Transcript Engagement Event Slides – 10 September 2015

Prime Ministers Challenge Fund
“Together for the health of Halton”
Community Pharmacy and General
Practice joint event
10th September 2015
HALTON, ST HELENS & KNOWSLEY
LOCAL PHARMACEUTICAL COMMITTEE
Running order
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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
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Building on Halton General Practice Strategy
“Together for the health of Halton”
8 schemes totalling £1.548m
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
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PMCF project lead
GP lead
CCG medicines management lead
LPC chief officer
LPC chair
Journey So Far
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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
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Range of pharmacies
No appointment
Extended hours
Nationally 84% people visit a pharmacy every
year
• Nationally 96% of people can access a
pharmacy within 20mins 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
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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 PharmOutcomes
• 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 PharmOutcome
1a) 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
1b) 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
2a) 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
2b) AF screening
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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?