Think Pharmacy First Common Ailments Scheme

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Transcript Think Pharmacy First Common Ailments Scheme

Think Pharmacy First
Minor Ailments Scheme
26th March 2015
Why re-launch?
• Current scheme
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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 urgent care 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 (ie patient does not need to live in
South Tyneside)
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
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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 selfmanage 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
PharmOutcomes 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
• Change4Life 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
[email protected]
Payment & Reporting
• Monthly submission of PharmOutcomes
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
• Launch – June
• 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
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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 Shields Gazette
Work with schools
Promotional staff out on street
Examples of materials in situ