Presentation on theme: "NOW OR NEVER: SHAPING PHARMACY FOR THE FUTURE"— Presentation transcript:
1 NOW OR NEVER: SHAPING PHARMACY FOR THE FUTURE Section TitleNOW OR NEVER: SHAPING PHARMACY FOR THE FUTUREThe report of the Commission on future models of care delivered through pharmacy
2 Why a Commission on pharmacy Unprecedented era of economic, demographic and technological changeSignificant reforms to the NHS in EnglandNarrative for the pharmacy profession’s role in the reformed NHS in EnglandRoyal Pharmaceutical Society (the leadership body for pharmacists) sets up a Commission on future models of care delivered through pharmacyIndependent Chair - Dr Judith Smith, Director of Policy, Nuffield Trust
3 Commission timeline Commission launch (April 2013) Launch eventManchester stakeholder eventLiterature review1-2-1 meetings + interviewsCommission launch(April 2013)‘Tell us what you think’ – over 130 submissionsSubmissions(deadline 14 June 2013)1-2-1 meetings + interviewsBirmingham round tableAnalysis(June-July 2013)Targeted stakeholder briefingsCommission report(November 2013)Report published 5 NovemberHouses of Parliament
4 Structure of the report Section TitleStructure of the reportChallenges facing the NHSChallenges facing pharmacyExamples of models of care identified through the CommissionWhy the models of care are not more widespreadWhat needs to be doneRecommendations
5 Challenges facing the NHS Section TitleChallenges facing the NHSFuture models of care delivered through pharmacy depend fundamentally on what is happening in the wider NHSA decade of flat fundingRising demand – especially for long-term conditionsStronger focus on quality of carePharmacy has a central role to play in assuring safe and consistent medicines management and wider care, in primary, social and acute care.Pharmacy will have to make its case for delivering new models of care, based on evidence of cost and clinical effectiveness, and the ways in which it can help address the core problems facing the NHS.
6 Challenges facing pharmacy Section TitleChallenges facing pharmacyLong-debated potential to assume a broader role in patient careMoving from dispensing and supply of medicines to helping people to make the most of their medicines, and supporting their wider care.Technology and skill-mix are driving change in pharmacyCommunity pharmacy is under pressure:NHS funding for dispensing and other services is constrainedReimbursement of drug costs is lessNon-pharmaceutical sales are fallingOver-supply of pharmacies and pharmacistsPharmacy has a once-in-a- generation opportunity to capitalise on highly trained professional workforce, local and accessible premises, and understanding of local communities
7 Models of care Access for advice and minor ailments Section TitleModels of careOver 100 models of care reported to us The future is here – but only in some places Models developed despite the barriers often reported Pharmacists are slowly forming new networks and organisations Disheartening that examples remain relatively rare Much more that could be done – is the desire really there?Access for advice and minor ailmentsIntegrated long-term conditions managementSupport for older and vulnerable people at home or in careHelping people to get or stay out of hospitalProviding local public health services
8 Why are they not widespread? Section TitleWhy are they not widespread?Pharmacists (especially community) are marginalised within the NHS, nationally and locally There is a poor level of understanding among the public, and within the NHS, of the potential role of pharmacists Lack of national and local leadership, exacerbated by multiple groups Lack of fulfilling career opportunities for new graduatesLocally, pharmacists are often professionally isolated from the wider primary care team and sometimes peers. Fragmented and complex commissioning of community pharmacy services. Little alignment of pharmacy funding with that of general practice and other community services
10 Section TitleIn SummaryWidespread consensus that pharmacists are an underutilised resource – 40,000 plus in England and their numbers are increasingThe NHS must adapt to the needs of patients with long-term conditions and preventable illnesses. Pharmacists have a vital role hereSome patients, carers and members of the public already have access to a broader range of care from pharmacists (seeBut progress is slow and access is patchy.
11 In Summary Pharmacy is marginalised Section TitleIn SummaryPharmacy is marginalisedLack of public awareness about pharmacy – pressing need to de-mystifyUrgent need for focused, outward-looking local and national leadership of pharmacyShift in the balance of funding, contracts and service provision toward the provision of patient care (away from fee per item dispensing)Explore networks, ‘chambers’, consortia, lead providers as a way of integrating pharmacy into the provision of primary and coordinated careWindow of opportunity is open now, it may not be open for long
12 Download a copy of the report at: www.rpharms.com/futuremodels Section TitleDownload a copy of the report at:
13 NHS England’s Call to Action on Community Pharmacy Improving health and patient care through Community Pharmacy – a Call to Action published on 10th December 2013 Follows the publication in the summer of The NHS belongs to the people – A call to action and Improving General Practice – a Call to Action Similar documents on dentistry and eye care are expected to be published soon
14 NHS England’s questions 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?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?
15 NHS England’s questions How can we better integrate community pharmacy services into the patient care pathway?How can the use of a range of technologies increase the safety of dispensing?
16 The Royal Pharmaceutical Society The Royal Pharmaceutical Society is the professional body for pharmacists in Great Britain. The Royal Pharmaceutical Society Future Models of Care Commission brought together expertise from across health and social care to provide a coherent narrative for the pharmacy profession’s role in the reformed NHS in England. You can find out more at: Join the conversation on
17 Exploring in more detail Section TitleExploring in more detailQuestions