1. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients” 1

2. 2017 Conference Reimbursement Pharmaceutical needs assessments (PNA)
Dispensing fee
EPS
FMD
Pharmacy
Shortages
Rural practice challenging times
Securing the future 2

3. Reimbursement Unfinished business Seen NHS Employers
Want a system where right prescription for the patient is the right one for the NHS and the practice
Remove perverse incentives 3

4. Pharmaceutical Needs Assessments (PNAs)
These are very important.
Health and Wellbeing Boards are writing the new ones due in April 2018
You need to check yours
Need to make sure your LMC is involved with them.
Your dispensing might be at risk!
Used to cut pharmacy contracts 4

5. Dispensing fee 2017 Still on the same formulae No inflationary uplift
Staff numbers defined
Pay cap removed
Fall in October
Should increase in April 5

6. EPS It is continuing to be rolled out
Pharmacies will be signing up patients
Dispensing module for practice systems is being developed
Cost is an issue
DDA working with NHS Digital/NHS England.
Looking to pilot EPS4 6

7. EPS
Workload, should decrease if properly implemented, but if not will increase
Risk re loss of scripts

8. FMD To be implemented by 2019 Plans as yet vague
Could have large workload implicactions

9. Pharmacy Contract Cut in dispensing fee
DH appears to want less contracts but more pharmacists
Move towards clinical services and away from dispensing
? Changes to reimbursements
Threats and opportunities

10. Working with pharmacy
Workload, the need to help with GP workload not create it
Need to make sure resources are made available so general practice is not destabilised
Clinically safe
Will be work for us from secondary care
Clinical pharmacists

11. Shortages Ongoing No solution
Prices very fluid this month Keppra/ Levetiracetam Cat M price £2.76 buying price about £27.50 11

12. Rural practice Challenging times
GP shortage
Workload increase
Solutions urban centric
Poor IT
Less cross subsidy from dispensing as profits falling
Wales LHB 33% more expensive
Suffolk GMS contract plus 50%

13. Challenges Smaller practices due to Geography
Branch surgeries to support

14. Securing the future Need NHS and politicians to understand
Look after what you have
New systems will be more expensive
Once lost very difficult to replace
Dispensing is a key to survival
Need rural as well as urban solutions

15. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients” 15