think pharmacy sue sharpe ceo psnc. outline of talk the vision for the future community pharmacy the...
TRANSCRIPT
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Think Pharmacy
Sue SharpeCEO
PSNC
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Outline of Talk
• The Vision for the future community pharmacy
• The four domains for pharmacy servicesMedicines OptimisationPublic HealthMinor AilmentsSupporting Independence
• The challenges
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Our Vision
The community pharmacy service will offer support to our communities, helping people to optimise use of medicines to support their health and care for acute and long-term conditions, and providing individualised information, advice and assistance to support the public’s health and healthy living.
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The Third Pillar
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The Third Pillar – reducing unnecessary GP appointments for minor ailments
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The Third Pillar - helping care for patients with LTCs + supporting independence
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The Third Pillar - preventing avoidable disease; promoting healthy lifestyles
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NHS Community Pharmacy Services
2011-12c900m items dispensedCost of medicines c£8bn2.5m MURsAve pharmacy dispensed 6,700 items per monthNHS income typically 85-95% total turnover
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National and local commissioning
• National contract includes dispensing, MURs, NMS and at present public health campaigns
• Local supplementary services can meet specific targets to reduce costs for CCGs
• Strong record of public health service provision by pharmacies
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The Four Domains
Medicines optimisation
Public Health
Minor ailments
Supporting independent living
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Medicines OptimisationLocal services to supplement MURs and NMS
Domiciliary MURs Croydon
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Medicines Optimisation
• Local services in Greater Manchester: improving inhaler technique
• Outcomes: reduced spend – lower prescribing of blue inhalers; lower need for additional therapy; synchronising Rxs – lower waste +
• Improved patient outcomes – use of ACT + CAT assessments
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Medicines Optimisation
Respiratory MUR project in South Central (206 pharmacies)• 40% of people with asthma showed better asthma
control• 55% of COPD patients showed an improvement in
symptom management• Analysis of data on emergency asthma and COPD
admissions showed a positive association between the introduction of the project and changes in emergency hospital admissions
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Public Health – Pharmacy services• Services for drug misusers: supervised self-
administration; Needle + Syringe Programmes• Sexual Health services: EHC; contraception; safe
sex advice• Alcohol, obesity, healthy lifestyles advice• Smoking cessation• Vaccination and screening e.g NHS Health
Check
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Minor ailments
Working to reduce unnecessary use of GP and A+E services. Potential savings to the NHS – estimates3 year projections – shift from A+E, Walk-in centres + GP surgeriesShift 20% 35% 50%Saving £83m £210m £321m
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Minor ailments
• CCG Rotherham figures – estimatedPopulation Consultations Minor Ailments MA alone24,800 1400000 252000 227000
Top 5 Minor ailments Annual consultationsBack pain 8.4mDermatitis 6.8mHeartburn/ indigestion 6.8mNasal Congestion 5.3mConstipation 4.3m
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Supporting Independence
Working to support independent living:• Home delivery of medicines• Monitored dose dispensing systems• Falls risk screening and advice• Supply of aids• Identifying emerging problems
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The Principal Challenges
• Establishing partnership working with GPs and local authorities
• Identifying where pharmacies can help manage workload and costs
• Ensuring agreement on effective and relevant communication
• Outcomes- based service commissioning – monitoring outcomes and impact