1. IMPROVING HEALTH AND PATIENT CARE THROUGH COMMUNITY PHARMACY - A CALL TO ACTION Tony Carson Pharmacy Advisor NHS ENGLAND London Region January 2014

2. Outline Purpose of Call to Action Call to Action Programme Nationally In London Call to Action for Pharmacy Questions 2

3. Purpose of Call to Action A call to action to staff, public and politicians to help NHS meet future demand and tackle funding gap through ‘honest and realistic’ debate. How best to introduce new technology and meet public expectations. Backdrop of funding gap of £30bn between 2013/14 and 2020/21. 3

4. Some facts The NHS treats around one million people every 36 hours Between 1990 and 2010, life expectancy in England increased by 4.2 years The difference in life expectancy between the richest and poorest parts of the country is now 17 years Around 80 per cent of deaths from major diseases, such as cancer, are attributable to lifestyle risk factors such as smoking, excess alcohol and poor diet The number of older people likely to require care is predicted to rise by over 60 per cent by 2030 4

5. Some more facts One quarter of the population (just over 15 million people) has a long term condition They account for fifty per cent of all GP appointments and seventy per cent of days in a hospital bed Hospital treatment for over 75s has increased by 65 per cent over the past decade Around 800,000 people are now living with dementia and this is expected to rise to one million by 2021 Since it was formed in 1948, the NHS has received around four per cent of national income 5

6. Staying the same is not an option Is not about making unnecessary changes, or taking services away It’s about looking at how they are being delivered and what can be provided differently to respond to the challenges, but whilst also taking advantage of important opportunities, including: Innovative new treatments and technology Putting people in control of their own health and care Integrating more health and care services Having greater emphasis on keeping healthy. 6

7. Everyone has a role Vital that all stakeholders are engaged Not just traditional NHS organisations and providers The wider public, not just patients and patient groups Local government – including public health, social services National government and political parties Professional bodies and organisations Media 7

8. Call to Action Programme July 2013 – “The NHS belongs to the people – a call to action” August 2013 – “Improving General Practice – A Call to Action” November 2013 – “Transforming Primary Care in London: General Practice A Call to Action” December 2013 – “Improving Health and Patient Care Through Community Pharmacy – A Call to Action” 2014 – further documents on eye care and dentistry due to be published 8

9. Call to Action in London Primary Care Programme Board – chaired by Dr. Clare Gerada Launched on 28 th November Clear that the programme was about PRIMARY CARE, and not just general practice Inviting comments online at https://www.engage.england.nhs.uk/consultation/ldn-gp- cta/consultation/intro/view until 1 April 2014 https://www.engage.england.nhs.uk/consultation/ldn-gp- cta/consultation/intro/view 9

10. Call to Action in London (2) Three key areas:- Co-ordinated care Accessible care Proactive care Expert panels for each that include pharmacist input All 3 areas recognise that have to look at the whole system – simply changing one area, such as general practice or pharmacy in isolation will not work Producing a consultation document that will set out key standards/values Will include key questions on community pharmacy 10

11. Call to Action for Pharmacy in London Integrated into the wider Primary Care Call to Action Make use of existing networks and fora, including LPCs CCG/CSU Acute Trusts Local Authorities, Public Health etc Work closely with RPS – especially “Now or Never” Engage with Pharmacy Voice – who are facilitating sharing of what is happening nationally Planning a one-off major stakeholder event in late February/early March 11

12. Call to Action for Pharmacy Every year in England 438 million visits made to community pharmacy for health related reasons More than any other NHS care setting In 2012 over 1 billion prescriptions prescribed In 2012/13 the value of the NHS community pharmacy contractual framework was £2,844 million. NHS England seeking to secure community pharmacy services that Deliver great outcomes cost-effectively Reach into every community Make the most of the expertise of pharmacist’s and pharmacy’s unique accessibility for patients 12

13. Call to Action for Pharmacy (2) Please read full slide pack and evidence resource pack. Please focus on the 4 key questions, and respond to these Encourage all to submit responses – don’t just leave it to your LPC. 13

14. NHS | Presentation to [XXXX Company] | [Type Date]14 Any questions?