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2112 correct .pdf


Original filename: 2112_correct.pdf
Title: 2012.cdr
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www.prescribingsupportservices.co.uk

practice.pharmacist@nhs.net

01274 299536

The Pharmaceutical Care Hub
supporting GP federations to implement systems transformation
The shortage of GPs (and, in some areas, practice nurses) is producing a crisis for general practice. By growing the practice team to include pharmacists,
the capacity of GP surgeries can be increased to help more patients. By having an attached practice pharmacist, there will be additional skills that make
sure a high standard is maintained. Practice pharmacists are a valuable member of the primary healthcare team and can support patients to get the
medicines, reduce medicines waste and unplanned admissions. All of this, ultimately, leads to better patient care. Many practices who have made the
decision to benefit from a practice pharmacist will be considering their options these include directly employing a pharmacist, applying for the NHS England
clinical pharmacist pilot scheme or using the services of an experienced practice pharmacist provider like Prescribing Support Services.
Our model has now evolved to recognize that many of the medicines activities could be delivered centrally via a hub in a more resilient and sustainable way.
This offers practices a range of benefits.

Challenges in utilising pharmacists at scale
Most practices are currently recruiting an individual
pharmacist, working with others to share a pharmacist or
considering the national pharmacist scheme
National clinical pharmacist scheme provides 1 WTE per 30 000
patients (so a 10 000 list size practice would qualify for approx.
12 hrs/week)
Practices need to have a 5-day service and across 52 weeks to
fundamentally change the core primary care delivery model
The national scheme are training posts for junior pharmacists so
there is a large training component placing additional burden on
struggling practices
Many practices are small so struggle to recruit/afford a pharmacist
for sufficient hours to make a significant impact

Practice needs are changing over time with an increasing
requirement for advanced practitioner support
Pharmacy input ideally needs to be skill mixed to reflect different
levels of support
Prescription management – junior pharmacist/technician
Access - pharmacist with minor illness/patient consultation
expertise (IP)
LTC management - advanced clinical skills
Practices are unable to flex the service model (as limited by skills of
their own employed pharmacist) or need to invest significantly in
training their pharmacist

Hub and Spoke model
staffed with a workforce with different skills that address all the needs of a practice in a 5 day service

Practice 2

Pharmaceutical Care Hub
work done within a central hub
consistently across a group of
practices

Practice 3

Practice 1

Practice 4

In Practice Spokes work
more complex, face to face
work requiring advanced skills

Practice 8
The Pharmaceutical

Care Hub Team
Senior
pharmacist

Pharmacy
technician

Junior
pharmacist

GP/ANP

Key
Practice 5

Practice 7
Practice 6

As the Federations pharmaceutical
needs evolve the Hubs remit can develop i.e. ACS
Annual reviews of all medicines
Letters and discharge note reconciliation
Prescription reauthorisations
Responding to acute medication requests
Medication queries
Liaising with Community Pharmacists

Repeat ordering hub
Pro-active care planning and
safety alerts
CCG MO QIPP delivery
Extended hours services

Pharmacist/GP tele/video
consultations
Care home visiting and support
Prescribing budget management
LTC reviews
Face to face reviews
Same day demand management
(diagnosis and treatment)

Current status

Considerations

Pharmaceutical Care Hub offer

We do not have a
pharmacist

Affordability, want the hours spread
across 5 days to make a genuine impact

The Hub can deliver fewer hours/day and spread throughout the week in a cost-effective
way delivering a transformational impact for the practice

Only want short term increase in hours
We have an existing as we already have a service, want a few
extra hours a week only to free up the
PSS service
pharmacist for more patient facing work
Only want short term increase in hours
as we already have a service, want a few
We have a
pharmacist
extra hours a week only or only want
holiday cover
Impact of service due to limited
We have a NHSE
resource allocation and training posts.
scheme
The limited resource may not offer a 5
day service and carries employment risks.

The Hub offers a flexible way to increase provision at time of need, or redirect work more
suited to a dedicated team to free up your existing pharmacist to conduct more complex
work
The Hub offers a flexible way to increase provision at time of need (annual leave,
sickness, 52 week service), or redirect work more suited to a dedicated team to free up
your existing pharmacist to conduct more complex work
The Hub can operate within a mixed health economy by supporting existing provision
within a 5 day model

Benefits
5-day service
Standardisation of workflows across practices
10% productivity improvements – savings passed down to practices
Genuinely meets the working at scale agenda
Same day response for all urgent queries
Hub staff available 9-6 Mon-Fri irrespective of session time/length
100% of hub sessions covered
52-week service
Named hub staff allocated to practices
Freed up telephone capacity for practices

Limited room capacity needed – freeing up valuable space
Opportunity to deliver extended hours scheme via hub
Improved access to medicines for patients
Patients will have an increasingly improved experience of using GP
services
Staff working within general practice will feel more supported and
confident in dealing with managing medicines issues
Flexible service allowing short term increase in hours at times of need
Integrated QIPP service generating practice incentive monies
Access to primary care pharmacist throughout the day


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