pharmacy and the NHS

NHS Long Term Plan – Key points Aims of the NHS Long Term Plan Focus on population health Prevention of ill health / early detection of hypertension and AF Reduce health inequalities Improved use of pharmacists’ skills in the community Greater community pharmacy integration Digital capability Clinical skills / training Patient centered care / information

PCNs are key to the future www.england.nhs.uk #GPforwardview Informed and enabled patients Practices as teams of teams Personalisation and improved outcomes Integrated primary care service Digitally enabled working Growing motivated and enabled staff Aligned incentives PCNs are key to the future Primary care networks are small enough to give a sense of local ownership, but big enough to have impact across a 30-50K population. They will comprise groupings of clinicians and wider staff sharing a vision for how to improve the care of their population and will serve as service delivery units and a unifying platform across the country.

Getting this right together: What will we see happen? Likely to be a marathon not a sprint – an evolution Owned and led by primary care Needs to be meaningful to local communities and partners Should be the platform to build wider integration Must dock into the wider ICS to get system benefits We must ensure we remain focused on the end point and the spirit of intent

7 NHSE GP Contract DES for PCNs Structured medication reviews & optimisation Enhanced health in care homes Anticipatory care (with community services) Personalised care Supporting early cancer diagnosis Cardio-vascular disease case-finding Locally agreed action to tackle inequalities Next slides go though each of these points in more detail …

An opportunity for community pharmacy to align? Delivering MURs and NMS Support patients with independent living Antibiotic stewardship Identifying priority groups, for example when patients walk through the door or when delivering medicines to patients Medicines management Deliver services for the elderly, for example flu vaccination service Develop personalised Careplan Support the care home with palliative care Out of hour services lifestyle advice, and some screening services to enable early cancer diagnosis Use of diagnostics and technology that would be connected to IT platforms installed for independent living e.g. Hive Detect hypertension and AF

Next steps for pharmacy owners Being aware of the deadlines  1st July Stay up-to-date on the current NHS landscape Stay in touch with LPCs for current information relating to PCNs Consider undertaking the role of the community pharmacy lead for the PCN Build relationships with GP practices; this includes GPs, clinical pharmacists and practice managers Work with other pharmacies in your local area Set KPIs and milestones for the pharmacy for example where you need to be in March/April 2020.

Pharmacy and technology

Trends Data capture and analysing data better (helping pharmacists implement better strategies to generate more revenue and serve patients better) Social media and online presence Robotics Sophisticated Apps – supporting self-care, connecting pharmacies to larger health care system (NHS App library) Other technologies for example PDM to help run business more efficiently Genomics – working group is in place to aid decision, including how the vast data sets will be managed

Pharmacy and workforce

Three key elements Pharmacy Integration Fund (PhIF) NHS Interim People Plan (published June 2019) GPhC’s three year strategic plan (runs until 2020)

What is PhIF currently supporting? Education and development in collaboration with HEE The NHS Urgent Medicine Supply Advanced Service (NUMSAS) where urgent medication requests to NHS 111 are sent to a community pharmacy instead of an out-of-hours GP The Digital Minor Illness Referral Service (DMIRS) which directs patients with certain minor health concerns from NHS111 to a pharmacy instead of a GP Pharmacists in integrated urgent care Medicines optimisation in care homes System leadership development Stay Well Pharmacy campaign which ran in February and March 2018 Support for the General Practice Forward View initiative to integrate clinical pharmacists in general practices In the 2016/17 financial year, approximately £216,000 was spent on the PhIF. In the 2017/18 financial year, the total spend was approximately £12.2 million and the funding commitment for the 2018/19 financial year is £40 million DMIRS and NUMSAS NPA has support on this

NHS Interim People Plan Keys points for pharmacy teams: More freedom for community pharmacists to provide clinical care whilst pharmacy technicians are assisted to practise to the fullest of their licence A common foundation programme to be introduced for all newly registered pharmacists New training to aid community pharmacy teams to promote healthy lifestyles to the public and deliver care for minor illnesses Pharmacist prescribers to be an essential part of multidisciplinary teams in Primary Care Networks Experienced pharmacists to be appointed as clinical directors of pharmacy and medicines in all Integrated Care Systems Attract a wider range of more individuals to become part of the future pharmacy team by boosting public perception of community pharmacy From the NHS Interim People plan – directed to pharmacy teams

And more..... Premises standards and role of the regulator Medicinal Cannabis Advance of PGDs and private clinics Self care and a trend to go natural

From the NPA resource “ Cannabis oil and cannabidiol (CBD)-containing products: sale and supply”