Article Figures & Data
Figures
- Figure 1.
Pharmacists in general practice roles.
Tables
When Report/policy released5–8 Outcomes generated 1986 The Nuffield Report highlights dramatic underutilisation of UK pharmacists6 Suggestions that collaboration between GPs and pharmacists could improve effectiveness and reduce costs of prescribing 1990s NHS health reforms result in the allocation of drug budgets to individual health authorities Interest from general practice to use clinical pharmacists within primary care 2005 NHS Community Pharmacy contract Increases the range of services community pharmacists can provide 2008 The pharmacy workforce census Seven per cent of pharmacists are already working within general practices or for local health authorities 2015 NHS England, the General Practitioners Committee of the BMA, Health Education England, and the Royal College of General Practitioners reveal their Ten Point GP Workforce Action Plan 8 The Clinical Pharmacists in General Practice Pilot aims to utilise pharmacists’ knowledge and expertise surrounding medications, in order to complement the knowledge and roles of GPs and practice nurses in general practice surgeries 2017 RCGP GP Forward View Interim Report 8 NHS England reports that >85% of pharmacy professionals have received training in the use of the patient Summary Care Record, and that all pharmacists will have received training by March 2017 By 2040 The Centre for Workforce Intelligence Estimates that oversupply of pharmacists could reach 11 000–19 000 due to increased numbers of pharmacy students over the last decade Variable Number Sex Male 5 Female 11 Age 21–30 3 31–40 4 41–50 6 51–60 2 Not given 1 Job role on course applicationa Community pharmacist 7 CCG pharmacist working in general practice 5 CCG pharmacist not directly working in general practice 4 Postgraduate awards held Clinical diploma 5 Independent prescribing certificate 6 Other 6 ↵a Community pharmacist role included dispensing; over-the-counter minor ailments advice; advanced services such as medicines use reviews, new medicine service, emergency hormonal contraception, and chlamydia screening; general practice role included conducting minor illness and long-term condition clinics, telephone consultations, liaising with community and hospital colleagues, and pain medicines optimisation clinics; CCG role included prescribing management planning, practice audits, assessing practice compliance to formularies and guidelines, and reconciling prescribing problems with GPs. CCG = clinical commissioning group.
Day 1
Valuing the primary care pharmacist:The skills and role of the primary care pharmacist in a primary care team
Leading on prescribing quality improvement changes
Managing the patient with eye symptomsDay 2
Clinical skills training 1: ENT and asthma/COPD annual reviewsDay 3
Principles of chronic disease management
Hypertension annual reviews
Cardiovascular risk and lifestyle modification:
Using CVS risk profiling in practice and preventive prescribing
Communication skills for encouraging lifestyle changes
Day 4
Medicines management and optimisation in practice:
Medicines management and patient enquiries
Quality improvement of prescribing practice and systems
Applying optimisation principles in polypharmacy and multimorbidity
Assessments to aid medication reviews and de-prescribing
Day 5
The diabetic annual review
Common dermatological conditions
High-risk drugs, rheumatoid arthritis, osteoporosis, and blood test interpretation:
Rheumatoid arthritis annual reviews and osteoporosis medication
High-risk drug reviews, audits and interpreting blood results
Day 6
Clinical skills and communication training 2: successful integration of pharmacists in primary care roles/local networks and continuing professional developmentCOPD = chronic obstructive pulmonary disease. CVS = cardiovascular. ENT = ear, nose, and throat.
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