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Pharmacy White Paper Building on Strengths Delivering the Future Overview.

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Presentation on theme: "Pharmacy White Paper Building on Strengths Delivering the Future Overview."— Presentation transcript:

1 Pharmacy White Paper Building on Strengths Delivering the Future Overview

2 Aims of the White Paper  To set out practical, achievable programmes for the development of NHS pharmaceutical services.  To mesh with the overall strategic direction for a fair, personalised, safe and effective NHS, tackling health inequalities and supporting healthy choices: Showing the opportunities for pharmacy to provide an extended range of services;

3 Aims of the White Paper Shifting the emphasis from dispensing to clinical services, utilising pharmacy’s skills more fully; and Rewarding quality and better health and service outcomes for those who embrace the new contract.  The focus is on community pharmacy services, but the White Paper also covers hospital pharmacies, dispensing doctors and appliance contractors.

4 Chapter 1 - Background  Pharmacy’s role to date  Considerable strengths on which this White Paper builds  Identifies further potential for pharmacy to contribute

5 Chapter 2 - Context  Major health and social challenges  NHS reform programme  Focus on commissioning for health and well- being  Making better use of available resources  Need to harness new technologies  Annex 1 - how and where pharmacy can contribute to the major health challenges ahead

6 Chapter 3 – Expanding access to medicines with more help  Medicines Use Reviews (MURs) - better targeted health priorities and reward health outcomes  Greater push on repeat dispensing  Improving the use of medicines and reducing waste

7 Chapter 3 – Expanding access to medicines with more help  Increasing access to medicines, including in an emergency and to OTC medicines in rural areas  Pharmacists’ critical role in promoting safe use of medicines - reducing inappropriate admissions, ensuring integrated care  Local health community clinical pharmacy teams

8 Chapter 4 - Future service development in pharmacies  As centres promoting healthy living and health literacy, supporting self-care  Exploiting pharmacy’s ready availability in more deprived areas to expand access to healthcare  Offering people more choice with pharmacies being able to prescribe for and deal with minor ailments on the NHS, as first port of call, complementing, not replacing, role of GPs

9 Chapter 4 - Future service development in pharmacies  Providing support for people with long-term conditions - especially those newly prescribed a medicine  Offering vascular and other screening  Providing immunisation  Two new pharmacist clinical directors to support this

10 Expanding Services  Weight management  Stop smoking  Sexual health  Alcohol misuse services  Supporting an ageing population  Screening e.g., vascular checks and chlamydia screening  Long term conditions  Mental health  Reducing medicines related harm  Drug misuse  Immunisation & vaccination  Supporting people in work

11 The longer term vision will see pharmacies  Become ‘healthy living centres’ encompassing a greater emphasis on health promotion and supporting self care.  Become the first port of call for patients with minor ailments with community pharmacies enabled to provide a wider range of medicines (saving up to 57 million GP consultations per year).  Provide support to patients with long term conditions, including supporting patients newly diagnosed and starting new courses of treatment.  Increase their professional involvement in screening, vaccination and sexual health, services.

12 Community Pharmacy Use - summary of quantitative market research  84% visit pharmacy a least once a year  78% for health related reasons  Adults in England visit on average 14 times a year  Around 1 in 10 get health advice, but few use pharmacy for urgent advice  Mainly used for prescriptions and OTC medicines

13 Community Pharmacy Use - summary of quantitative market research  Currently very low use of other health related services in pharmacies, eg health screening  Women, those aged over 35 and those with a long term health condition or disability (LTC) are frequent users  Majority use same pharmacy all the time. Those with LTC or disabilities or live in rural areas are more likely to visit same pharmacy

14 Community Pharmacy Use - summary of qualitative market research  Considerable use already of pharmacists for advice and guidance, OTC medicines and in some cases tests - driven by ease of access and opening times  Much more interest in making greater use of pharmacist for advice, minor ailments and OTC supplies, routine tests.  Repeat dispensing would be widely welcomed

15 What do PCTs need to do?  Read it!  Understand their “baseline” in relation to current use and commissioning of community pharmacy  Link to NSR work in ALL Clinical Pathways  Review and strengthen their Pharmaceutical Needs Assessments (PNAs) and robustly link them to their Joint Strategic Needs Assessments AND the commissioning process.  Link to WCC and PCT strategic plans for primary care Provide leadership in implementation – who in your PCT

16 Pharmacy White Paper - Summary  Lead on safer and more effective use of medicines;  Make a significant impact in promoting better health for all and preventing illness (e.g. more screening);  Provide a clear lead for people to help care for themselves as well as supporting those with long-term conditions;  Have a central role in integrated partnerships to address key health inequalities (e.g. access);  Make a significant contribution to achieving wider NHS goals for greater patient control, improved choice and local accountability. Alignment with the primary and community care strategy, setting out a series of structural changes needed including:  reforming contractual and market entry arrangements;  payment systems which reward quality and outcomes;  developing the profession and skills base;  better information on clinical outcomes and cost effectiveness;  closer working with other professionals (e.g. GPs); and  ensuring better public understanding and awareness of the role of pharmacies A blueprint for pharmacy to:How this will be delivered


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