1. Think Pharmacy
Sue Sharpe
CEO
PSNC

2. Outline of Talk The Vision for the future community pharmacy
The four domains for pharmacy services
Medicines Optimisation
Public Health
Minor Ailments
Supporting Independence
The challenges

3. Our Vision
The community pharmacy service will offer support to our communities, helping people to optimise use of medicines to support their health and care for acute and long-term conditions, and providing individualised information, advice and assistance to support the public’s health and healthy living.

4. The Third Pillar

5. The Third Pillar – reducing unnecessary GP appointments for minor ailments

6. The Third Pillar - helping care for patients with LTCs + supporting independence

7. The Third Pillar - preventing avoidable disease; promoting healthy lifestyles

8. NHS Community Pharmacy Services
c900m items dispensed
Cost of medicines c£8bn
2.5m MURs
Ave pharmacy dispensed 6,700 items per month
NHS income typically 85-95% total turnover

9. National and local commissioning
National contract includes dispensing, MURs, NMS and at present public health campaigns
Local supplementary services can meet specific targets to reduce costs for CCGs
Strong record of public health service provision by pharmacies

10. The Four Domains Public Health Minor ailments Medicines optimisation
Supporting independent living

11. Medicines Optimisation
Local services to supplement MURs and NMS Domiciliary MURs Croydon

12. Medicines Optimisation
Local services in Greater Manchester: improving inhaler technique
Outcomes: reduced spend – lower prescribing of blue inhalers; lower need for additional therapy; synchronising Rxs – lower waste +
Improved patient outcomes – use of ACT + CAT assessments

13. Medicines Optimisation
Respiratory MUR project in South Central (206 pharmacies)
40% of people with asthma showed better asthma control
55% of COPD patients showed an improvement in symptom management
Analysis of data on emergency asthma and COPD admissions showed a positive association between the introduction of the project and changes in emergency hospital admissions

14. Public Health – Pharmacy services
Services for drug misusers: supervised self-administration; Needle + Syringe Programmes
Sexual Health services: EHC; contraception; safe sex advice
Alcohol, obesity, healthy lifestyles advice
Smoking cessation
Vaccination and screening e.g NHS Health Check

15. Minor ailments
Working to reduce unnecessary use of GP and A+E services.
Potential savings to the NHS – estimates
3 year projections – shift from A+E, Walk-in centres + GP surgeries
Shift 20% 35% 50%
Saving £83m £210m £321m

16. Minor ailments CCG Rotherham figures – estimated
Population Consultations Minor Ailments MA alone
24,
Top 5 Minor ailments Annual consultations
Back pain m
Dermatitis m
Heartburn/ indigestion 6.8m
Nasal Congestion m
Constipation m

17. Supporting Independence
Working to support independent living:
Home delivery of medicines
Monitored dose dispensing systems
Falls risk screening and advice
Supply of aids
Identifying emerging problems

18. The Principal Challenges
Establishing partnership working with GPs and local authorities
Identifying where pharmacies can help manage workload and costs
Ensuring agreement on effective and relevant communication
Outcomes- based service commissioning – monitoring outcomes and impact