1. Training Primary Care Pharmacists Paula Wilkinson Chief Pharmacist Mid-Essex CCG

2. Becoming a pharmacist

3. Post-graduate study Diploma in clinical pharmacy Masters in clinical pharmacy Independent prescriber Advanced Clinical Practitioner Advanced Practice Framework Member of Faculty-Royal Pharmaceutical Society

5. Pharmacist roles Community Ambulance Hospital Industry Prison Police Custody Primary Care (CCG) General Practice

6. Mid-Essex CCG experience Prescribing Incentive Medicines Management Scheme (PIMMS) Clinical pharmacist resource Polypharmacy Face to face consultations Repeat prescribing

7. Clinical Contribution Action, intervention or change made to prescribing during medication review How pharmacist clinical suggestions were actioned (shown as percentages)

8. Role of Practice Pharmacist http://www.gponline.com/benefits-working-in-practice-pharmacist/article/1341201

9. Clinical Pharmacists in General Practice NHSE Pilot-KPIs An increase in the time available to GPs to undertake more complex and / or chronic care (from benchmark set by Practice). Improved access to GP and wider workforce, eg additional appointments and availability, decreased waiting times, increased patient satisfaction. Change in behaviours of patients with Long Term Conditions (better self- care/ self-management). Improved communication between practice, community pharmacy and hospital pharmacy on admission, discharge and other interfaces of care. (This may include impact on timeliness of discharge). Improvement in number of reviews of medication in patients with dementia / learning difficulty / special needs. Repeat dispensing in line with medicines optimisation dashboard. Increase in medications reviewed for patients discharged from hospital (from baseline provided by practice).

10. Practical issues once a pharmacist is recruited What basic training / orientation is required? What are the general management requirements? How is their professional development managed? How do you manage the pharmacist / patient interface? How do you explain them to patients? How do you start to integrate them into the team? Joint training opportunities