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Chris Town. Chief Executive Greater Peterborough Primary Care Partnership Chair, New Contractual Framework for Community Pharmacy Negotiating Group The Implications and Milestones of the New Contractual Framework. A Vision for Pharmacy in the new NHS - Community Pharmacy.

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chris town

Chris Town

Chief Executive

Greater Peterborough Primary Care Partnership

Chair, New Contractual Framework for Community Pharmacy Negotiating Group

The Implications and Milestones

of the New Contractual Framework

a vision for pharmacy in the new nhs community pharmacy
A Vision for Pharmacy in thenew NHS - Community Pharmacy
  • An integral part of the NHS
  • Planning and delivering local services
  • Supporting self-care
  • Responding to diverse needs of patients & communities
  • A Source of innovation in delivery of services
  • Helping to deliver aspirations in NSFs
  • Helping to tackle health inequalities
a proposed new contractual framework for community pharmacy
A Proposed New Contractual Framework for Community Pharmacy
  • Why change?
      • Current arrangements in place for nearly two decades
      • Need a framework that better reflects modern service requirements
      • Community pharmacy is an integral part of NHS services
  • What changes?
      • More flexible/versatile, with focus on higher quality services, less on prescription volume
      • Essential, advanced and enhanced/local services
      • Better fit with PCT role in developing local service provision
new pharmacy contractual framework benefits
New Pharmacy Contractual Framework:Benefits
  • Improved patient choice & convenience
    • eg repeat dispensing and ETP
  • 24/48 hr access target
    • eg minor ailment schemes
  • Reducing demand on GPs
    • eg pharmacy led clinics - diabetes
new pharmacy contractual framework benefits1
New Pharmacy Contractual Framework:Benefits
  • Chronic disease management
    • eg medication review, supplementary prescribing, monitoring through near patient testing
  • Supporting delivery of nGMS
    • quality targets, OoHs, enhanced services
  • Health inequalities & public health
    • eg drug misuse, smoking cessation
new pharmacy contractual framework benefits2
New Pharmacy Contractual Framework:Benefits
  • Improved patient safety
    • eg learning from patient incidents
  • Better value for money
    • improved prescribing, reduced waste
    • medication review: £2 saved for every £1 invested
    • repeat dispensing : £2.60 - £10.00 saved per patient per month

Pharmacy Contract – Timetable

  • Contract specifications agreed between all parties to the negotiation
  • Three different categories – Essential, Advanced and Supplementary/Enhanced services
  • Negotiation completed re funding levels
  • PSNC consultation 92.5% voted in favour
  • Implementation April 2005
etp better pharmacy im t
ETP & Better Pharmacy IM&T
  • ETP – electronic transmission of prescriptions between prescriber, dispenser and PPA
  • Read/write access to the patient record
  • Connectivity – e-mail/internet eg NeLH, NPSA,
  • Sharing of patient information is sensitive.
    • concerns of patients and others
    • the importance of patient consent
    • maintaining confidentiality during data access and transfer
etp better pharmacy im t1
ETP & Better Pharmacy IM&T
  • Discussing with stakeholders need for pharmacists to have access to patient records
  • Role based access
  • Inform consultation on elements of patient information that community pharmacists may need to deliver appropriate healthcare services as part of the proposed new contract
  • Consult shortly
  • Implementation timescale match new contract
new pharmacy contractual framework implementation
New Pharmacy Contractual Framework: Implementation
  • Reflect & link to nGMS
  • Policy collaborative
  • Stakeholder engagement
  • NHS Modernisation Agency & NatPaCT
  • Refocus Medicines Management Collaborative
  • NPC & CPPE
what are we doing locally to prepare
What are we Doing Locally to Prepare?
  • Have set up a strategy group
  • Expanding existing community pharmacy schemes (Pharmacy First) in accordance with local needs
  • Pathfinder site for repeat dispensing – 2 practices involved locally
  • Looking at local service provision and where gaps are – needs assessment
what are we doing locally to prepare1
What are we Doing Locally to Prepare?
  • Setting up a register of all pharmacists working locally, including locums
  • Attendance and feedback at PEC and LPC
  • Pharmacy service provision needs to go into LDP
  • Learning needs being identified and standardised competency assessments being carried out
implications for the pharma industry
Implications for the Pharma Industry
  • Pharmacists as prescribers - both independent and supplementary ?
  • Will this lead to more POM to P switches ?
  • Greater role for Pharmacists in Chronic disease management ?
  • Impact of medication reviews ?
  • Formulary development as part of closer links with G.P’s ?