1. Clinical Pharmacists in Primary Care Networks
Nick Beavon
Chief Pharmacist
Wandsworth CCG
June 2019

2. Background
NHS Long Term Plan set out the plan to introduce Primary Care Networks
Clinical Pharmacists to be included in the funding
Approximately 2000 pharmacists expected to be working in practices by 2020
Some of the pharmacists currently working in GP Practices under NHSE pilot will transfer over to the new scheme for funding
Other pharmacists that already support practices outside of these directly employed pharmacists include CCG Pharmacists, Community Pharmacists ( Dispensing Chemists), Community Ward Pharmacists, Care Homes Pharmacists
All newly employed PCN pharmacists will be required to complete an 18 month CPPE course ( funded centrally) or other accredited training

3. ( see page 21 & link to Job Description)

4. https://www. england. nhs
( Clinical Pharmacist page 20-22)

5. DES Early Stage Delivery & Maintenance ( Year 1)
PCN recruitment of a pharmacist
PCN Pharmacist covering a population of 30-50,000 population
Banding of a pharmacist 7 (< 5years qualified ) or 8a ( more experienced)
Funding available for 70% reimbursement of the pharmacist is £37,810 with on cost ( Pension, National Insurance )
Future increase in pharmacists within the PCN in year 2 onwards?
Depending on experience PCNs may choose to top up pharmacist contribution to get more experienced pharmacists?

6. Agenda for Change basic salary 2019 for purposes of comparison

7. NHSE Network Contract Directed Enhanced Service April 2019
Clinical Pharmacist described in DES
Qualified pharmacist with Pharmacy degrees (MPharm, BPharm, BSc)
In addition will have qualified from accredited training pathway or will be enrolled on Centre for Pharmacy Postgraduate Education (CPPE 18 month clinical pharmacy training programme) centrally funded
More experienced pharmacists such as 8a may have a Clinical post-grad Diploma
Band 8a clinical pharmacist could supervise up to 5 band 7 pharmacists ( NHSE model and this may vary as system evolves)

8. Key Responsibilities
Work as part of an MDT in GP Practice and other key HCPs
Patient facing role
If they are an Independent Prescriber work within their area of competence
Clinical medication review and reduce polypharmacy
Includes care home, elderly, children and other vulnerable patient groups ensuring safe prescribing and monitoring
Improve outcomes with medication

9. Key responsibilities continued:
Supporting doctors is reducing antimicrobial resistance
Linking with hospital and community pharmacy to resolve issues
Link with other PCNs and pharmacists
More senior pharmacists supervise junior ones
Ensure they keep up to date and develop to give better support patients and the practice staff, GPs and Nurses
Review medication for patients with LTC

10. Depending on their clinical qualifications, past experience and skills, they can support the following:
Focusing on QoF Domains, improving disease registers
Prescribing Safety, Clinical audit, Local Enhanced Services support
Lead on prescription management (systems and processes, ensuring monitoring is being done, support clerical staff) but not issue all the repeat prescriptions!
Provide training to other GP Practice staff

11. Any Questions ?