Pharmacists Working In The General Public

Question 1

Describe the future direction of pharmacy and general practice

Answer 1

• pharmacy as ‘front line’ patient care
• pharmacy supporting patients to make the most effective and cost effective use of medicines
• using pharmacy to relieve pressure in critical parts of system
• using pharmacy to improve public health
• pharmacist taking leading role in patient care
• the need for culture change and changes to law

Question 2

Describe the future direction of pharmacist and general practice

Info on national pilot

Answer 2

• invest at least £31 million over the next 3 years
• aim to get 350 clinical pharmacists into General practice by winter 2015/2016
• Each site will be based on having one senior clinical pharmacist and up to 5 junior clinical pharmacist
• NHSE to part fund pay costs for 36 months

Question 3

Gp Contracts 2020

Answer 3

2019- announced new 5 year GP contact framework extension to the contract created primary care networks

• recruit 20,000 additional staff including clinical pharmacist
• required to deliver national service specifications

Question 4

Discuss the roles of pharmacists in general practice

Answer 4

• prescription requests
• medication queries
• make cost saving changes
• order routine bloods
• conduct medication reviews
• reduce wasted medication
• hold patient facing clinics
• manage long term conditions
• review polypharmacy
• mentor GP trainess, nurses, medical students, pre registration pharmacist
• can be patient facing or non-patient facing

Question 5

Discuss the roles of pharmacists in general practice : Reviews

Answer 5

• Annual blood pressure measurements
• routine bloods for >40 years old
  
  • lipids
  • FBC
  • Iron,folate
  • HbA1c (diabetes)
  • (TSH) thyroid stimulating hormone

Question 6

Discuss the roles of pharmacists in general practice : Medication management

Answer 6

• synchronised medication
• housekeeping of repeat master-medications for long term conditions
• link medication to conditions

Question 7

Discuss the roles of pharmacists in general practice : hospital discharges

Answer 7

Which department 
What happened
Any medication changes
Change repeat master
Leave review dats 
Follow up bloods if necessary

Question 8

Discuss the roles of pharmacists in general practice : Repeat medication requests

Answer 8

• reviews with Gp
• anti- depessants : 3 monthly
• BP/ bloods : annual
• Asthma/COPD : annual
• OCP : annual review and BP check

Question 9

Discuss the roles of pharmacists in general practice …

Answer 9

Acute medication request

Question 10

Benefits of having pharmacists in GP

Answer 10

• increased roles for pharmacists
• improved patient outcomes
• reduced cost of prescribing
• increased workflow efficiency
• Increased accessibility for patients
• reduced errors

Question 11

Career pathways for pharmacists in GP

2

Answer 11

Senior pharmacist- Advanced practice
                              ⬇️
Junior pharmacist- foundation
                              ⬇️
Pre registration pharmacists - grassroots

Question 12

Career pathways for pharmacists in GP

1

Answer 12

Integration with primary and secondary care

                HOSPITAL PHARMACY 
                (Practice pharmacist)
                     ⬆️⬇️ Transfer of care,discharge,medi

                     GENERAL PRACTICE 
                                 ⬆️⬇️ Meds management                        Practice pharmacist & practice pharmacist 
                     COMMUNITY PHARMACISTS

Question 13

Describe future direction of general practice and pharmacy

Answer 13

• established and recognised career pathway
• NHS national agenda (NHS England £30M pilot)
• more new roles coming soon
• An integrated model between primary and secondary care
• inter professional learning for all
• Engage more with commissioners, providers, HCPs , patient and voluntary organisations to promote the role of pharmacy