1. Tracy Ellis Programme Delivery Lead
Clinical Pharmacists in General Practice Pilot

2. Clinical Pharmacists in General Practice
Background
Applications & outcomes
Funding
Progress
Reporting and KPIs
Next priorities

3. 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…”

4. 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…”

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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.

12. 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