1. Clinical Pharmacists in General Practice
Roy Gilman, Practice Pharmacist

2. My Background
Glaxo research, Hospital pharmacy specialising in Drug Information, Clinical Trials, HIV and Pain team
Proprietor Pharmacist in community pharmacy for ten years
Medicines Management (3 CCG's) for 5 years. Independent Prescribing course in 2016
Practice pharmacist post in Hertford 2017

3. History of Practice Pharmacists
These have existed for over ten years but this has been given a massive boost since 2015 with the NHSE pilot (aided by qualification as NMP's)
This pilot has now been extended (?evidence) with the aim of there being a PBP for every 30,000pts

4. What can we do?
Improve prescribing, management of LTCs, medicines reconciliation, complex polypharmacy, de-prescribing
In order to improve health outcomes, reduce admissions, medication errors, drug expenditure, communication across sectors.

5. Evidence of Benefits Reductions in HbA1c Improved BP control
Better anti-coagulation management

6. A Typical Day
Assisting with Telephone triage – meds / minor ailments / infections / hayfever / GIT
Medication reviews including care homes
Prescription queries
Hospital letters
BP/Asthma reviews
Helping other professionals / Staff

7. The Future?
Increasing complexity and diversity of therapies e.g. biologicals
More high tech treatments based in the community
Ageing population, increasing care home residents
Specialist clinics