Umm, the tool doesn't actually work for GP level data...
DH just announced 6% cut to community pharmacy contract https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/486941/letter-psnc.pdf
"GP practices allocated 4% funding boost every year until 2021" http://www.pulsetoday.co.uk/home/finance-and-practice-life-news/gp-practices-allocated-4-funding-boost-every-year-until-2021/20030738.article whose "pockets are being lined" Anon Sessional/Locum GP?
If some GPs "don't see Flu jabs as viable in future" there is somebody whos income is about to drop waiting in the wings to step up!
Pharmacists DO have a role to play in managing patients health and minor illness and providing clinical services to patients whether egotistical Locum/sessional GP likes it or not. The "commercial interest" of pharmacists is negligible at most as most pharmacy income comes from NHS services (90%) http://psnc.org.uk/wp-content/uploads/2013/07/The-community-pharmacy-guide-for-GPs-and-practice-staff-July-20131.pdf . Most pharmacIES are owned by a multinational conglomerates and pharmacISTS get a salary like any other employee, they usually have little concern in what buying choices patients make [Patient: "I'll stick to the Nurofen because its got a nice shiny packet and an advert with a target in it so it must be better than the generic Ibuprofen which you're recommending as its cheaper/the same, thanks anyway though Mr. Pharmacist"] .All businesses need to make a profit though, otherwise they are not sustainable, whether thats a pharmacY or a General Practice. The double standards of "pharmacists are only in this for the money" vs. "I'm really upset beacuse I'm losing profit is laughable!"
Can't we all just get along for the benefit of the NHS, ourselves and most importantly the patients? If they make a choice to get their jab from a pharmacy for whatever reason they choose, should we be denying them that? Particularly in the era of Patient Centred Care
Yep, I am covering own indemnity too at the moment, not too ridiculous at the moment (in the hundreds not the thousands). I agree that pharm techs definitely have a role in supporting meds optimisation, but the Pilot is more for pharmacists in patient facing clinical roles, e.g. running a hypertension clinic, or Minor Ailments Clinic, while also supporting MO goals, i.e. cost effective prescribing and getting the most out of medicines
Thanks for the reply anon 9:02, great to hear you're taking advantage of the skills of a pharmacist and have been for many years! I agree that for the maximum benefit to be achieved then the end game should be for them to have a prescribing qualification so they can practice as an independent clinician (within their areas of competence of course), this interesting article shows that pharmacist prescribers have very low error rates:
I take it it you've received no funding for your practice pharmacist so you must have had to develop some kind of 'business case' to demonstrate their worth (clinical, safety, or financial) to the partnership. If a practice has a pot of money to recruit a GP but they cannot recruit, why would they not use some of that money to recruit a practice pharmacist (or an Advanced Nurse Practitioner, or a Paramedic Practitioner, or all 3 like at the practice where I work!)
Anon 09:02am funding is for ~250 pharmacist positions for the practices that enter a bid for the pilot, not every GP/Practice
Anon 11:01am the pharmacists WILL BE front line clinical staff, seeing patients and assisting with medication based problems to free up GP time. Hopefully the (majority of) GPs I work with will strongly refute the statement "Pharmacists...do not serve a function that will offload significant work for GPs". Ss with any employer/employee relationship, if a pharmacist feels valued by the GPs they work for/with I would hope that the vast majority would want to continue working for/with them.
The aim of the pilot is not to replace doctors but to explore how pharmacists can support General Practice, it is about using a different skill set to improve patient care. As Jeremy Hunt is finding out GPs don't grow on trees and we should look at different ways of working.
Just like to add in pharmacists to the skill mix that can support primary care. We have a vast knowledge of medicines, their actions and interactions, can prescribe, and do many of the things listed above. I do have question for the PAs, what happens when the patient in front of you requires a prescription? Which many interactions in general practice end in. Do the UKAPA have template job descriptions so we can see where this role fits with All the other HCP roles? I think it's really interesting how the GP workforce is diversifying
Why not just ask the patients what they prefer? Isn't that what the NHS is meant to be doing these days. Although 1537 may seem lie a "tiny" number to you that's still 1537 patients who have chosen to be vaccinated in pharmacy. The pharmacy scheme is, relatively, in it's infancy and I'm sure this number will grow year on year as patients exercise their right to chose the service they prefer at their convenience
Can't wait for the "TreadDesk" explosion in GP practices http://www.bbc.co.uk/news/magazine-21076461!
Great example of working with community pharmacists and IT to maximise patient care, well done!
have a look at http://www.sparctool.com/ for info around NNT and NNH, we need greater prescribing of Warfarin and/or NOACs to reduce patients stroke risk, Aspirin has very weak evidence for stroke prevention and increases the risk of ICH with little/no benefit.
As a community pharmacist these comments are a great concern when all healthcare professionals are meant to be working together for the benefit of patients. 95% of community pharmacy income is generated by NHS services (http://psnc.org.uk/wp-content/uploads/2013/07/The-community-pharmacy-guide-for-GPs-and-practice-staff-July-20131.pdf). We do not just stick labels on boxes and put them in bags, but counsel patients, give them health advice, and refer them to other NHS services if neccessary.
If we were given access to records this could potential help with the advice we give to patients and we would be bound by the same confidentiality code as anybody else who has access to patient notes, and any pharmacist found to be in breach of it would be held to account the same as anybody else (whether "in the village" or "in the city")
I would encourage all the negative commenters to speak to their local community pharmacist, heck invite them to a practice meeting to discuss how you can work together to help meet the health needs of your local communities, we are all on the same team!
Is this really censure?http://www.psnc.org.uk/pages/direction.html or just making sure that patients are given a fair choice of dispensing contractor?