1. Inspiring Change Leading Innovation to challenge the past and deliver
quality outcomes for the future
Supported by:

2. Welcome & Introduction
Sheelin McKeagney
Community Pharmacist
Chair of the Pharmacy Forum NI
Supported by:

3. The Quality Jigsaw Rebalancing Premises Standard
Clinical Assurance
Premises Standard
Rebalancing
Error Reporting Standard

4. New Community Pharmacy Contract
New community pharmacy contract anticipated in 2017/18
Endorsed on 13th January 2017 by the then Health Minister Michelle O’Neill
Target was to have new contractual arrangements in place by 31st March 2017
Delayed due to the current political situation - in the absence of a Health Minister, this timeframe was not achieved.
Significant amount of progress has been made since pre-negotiations began in October to develop a number of new community pharmacy- based services capable of shifting demand and improving patient care

5. New Community Pharmacy Contract
CPNI and HSCB are currently pressing ahead with an ambitious programme of service development work to ensure new services are ready for implementation on completion of contractual negotiations
Quality and outcomes will underpin the new contract which will include a new clinical governance framework
This new service-based contract will act as a catalyst for change in community pharmacy practice

6. Rebalancing Medicines Legislation and Pharmacy Regulation Programme Board
Reviews relevant pharmacy legislation and regulation to ensure it:
Provides safety for users of pharmacy services
Reduces any unnecessary legislation
Allows innovation and development of pharmacy practice
regulation-programme-board

7. Rebalancing Programme Components
Review of dispensing errors legislation
Enabling registered pharmacy standards and related matters
Review of hospital pharmacy regulation, including in respect to dispensing errors
Review of pharmacy owner, superintendent and responsible pharmacist arrangements
Review of pharmacist supervision

8. Professional Standards For Reporting

10. Outcome Based Premises Standards
Initiated by government as part of ‘Enabling Excellence’
The aim is to have ‘outcome driven’ standard
Autonomy given to owners and superintendents to run businesses to safe and quality outcomes
Promoting innovation in practice
Incorporating support premises other that pharmacies

11. Outcome Based Premises Standards
Key enablers:
a) Governance arrangements to manage risk
b) Working arrangements including skill mix and use of staff
c) Working environments including premises, equipment and facilities
Enabling oversight of the full range of service provision from pharmacies
Evidence based quality assurance building on existing standards but not prescriptive to one size fits all

12. Quality Assurance & Clinical Governance
The Community Pharmacy Assurance Framework was rolled out in August 2016 and consists of an annual assurance declaration and visit to pharmacies over a three year period
The aim and purpose of the framework is to monitor compliance with aspects of Pharmaceutical Services Regulations (NI) 1997, Terms of Service, service specifications, related professional standards and best practice
The framework was developed by the Health and Social Care Board (HSCB) and Community Pharmacy Northern Ireland (CPNI).
Patient safety is a component of the visit protocol
It involves discussion on processes for recording medicine incidents and near-misses and
Also, how practice is reviewed in light of an incident or patient safety communication

13. Quality Assurance & Clinical Governance
An anonymised record of an incident and/or near miss is also viewed
Learning from incidents reported to HSCB informed the inclusion of other topics related to dispensing e.g. clinical check, accuracy check, checking patient details and best practice resources for all topics are included in the visit protocol
The Community Pharmacy Clinical Governance Framework is currently being developed by HSCB and CPNI
Implementation will require a change in current Terms of Service through an agreed process. It is proposed that a risk management programme is included in the framework
This would incorporate systems for recording and reviewing incidents within the pharmacy, sharing learning with pharmacies in the same chain, as well as anonymous reporting to HSCB

14. Next Steps
This evening is about:
Challenge
Learning
Making a change