Devon Local Pharmaceutical Committees COMMUNITY PHARMACY POLICY AND DEVELOPMENTS Sue Taylor, Devon LPCs January 2004

Devon Local Pharmaceutical Committees Hogwarts School of Witchcraft and Wizardry Set Books All students should have a copy of each of the following: The Standard book of Spells (Grade 1) A History of Magic Magical Theory A Beginners Guide to Transfiguration Fantastic Beasts and Where to Find Them The Dark Forces a Guide to Self-Protection (adapted from Harry Potter and the Philosophers Stone)

Devon Local Pharmaceutical Committees Policy A Vision for Pharmacy in the new NHS Proposals to Reform and Modernise the NHS (Pharmaceutical Services) Regulations 1992 The proposed framework for the new PhS contract Reimbursement of generics purchasing

Devon Local Pharmaceutical Committees Current Arrangements for Community Pharmacy Independent contractors and practitioners New contracts based on necessary and desirable criteria Current contract based on supply function NHS remuneration (mainly) derived from dispensing prescriptions (currently 94.6p per prescription item) Pharmacies use purchasing power to buy drugs at a discount price Cost of drugs reimbursed at Drug Tariff rates less a discount factor

Devon Local Pharmaceutical Committees A Vision for Pharmacy in the New NHS Pharmacy is an integral part of the NHS family. We want to see pharmacists strengthening their contribution to the provision of high quality, patient centred NHS services –in community pharmacies, in other primary care settings and in hospitals

Devon Local Pharmaceutical Committees A Vision for Pharmacy in the New NHS (contd) Community pharmacies are not just another shop on the high street. They should be clearly seen as places where patients are able to access readily an increasing range of healthcare services.

Devon Local Pharmaceutical Committees Making the Vision Reality Robust infrastructure and professional leadership Effective and appropriate arrangements for managing and paying for the work that pharmacy does for the NHS Skill mix IM & T

Devon Local Pharmaceutical Committees Why A New Pharmacy Contract? Because…… The current contract = Disincentive to reduce dispensing Focus on dispensing fee Emphasises workload and throughput Treats all community pharmacies the same

Devon Local Pharmaceutical Committees Proposals to Reform and Modernise the NHS (Pharmaceutical Services) Regulations 1992 Balanced package of measures New criteria for competition and choice Four exemptions Further reform and modernisation

Devon Local Pharmaceutical Committees To introduce new criteria of competition and choice for a necessary or desirable pharmacy within the current regulatory framework. Qu1 – Does the application meet the minimum expected essential and, in due course, undertake to provide the enhanced levels of service provision within the proposed new contractual framework for community pharmacy. Qu2 – Does the application lead to the provision of additional or higher quality services in the relevant neighbourhood as a whole, and/or does it increase choice and competition in the relevant neighbourhood.

Devon Local Pharmaceutical Committees To exempt applications from pharmacies from the current control of entry requirements Pharmacies in large shopping developments over 15,000 m 2 Pharmacies that intend to open for more than 100 hours a week Applications from members of a consortium to establish one of the new one-stop primary care centres

Devon Local Pharmaceutical Committees To reform and modernise the control of entry regulation provisions. The aim is to make the regulatory system more business-friendly, to provide more certainty and reliability for companies who depend upon them and to make the process less time-consuming, ensuring PCT decisions were taken quickly and with ready access to a sound appeals mechanism.

Devon Local Pharmaceutical Committees Future Supply and Reimbursement of Generic Medicines for the NHS Reimbursement price related to manufacturers selling price Manufacturers to submit accurate prices of drugs to DOH Pharmacy incentives

Devon Local Pharmaceutical Committees And Theres More!! Complementary policies – Building on the Best – Choice, Responsiveness and Equity The new general medical services (GMS) contract

Devon Local Pharmaceutical Committees Building on the Best Pharmacy and Patient Choice Increasing access Pharmacy-based chronic disease monitoring Repeat dispensing, POM to PA switches Medicines Review Management of minor ailments Public Health role

Devon Local Pharmaceutical Committees The New GMS Contract Implementation - Consider services commissioned through pharmacy

Devon Local Pharmaceutical Committees Challenges for PCTs and Community Pharmacy Overall PCT strategy and local delivery plans Pharmacy Strategy Pharmacy Services Robust and accurate decision-making process in place Administration of contracts under new NHS Regulations

Devon Local Pharmaceutical Committees Hogwarts School of Witchcraft and Wizardry Other Equipment 1 wand 1 cauldron (pewter standard size 2) 1 set glass or crystal phials 1 telescope 1 set brass scales Students may also bring an owl OR a cat OR a toad »(adapted from Harry Potter and the Philosphers Stone)