Camden ¡& ¡Islington ¡LPC ¡ ¡ 27 February 2014
� Introductions • Yogendra Parmar – CEO C&I LPC � Healthy Living Pharmacy (HLP) Update • Elizabeth Shepherd - HLP Project Manager � Community Pharmacy Call To Action • Mike King – PSNC Head of LPC & Contractor Support • Tony Carson – Pharmacy Advisor, NHS England London � Table Discussions/Group Work
IMPROVING HEALTH AND PATIENT CARE THROUGH COMMUNITY PHARMACY - A CALL TO ACTION Tony Carson Pharmacy Advisor NHS ENGLAND London Region January 2014
Outline • Purpose of Call to Action • Call to Action Programme • Nationally • In London • Call to Action for Pharmacy • Questions 4
Purpose of Call to Action • A call to action to staff, public and politicians to help NHS meet future demand and tackle funding gap through ‘honest and realistic’ debate. • How best to introduce new technology and meet public expectations. • Backdrop of funding gap of £30bn between 2013/14 and 2020/21. 5
Some facts • The NHS treats around one million people every 36 hours • Between 1990 and 2010, life expectancy in England increased by 4.2 years • The difference in life expectancy between the richest and poorest parts of the country is now 17 years • Around 80 per cent of deaths from major diseases, such as cancer, are attributable to lifestyle risk factors such as smoking, excess alcohol and poor diet • The number of older people likely to require care is predicted to rise by over 60 per cent by 2030 6
Some more facts • One quarter of the population (just over 15 million people) has a long term condition • They account for fifty per cent of all GP appointments and seventy per cent of days in a hospital bed • Hospital treatment for over 75s has increased by 65 per cent over the past decade • Around 800,000 people are now living with dementia and this is expected to rise to one million by 2021 • Since it was formed in 1948, the NHS has received around four per cent of national income 7
Staying the same is not an option • Is not about making unnecessary changes, or taking services away • It’s about looking at how they are being delivered and what can be provided differently to respond to the challenges, but whilst also taking advantage of important opportunities, including: • Innovative new treatments and technology • Putting people in control of their own health and care • Integrating more health and care services • Having greater emphasis on keeping healthy. 8
Everyone has a role • Vital that all stakeholders are engaged • Not just traditional NHS organisations and providers • The wider public, not just patients and patient groups • Local government – including public health, social services • National government and political parties • Professional bodies and organisations • Media 9
Call to Action Programme • July 2013 – “The NHS belongs to the people – a call to action” • August 2013 – “Improving General Practice – A Call to Action” • November 2013 – “Transforming Primary Care in London: General Practice A Call to Action” • December 2013 – “Improving Health and Patient Care Through Community Pharmacy – A Call to Action” • 2014 – further documents on eye care and dentistry due to be published 10
Call to Action in London • Primary Care Programme Board – chaired by Dr. Clare Gerada • Launched on 28 th November • Clear that the programme was about PRIMARY CARE, and not just general practice • However significant challenges facing general practice in London. • Inviting comments online at https://www.engage.england.nhs.uk/consultation/ldn-gp- cta/consultation/intro/view until 1 April 2014 • Please respond – questions allow for responses that can highlight the need to integrate with pharmacy. 11
Call to Action in London (2) • Three key areas:- • Co-ordinated care • Accessible care • Proactive care • Expert panels for each that include pharmacist input • All 3 areas recognise that have to look at the whole system – simply changing one area, such as general practice or pharmacy in isolation will not work • Producing a document that will set out key standards and which will be subject to public engagement • These include the need to make use of the whole primary care team, and not just pharmacy 12 • Will refer to the key questions on community pharmacy
Call to Action for Pharmacy in London • Integrated into the wider Primary Care Call to Action • Make use of existing networks and fora, including • LPCs • CCG/CSU • Acute Trusts • Local Authorities, Public Health etc • Work closely with RPS – especially “Now or Never” • Engage with Pharmacy Voice – who are facilitating sharing of what is happening nationally • Major stakeholder event on 20 th March, attended by NHS England London Regional Director and Medical Director 13
Call to Action for Pharmacy • Every year in England 438 million visits made to community pharmacy for health related reasons • More than any other NHS care setting • In 2012 over 1 billion prescriptions prescribed • In 2012/13 the value of the NHS community pharmacy contractual framework was £2,844 million. • NHS England seeking to secure community pharmacy services that • Deliver great outcomes cost-effectively • Reach into every community • Make the most of the expertise of pharmacist’s and pharmacy’s unique accessibility for patients 14
Call to Action for Pharmacy (2) • Important to understand that what is needed is TRANSFORMATIONAL change – is not just about tweaking the current system. • http://www.england.nhs.uk/ourwork/qual-clin-lead/calltoaction/ pharm-cta/ • Please read full slide pack and evidence resource pack. • Please focus on the 4 key questions, and respond to these. • However, please think of the whole system – for example little is mentioned in the questions regarding Patient Safety, yet I would hope responses in all 4 areas would set out how pharmacy can not just improve Patient Safety but take a leading role. • Encourage all to submit responses – don’t just leave it to your 15 LPC.
Any questions? 16 NHS | Presentation to [XXXX Company] | [Type Date]
NHS England’s Community Pharmacy Call to Action Camden and Islington LPC
Key points • NHS must change to survive • Nicholson challenge • Think big not tweaking • Influence CPCF • Prime targets • Your future is in your hands
What is its purpose? By stimulating debate in local communities, the CTA will: • shape local strategies for community pharmacy; and • inform NHS England’s national approach to commissioning community pharmacy services
Why does it matter? • Following the CTA, NHS England will publish more detail on how it plans to commission community pharmacy services nationally • This will link to its approach to commissioning general practice and other services
Why does it matter? • This is our greatest opportunity to persuade the NHS of the credibility of community pharmacies as providers of services, commissioned at national or local level • There will undoubtedly be responses arguing against expanding community pharmacy services • Community pharmacy must counter those • The results of the CTA will determine policy on future commissioning of community pharmacy services • It is an opportunity we cannot afford to miss
NHS England’s questions 1) How can we create a culture where the public in England are aware of and utilise fully the range of services available from their local community pharmacy now and in the future? 2) How can the way we commission services from community pharmacy maximise the potential for community pharmacy to support patients to get more from their medicines?
NHS England’s questions 3) How can we better integrate community pharmacy services into the patient care pathway? 4) How can the use of a range of technologies increase the safety of dispensing?
What can pharmacy teams do to help? • Submit your ideas on how to improve patient outcomes to the AT • Complete the online questionnaire by 18 th March 2014 • Help the LPC construct its response to the local CTA • Identify good examples of pharmacy services that demonstrate how pharmacy services can help the NHS provide better, more accessible patient care
Q&A and discussio n
NHS England’s questions and the prompts for discussion
NHS England’s questions & prompts for 1) How can we create a culture where the discussion public in England are aware of and utilise fully the range of services available from their local community pharmacy now and in the future? • How the NHS can work with local authorities to enhance the public health role of community pharmacies, including making every contact count and the concept of Healthy Living Pharmacies
NHS England’s questions & prompts for • Community pharmacy teams as the first port of call for minor ailments and better use of community discussion pharmacy for the management of stable long term conditions • Better marketing of clinical and public health services to ensure the public and patients are fully informed of the range of services that community pharmacies offer? • How the public expects pharmacists to work together with GPs, hospitals, community nurses and care homes to improve health outcomes
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