The Department of Health and Social Care (DSHC) has launched a consultation to seek views on changes to pharmacy supervision, which is being considered as
part of the Primary Care Recovery Plan.
Plans set out in the consultation include making better use of pharmacies, improving access to primary care and maximising the contribution of pharmacy
professionals across healthcare.
In the consultation, the DSHC has set out proposals to amend the Medicines Act 1968 and The Human Medicines Regulations 2012.
The proposals aim to allow pharmacists to authorise registered pharmacy technicians to carry out the preparation, assembly, dispensing, sale and supply of
pharmacy and prescription only medicines in their absence. Currently, these services can only be carried out by, or under the supervision of, a pharmacist.
The Department of Health has published 'A Guide to Developing the Role of Consultant Pharmacists' in Northern Ireland on Thursday (22 June).
The guidance provides direction on supporting a consistent approach to the introduction of senior clinical pharmacy roles within and across HSC organisations.
The Chief Pharmaceutical Officer Professor Cathy Harrison said: "There is a recognised need for increased clinical pharmacy and medicines focussed leadership
across our HSC."
"Consultant Pharmacists have an essential role in healthcare as clinicians and as leaders who make a significant impact to medicines optimisation and clinical
governance, providing a vital link between clinical practice and service development by generating and disseminating evidence to drive improvements in care.
"I am delighted that this guidance has been published to take forward the strategic development and appointment of the consultant pharmacy workforce in both
primary and secondary care and to enable pharmacy to be at the forefront of healthcare in NI".
The government's formal consultation on pharmacy supervision, which closes today (29 February), leaves important questions unanswered, the National
Pharmacy Association (NPA) has warned.
The Department of Health and Social Care (DHSC) proposals are to:
enable pharmacists to authorise pharmacy technicians to carry out, or supervise others carrying out, the preparation, assembly, dispensing, sale and supply of
medicines
enable pharmacists to authorise any member of the pharmacy team to hand out checked and bagged prescriptions in the absence of a pharmacist
allow pharmacy technicians to take primary responsibility for the preparation, assembly and dispensing of medicinal products in hospital aseptic facilities
In its formal response to the consultation, the NPA acknowledged that modernisation of the regulations is long overdue, including enabling non-pharmacist members
of the pharmacy team to hand out checked and bagged prescriptions.
Alitam has announced that it has merged with clinical skills training provider MHRx to upskill UK pharmacists so that its chain of community pharmacies in the
UK can diagnose and treat minor medical ailments "quickly and safely".
This is a second merger deal announced by the group that has 100-plus pharmacies, just days after its merger with Pharmadoctor to "radically transform the UK and
Ireland's community pharmacy sector" into a truly preventative healthcare system.
Following the merger with MHRx, Alitam will now be providing a career development platform for its pharmacy teams, which also include nurses and other healthcare
professionals.
MHRx's training incorporates every aspect of general practice alongside relevant topics including making appropriate patient consultation records in line with NHS
guidelines.
This, Alitam believes, will allow community pharmacies to carry out formal diagnoses, formulate differential diagnosis plans, and perform full clinical examinations.
According to the founder and CEO Feisal Nahaboo, mergers such as these will lead to "a healthcare revolution predicated on building the world's first truly
preventative healthcare model".
The Royal Pharmaceutical Society (RPS) has published Pharmacy: Delivering a Healthier Wales that outlines a plan focusing on what can be achieved by end of 2025.
The society has urged people to share their views by responding to the consultation on four key themes which were already set out in Pharmacy: Delivering a Healthier
Wales -enhancing patient experience; developing the pharmacy workforce; seamless pharmaceutical care; and harnessing innovation and technology.
"We want to hear from as many of you as possible. It is important that the aims for pharmacy over the next three years are right. So please take a look at the draft
2025 goals, the proposed activity and measures and complete our consultation response form by 11 September," said RPS.
"We have been proud to continue to manage this important ambition for Wales, working on behalf of the Welsh Pharmaceutical Committee and with colleagues from all
over Wales. Over 300 of you have already contributed to our face to face and virtual engagement sessions we held over the past three months and we thank you for your
valuable input.
Pharmacy owners can make their claims for February Pharmacy First consultations until 5pm on Friday 15 March 2024, the NHS Business Services
Authority (NHSBSA) announced on Monday.
The deadline for Pharmacy First submission was extended following a technical issue in the NHSBSA Manage Your Service (MYS) portal, which led to the claims
appearing incorrectly in the portal.
The NHSBSA has been working with suppliers and NHS England to investigate and address the problem.
While the problem has been resolved, the NHSBSA has advised pharmacy owners to check their submissions carefully before submitting. If any issues persist,
they are advised to contact their Pharmacy First IT system supplier helpdesk to escalate the matter and not to confirm their claims in MYS until the issue
has been resolved.
Pharmacy owners are informed that the extended deadline is for February only and it includes any consultations completed on 31 January 2024.
Two pharmacies in Rotherham are set to merge into one, if plans are approved by NHS England.
Weldricks Pharmacy has applied to merge its two Swinton branches, on Church Street and the Crown Street Surgery.
If approved, the branch on Church Street will be modernised, and additional consulting rooms will be added, while the Crown Street site will be closed.
Rotherham Met Borough Council's health and wellbeing board are set to make a representation supporting the plans, and say that analysis by public health "outlines
the very minimal impact that this change will have in terms of pharmacy access in the borough based on the service offer, opening hours and walking times to this
branch and the main pharmacy."
They say the current opening hours will remain the same, and there will be no disruption to services during the consolidation.
A statement from Weldricks adds that the decision to merge is down to funding cuts, and the company could go out of business if operating costs are not reduced -
'despite having been a local, family-owned business for almost 100 years'.
Community Pharmacy England (CPE) has taken an interesting step to increase public awareness and understanding of the Pharmacy First service.
The organisation has launched a new video animation that provides clear and concise information about the service, highlighting the seven conditions covered,
the eligible age ranges within the clinical pathways consultations, and explaining how patients can access these services.
Pharmacy owners and their teams are encouraged to use the new animation with existing resources to communicate the benefits and scope of the service to their
patients.
The animation can be linked to pharmacy social media content and downloaded for display on digital screens in pharmacies. General practices are also encouraged to
use the animation on digital screens in their practice waiting areas.
Community pharmacies in Cornwall have delivered more than 8000 face-to-face consultations over last 12 months.
Walk In Consultation Service (WICS) began 12 months ago when pharmacies in Cornwall started offering face-to-face consultations for a wide range of minor ailments,
and NHS treatment as required - the first service of its kind in England.
Cornwall & Isles of Scilly Scilly Local Pharmaceutical Committee (LPC) Chief Officer Nick Kaye joined Operations Manager Drew Creek in Parliament recently by invite
of Steve Double MP, St Austell and Newquay to meet with Minister for Health Neil O'Brien MP to present the service to them and Senior Civil Servants from DHSC and
NHSE with a view to rolling this service out nationally.
The data from these consultations show that over 6000 GP appointments were averted as a result of the service being available. After each consultation a record was
sent to the patient's GP for information.
The Community Pharmacist Consultation Service (CPCS) will be expanded to enable urgent and emergency care settings to refer patients to a community pharmacist
for a consultation for minor illness or urgent medicine supply from Monday (15 May), the DHSC and NHSE said.
The service builds on the progress made in GP referrals via the CPCS and hospital referrals under the Discharge Medicine Service. It was originally planned to launch
in March, and fee for this service will be the existing CPCS fee of £14, as per the agreement for both year 4 and year 5 of the Community Pharmacy Contractual
Framework (CPCF) 2019 to 2024 5-year deal.
In an update on the CPCF, published today (12 May), the Department of Health and Social Care (DHSC) and NHS England (NHSE) has also committed to the 4 October 2023
launch date for the Tier 2 of the Pharmacy Contraception Service, subject to a positive evaluation of the pilot.
The Tier 1 of the service was launched on 24 April, delayed by over three months. This new service enables community pharmacists to provide ongoing management, via
a patient group direction (PGD), of routine oral contraception that was initiated in general practice or by a sexual health clinic. The fees for this service are as
follows: a fee for each consultation of £18; and a set-up fee of £900, paid in instalments.
The Tier 2 will "enable community pharmacists to also initiate oral contraception, via a PGD, and provide ongoing clinical checks and annual reviews," Alette Addison,
deputy director for pharmacy, dental and optical at the DHSC and Ali Sparke, director for dentistry, community pharmacy and optometry at the NHSE, said in a letter.
The National Pharmacy Association (NPA) has urged the NHS to take urgent action to prevent faults in the IT system underpinning the government's flagship
programme.
The NHS Business Services Authority (NHSBSA) recently confirmed that the issue in the Manage Your Service (MYS) portal had been resolved, and consequently, the
deadline for submission of claims for February Pharmacy First consultations was extended until 15 March 2024.
However, NPA members said that they are still facing problems, with the portal recording fewer consultations than entered by pharmacies, potentially leaving
them out of pocket by thousands of pounds.
Paul Rees, chief executive of the NPA, highlighted the significant achievement of pharmacies in delivering tens of thousands of consultations in the first month
of the Pharmacy First programme, stating that this accomplishment is "a testament to their skill and dedication."
The Department of Health and Social Care aims to amend the Human Medicines Regulations 2012, thereby enabling pharmacy technicians to provide and administer
specific medicines through a patient group direction. In line with this initiative, the Department introduced a six-week consultation to assess whether registered
pharmacy technicians should be authorised to dispense medicines using a PGD.
The proposals, backed by all four Home Nations, apply exclusively to registered pharmacy technicians. Meanwhile, this coverage will extend to include pharmacy
technicians in Northern Ireland upon their achievement of registered professional status.
"The proposed statutory instrument, presently applicable in England, Scotland, and Wales would offer 'clear benefits,' especially in areas such as vaccination
and the provision of oral contraception and EHC," the DHSC said.
According to the Department, facilitating registered pharmacy technicians to execute PGDs might amplify their workload, yet it could simultaneously enhance
overall efficiency and cost-effectiveness for pharmacy teams by optimising the utilisation of skill diversity.
The large majority of adults in the England knew that flu jabs are available in many pharmacies, just over half were aware of the GP Community Pharmacist
Consultation Service or the New Medicine Service, according to a new survey by the National Pharmacy Association (NPA).
The new survey revealed the need to raise the public awareness of key NHS services such as the New Medicine Service.
According to the survey, 56 per cent of those asked believed that pharmacies in England offer NHS consultations for people newly prescribed a medicine for a
long-term condition.
While 48 per cent believed that many pharmacies in England offer blood pressure monitoring (NHS or private). 51 per cent believed it to be true that GPs can
formally refer patients for same-day clinical advice from their local pharmacist about minor ailments.
The Royal Pharmaceutical Society (RPS) has published a consultation to review the 'Professional standards for the reporting, learning, sharing, taking action
and review of incidents error reporting' in collaboration with Association of Pharmacy Technicians UK and Pharmacy Forum of Northern Ireland.
The consultation is open from 21 April 2023 until 2 June 2023 and are due to be published in early 2024.
All three professional leadership bodies are calling for contributions from anyone using the standards to ensure they are clear, current, relevant and fit for
purpose.
"The review affects all pharmacists, pharmacy technicians, trainees and members of the pharmacy team working in all sectors across the UK," RPS said.
"The standards may also be of interest to the public, people who use pharmacy and healthcare services, healthcare and professionals working with pharmacy teams.
Community pharmacy chain Jardines Pharmacy has partnered with patient relationship management platform Charac to launch a new app designed to digitalise
its services, enhance operational efficiency, and elevate customer satisfaction.
The app allows patients to order repeat prescriptions, access medicine home delivery and book consultations with their pharmacist all in one place, enabling
faster pharmacist-to-patient care.
By incorporating Charac's platform into its business, Jardines is able to boost prescription dispensing efficiency, helping reducing wait times for patients.
Additionally, its delivery feature enables patients to track their orders directly through the app, thereby streamlining the overall patient experience.
The app also minimises administrative and manual tasks for pharmacists, giving them more time to focus on helping patients and delivering the outstanding
customer service.
Patients of Jardines can also use the app to book appointments digitally for Pharmacy First consultations, blood pressure checks, earwax removal, travel
vaccinations, and emergency contraception services.
Santosh Sahu, Founder and CEO of Charac, said: "We are pleased to support Jardines Pharmacy and its patients across England. Our mission is to ensure that
community pharmacies are empowered to digitalise, making care easier and more accessible for patients.
Since its launch on January 31st, the Pharmacy First service by the Company Chemists Association (CCA) has achieved a significant milestone, completing over
200,000 consultations to date.
This milestone underscores the service's vital role in providing same-day NHS care through community pharmacies across England.
Recent analysis by the CCA has revealed a pressing need to bolster GP referrals, with disparities observed between different Integrated Care System (ICS) areas,
resulting in what's described as a 'postcode lottery' for patients.
CCA Chief Executive, Malcolm Harrison, emphasised the importance of sustained funding for Pharmacy First beyond 2025, ensuring its availability for patients,
community pharmacies, and the wider NHS.
Community pharmacies are located within the very hotspots of peoples' communities, yet a staggering 720 individual businesses have stopped trading since 2015.
It has been called a "national disgrace and a betrayal to the elderly and the vulnerable" by sector leaders.
The funding crisis has been compounded by a gruelling 18-24 months post-Covid, both have which have placed immense pressure on the retail pharmacy sector.
The population is aging and with this comes patients living with a range of long-term health conditions. Medication regimes are becoming ever more complex and as a
result, maintaining prescription and medication adherence services is challenging to say the least.
Yet the public feel great warmth towards their local pharmacy businesses, and this positive attitude only increased during the pandemic. In fact, in a recent report
launched by Omnicell on the Changing Role of the Pharmacist, a survey of public opinion found that a third (32 per cent) said they perception of their local
pharmacy had changed for the better since the start of the pandemic and nearly half (44 per cent) said they are more familiar with their local pharmacy services
since the start of COVID.
This has meant that the role of the pharmacist has also changed and evolved; in part due to a national need and drive for more patients to be seen and supported
clinically by pharmacists.
This change of service provider role has slowly been developing over the last couple of years. Pharmacists are currently carrying out 65 million consultations
a year - a staggering rise of 44 per cent in the last 24 months alone.
The Royal Pharmaceutical Society (RPS) in England has published a review of its 10-year Vision for Pharmacy Professional Practice that was launched in
December 2022 in collaboration with The King's Fund.
The 'one year on' vision report highlighted key milestones achieved in the first 12 months since its publication as well as opportunities for further progress.
It identified the publication of the NHS Long Term Workforce Plan, which recognises the significant role that pharmacists play in healthcare and commits to growing
and expanding the pharmacy workforce, as one of the positive policy developments made since the launch of the vision.
The development of a Vision for Community Pharmacy by Community Pharmacy England, the Nuffield Trust and The King's Fund; work on digital integration to enable
community pharmacists to update a clinical record; the launch of Pharmacy First scheme; and the publication of the public consultation of pharmacy supervision
were other key milestones mentioned in the report.
The National Pharmacy Association (NPA), released survey data today (30 October) which suggests Britons have a higher regard for community pharmacies
than retail settings.
It also highlighted the level of awareness of pharmacies' healthcare duties, which range from NHS medicines consultations to monitoring blood pressure.
The survey conducted by Research Without Barriers involved 1680 adults in England from 20-23 October 2023.
The data showed that over 90 per cent of adults in England are aware that pharmacies offer each of these services.
The survey also suggested that 56 per cent of respondents find it appropriate to ask their local pharmacies for help to quit smoking, and 63 per cent would ask
for a blood pressure check.
The Pharmaceutical Services Negotiating Committee (PSNC) has invited pharmacy contractors, LPCs and others in the sector to share their views on an open
consultation on the "future of community pharmacy".
"The consultation - which takes the form of an online survey - is the first opportunity within PSNC's vision project for individuals and organisations to share
their thoughts with Nuffield Trust and The King's Fund," said PSNC.
The survey is happening in addition to an extensive programme of research, interviews and initial meetings of the vision Steering Group, Advisory Panel, and Working
Groups, all of which have contractors, LPCs and other representatives of the sector at their heart.
The online survey, asks five questions on topics such as Future policy goals; Why previous reviews and policies may not have fully achieved their objectives; Design
principles that should underpin the service offer made by community pharmacy; and Blocks and enablers for change.