1. Community Pharmacy: local healthcare Kath Gulson Chief Officer Halton, St Helens and Knowsley Local Pharmaceutical Committee 14.03.16

2. Over view 11,500+ pharmacies in England – high-streets, supermarkets, residential neighbourhoods, Health centres, Internet 34 Pharmacies in Halton – Runcorn 16 – Widnes 18 Private Consultation rooms

3. Part of the local community 99% of the population – can get to a pharmacy within 20 minutes by car and 96% by walking or using public transport 3,500 people in Halton visit a community pharmacy every day 84% adults visit every year More than 75% use the same pharmacy Supply every Care Home

4. Pharmacist – trained healthcare professional 4 year MPharm degree Pre-registration year in practice GPhC Exams Registration & CPD Training for additional services Available on request whenever pharmacy is open Pharmacy only medicines can’t be sold without a pharmacist there Prescriptions can’t be given out without a pharmacist there

5. Pharmacy Team Medicines counter staff – trained to take in and give out prescriptions, sell OTC and issue CATC Dispensing staff – trained to dispense prescriptions ACT – trained to accuracy check prescriptions All prescriptions will be checked by a pharmacist (clinical check) Delivery driver

6. Medicines Sell OTC medicines and healthcare products Check medicines you buy are right for your condition and don’t interact with medication you’re already taking or your health GSL – anywhere - advice P – pharmacy only POM – prescription only To give advice on medicines and health

7. Community pharmacy & the NHS

8. Essential services all pharmacies Dispensing Repeat Dispensing Support for self-care Return of unwanted medicines Signposting patients to other healthcare professionals Healthy Lifestyles service (Public health) Clinical governance

9. Electronic Prescription Services Prescription sent directly to pharmacy from Dr electronically All prescriptions repeat and acute Patient nominates a pharmacy Patient can change nomination in any pharmacy or at surgery Script can be tracked or cancelled right up until it is in patients hand

10. Advanced services – most pharmacies 1.Medicines Use Review 2.New Medicine Service 3.Flu vaccinations 4.Appliance Use Review 5.Stoma Appliance Customisation

11. Medicines Medicines are the most common healthcare intervention 50% not taken as intended 4-5% of hospital admissions due to preventable adverse effects of medicines

12. Get the most out of your medicines Three stages Sign up, two weeks -phone call, end of the month Target medicines- ₋Asthma or COPD ₋Diabetes (Type 2) ₋Antiplatelet / Anticoagulant therapy ₋Blood pressure medication New Medicine Service

13. MUR Face to face with patient, using structured questions – What, How, Why Target groups Hospital discharge Increase your knowledge Seek support from GP where necessary

14. Locally Commissioned Services - public health and CCG Emergency Hormonal Contraception morning after pill Stop smoking and dispensing NRT vouchers Needle & syringe exchange and supervised consumption Care at the Chemist - minor ailment - advice - if necessary formulary; or referred. Palliative care medicines MAR sheets ROTA Pilots – emergency supply

15. PRIME MINISTERS CHALLENGE FUND Improve Access COPD reviews – help patients get the best out of prescribed inhaled medicines Asthma reviews for schoolchildren working with local schools and Widnes Vikings BP measurement and AF detection

16. Future potential for pharmacy Govt. sent open letter in Dec Lacks detail Reduce funding 6% Proposal of closing up to 3,000 pharmacies Commoditise medicines Supply of medicines to the country Consultation process ends 24 th March