Derbyshire and Nottinghamshire Area Team February 2014

1. Derbyshire and Nottinghamshire Area Team February 2014

2. Introduction and welcome Video clip from Kings Fund

3. So why are we here? • Call to action: a vehicle to inform the development of a five to ten year Community Pharmacy Strategic Framework • Planning guidance: “Area teams will: • set out a five year strategic plan for how that service will improve within available resources, including dealing with any structural deficit; • include more granular detail for the first two years; • Local plans and national enablers NHS | Presentation to Community Pharmacy Call to Action events Feb 2014

4. So why are we really here? We all can recognise that the use of medicines is sub optimal. Medicines optimisation. Community Pharmacy can play a significant role in supporting patients to get more from their medicines. Community Pharmacy can play a significant role in supporting patients and the public with public health issues Urgent and Emergency Care Review. Recognised the role community pharmacy plays in terms of patients contact and support for out of hospital care.

5. Medicines Utilisation in Practice • Medicines still most common therapeutic intervention and biggest cost after staff, but, for example: • -30 to 50% not taken as intended • - Patients have insufficient supporting information • UK Literature suggests 5 to 8% of hospital admissions due to preventable adverse effects of medicines • Medication errors across all sectors and age groups at unacceptable levels • Medicines wastage in primary care: £300M pa with £150M pa avoidable • Relatively little effort towards understanding clinical effectiveness of medicines in real practice • The threat of antimicrobial resistance • Appropriate vs inappropriate polypharmacy

6. We need to make this vision a reality, translatingit into how patient care looks and feels

7. NHS Outcomes Framework:but MO important in all domains

8. Key outcomes where MO contributes

9. Medicines Optimisation Principles

10. How MO indicators support OF

11. Community pharmacy • A number of important developments……

12. So… its starting to come together • Community Pharmacy so important to medicines Optimisation. • Much more to do in terms of engagement. • Call to action responses need to reflect this. Its not a “wish list” for community pharmacy. The call to action is the chance to outline the opportunities that community pharmacy presents to help improve patient outcomes and reduce some of the issues highlighted at the start.

13. Public Health Role (1) • Community pharmacies are located in the heart of communities • They are trusted health professionals on the high street, in supermarkets and shopping centres • They are especially accessible to deprived communities who may not access other conventional NHS services • Community pharmacies are already making a contribution to health improvement and protection and reducing health inequalities. • This contribution needs to be enhanced further

14. Public Health Role (2) • It is clear that community pharmacy can play an important role in improving the health of the population in England. • PHE has recently expressed keenness to explore: • The role of the HLP • Health marketing • NHS Health Checks • Blood pressure checks • Vaccination • Smoking Cessation and have highlighted community pharmacy’s excellent track record in delivering these services

15. Urgent and Emergency Care Review • National review with large-scale change planned • Full implementation by 2018 • Authors want to ‘capitalise on the untapped potential, and convenience, that greater utilisation of the skills and expertise of the pharmacy workforce can offer.’ • This will involve area teams and CCGs playing their part in commissioning relevant services from community pharmacies

16. Pharmacy products from the phase one report • Explore commissioning of a national minor ailment scheme from community pharmacies • Explore how to raise public awareness regarding the services that community pharmacy offers • Explore more involvement from 3rd sector partner and expert patients in education, drug reviews, medicines collection and adherence • Develop a consistent menu of urgent care services offered by all community pharmacies • Explore patient registration with pharmacies

17. Intended products from the Call to Action • Strategic framework for community pharmacy, as part of the wider strategic framework for primary care • Suite of template service specifications for community pharmacy services that all commissioners can adopt and adapt for their own use • A community pharmacy contractual framework with a greater emphasis on patient services. NHS | Presentation to Local Call to Action Events Jan-Mar 2014

18. Intended outcomes of The Earlier, The Better • Increase public understanding of where to access self-care information and advice. • Increase public understanding of and confidence in community pharmacy services. • Increase the number of people accessing self-care information and advice on NHS Choices when they have a minor ailment. • Increase the number of people accessing community pharmacy services when they have a minor ailment. • Target audience over 45s, over 60s via their friends, family and carers and carers 45-64 years

19. Prime intention of all • Visit your local pharmacy first

20. Speed Dating! • Discussion Groups • Feedback top 3 points