1. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients”

2. Dr Richard West Chairman DDA Chairman Suffolk LMC Dispensing doctor GP
Pharmacy owner

3. Agenda Pharmacy Contract Dispensing Fee Reimbursement CQC EPS
Falsified Medicines Directive
Rural General Practice

4. Pharmacy 6% cut announced last December Implemention postponed
? Fewer contacts
How does this fit in with pharmacy doing more?

5. Future of pharmacy More services e.g. 'flu Hub & Spoke Dispensing
What does this mean for dispensing?
Change to their reimbursement system
How do clinical pharmacists fit in?

6. Renumeration Dispensing fee increased by 7.4% in October
Still on same formulae
No cost of living rises in expenses part, so there is an efficiency saving year on year for the NHS

7. Reimbursement Been discussing for 5 years
Had meetings with NHS Employers, NHS England, DH and GPC
Pharmacy contract
Still have perverse incentives
System is not in interests of patients, NHS or contractors, so why is it continuing?

8. CQC Have met with the Chief Inspectors
Dispensing does better than average
Still not finished
Follow our guide should be OK
Continuing discussions

9. EPS Major GP supplier testing Who is going to pay?
Implementation proceeding
There are problems
It is in your contract for prescribing patients
Dispensing patients are excluded from contract change

10. Falsified Medicines Directive (FMD)
EU Law
Implemented by 2019
What is it?
How will it work?
Who is paying for it?
What about the workload?

11. Health Services (Costs) Bill
New regulation
What does it mean for us?

12. MCP What does this mean in rural areas?
Be careful re losing dispensing?
Lost (new) contract = lost dispensing

13. How can Dispensing Practices Work in the New World?
What will the new contract look like?
Need to be the centre of care for the local community
Travel is a big issue
Make friends with your neighbours

14. Yerkes-Dodson law

15. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients”