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 PharmacyCommunity 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 PharmacyCommunity 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

• 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: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: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 – 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&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

• 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?

• 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 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

• 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 ?