GPs’ and pharmacists’ views of integrating pharmacists into general practices: a qualitative study

Abstract

Background: Practice-based pharmacists (PBPs) have been introduced into general practice across the United Kingdom (UK) to relieve some of the pressures within primary care. However, there is little existing UK literature that has explored healthcare professionals’ (HCPs’) views about PBP integration and how this role has evolved. Aim: To explore the views and experiences of GPs, PBPs, and community pharmacists (CPs) about PBPs’ integration into general practice and their impact on primary healthcare delivery. Design and setting: A qualitative interview study in primary care in Northern Ireland (NI). Method: Purposive and snowball sampling were used to recruit triads (a GP, a PBP, and a CP) from across five administrative healthcare areas in NI. Sampling of practices to recruit GPs and PBPs commenced in August 2020. These HCPs identified the CPs who had most contact with the general practices in which the recruited GPs and PBPs were working. Semi-structured interviews were recorded, transcribed verbatim, and analysed using thematic analysis. Results: Eleven triads were recruited from across the five administrative areas. Four main themes in relation to PBPs’ integration into general practices were revealed: evolution of the role, PBP attributes, collaboration and communication, and impact on care. Areas for development were identified such as patient awareness of the PBP role. Many saw PBPs as a ‘central hub-middleman’ between general practice and community pharmacies. Conclusion: Participants reported that PBPs had integrated well and perceived a positive impact on primary healthcare delivery. Further work is needed to increase patient awareness of the PBP role.