Prime Ministers Challenge Fund Together for the health
- Slides: 33
Prime Ministers Challenge Fund “Together for the health of Halton” Community Pharmacy and General Practice joint event 10 th September 2015 HALTON, ST HELENS &KNOWSLEY LOCAL PHARMACEUTICAL COMMITTEE
Running order • • • Welcome Overview of the PMCF The pharmacy scheme – the vision and aims View from the LPC Specifics of the scheme Plenary • Opportunity for Q&A throughout
Overview of the PMCF Rob Foster PMCF Programme Lead HALTON, ST HELENS &KNOWSLEY LOCAL PHARMACEUTICAL COMMITTEE
Overview of the PMCF • National initiative • Aims are to: – improve access to general practice; – develop a more integrated approach to providing general practice and wider out-of-hospital services; – develop more innovative ways for people to access and relate to general practice. • Non recurrent money • Delivery in 2015/16
Overview of the PMCF • • Building on Halton General Practice Strategy “Together for the health of Halton” 8 schemes totalling £ 1. 548 m 5 patient facing schemes – blend of: – Improving access; – Alternative access; – Reducing demand • Pharmacy input/influence in a number of areas
Overview of the PMCF • GP/Practice leads for all schemes • Focus and consideration on sustainability – Impact and evaluation critical • Joint working • Using money where possible as an investment to achieve longer term benefits • All schemes are pilots – opportunity to develop and test approaches and gain evidence of update, benefits and impact • Opportunity to gain patient and public feedback • Consider future investment…and funding
PMCF and pharmacy – CCG perspective Dr Claire Forde CCG Clinical Prescribing Lead HALTON, ST HELENS &KNOWSLEY LOCAL PHARMACEUTICAL COMMITTEE
PMCF and Pharmacy - CCG Perspective Why did we include community pharmacy projects in the PMCF bid? • Very accessible clinical resource • Underutilised clinical skills • Can help improve access within GP practices • Links to self-care agenda • Already commission services which we need to build on
But also… • Pharmacists can massively contribute to improving the health of our patients • Need to improve engagement and relationships • Desire to work collaboratively to develop services • Recognise community pharmacy as an essential part of the primary care team • Feel more involved with the CCG • Ultimately a common goal – a healthier population
Our Vision • This is just the start – it will develop further over time (probably years) • Openness and transparency • Collaboration to ensure we commission effectively • Build trust and confidence • Build a common future vision – together • Improved joint working with our GP practices to improve clinical outcomes for our patients • Improved communication and engagement
View from the LPC Kath Gulson – Chair Bertha Brown – Chief Officer HALTON, ST HELENS &KNOWSLEY LOCAL PHARMACEUTICAL COMMITTEE
Opportunity for GPs and Community Pharmacists to work more closely together • Improve patient choice • Improve patient access • Build better relationships with other healthcare professionals
Joint approach • • • PMCF project lead GP lead CCG medicines management lead LPC chief officer LPC chair
Journey So Far • • Rob came to LPC meeting March 2015 Meeting to discuss options Recruitment Tonight
Benefits of providing services in pharmacy • Reduce pressure on GP services • Improved access with extended opening times • Reach those people who rarely set foot in GP surgery • People with long term conditions speak to pharmacy once a month when ordering or collecting repeat prescriptions • Increased choice for patients
Pharmacy is easy to access Range of pharmacies No appointment Extended hours Nationally 84% people visit a pharmacy every year • Nationally 96% of people can access a pharmacy within 20 mins by walking or using public transport • •
Proposed services Respiratory • asthma in schoolchildren • COPD respiratory reviews in adults Blood Pressure Measurement • To include AF detection • Identify people with undiagnosed hypertension • Referral to pharmacy for routine BP measurement Improvements to Care at the Chemist
Opportunities for pharmacies • Services pharmacy wants to deliver • Fair remuneration • An opportunity to influence and shape the development of those services • To make a real difference to the patient • Good data collection and evaluation of services will provide a good evidence base to prove the value of the service locally and influence future commissioning
Challenges Things to think about • • Time management – appointment/ad hoc Use of team and training Consultation room Support those delivering the service Not currently available to all pharmacies
Data Collection Electronic reporting via Pharm. Outcomes • Real time information for the CCG • Help evolve the project • Demonstrate outcomes • Provide evidence for project evaluation • Support prompt payment for pharmacies
GP PMCF projects E consultations Referral to pharmacy is part of e-consultation 1. For self care 2. For services such as care at the chemist
The schemes Lucy Reid Medicines Management Lead NHS Halton CCG HALTON, ST HELENS &KNOWSLEY LOCAL PHARMACEUTICAL COMMITTEE
PMCF Pharmacy Projects – Project Development Group • Lead Pharmacist NHS Halton CCG – Lucy Reid • CCG GP Clinical lead for Medicines Management • LPC – Bertha Brown/Kath Gulson • 2 Project Managers – Lisa Allman – Senior Pharmacist – Gareth Rustage – Senior Technician • CCG GP Clinical Lead for IM&T
What are they? Respiratory a) Schools Asthma Education project b) COPD Support Service Monitoring/Screening a) Blood Pressure Testing b) AF Screening Self-care a) Minor Ailments Service Education
Key Principles for All Schemes • Fair remuneration • Training to be provided • Awareness raising/patient materials – joint approach with CCG • Engagement with local GP practices – joint approach with CCG • IT support to improve communication with GPs re: outcomes of interventions • Things will develop over time! • Robust evaluation and ongoing feedback vital • Recording via Pharm. Outcome
1 a) Schools Asthma Project Aims • To provide a pharmacy-led education session in schools that will contribute to a measurable improvements in inhaler technique, adherence, and associated health outcomes • To assess, and if necessary improve, inhaler technique for each child or young person (CYP) during a school-based pharmacy-led workshop • To show an improvement in quality of life – in terms of symptoms, activity limitation and emotional function – at follow-up • To assess, and increase if necessary, the self- and/or parent-reported adherence of CYP to their asthma therapy • To increase the confidence of CYP, parents and teachers in the use of inhalers • To provide improved asthma awareness for all CYP • To ensure clear communication with schools, parents, GPs and CYP
The Sessions • Fun and interactive • Targeting children in years 4 -5 (8 -10 year-old students) and years 9 -10 cohort (13 -15 year-old students) • Mix of primary and secondary schools • Up to 4 pharmacies to deliver this project • Initial session approx. 1 hour (depending on age group and advice from schools) • Follow up session/meeting with the school approx. 8 weeks later • Could focus on only those with asthma or all children in that class/year group
1 b) COPD Support Service Aims – To support patients with diagnosed COPD to get the most from their respiratory medicines through improved understanding, adherence and technique. – To improve quality of life and confidence to get involved in additional activities as a result of feeling better. – To reduce exacerbations and reduce avoidable admissions for COPD patients. – To support the optimal use of rescue packs (antibiotics and steroids) – To support the development of patient COPD selfmanagement plans alongside local GPs and practice nurses.
The scheme - Pharmacist reviews within the community pharmacy setting - Will be required to perform a specific number of reviews over 6 -9 months per pharmacy - Follow-up reviews needs to be included - Approx. 6 pharmacies to deliver this pilot - Assessment of Inhaler technique required - Development of patient resources – jointly with CCG/LPC - Actively review and manage rescue packs in conjunction with the GP - Communicate back to GP outcome of review so can be recorded in notes
2 a) BP Testing • More pharmacies can potentially get involved • Routine monitoring of BP for patients on specific medications or conditions • Improved access to routine BP testing for patients – evenings and weekends, wont need to take time off work • Referrals from GPs – if patient chooses (saves GP/PN time) • Communication direct back to GP to record in patient notes • Accreditation for pharmacists to ensure confidence in service • Support management of patients on oral contraceptives? • Support management of stable hypertensive patients • Equipment funded by PMCF scheme
2 b) AF screening • • • Small number of pharmacies to be involved Links to pilots possibly being done in GP practice CCG priority to improve diagnosis of AF Improved access for patients – evenings and weekends Accreditation for pharmacists to ensure confidence in service Equipment funded by PMCF scheme
Self Care Minor Ailments Service – Pharmacist Education - CPPE education (Assessment and Management of urgent cases) - Shadowing UCC staff - Specific therapeutic area sessions from A&E or UCC clinicians - Face to face group sessions rather than elearning
Thank you for listening Any Questions?
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