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Tracy Ellis Programme Delivery Lead
Clinical Pharmacists in General Practice Pilot
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Clinical Pharmacists in General Practice
Background Applications & outcomes Funding Progress Reporting and KPIs Next priorities
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Clinical Pharmacists in General Practice
Background Build on innovation Primary Care Workforce Commission Expected to improve access to care and ease workload pressures Pilot scheme agreed July 2015 Applications accepted September 2015 “There should be greater involvement of clinical pharmacists, including prescribing pharmacists, in the management of people with long-term medical conditions and people in care homes… best carried out in the GP practice…”
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Clinical Pharmacists in General Practice
Why are we doing it? develop an alternative workforce model make the most of the supply of pharmacists within the workforce reduce / change the workload of GPs improve patients’ access to Primary Care embed the principles of medicines optimisation within GP improve the care and health outcomes for patients improve communication between GP, community pharmacy and secondary care, change behaviours of patients “There should be greater involvement of clinical pharmacists, including prescribing pharmacists, in the management of people with long-term medical conditions and people in care homes… best carried out in the GP practice…”
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Clinical Pharmacists in General Practice
Applications and outcomes Application process was open to all practices in England 285 applications received 94 pilot sites 703 practices 460+ clinical pharmacists (WTEs) From individual practices to federations, the pilot sites encompass a range of models
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Clinical Pharmacists in General Practice
Funding Funding transferred from the centre to local teams (Feb 2016) Sites received full costs for year one - paid up front to support set up Year one costs in the region of £15.4m
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Clinical Pharmacists in General Practice
Progress Recruitment of pharmacists has now begun across all sites Some areas reporting high numbers of applications per post, although this is expected to vary regionally Recruitment expected to carry on into April KPIs agreed with partners
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Clinical Pharmacists in General Practice
Reporting and KPIs 10 measures agreed Baseline figures – 2015/16 figures Baseline for A & B from following slide will be developed centrally by NHS England In addition sites will report monthly on the number of clinical sessions completed by pharmacists
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Clinical Pharmacists in General Practice
Measure A Patient satisfaction survey (impact on patient experience) B GP survey (impact of CP on GPs time, utilisation, job satisfaction) 1 Increase in the average QOF score 2 Increase in the total number of medication reviews undertaken 2a Decrease in the percentage of the total number of medication reviews undertaken by a GP 3 Increase in the total number of patients supported to develop care and support plan, including self- management 4 Reduction in A&E Attendances 5 Reduction in unplanned / emergency admissions 6 Reduction in the number of patients who have attended ≥30 appointments with general practitioner or clinical pharmacist over the previous 2 years 7 Reduction in antibiotic prescribing rate (V’s national rate per STARPU) 8 Reduction in prescribing rate of anti-psychotic medications for patients with dementia or learning difficulties
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NHS England Priorities
Cancer Mental health Learning disabilities Obesity prevention Type 2 Diabetes 5 year forward view New care models and new ways of working
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NHS England Priorities
reshape the NHS urgent and emergency care services strengthen primary care as the foundation for personalised NHS care ensure elective care continues to meet service standards and remain accessible reshape specialised services to improve quality and future affordability ensure the NHS is financially sustainable.
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Clinical Pharmacists in General Practice
Next steps Sites continue to recruit pharmacists Work with CSUs to devise workable methods for practices to provide KPI data Looking for partner to carry out evaluation of the scheme over the three years of the pilot
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