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Y3 Pharmacist sem 1 > NHS policy > Flashcards

NHS policy Flashcards

1
Q

Where does health care policy come from?

A
  • Government
  • NHS England
  • Professional organisations – GPhC, GMC etc
  • Any healthcare organisation
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2
Q

What is the definition of a policy?

A

‘A course or principal of action adopted or proposed by an organisation or individual’

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3
Q

What is a white paper?

A

An official government report which sets out the government’s policy on a matter that is or will come before Parliament

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4
Q

What are the 2 main types of white paper?

A

–> Equity and Excellence: Liberating the NHS (July 2010) - health white paper

–> Healthy Lives, Healthy People (November 2010) - strategy for public health in England

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5
Q

What 5 key priorities is the Equity and excellence white paper focused on?

A
  1. Put patients and the public first
  2. Improve healthcare outcomes
  3. A more autonomous and accountable system
  4. Improved public health
  5. Reforming long-term social care
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6
Q

What benefits do the white papers have on the NHS?

A
  • Greater freedom to the NHS
  • Devolve power for commissioning services (CCGs)
  • Efficiency savings to be reinvested
  • Reduction in management costs
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7
Q

What is the Health and Social Care Bill?

A
  • Introduced to parliament in jan 2011 and now an ACT of parliament
  • Primary care trusts ceased April 2013
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8
Q

How do the changed affect pharmacists?

A
  • Working with doctors and other HPs
  • Integration into Health and Wellbeing Boards and Local Professional Networks
  • Important and expanding role in optimising the use of medicines & supporting better health

INTEGRATION!!!

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9
Q

What is the community pharmacy contract?

A

• Based on payment by performance
• Give high quality and efficient services
• Increase effectiveness and efficiency in use of medicines
–> through better informed and more involved patients

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10
Q

What is the NHS five year forward view?

A
  • Published by NHS England Oct 2014

* Developed by partner organisations in consultation with patient groups, clinicians and experts

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11
Q

What is included in the NHS five year forward?

A

Sets out the vision for the NHS and includes
o Need for change
o Prevention – action on smoking, obesity, alcohol
o New models of care
o Integration
o MCPS (multispecialty community providers)

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12
Q

What are the ‘next steps’?

A

• Published by NHS England March 2017
• Identified key improvements including:
o Increasing no. of clinical pharmacists working in GP practices
o Encourage GP practices to work together as hubs to share community nursing and clinical pharmacy teams and share responsibility
o Work more closely with community pharmacists to make full use of skills
o Get best value out of medicines and pharmacy

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13
Q

What is the NHS long term plan?

A

• Published by NHS England Jan 2019
•Objectives:
•Making sure everyone gets the best start in life
•Delivering world-care for major health problems –
heart attacks, stroke etc
•Supporting people to age well

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14
Q

What improvements does the NHS long term plan have on the NHS?

A
  1. Doing things differently e.g. new structures PCNs and ICSs
  2. Preventing illness and tackling inequalities
  3. Backing the workforce e.g. numbers, training, retention
    - ->Enough staff
  4. Making better use of data and digital technology
  5. Getting the most out of taxpayers’ investment in the NHS
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15
Q

What is the NHS mandate?

A

What we want the NHS to achieve.

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16
Q

What does the mandate do?

A
  • The mandate to NHS England sets the Government’s objectives and any requirements for NHS England.
  • The mandate sets the direction for the NHS and helps ensure the NHS is accountable to Parliament and the public.
  • Every year, the Secretary of State must publish a mandate to ensure that NHS England’s objectives remain up to date
17
Q

What objectives is NHS England legally required to seek to achieve?

A
  1. Through better commissioning, improve local and national health outcomes, and reduce health inequalities
  2. To help create the safest, highest quality health and care service.
  3. To balance the NHS budget and improve efficiency and productivity
  4. To lead a step change in the NHS in preventing ill health and supporting people to live healthier lives
    a. E.g. childhood obesity
  5. To maintain and improve performance against core standards.
  6. To improve out-of-hospital care
  7. To support research, innovation and growth and to support the Government’s implementation of EU Exit in regard to health and care
18
Q

What is ‘Now or never’?

A

A report commissioned by the RPS on future models of care delivered through pharmacy (Nov 2013)

19
Q

What are the key findings of the now or never report?

A

• Need to secure the future of community pharmacy
o Robot dispensers creating worry
• NHS needs to adapt to needs of patients with LTCs and preventable illness- what role can pharmacists play?
• Some development of services throughout the country but progress slow and delivery patchy
• Underutilisation of pharmacists – potential oversupply 11,000-19,000 by 2040
• Advantages of location and opening hours therefore can play major role in out of hours primary and urgent care
• Pharmacy is marginalised
• Lack of public awareness of pharmacy
• Urgent need for outward-looking local and national leadership to work with commissioners & shift service provision from supply to provision of patient care

20
Q

What are NHS England’s aims for community pharmacy?

A

• Aims for community pharmacy:
o develop the role of the pharmacy team to provide personalised care
o play an even stronger role at the heart of more integrated out-of-hospital services.
o provide a greater role in healthy living advice, improving health and reducing health inequalities
o deliver excellent patient experience which helps people to get the most from their medicines.

21
Q

What is the Murray review?

A

A review of community pharmacy clinical services.
• Undertaken by Richard Murray, Director of Policy, Kings Fund.
• Commissioned by the Chief pharmaceutical Officer and published in Dec 16
• Recommendations
o Make more use of e-repeat prescribing
o MURs evolve into full clinical medication reviews
o Minor ailments scheme locally commissioned
o Greater role in care homes
o New ways of working in which groups of pharmacists can provide clinical services

22
Q

What is the future of pharmacists?

A
  • PSNC: how community pharmacy will fit into the NHS of the future
  • Clinical pharmacists working in teams in primary care-integrating NHS pharmacy and medicines optimisation into STPs and ICS
  • Greater involvement in care homes- clinical pharmacist prescribers, pharmacy tech support
  • Workforce and education- postgraduate certificates, prescribing qualification, care home training and leadership training

Y3 Pharmacist sem 1 (6 decks)

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