Evaluation of the NHS Direct Essex pharmacy pilot scheme (original) (raw)
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Integrating community pharmacy and NHS Direct - pharmacists' views
AIM:To establish the views of community pharmacists on NHS Direct and its forthcoming integration with community pharmacy. DESIGN: Postal questionnaire survey. SUBJECTS AND SETTING: Pharmacists working in community pharmacies within the area of the NHS Direct Pharmacy pilot scheme - Essex, Barking and Havering. RESULTS: The response rate to the postal survey was 72% (263/364). Most pharmacies were generally supportive of NHS Direct (80%) and the pharmacy scheme in principle (83%), although their experience of the scheme in practice was limited. Perhaps because of this, the majority of pharmacists were unsure as to whether NHS Direct was referring appropriately, or whether the pharmacy would be able to meet the needs of patients without further referral. Almost half believed that patients referred by NHS Direct should be seen in a quiet area, away from the counter. Over two-thirds of pharmacists were willing to accommodate an NHS Direct information point in their pharmacy, although s...
Primary Health Care Research & Development, 2020
Background: Community pharmacies are recognised as an under-utilised, accessible resource that could support the urgent care agenda. This study aimed to provide a snapshot of the number and nature of urgent care requests presented to a sample of community pharmacies in three counties in southern England, to determine how requests are managed, whether management is appropriate, as assessed by a group of experts, and whether customers receiving the care are satisfied with pharmacists’ interventions. Methods: A representative sample of pharmacists across the region was invited to keep a log-book documenting all urgent care requests over a two-week period. Data were analysed to estimate frequency and type of requests and to compare consultations in core and non-core hours. Log-book entries were scrutinised blind by an expert panel to determine appropriateness of pharmacist’s responses. Customers receiving pharmacists’ interventions were surveyed to assess satisfaction. Results: Seventee...
International Journal of Pharmacy Practice, 2012
Community pharmacy in England has played an increasing role in public health the last 20 years. [1] Recent policy changes, since the introduction of the NHS contractual framework in April 2005, [2] have moved pharmacy towards a more healthfocused approach. The development of public health roles enables pharmacists to provide services beyond supply of medicines such as advice about healthy lifestyles. Pharmacists work at the heart of communities making them ideally placed to promote health and deliver services to improve the health of patients and the public. The aim of this study was to evaluate the views of members of the public concerning their use, and the acceptability of, community pharmacy services designed to improve public health. Medway School of Pharmacy Ethics Committee granted ethical approval for this study. A series of street-survey structured interviews were conducted in shopping centres and High Streets at four locations in the southeast of England during a 4 week period. Respondents were asked ten questions (open and closed), regarding their health; the pharmacy services they had used; and, the services they would consider using. The inclusion criteria were adults willing to participate and the exclusion criteria were children and young people under 18 years of age. A sample of 384 adults was required (95% confidence level and 5% confidence interval) to be representative of the adult population in England. Data was subject to descriptive statistics and content analysis. A total of 480 people were interviewed from 2,416 approached, a response rate of approximately 20%. Respondents were 72% (n = 345) female and 28% (n = 135) male; 4% aged 18/19 years; 49% ages between 20-59; 35% 60-74 and 12% over 75 years. The respondents stated ethnicity was 80% White-British, 8% Asian-British, 10% Black-African/Caribbean and 2% refused to answer. The usage of pharmacies by respondents was exceptionally high, 99% (n = 476). People aged more than 75 years reported the highest regular use of pharmacy (27%, n = 16) compared with only 11% (n = 2) of younger adults (18-19 years). Only 2% (n = 1) of people over 75 said they very rarely used pharmacies compared with 39%, (n = 7) of young adults aged 18-19 years. Supply of prescribed medication to people over 60 years (84%, n = 189) and sales of over the counter medicine to people less than 60 years (64%, n = 164) were the most frequently used pharmacy services. When asked to state, from a list, which other pharmacy services they had accessed 44% (n = 210) had asked pharmacists for advice; 8% (n = 37) medicines use review; 8% blood pressure testing; 7% (n = 33) minor ailments scheme; and 3% each for stop smoking, vaccination, emergency contraception, and cholesterol testing. Services they indicated they would be willing to use were vaccinations 31% (n = 61); blood pressure testing; 30% (n = 59); cholesterol testing (28%, n = 54); minor ailments scheme (11%, n = 21); 10% each for diabetes testing and stop smoking; and 6% (n = 12) for weight management. Whilst it can be seen that the current uptake of public health services is low, participants in this study expressed a willingness to use pharmacy based public health services. The Department of Health has provided a policy framework for public health service development in pharmacy in England; however, pharmacists as individuals and as a profession have work to do to capitalise on public willingness and, increase public awareness of their roles beyond sale and supply of medicines. [3] Abstract 47 Impact of community pharmacy diabetes monitoring and education programme on diabetes management: a randomised controlled study
Patient preference and adherence, 2016
Services provided by community pharmacists designed to support people using medicines are increasing. In England, two national services exist: Medicine Use Reviews (MUR) and New Medicines Service (NMS). Very few studies have been conducted seeking views of the public, rather than service users, on willingness to use these services or expectations of these services, or determined whether views align with pharmacist perceptions. To compare the perceptions of pharmacists and the general public on medicines-related services, particularly MUR and NMS services. Two parallel surveys were conducted in one area of England: one involved the general public and was administered using a street survey, and the other was a postal survey of community pharmacists. Similar questionnaires were used, seeking views of services, awareness, reasons for using services, and perceived benefits. Response rates were 47.2% (1,000/2,012 approached) for the public and 40.8% (341/836) for pharmacists. Few people h...
BMC Health …, 2011
Background: In England and Wales, the Department of Health introduced a primary prevention programme, NHS Health Checks, to provide screening for cardiovascular risk amongst people aged 40-74. The aim of this programme is to offer treatment and advice to those identified with an increased risk of cardiovascular diseases (CVD). The North East of England has some of the highest rates of CVD in the UK and prevention is therefore a priority. NHS Tees funded this programme of work under the local branding of Healthy Heart Checks (HHC). These were initially implemented principally through GP practices from October 2008 but, in order to mitigate the possibility that some hard to reach communities would be reluctant to engage with some primary care settings, plans were also developed to deliver the programme through workplace settings and through community pharmacies. This paper reports specifically on the findings from the evaluation in respect of the setting up of HHCs in community pharmacies and aims to offer some lessons for other service settings where this option is seen as a way of providing low threshold services which will minimise inequalities in intervention uptake. Methods: In assessing the community pharmacy component of HHCs, a selection of staff having direct involvement in the process was invited to take part in the evaluation. Interviews were carried out with representatives from community pharmacy, staff members from the commissioning Primary Care Trusts and with Local Pharmaceutical Committee members. Results: Evaluation and analysis identified challenges which should be anticipated and addressed in initiating HHC in community pharmacies. These have been categorised into four main themes for discussion in this paper: (1) establishing and maintaining pharmacy Healthy Heart Checks, (2) overcoming IT barriers, (3) developing confident, competent staff and (4) ensuring volume and through flow in pharmacy. Conclusions: Delivering NHS health checks through community pharmacies can be a complex process, requiring meticulous planning, and may incur higher than expected costs. Findings from our evaluation provide insight into possible barriers to setting up services in pharmacies which may help other commissioning bodies when considering community pharmacy as a location for primary prevention interventions in future.
European Journal of Hospital Pharmacy, 2015
Commented [M1]: Will need to amend. On-call hospital pharmacy services in NHS England-service provision and documentation of how are calls for medicines advice handled?calls Objectives UK hospital pharmacy services have historically been delivered during typical 'office' hours, which include the provision of medicines advice via the pharmacy's medicines information department. Outside office hours, an on call service operates where by pharmacists handle requests for medicine supply and advice. It is not known how this out of hours service operates. The aim of this study was to quantify the extent and scope of its provision across England. Methods A piloted self-administered survey was sent to every chief pharmacist in England representing acute hospitals and mental health trusts (n=218). Key Findings Just over half (n=116/218, 53.2%) of chief pharmacists returned a completed survey. Most hospitals provided an on call pharmacy service (87.1%, n=101/116). Nearly all on call pharmacy services (91.1%, n=92/101) provided both supply of medication and medicines advice. Two-thirds (66.2%) of pharmacists who provided on-call services were junior. The majority of Trusts (83.1%, n=74/89) receive less than 20 calls for medicines advice per week. Hospital nurses/midwives were seen as the most common users of the on call pharmacy service. Medicines advice was documented by on call pharmacists all (49.5%, n=47/95), or some of the time (49.5%, n= 47/95). Just under half of Trusts (41.1%, n=39/95) had a standard policy for the documentation of medicines advice. Two thirds (66.7%, n=62/93) of respondents stated that advice was documented using paper-based forms. Most Trusts (81.1%, n=77/95) provided training prior to pharmacists being on call, with medicines information pharmacists involved in nearly 80% of cases (n=61/77) (respondents could select more than one option). Conclusions Medicines advice is an integral part of the pharmacy on-call service, which was provided by junior staff. Variability existed in resourcing the service across Trusts. In addition to existing standards for documentation of medicines advice, professional standards should be developed for on-call hospital pharmacy service provision and training.
Perceived factors influencing the development of primary care-based pharmaceutical care in Scotland
International Journal of Pharmacy Practice
& g findings-All 16 interviewees agreed with the systematic approach and identified community pharmacies as the key locus for the delivery of pharmaceutical care in primary care. Many expressed similar views in relation to remuneration, the need for training, physical resources, relationships with general practitioners to facilitate access to clinical information from medical records, repeat dispensing systems and improvements to existing computer systems to support the necessary documentation. Divergent opinions were expressed on the need for registration of patients with community pharmacies, on the use of dispensing technicians and on what specific literature and information from medical records would be required to support pharmaceutical care. While all agreed that there was insufficient evidence available of the benefits of pharmaceutical care, many felt that its development should nonetheless be progressed. Conclusion-Many of the views expressed are similar to those identified among community pharmacists in similar studies. Planning of future services needs to involve community pharmacists if indeed they are key to pharmaceutical care provision.
International Journal of …, 2005
Objective To determine Scottish community pharmacists' present involvement with 'extended' service provision, as outlined in 'The right medicine' policy document, as well as an insight into the attitudes of pharmacists in delivering such services. Setting All community pharmacists working in Scotland. Method A questionnaire was developed, piloted and refined before mailing to all community pharmacists working in Scotland (n ¼ 1621). Two reminders were sent to non-responders. Data on current service provision was analysed using SPSS version 11 for windows. Key findings An overall response rate of 56.4% (914/1621) was achieved for pharmacists. The survey revealed that the majority of respondents either agreed or strongly agreed with the 'key service areas' being provided from community pharmacies. Some services were obviously agreed with more than others. In particular repeat dispensing and emergency hormonal contraception (EHC) were rated highly. Least agreement was provided for needle exchange and schemes for supporting carers. Conclusion There appears to be wide variation in current service provision in the 'key service areas' considered. The highest involvement included EHC and methadone supervision. The lowest involvement was for needle exchange and schemes for supporting carers. Community pharmacist's attitudinal ratings were generally positive towards the 'key service areas' suggested.
Primary health care policy and vision for community pharmacy and pharmacists in England
Pharmacy Practice, 2020
The United Kingdom health and care system is changing dramatically to meet the health challenges of the 21 st century. People will increasingly have multiple morbidities. The focus of service delivery is changing from hospital to community, patient to population and curative to preventive. This paper describes the NHS and primary care and community pharmacy in England at the start of 2020, a time of great change. The 10-year vison for the NHS is that everyone gets the best start in life, world class care for major health problems supporting people to age well. It has over 40 mentions of pharmacists and pharmacy. The key aims of the plan are to improve 'out-ofhospital' care, and finally dissolve the historic divide between primary and community health service in England. All of England is covered by integrated care systems and the newly formed primary care networks which will form the foundation of these new systems. Pharmacy is involved at multiple levels. There are 11,569 community pharmacies and most of their total income comes from the NHS (range 68-85%). Around 60% pharmacies are part of multiple chains, with the remaining 40% independents or small chains of less than six outlets. The new five-year community pharmacy contract provides an opportunity to develop community pharmacy and move towards service delivery away from dispensing volume. The new services are described under medicines optimisation, prevention and urgent care. The pharmacy quality scheme is also described. The new deal will help many community pharmacies to plan their future, particularly for those pharmacies who are ready and able to change and work closely with pharmacists and other health professionals in collaboration with Primary Care Networks. There will be specific challenges around: dispensing efficiencies, freeing up pharmacists' time, wider use of clinical skills of community pharmacists, community pharmacy viability and consolidations.