IMPROVING HEALTH AND PATIENT CARE THROUGH COMMUNITY PHARMACY

IMPROVING HEALTH AND PATIENT CARE THROUGH COMMUNITY PHARMACY A CALL TO ACTION Tony Carson Pharmacy Advisor NHS ENGLAND London Region January 2014

Outline • Purpose of Call to Action • Call to Action Programme • Nationally • In London • Call to Action for Pharmacy • Questions 2

Purpose of Call to Action • A call to action to staff, public and politicians to help NHS meet future demand tackle funding gap through ‘honest and realistic’ debate. • How best to introduce new technology and meet public expectations. • Backdrop of funding gap of £ 30 bn between 2013/14 and 2020/21. 3

Some facts • The NHS treats around one million people every 36 hours • Between 1990 and 2010, life expectancy in England increased by 4. 2 years • The difference in life expectancy between the richest and poorest parts of the country is now 17 years • Around 80 per cent of deaths from major diseases, such as cancer, are attributable to lifestyle risk factors such as smoking, excess alcohol and poor diet • The number of older people likely to require care is predicted to rise by over 60 per cent by 2030 4

Some more facts • One quarter of the population (just over 15 million people) has a long term condition • They account for fifty per cent of all GP appointments and seventy per cent of days in a hospital bed • Hospital treatment for over 75 s has increased by 65 per cent over the past decade • Around 800, 000 people are now living with dementia and this is expected to rise to one million by 2021 • Since it was formed in 1948, the NHS has received around four per cent of national income 5

Staying the same is not an option • Is not about making unnecessary changes, or taking services away • It’s about looking at how they are being delivered and what can be provided differently to respond to the challenges, but whilst also taking advantage of important opportunities, including: • Innovative new treatments and technology • Putting people in control of their own health and care • Integrating more health and care services • Having greater emphasis on keeping healthy. 6

Everyone has a role • Vital that all stakeholders are engaged • Not just traditional NHS organisations and providers • The wider public, not just patients and patient groups • Local government – including public health, social services • National government and political parties • Professional bodies and organisations • Media 7

Call to Action Programme • July 2013 – “The NHS belongs to the people – a call to action” • August 2013 – “Improving General Practice – A Call to Action” • November 2013 – “Transforming Primary Care in London: General Practice A Call to Action” • December 2013 – “Improving Health and Patient Care Through Community Pharmacy – A Call to Action” • 2014 – further documents on eye care and dentistry due to be published 8

Call to Action in London • Primary Care Programme Board – chaired by Dr. Clare Gerada • Launched on 28 th November • Clear that the programme was about PRIMARY CARE, and not just general practice • Inviting comments online at https: //www. engage. england. nhs. uk/consultation/ldn-gpcta/consultation/intro/view until 1 April 2014 9

Call to Action in London (2) • Three key areas: • Co-ordinated care • Accessible care • Proactive care • Expert panels for each that include pharmacist input • All 3 areas recognise that have to look at the whole system – simply changing one area, such as general practice or pharmacy in isolation will not work • Producing a consultation document that will set out key standards/values • 10 Will include key questions on community pharmacy

Call to Action for Pharmacy in London • Integrated into the wider Primary Care Call to Action • Make use of existing networks and fora, including • LPCs • CCG/CSU • Acute Trusts • Local Authorities, Public Health etc • Work closely with RPS – especially “Now or Never” • Engage with Pharmacy Voice – who are facilitating sharing of what is happening nationally • Planning a one-off major stakeholder event in late 11 February/early March

Call to Action for Pharmacy • Every year in England 438 million visits made to community pharmacy for health related reasons • More than any other NHS care setting • In 2012 over 1 billion prescriptions prescribed • In 2012/13 the value of the NHS community pharmacy contractual framework was £ 2, 844 million. • NHS England seeking to secure community pharmacy services that • Deliver great outcomes cost-effectively • Reach into every community 12 • Make the most of the expertise of pharmacist’s and pharmacy’s unique accessibility for patients

Call to Action for Pharmacy (2) • Please read full slide pack and evidence resource pack. • Please focus on the 4 key questions, and respond to these • Encourage all to submit responses – don’t just leave it to your LPC. 13

Any questions? 14 NHS | Presentation to [XXXX Company] | [Type Date]