OUTCOMES What can a Practice Based Pharmacist achieve? Clair Huckerby Pharmaceutical Adviser- Medicines Optimisation Lead Pharmaceutical Public Health Team The Office of Public Health

Evolution of Practice Based Pharmacists > 13 years experience 2004 first for SP 2007 first for IP 2009 PhwSI-neurology, respiratory, elderly care 2011 HSJ finalist workforce development 2012 NHS Innovation Challenge Prize winners- workforce development; Clinical Pharmacist of the Year 2014 RPS Faculty accreditation 2014/5 Extending the role of Practice Based Pharmacists under Vanguard Multispecialty Care Provider model

Achievements Year on year savings in excess of £1.5M to prescribing budget through QIPP programme Quality interventions GP time saved HARMS Quality Premium and hypertension and AF management Development of extended role specification

Comparing the Prescribing QIPP to other programmes within the CCG

Improving the management of Hypertension 2004/5 Mortality rates- Premature mortality from hypertension in Dudley was nearly double the England average Variation in expected to actual prevalence of hypertension Inter-practice variation within CCG Action:- clinical audit, use of PBPs to review, diagnose and manage patients

The evidence: Prevalence of hypertension has increased since 2004/5 from 13.4% to 17.7% in 2014/ >2000 patients reviewed, 1096 diagnosed For every 1,000 patients controlled, 16 strokes and 12 MI’s could be prevented each year

Reporting outcomes Practice Clinical meetings PharmOutcomes platform Monthly work reports/ Annual evaluation CCG Clinical Development Committee, Quality and Safety Committee, Finance and Performance Committee, QIPP NHSE e.g. Atlas of Variation Submission of evidence to APPG inquiry Publications

Outcomes

Range of activities at team level/ month

Challenges Engagement Behaviour change Consistency in quality and delivery Indemnity Insurance Innovation Competition

Future plans Team expansion- 300 hours per week Multispecialty Care Provider Model Extending competencies of individual PBPs Sharing our learning Further collaborations with HEIs Making an already great team better

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