1. Integration of community pharmacy with PCNs
Ash Pandya – CEO lpc
Mahua Das – Community Pharmacist

2. Nine care processes √ Intervention Pharmacy delivers
Pharmacy Could deliver
Accurate Diagnosis of COPD
Co-Morbidity and Frailty Index
Offer Flu Vaccine √
Offer Smoking Cessation
Offer Pulmonary Rehabilitation
Record Cat, MRC, exacerbation
Inhaler technique device optimisation
Self management options
Care Navigation & Patient empowerment

3. Pharmacy Advanced services
Medicine Use Review (MUR) New Medicine Service (NMS) NHS Urgent Medicine Supply Service(NUMSAS) Ventolin /Salbutamol still in top 5 requested items Quality Payment Scheme (QPS)

4. Pharmacy QUALITY PAYMENT SCHEME (QPS)
Clinical Effectiveness - Referral for Asthma Review
On 15 February 2019, was the pharmacy able to show evidence that relevant asthma patients were referred for an asthma review?

5. Community Pharmacy Smoking Cessation
12 CONTRACTORS PROVIDING Smoking Cessation (25%)
117 QUITS IN 2018/19
285 REGISTERED FOR SMOKING CESSATION
COUNTLESS MORE OFFERED SMOKING CESSATION
DO GPs HAVE THESE FIGURES? – PCN OPPORTUNITY TO ENGAGE AND SHARE DATA

6. Community PHARMACY INTEGRATING with pcn
Community pharmacist as PCN DES Pharmacist
All pharmacies aligned with PCN
Dedicated Pharmacy lead for engagement with PCN
Specialisation with some Independent Prescribers
Shared Workload e.g Hypertension service
Better use of NHS Estates

7. Case STUDY
87 year old woman – Visits Pharmacy for cough medicine (started 3 weeks ago whilst on a cruise)
On long term steroids and coming to end of 7 day amoxycillin
Assessed in pharmacy SATs 93-94% ,Temp 37.6.BP 111/65 (usual BP 139/85)
Reports slight improvement but still breathless not feeling herself
Pharmacist does an MUR (includes assessment of inhaler technique –fine)
Pharmacist referred patient back to GP for chest x-ray
Concerned could be Atypical Pneumonia
X-ray suggest pneumonia – doxycycline initiated (hospital admission prevented)

8. Pharmacist early detection
Patients often self care for cough and cold
Known respiratory patient pharmacist can
Check Peakflow
Review Asthma / COPD Plan
Check oxygen Sats
Empower and engage the patient

9. Routine MONITORING
Smoking Cessation
Inhaler Technique
MRC and CAT scores
Check Medicines being used correctly
Refer for Pulmonary Rehabilitation
Empower patient to self care
Sees patient times a year

10. THANK YOU