Health Service Focus

27.06.17

Community pharmacy: a vital link

Source: NHE May/Jun 17

Adam Irvine, chief executive of Greater Manchester Local Pharmaceutical Committee (LPC), explains how, unlike many sustainability and transformation plan (STP) areas, community pharmacy has an active voice in all the region’s key forums.

Greater Manchester devolution is now one year old. National requirements such as quality standards and the need for an STP still apply, but the new Greater Manchester Health and Social Care Partnership (GMHSCP) has taken charge of how the city-region achieves them.

There are opportunities to pilot scaled accountable care models in localities, with community pharmacy playing an active role in population health. Shared determination to see devolution succeed has energised joint working and focused minds. Barriers and boundaries have melted away.  

And community pharmacy is seen as vital in all this. Unlike many STP areas, we have an active voice in all the key forums. This was made easier when six bodies representing community pharmacy merged to create Greater Manchester LPC in October 2016. 

What difference has devolution made in practice? Funding has been devolved to GMHSCP but the majority of community pharmacy is still commissioned through national NHS England contracts. CCGs and councils can, however, commission what are known as ‘enhanced services’ such as smoking cessation, weight management, emergency hormonal contraception and needle exchange to meet local needs.  

It is here that the real opportunities of devolution currently lie and Greater Manchester LPC has been working with GMHSCP, local commissioners and other providers. We will present formal proposals this summer, and our vision has three goals: 

  • Greater consistency and equity of access so patients across Greater Manchester benefit from the same great pharmacy care
  • Innovations that make better use of pharmacists’ clinical skills and expertise
  • Freedom to enhance care with services that meet specific local needs 

Consistency and equity 

We want a standard suite of enhanced services across Greater Manchester, minimising the postcode lottery. Currently, a pharmacy on the border between different areas may be providing three different sets of services to patients living just a few streets apart. 

Greater Manchester has made good strides towards consistency. Manchester, Salford and Stockport have long provided the same minor ailments service and, from April 2017, Bury and Rochdale have also come on board. This is great, but we’re aiming for all 10 boroughs. 

Similarly, an adult inhaler-technique service is being relaunched across all 10 boroughs so all patients can access pharmacy support with their asthma and chronic obstructive pulmonary disease (COPD). 

Innovations that harness pharmacists’ clinical skills and expertise 

We’re trialling exciting and innovative services. The Pharmacy Care Plan, launched in March, sees pharmacists ‘co-producing’ care with people with long-term conditions. Patients have regular pharmacist consultations to agree goals, outcome measures and monitor progress. It is pioneering work that will empower patients, enhance self-care and improve outcomes. 

In Trafford, we’re piloting pharmacy-based support for people with atrial fibrillation, a condition that increases stroke risk fivefold. Community pharmacists will manage care with the patient’s GP by undertaking an in-depth anticoagulant consultation. Pharmacist and patient will together discuss medication and lifestyle advice to reduce stroke risk and agree a course of action; the pharmacist will recommend it to the patient’s GP. 

These are just two examples of how community pharmacy can enhance care. Both pilots will be underpinned by greater data sharing between professionals through the ‘GM Connect’ programme.

 The future? 

This is just the beginning, and community pharmacy can offer even more, subject to appropriate resourcing.  

No other profession knows as much about medication, and Greater Manchester has signed a pioneering agreement with pharma to accelerate research on innovative treatments. 

The accessibility of community pharmacy means it is ideally placed to enhance urgent care provision, including liaison with GPs and practice pharmacists through data sharing. We are also open to exploring new funding models – for example, through capitation – if it proves mutually acceptable and workable. 

One year in, the enthusiasm and commitment for devolution has not waned despite constraints including continued pressures on capacity and resources across health and social care. Community pharmacy sees itself as a vital part of the solution and, so far, commissioners in charge of Greater Manchester’s devolved £6bn budget seem to agree. The response to the proposals we put forward this summer will show how committed people really are.

FOR MORE INFORMATION

W: www.psnc.org.uk/greater-manchester-lpc

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

First NHS trusts introduce NHS SBS’ The Edge4Health

16/01/2020First NHS trusts introduce NHS SBS’ The Edge4Health

A major new procurement platform developed by NHS Shared Business Services (NHS SBS), The Edge4Health, is being adopted by NHS trust staff across... more >
NHS mental health director demands urgent gambling action

16/01/2020NHS mental health director demands urgent gambling action

The director of NHS mental health, Claire Murdoch, has penned a written plea to the heads of top gambling firms, urging them to take action on im... more >
Transforming services: We need a left shift not a left drift

16/01/2020Transforming services: We need a left shift not a left drift

Dean Royles, strategic workforce advisor at Skills for Health and co-author of ‘An Introduction to Human Resource Management,’ discus... more >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

last word

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad, president of the Association of the British Pharmaceutical Industry (ABPI), sits down with National Health Executive as part of our Last Word Q&A series. Would you talk us th... more > more last word articles >

the scalpel's daily blog

Transforming services: We need a left shift not a left drift

16/01/2020Transforming services: We need a left shift not a left drift

Dean Royles, strategic workforce advisor at Skills for Health and co-author of ‘An Introduction to Human Resource Management,’ discusses the need to move the treatment of patients from primary to secondary care and how the NHS People Plan can help achieve this. Throughout my (overlong) career in the NHS, the national policy on modernising the way NHS services are delivered has been pretty consistent. All recent governments; ... more >
read more blog posts from 'the scalpel' >

comment

NHS England dementia director prescribes rugby for mental health and dementia patients

23/09/2019NHS England dementia director prescribes rugby for mental health and dementia patients

Reason to celebrate as NHS says watching rugby can be good for your mental health and wellbeing. As the best rugby players in the world repr... more >
Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Being on the receiving end of some “thanks” can make communit... more >
Nurses named as least-appreciated public sector workers

13/06/2019Nurses named as least-appreciated public sector workers

Nurses have been named as the most under-appreciated public sector professionals as new research reveals how shockingly under-vauled our NHS, edu... more >
Helpforce to launch training programmes for NHS volunteers

10/06/2019Helpforce to launch training programmes for NHS volunteers

Kay Fawcett OBE, clinical advisor and education lead at Helpforce, and Lynn Twinn, talent development consultant, outline the new national traini... more >
Creating the Cardigan integrated care centre

10/06/2019Creating the Cardigan integrated care centre

Peter Skitt, county director and commissioner for Ceredigion Hywel Dda University Health Board, looks ahead to the new integrated care centre bei... more >

interviews

Mike Farrar, Swim England - Last Word

07/12/2019Mike Farrar, Swim England - Last Word

Mike Farrar Chairperson of Swim England Would you talk us through your previous roles within the NHS? I’ve held a number of ... more >
Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

24/10/2019Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

Today, speaking at the Royal College of General Practitioners (RCGP) annual conference, Matt Hancock highlighted what he believes to be the three... more >
NHS dreams come true for Teesside domestic

17/09/2019NHS dreams come true for Teesside domestic

Over 20 years ago, a Teesside hospital cleaner put down her mop and took steps towards her midwifery dreams. Lisa Payne has been delivering ... more >
How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >