1. Think Pharmacy First Minor Ailments Scheme 26 th March 2015

2. Why re-launch? Current scheme –Set up in July 2010 as an NHS Enhanced Service –Renewed in subsequent years on the same terms –Underutilised –Only pharmacies who are signed up to original scheme able to deliver –Awareness of the scheme can be low Opportunity to reinvigorate scheme and align with local urgent care vision

3. The New Scheme Appropriate and competent member of the pharmacy team (Pharmacist, Pharmacy Technician, Dispensing Assistant or Pharmacy Assistant) is able to undertake consultation with patient Required to operate for the full opening hours of the pharmacy and any patient can access (ie patient does not need to live in South Tyneside)

4. Aim of the Scheme Increase patient choice to access primary care in alternative settings. Contribute towards a reduction in demand for appointments at GP surgeries and patients attending A&E with minor conditions Bring care closer to home for patients. Contribute towards the cost-effective use of medicines. Promote self-care and make every contact a health improvement contact

5. Which ailments are included? Aches and pains:  Back Pain  Headache  Migraine  Muscular ache  Period pain  Teething  Toothache Gastrointestinal care:  Constipation  Diarrhoea  Dyspepsia  Haemorrhoids  Indigestion  Reflux  Threadworm  Vomiting Skin care:  Athletes foot  Chickenpox  Cold sores  Contact Dermatitis / Atopic eczema  Fungal skin infections  Impetigo  Nappy Rash  Pruritis  Scabies  Warts and verrucae Allergy:  Bites and stings  Hay fever  Skin reaction Ear care:  Earache  Ear infection  Ear wax Mouth Care:  Cold Sores  Oral Thrush  Ulcers Colds and Flu:  Cough  Congestion  Sore Throat  Fever / temperature (including Post-immunisation pyrexia) Eye care:  Bacterial Conjunctivitis  Styes  Head Lice  Vaginal Thrush  Sundries

6. Who can access the service? Any patient accessing the community pharmacy, regardless of where they live presenting with symptoms associated with the agreed list of ailments. Adult patients (over the age of 16) should be in attendance in order to access the service. In the case of a child under 16 years of age, a parent, guardian or carer must be in attendance, but the child being treated need not be present.

7. How do patients access the service? Self-referral / community signposting Accessed through triage or signposting: –GP practice staff –A&E –NHS 111 Non-participating pharmacies will signpost patients accordingly

8. However… People who usually manage their own minor ailments through self-care and purchase of Over the Counter (OTC) medication should continue to self- manage and treat their minor ailments. A patient requesting to purchase an over the counter medication should not be used as an automatic referral.

9. The Consultation Consultation –Assess patient’s condition. For some of the conditions a limited examination will be necessary. –Identify any concurrent medication or medical conditions, which may affect treatment of patient. –Consider any prior medication used and assess appropriateness of further supply. –Provide advice on the management, the self- limiting nature and time course of the condition. –Provide an appropriate and relevant information leaflet.

10. Consultation Treatment –Provide medication from the formulary appropriate to the patient’s condition as required. –Provided in line with clinical knowledge summaries. Records –Complete record of the interaction on PharmOutcomes using standardised dataset. –If a product is supplied, ensure supply is recorded on the PMR system.

11. Onward Referrals Quick and seamless referral to GP or other health professional Change4Life Standardised Point of Access

12. Payment & Reporting £3.40 per patient consultation Reimbursement of formulary medications – to be agreed annually between Commissioner and LPC Claims to be made quarterly to NECSU.EnhancedServices@nhs.net

13. Payment & Reporting Monthly submission of PharmOutcomes data Annual service evaluation including service user questionnaire Support for system resilience through better and regular dialogue between LPC and the CCG

14. Think Pharmacy First Marketing & Public Launch

15. Background Think Pharmacy First –This branding has operated in Newcastle, North Tyneside and Northumberland –Previously has never had any significant investment –To develop the marketing and communications campaign market research and segmentation has taken place

16. Target audience Patients – advertising and promotional activity –Segmentation has taken place: Children under age of 16 Unemployed residents under age of 65 years Residents over the age of 60 Health professionals – increasing awareness and encouraging referrals

17. Key messages Greater choice and better access to treatment for minor ailments. Using the skills and knowledge of pharmacists to provide the right treatment for patients at the right time, in a place which is convenient to them Easier access to treatment for minor ailments without having to make an appointment to see their GP

18. Tactics Launch – June Low level activity throughout the year High level activity in: –June/July – hayfever and aligned to pollen levels –September – children and going back to school –December – general winter illnesses

19. Activity Materials for pharmacies including point of sale Leaflet to target the specific target groups Digital advertising PR launch Posters in community venues eg libraries, bus stops, Metro system Door-to-door distribution in key areas Work with Shields Gazette Work with schools Promotional staff out on street

20. Examples of materials in situ