1 Pharmaceutical Needs Assessment

2 NatPaCT competency framework (2003) –Organisational Access to advice on new applications for community pharmacy contracts Appoint lead for implementation of new contract (at/report to directorate) Look to opportunities within nGMS –Resources/Planning Identify resources to manage implementation Identify resources to manage commissioning e.g. LDP / Generics –Undertake an assessment of local needs / current provision Modernisation of Community Pharmacy Action points for PCTs

3 Challenges for PCTs Challenges –To make the most of the new flexibility and choice offered by the new contract –To fully prepare to administer the reformed control of entry rules –To integrate more fully community pharmacy commissioning with primary care in general and with the new GMS contract in particular Solution –Pharmaceutical Needs Assessment

4 Purpose of Pharmaceutical Needs Assessment (PNA) Understand the pharmaceutical needs of the PCT population Take stock of the current community pharmacy services provided Consider the potential of community pharmacy in redesigning services Take a rational approach to commissioning services from community pharmacy Identify (transparently) which services should be provided by applicants using the exemptions to the control of entry rules

5 PNA = Structured approach to identifying unmet (pharmaceutical) need Researching and describing the characteristics of the population in question Identifying their needs Measuring the capacity of existing service provision to meet them Where gaps exist, identifying new or alternative ways in which needs may be met Describing the level of resources needed

6 A five step process Step 1 - Getting started Step 2 - Identifying local needs Step 3 - Mapping current provision & Exploring future provision Step 4 - Synthesis Step 5 - Action planning

7 Step 1 – Getting started Who should be involved –Identify Sponsors & Champions –Appoint a steering group Getting Board/PEC “sign off” –Identify need for resources within 2005/06 LDP Communication within PCT and pharmacy network Potential Steering Group Members –Primary and Community Care commissioning leads –PCT pharmaceutical adviser / community pharmacy development facilitator –Service user –Finance –GMS lead –Local Authority –LPC / local Community pharmacy input –Public health lead / data analyst –Secondary care

8 Step 2 - Identifying unmet need What are our priorities? What routine data is available What gaps exist It is easy to get overwhelmed with data and choice so…

9 Step 2 - Sources of information Performance Ratings Health & Social Care Standards (2005/06 – 2007/08) Chronic Disease Management New GMS contract Public health data Latest census data Local delivery plans Priorities Routine data Other sources Patients / Service Users Healthcare professionals and other stakeholders Pharmacists and pharmacies MIQUEST QMAS

10 Step 3 - Filling the gaps Patients / Service Users Healthcare professionals & other stakeholders Patient forums Patient surveys Patient groups Survey Forum meetings Pharmacists / Pharmacies Survey: Current provision/premises Survey: Willingness to provide

11 Focus the scope of work Vision for pharmacy Improving access / choice –Adding capacity to primary care –Making medicines more accessible Using medicines more effectively –Supporting patients –Supporting Healthcare Professionals Contributing to public health –Advice and information –Accessible to all Example scope Improve access and capacity in primary care Prevent inappropriate admissions Support the effective use of medicines Improve access to health promotion and public health messages Provide support and development of prescribers

12 Steps 4 & 5 - Synthesis & Action Planning Source - What is the source that has provided evidence of an unmet need? Indicator - Describe the unmet need Intervention - What potential service or intervention is needed to meet the need identified Geography - What is the extent of the need? Is it limited or constrained by demographics or geography? Resources - What existing LDP resources are available to address this need? Should this need to “flagged” within the 2005/06 LDP?

13 Key tasks for PCTs Identify lead and resources to support new contract implementation Communication with pharmacy contractors and LPC Undertake pharmaceutical needs assessment – NatPaCT toolkit Identify enhanced services to be provided and capacity to monitor new contract Update LDP to include new community pharmacy enhanced services Review arrangements for administration of community pharmacy contract applications