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Pharmacy services – engaging in a new era

Pharmacy services – engaging in a new era. Leyla Hannbeck MRPharmS Head of Information Services. The NHS is changing. Pharmacy Funding Changes. Prescriptions- approx. 90% of pharmacy income 65% increase in number of prescriptions in the last 10 years Category M Specials tariff

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Pharmacy services – engaging in a new era

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  1. Pharmacy services – engaging in a new era Leyla Hannbeck MRPharmS Head of Information Services

  2. The NHS is changing

  3. Pharmacy Funding Changes • Prescriptions- approx. 90% of pharmacy income • 65% increase in number of prescriptions in the last 10 years • Category M • Specials tariff • Pharmacy-led services on the increase

  4. Why Provide Services? • Adding value to patient care • Opportunity to develop our role and to demonstrate the value of the profession • Our knowledge in medicines and unique ability to address the issue of poor-adherence • Contributing to the NHS and QIPP agenda • Multidisciplinary working • Sustainableincome for pharmacy

  5. NHS Services • Public health – vaccinations, smoking cessation, weight management, alcohol, sexual health, substance misuse, harm reduction • Medicines optimisation– NMS, MURs, Prescription interventions, formularies • Other services – appliances, stoma, gluten free, sip feeds

  6. Palliative care MUR PATIENT and PUBLIC Healthy lifestyle interventions NMS

  7. Examples of Private Services • PGD Flu vaccination • Erectile Dysfunction • Allergy screening • Travel health

  8. Why Offer Private Services? • Increase capacity in service provision • Patients welcome the choice • Complements GP service provision • Improve uptake in hard-to-reach groups • Optimal use of skill mix • Opportunity for the sector to innovate • Flu vaccinations are an ideal starting point

  9. Flu Vaccination Model • A private offer for influenza vaccinations is now an established model in pharmacy • Pharmacists are trained in: • Injection technique • Basic life support and anaphylaxis • Clinical knowledge and providing PGD services • Research conducted by Novartis suggests: • Patients would consider other vaccination services from pharmacy • Nearly all will return to their pharmacy the following year

  10. Awareness Education Vaccination Patient groups Healthcare professional Digital TV Leaflets Press Opportunistic or scheduled appointment • Risk assessment • Consent form • Record keeping Friend/family Pharmacy • Marketing materials • Recommendation • Patient group • Product signposting A Patients Route to Vaccination Radio Post service support

  11. NPA Flu Service 2011 • Half day training • Injection technique • Basic life support • Anaphylaxis • Clinical support • Patient and pharmacist help lines • Online training • Influenza virus • PGD • Choice of 9 different brands • Choice of 2 anaphylaxis devices • Operational support • How to operate PGD’s • Dealing with adverse drug reactions • Record keeping • Patient groups • Pregnant women • Children aged 12 – 18 years old • Marketing support • Posters • Leaflets • Patient materials • Patient consent forms • Information • Meningitis PGD • Enhanced service provision

  12. Future Opportunities for Pharmacyto Provide Private Services • Travel • Provision of vaccinations for travellers • Human papillomavirus (HPV) • Cervical cancer vaccinations • Contraception • Long acting contraceptives injections • Hepatitis B • Travel and for at-risk groups

  13. This needs strong leadership

  14. Developing New Services • Knowledge and skills • Up-skilling staff- training, communication, management • Understanding local needs • Yearly patient survey- demographics • Checking with PCO on what is available or can be available locally • Commissioning boards • Keeping on top of the modernising agenda • Implementing necessary changes – premises, IT • Demonstrating value • Price competitiveness

  15. Developing New Services • Clear marketing message • Availability (e.g. A wide range of flu vaccines) • Effective communication • GPs and GP staff • Commissioners • Patients • Pharmacy staff • Start at the same time as the GP service (private services) • Target key customer groups

  16. Community pharmacy continues to be recognised as a primary healthcare provider, it is important that community pharmacy business remains sustainable.

  17. 7-13 November 2011

  18. The future is not some place we are going, but one we are creating. The paths are not to be found, but made. John Schaar, Sociologist & Professor Emeritus University of California Santa Cruz

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