1. General Practice Forward View Update : Clinical Pharmacists in GP Practices. 2/08/2017

2. What has been achieved? Programme update 2016 Pilot update
March 2017 Application Update – Wave 1
May Application Update 2017 –Wave 2

3. Programme Update – Overview
The General Practice Forward View (GPFV) includes a commitment to deliver an additional 5,000 clinical and non-clinical staff in general practice.
Out of these 5,000 additional staff members there is a commitment to have ‘’a pharmacist per 30,000 of the population… leading to a further 1,500 pharmacists in general practice by 2020’’.
The Clinical Pharmacists in General Practice programme launched in 2015
Phase 1 Pilot July
In October 2016: 491 pharmacists in 658 practices across 89 pilot sites
Phase – 4 application waves
112m has been made available to NHS England for the roll-out of Wave 2. Investment of £36 million over three years
The funding will cover recruitment, employment, training and development of clinical pharmacists and the development of employing/participating practices.
For London this equates to 252 WTE Clinical Pharmacists Or 84/ year for the next 3 years.

4. Programme update -2016 pilot sites, 2017 wave 1 & 2
Phase Pilot sites 49 WTE Clinical Pharmacists across 11 applications.
Phase
London has been set a national allocation of 84 WTE clinical pharmacists per annum for 3 years, which is a cumulative total of 252 WTE clinical pharmacists.
In terms of progress of clinical pharmacist applications for wave 1 and wave 2:-
In wave 1 a total of 43.1 WTE approvals were achieved covering 177 GP practices, serving a total practice population of 1,452,781.
In wave 2 equates to 81.1 WTE clinical pharmacists covering 342 GP practice, serving a total practice population of 2,464,554.
To date London region has achieved 49% of its cumulative 3 year total allocation in the 2 waves in 2017.

5. Programme Mapping 2016 Pilot , Wave 1 & Wave 2
NCL
2016 Pilot Haringey 2 WTE pharmacists
Islington 2 WTE pharmacists
Wave 1 Feb 2017 Islington 7 WTE
Camden 1.5 WTE, Camden 2.4 WTE
Wave 2
Barnet 5.5 WTE, Enfield 2.8 WTE Camden 1.4 WTE
NEL
2016 Pilot
Barking & Dagenham 10 WTE pharmacists
City & Hackney 5 WTE
Newham 12 WTE Pharmacists
Wave 1 Feb 2017 none
Wave 2
City & Hackney 1.7 WTE
Waltham Forest 10 WTE
Tower Hamlets 10 WTE
NWL
2016 Pilot
Ealing 1 WTE clinical Pharmacist
Hammersmith 2 Clinical Pharmacist
Harrow 0.9 WTE Clinical Pharmacist
Wave 1 Feb 2017
Ealing 3 WTE pharmacists
Hammersmith 2.8 WTE
Wave 2
Hounslow 4WTE
Central London 3WTE
Brent 10 WTW
Westminster 3WTE
SWL
2016 Pilot
Kingston 2 practices 2 WTE Pharmacist
Wave 1 Feb 2017
Wandsworth 2 WTE Pharmacist
Wandsworth 1.4 WTE Pharmacist
Wave 2
Croydon 13.5 WTE
Sutton 6.4 WTW
SEL
2016 Pilot
Bexley 6 WTE pharmacists
Wave 1 Feb 2017
Southwark 6 WTE Pharmacists
Lambeth 12.4 WTE pharmacists
Lewisham 5 WTE pharmacists
Wave 2
Greenwich 6WTE
Southwark 2.5 WTE
Grafton Practice Wave 1
Wave 2 Feb WTE pharmacists
Wandsworth/Merton/Lambeth
Hurley /Kings Wave 2
Lambeth/Southwark/Lewisham /Tower Hamlets/Havering/ Camden  /Hackney/Merton
2.5 WTE

6. Next steps Wave 1 & 2 Implementation Wave 3 September 2017
Support for this programme
Strategic Direction

7. Next Steps Contractual implementation wave 1 and 2
Service model - Contracting model will be via a GP enhanced service.
Service payments
National allocation to regional teams
Payments vis CQRS method of payment one month in arears. (process being updated and not deployed yet)
Interim – allocation from National team to the regional team to allocate to applicants
Recruitment - Successful applicant can start recruiting. Regional teams have been asked to monitor and agree recruitment plans
Training & education
Health Education England has recently completed a procurement exercise for a training and development pathway for clinical pharmacists.
The Independent Prescribing training procurement and practice development procurement is being finalised.

8. Wave 3 September 2017
A third application wave has been announced and the deadline is September NHS England is inviting GP practices and other providers of general practice medical services to apply for funding to help recruit, train and develop more clinical pharmacists. workforce/cp-gp/ London Region and the National Team are in the process of agreeing the application cap.

9. Strategic direction GP 5 year forward view
The Clinical Pharmacy Programme is part of the workforce initiative of the GP 5 Year forward view.
This is one of many initiatives to support General Practice.
Pharmacy in Primary care
The programme should not be run in isolation from other primary care pharmacy workstreams I.e.
NHS Community Pharmacy reforms.
NHS Integration fund which has two Initiatives
The deployment of pharmacy professionals in care homes and funding workforce development for these pharmacists to include a prescribing qualification.
Funding for pharmacists working in urgent care clinical hubs, e.g. NHS 111 or GP out of hour’s services, and again this will include a prescribing qualification.
Community pharmacy - Pharmacy 5 Point Forward Plan 

10. Links , References PCC update July 2017
NHS England
Guidance
Sample application form
CPPE Clinical Pharmacist training pathway.
London & SE Deanery
Primary Care Pharmacist association
Employment Guidance JD’s