www.england.nhs.uk gp workforce 10 point plan clinical pharmacists in general practice pilot webinar...
TRANSCRIPT
www.england.nhs.uk
GP Workforce 10 Point Plan
Clinical Pharmacists in General Practice Pilot
Webinar – 12 August
www.england.nhs.uk
GP Workforce 10 Point Plan
5. Investment in retainer schemes – review current scheme and invest in new scheme6. Improving the training capacity in general practice – including through premises
investment7. Incentives to remain in practice – review national and international best practice8. New ways of working – programme of pilots to invest in and test new workforce models
Recruitment
1. Promoting general practice – marketing campaign including letter2. Improving breadth of training – funded post-CCT training3. Training hubs – investment in pilot training hubs across whole primary care workforce4. Targeted support – support for trainees encouraging into specific locations
Retention
9. Easy return to practice – new induction and returner scheme 10.Targeted investment in returners – additional investment to attract GPs back to
practice focussed on under doctored areas. Returners
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Clinical Pharmacists in General Practice
• Background
• Pilot
• Funding
• Application process
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Clinical Pharmacists in General Practice
Background• Build on innovation
• Primary Care Workforce Commission“There should be greater involvement of clinical pharmacists, including prescribing pharmacists, in the management of people with long-term medical conditions and people in care homes… best carried out in the GP practice…”
• Expected to improve access to care and ease workload pressures
Background Pilot Funding Process
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Case study: Rachel Hall, The Old School Surgery, Bristol
Background Pilot Funding Process
Clinical pharmacist and partner• Old School Surgery in Bristol, a busy and growing inner city practice with
more than 15,000 patients• 82% type 2 diabetes patients had reduced glucose levels within a year of
their first consultation• Focus on patients with long-term conditions• Sees 35 patients and carries out 10-20 phone consultations in 3 days a
week, significantly reducing GP workload.• “It’s rare you will get people querying why they have to see the pharmacist
nowadays. Patients know they can see their GP, one of the nurses or a pharmacist - they know they will be directed to the right clinician to meet their needs.”
• “It’s my vision that we should have a pharmacist in every GP practice. I’m excited that is now a very real possibility.”
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Dr Carol Buckley, GP, The Old School Surgery, Bristol
“Pharmacists are highly trained and skilled professionals with a lot to offer patients as part of the primary health care team…
[Rachel] increases access and choice for patients for the management of their chronic diseases. She also improves the medicines management systems at the surgery, taking repeat prescribing decisions away from the busy doctors, freeing them for more clinical work with patients.”
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Case study: Karen Acott, Wallingbrook Health Group
Background Pilot Funding Process
Full partner and prescribing pharmacist • Handles all aspects of medication management• Since 2004, her work has reduced the need for patient GP
appointments by 20 to 30%• Focus on patients whose conditions and medication are well
controlled and stable; aims to improve self-management• “The value a clinical pharmacist can bring is that they know the
medication inside out ... We are very conscious of all the benefits and side effects of different drugs and can create a bespoke treatment regime and a personalised plan to ensure better patient experience.”
• “No GP would set up a practice without a nurse or a practice manager. In my view the same should now apply for a pharmacist. It’s about bringing these skill sets together to deliver safe and high quality care.”
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Clinical Pharmacists in General Practice
Pilot• 40 to 50 pilot sites• Each creating a network of senior clinical pharmacist
with clinical pharmacists across a patch (1:5)• Recruited and employed by provider organisations• Individual development programme• Practice development support• Evaluation
Background Pilot Funding Process
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Clinical Pharmacists in General Practice
Funding• £15m commitment from NHS England• 3 years contribution to pay costs as transition
funding• 60%, 40%, 20%• Emphasis on getting to a sustainable model• Fully funded training, development and
evaluation
Background Pilot Funding Process
www.england.nhs.uk
Clinical Pharmacists in General Practice
Process• 7 July launch – get started talking and
planning. Materials on NHS England website. Advice mailbox.
• 20 August – guidance on how to apply• 11-17 September – application window• Assessment of proposals• w/c 2 November - announcement
Background Pilot Funding Process
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The process
• Register for Microsoft Online account using their existing email address or use an existing Microsoft Online Account
• Email [email protected] to request access to the dedicated SharePoint application form.
• Providers will receive confirmation of access to SharePoint• From Friday 11 September to Thursday 17 September
providers can complete the online application form• You can save and return to complete later• Only SharePoint log-in per application as applications are
linked to email address
Background Pilot Funding Process
www.england.nhs.uk
Clinical Pharmacists in General Practice
Resources• NHS England website:
www.england.nhs.uk/commissioning/primary-care-comm/gp-action-plan/cp-gp-pilot• Letter from Dame Barbara Hakin• Clinical Pharmacists in General Practice Pilot• Application form• FAQs• Press release• Case studies (x3)• Film: Wolverhampton Road Surgery, Stafford
Background Pilot Funding Process