Think Pharmacy First Minor Ailment Scheme 16 th

Think Pharmacy First Minor Ailment Scheme 16 th July 2015

Urgent and Emergency Care Vision Gateshead • ‘‘Right Care, Right, Time, Right Place – a modern sustainable 24 hour, 7 days a week urgent and emergency care system designed to meet the needs of the people of Gateshead’

NHS England’s Review of Urgent and Emergency Care, Domain 2 - Faster, Convenient, Enhanced Services • Support the co-location of community-based urgent care services in coordinated Emergency/Urgent Care Centres. • Same day, every day access to general practitioners, primary care and community services.

Commissioning Intentions 15/16 Overall objective: Ensure that urgent and emergency care services (which includes access to primary care) are developed and modernised into a 24 hour, 7 days a week model appropriate for the health needs of the people of Gateshead - providing the right care, at the right time in the right place. Action: develop a fully integrated urgent primary care service (and would include GP OOH service)

Prime Ministers Challenge Fund 3 Key Project Outputs Extended Access GP & Nurse GP Home Visiting Service 3 Hub Sites 8 am-8 pm M-F 9 am-2 pm S-S 2 Hub Sites 4 pm-8 pm M-F 8 am-8 pm S-S EMIS Web, Enterprise & Mobile Technology Solutions Remote Access & Interoperability

NHS England’s Review of Urgent and Emergency Care, Domain 2 - Faster, Convenient, Enhanced Services • Support the co-location of community-based urgent care services in coordinated Emergency/Urgent Care Centres. • Same day, every day access to general practitioners, primary care and community services. • Harness the skills and accessibility of community pharmacy.

Minor Ailments • Current scheme – Set up in July 2010 as an NHS Enhanced Service – Renewed in subsequent years on the same terms – Underutilised – Only pharmacies who are signed up to original scheme able to deliver – Awareness of the scheme can be low • Opportunity to reinvigorate scheme and align with local UEC vision

The New Scheme • Appropriate and competent member of the pharmacy team (Pharmacist, Pharmacy Technician, Dispensing Assistant or Pharmacy Assistant) is able to undertake consultation with patient • Required to operate for the full opening hours of the pharmacy and any patient can access (i. e. patient does not need to live in Gateshead)

Aim of the Scheme • Increase patient choice to access primary care in alternative settings. • Contribute towards a reduction in demand for appointments at GP surgeries and patients attending A&E with minor conditions • Bring care closer to home for patients. • Contribute towards the cost-effective use of medicines. • Promote self-care and make every contact a health improvement contact

Which ailments are included? Aches and pains: Back Pain Headache Migraine Muscular ache Period pain Teething Toothache Gastrointestinal care: Constipation Diarrhoea Dyspepsia Haemorrhoids Indigestion Reflux Threadworm Vomiting Skin care: Athletes foot Chickenpox Cold sores Contact Dermatitis / Atopic eczema Fungal skin infections Impetigo Nappy Rash Pruritis Scabies Warts and verrucae Allergy: Bites and stings Hay fever Skin reaction Ear care: Earache Ear infection Ear wax Mouth Care: Cold Sores Oral Thrush Ulcers Colds and Flu: Cough Congestion Sore Throat Fever / temperature (including Post-immunisation pyrexia) Eye care: Bacterial Conjunctivitis Styes Head Lice Vaginal Thrush Sundries

Who can access the service? • Any patient accessing the community pharmacy, regardless of where they live presenting with symptoms associated with the agreed list of ailments. • Adult patients (over the age of 16) should be in attendance in order to access the service. • In the case of a child under 16 years of age, a parent, guardian or carer must be in attendance, but the child being treated need not be present.

How do patients access the service? • Self-referral / community signposting • Accessed through triage or signposting: – GP practice staff – A&E – NHS 111 • Non-participating pharmacies will signpost patients accordingly

However… • People who usually manage their own minor ailments through self-care and purchase of Over the Counter (OTC) medication should continue to self-manage and treat their minor ailments. • A patient requesting to purchase an over the counter medication should not be used as an automatic referral.

The Consultation • Consultation – Assess patient’s condition. For some of the conditions a limited examination will be necessary. – Identify any concurrent medication or medical conditions, which may affect treatment of patient. – Consider any prior medication used and assess appropriateness of further supply. – Provide advice on the management, the selflimiting nature and time course of the condition. – Provide an appropriate and relevant information leaflet.

Consultation • Treatment – Provide medication from the formulary appropriate to the patient’s condition as required. – Provided in line with clinical knowledge summaries. • Records – Complete record of the interaction on Pharm. Outcomes using standardised dataset. – If a product is supplied, ensure supply is recorded on the PMR system.

Onward Referrals • Quick and seamless referral to GP or other health professional • Change 4 Life Standardised Point of Access

Payment & Reporting • £ 3. 40 per patient consultation • Reimbursement of formulary medications – to be agreed annually between Commissioner and LPC • Claims to be made quarterly to NECSU. Enhanced. Services@nhs. net

Payment & Reporting • Monthly submission of Pharm. Outcomes data • Annual service evaluation including service user questionnaire • Support for system resilience through better and regular dialogue between LPC and the CCG

Think Pharmacy First Marketing & Public Launch

Background • Think Pharmacy First – This branding has operated in Newcastle, North Tyneside and Northumberland – Previously has never had any significant investment – To develop the marketing and communications campaign market research and segmentation has taken place

Target audience • Patients – advertising and promotional activity – Segmentation has taken place: • Children under age of 16 • Unemployed residents under age of 65 years • Residents over the age of 60 • Health professionals – increasing awareness and encouraging referrals

Key messages • Greater choice and better access to treatment for minor ailments. • Using the skills and knowledge of pharmacists to provide the right treatment for patients at the right time, in a place which is convenient to them • Easier access to treatment for minor ailments without having to make an appointment to see their GP

Tactics • Public launch september • Low level activity throughout the year • High level activity in: – June/July – hayfever and aligned to pollen levels – September – children and going back to school – December – general winter illnesses

Activity • • • Materials for pharmacies including point of sale Leaflet to target the specific target groups Digital advertising PR launch Posters in community venues eg libraries, bus stops, Metro system Door-to-door distribution in key areas Work with local press Work with schools Promotional staff out on street

Examples of materials in situ