1. Consultation Skills Roles and Future Vision Resham Bhumber, Pharmacy Services Support Manager Hertfordshire Local Pharmaceutical Committee (LPC)

2. Why is it important? The Public Health agenda Demonstrates professionalism Better patient outcomes Reduced hospital admissions Integrated healthcare GPhC standards in the future

3. Historic Role Pharmacist provides medication counselling and tells patients what to do

4. Evolution of Role Patient and pharmacist have a shared medication agenda plan Patient is encouraged to take ownership of their health Discuss treatment options Higher quality of care in shared decision making

5. Core Consultation Skills Actively listening Open and closed questions Clarifying and summarising information Non verbal cues Reflecting back

6. Disablers Time Motivation/Lack of interest Personal belief/Attitude

7. Pharmacist Response I don’t have time! I already do it! Will I get paid for it? I am the clinical expert. The patient should listen to me! I don’t believe in it!

8. Enablers Education and training - facilitate change in mind-set of staff Good role models Constructive feedback

9. Summary Effective consultations are important in supporting a patient centred approach to healthcare Gaps in skills - what tools and resources are available? CPPE learning tool