psnc.org.uk/cta

NHS England’s Community Pharmacy Call to Action

PSNC workshop for LPCsJanuary 2014

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Programme

1. Scene setting and context2. A brief summary of the CTA3. Discussion session – local stakeholders4. Making the case5. Discussion session – making the case6. Summary of initial suggested actions for LPCs7. Discussion session – other actions for

LPCs/resource needs8. Q&A

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The aim of PSNC’s work on the CTA

To ensure the response to the community pharmacy CTA drives the NHS England strategy to include large-scale extension of pharmacy services across the 4 domains of PSNC’s Vision

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Reminder - the four domains of services

Optimising the use of medicines

Supporting people to self-care

Supporting people to live independently

Supporting people to live healthier lives/public health

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What does that look like?

• Pharmacy = an attractive provider• Credible in delivering services• Supported by the full range of stakeholders• Unobstructed - obstacles are neutralised

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How do we achieve it?

• Recognise the importance of stakeholder support – identify and use them locally

• Recognise the potential barriers – address and neutralise them

• Focus the LPC contribution – be guided but not constrained by the NHS AT process

• Respond within the framework of the four consultation questions

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A brief summary of the CTA

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NHS England’s Call to Action on Community Pharmacy

• Improving health and patient care through Community Pharmacy – a Call to Action published on 10th December 2013

• Follows the publication in the summer of The NHS belongs to the people – A call to action and

• Improving General Practice – a Call to Action• Similar documents on dentistry and eye care

are expected to be published soon

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What is its purpose?

NHS England is working to develop a plan for future primary care services. As part of that it wants to secure community pharmacy services that:• deliver great outcomes;• are cost effective;• reach into every community; and• make the most of pharmacists’ expertise and

pharmacy’s unique accessibility

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What is its purpose?

By stimulating debate in local communities, the CTA will:• shape local strategies for community pharmacy;

and• inform NHS England’s national approach to

commissioning community pharmacy services

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What will happen locally?

• The NHS England area team will host a local discussion event prior to mid-March for:– Everyone who works in community pharmacy– Clinical Commissioning Groups– Commissioning Support Units– Community trusts and hospital trusts– Health and Wellbeing Boards and Local Authorities – Patients, carers and local Healthwatch– Area team staff, including LPN chairs– Local Education & Training Board and academic health science

networksYou have probably already had contact with your AT about this.

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What will happen nationally?

• NHS England will work closely with a range of national partners including:– PSNC and the other pharmacy organisations– the Department of Health– Public Health England– Health Education England– Local Government Association– patient groups– employers and pharmacy educators

to develop its strategic approach to commissioning community pharmacy services

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Why does it matter?

• Following the CTA, NHS England will publish more detail on how it plans to commission community pharmacy services nationally

• This will link to its approach to commissioning general practice and other services

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Why does it matter?

• This is our greatest opportunity to persuade the NHS of the credibility of community pharmacies as providers of services, commissioned at national or local level

• There will undoubtedly be responses arguing against expanding community pharmacy services, and that resources should be given to CCGs

• Community pharmacy must counter those!

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Why does it matter?

• The results of the CTA will determine policy on future commissioning of community pharmacy services

• It is an opportunity we cannot afford to miss!

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Local discussions

• Key questions will be aimed at agreeing how best to develop high quality, efficient services that can improve patient outcomes and can be provided by pharmacists and their teams in a community pharmacy setting

• Also, how NHS England can best support these local changes, e.g. through the way the CPCF is developed

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Local discussions

• Area teams will work with local communities to develop strategies based on the emerging principles set out in the Call to Action

• The Local Professional Network chair will discuss what changes need to be made to support these local needs and emerging strategies with other local commissioners

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What questions are they asking?

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NHS England’s questions

1) How can we create a culture where the public in England are aware of and utilise fully the range of services available from their local community pharmacy now and in the future?

2) How can the way we commission services from community pharmacy maximise the potential for community pharmacy to support patients to get more from their medicines?

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NHS England’s questions

3) How can we better integrate community pharmacy services into the patient care pathway?

4) How can the use of a range of technologies increase the safety of dispensing?

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Discussion session - Who are the local stakeholders to get engaged in the CTA?

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Healthcare stakeholders

• CCG – who in the CCG?• GPs• Healthwatch• Patient groups – which ones?• Other ideas…

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Non-healthcare stakeholders

• Local authority – who in the LA?• HWB• Local councillors, MPs – pharmacy visits?• Other ideas…

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Discussion 1

• Map your local healthcare and non-healthcare stakeholders, thinking about the four domains of services and which NHS England questions are most relevant to them

• Can your contractors help contact stakeholders?• What can they say or do to support your CTA

submission?• Can they be persuaded to respond directly?• Are there any risks to contacting them?

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Making the case

What does good look like?

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Making the case (1)

• Not a pharmacy wish list – it must relate to pt outcomes• Should be a whinge free zone• Base your response on the four domains from the PSNC

Vision – this was clearly supported by contractors• Highlight the importance of national commissioning to

drive pharmacy delivery of outcomes for patients• Responses need a local flavour – formulaic responses will

have less impact

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Making the case(2)

• Don’t let the local AT process constrain your response

• Strengthen the case with external support/ endorsement. Can the stakeholders you have identified provide content or support for your response?

• Consider the possibility of negative responses that may be fed into the AT. Decide how you can neutralise these messages

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Discussion session – Making the Case

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Discussion 2

• Discuss the four question areas and consider what you may include in your response

• Consider the 4 domains of pharmacy services and the contents of the PSNC Vision

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Summary of initial suggested actions for

LPCs

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Initial suggested actions for LPCs (1)• Agree who will lead the work of the LPC on the

CTA• Where necessary, discuss the approach to

working with the AT with other LPCs covered by it• Discuss the CTA with your– AT primary care team– Chair of the pharmacy LPN

Suggest how you can help the AT to communicate with contractors and other local stakeholders

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Initial suggested actions for LPCs (2)• Highlight the CTA and the importance of

engaging with it to your contractors via your newsletter, email network and website (draft wording is available on the PSNC website for you to personalise and use locally)

• Offer to assist the AT/LPN Chair with organising a local engagement event on the CTA [but don’t let joint working dilute the LPC response]

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Initial suggested actions for LPCs (3)• Consider organising a meeting for contractors on

the CTA; this could be organised in partnership with neighbouring LPCs– At the event, seek examples of best practice which can

be included in your LPC’s response and can be shared with PSNC

– Consider inviting a local CCG leader or senior AT official to speak at the event

– Subject to availability, PSNC is also happy to provide a speaker for local events

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Initial suggested actions for LPCs (4)• Identify good examples of pharmacy services that

demonstrate how pharmacy services can help the NHS provide better, more accessible patient care

• Approach local patient groups, local Healthwatch, CCGs and other non-pharmacy stakeholders to highlight the call to action and encourage them to participate– A

PSNC flyer on the CTA designed for local use with non-pharmacy stakeholders is available

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Initial suggested actions for LPCs (5)• Complete the online questionnaire by

18th March 2014 and/or submit a more substantive response to your AT

• NHS England has asked for examples of ATs working well with LPCs and pharmacies to deliver improvements to care – if you have a good example, send this to england.sfcpc@nhs.net and please copy to Alastair Buxton

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PSNC resources to help you• PSNC Briefing 111/13: NHS England’s Co

mmunity Pharmacy Call to Action – guidance for LPCs

• Template PowerPoint Presentation for use at LPC meetings for pharmacy teams

• NHS England’s CTA questions and prompts for discussion (Microsoft Word)

• Template article on the CTA for LPC newsletters/email bulletins/website (Microsoft Word)

• Second template article on the CTA for LPC newsletters/email bulletins/website incorporating an invitation to an LPC meeting on the CTA (Microsoft Word)

• Flyer on the CTA for LPC use with non-pharmacy stakeholders (e.g. use with local patient groups, CCGs, HWB

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Discussion 3

• Prepare your local action plan• What other resources could PSNC

provide to help you? (include this on your feedback form)

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Q&A

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Thank you for your participation

• We will circulate a list of additional actions LPCs could take and a revised stakeholder map following the three events

• Let us know about other things we could do to support your work on the CTA

• Please complete the feedback form• Please send us good examples of local services to include

in PSNC’s response

Have a safe journey home