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NOW OR NEVER: SHAPING PHARMACY

FOR THE FUTURE

The report of the Commission on future models of care delivered

through pharmacy

Why a Commission on pharmacy

• Unprecedented era of economic, demographic and technological change

• Significant reforms to the NHS in England

• Narrative for the pharmacy profession’s role in the reformed NHS in England

• Royal Pharmaceutical Society (the leadership body for pharmacists) sets up a Commission on future models of care delivered through pharmacy

• Independent Chair - Dr Judith Smith, Director of Policy, Nuffield Trust

Commission timeline

Commission launch (April 2013)

Analysis(June-July 2013)

Commission report (November 2013)

Submissions(deadline 14 June 2013)

1-2-1

meetings

+

interviews

Literature

review

Manchester

stakeholder

event

Launch

event

‘Tell us what you think’ – over

130 submissions

Birmingham

round table

Report published 5 November

Houses of Parliament

www.rpharms.com/futuremodels

1-2-1

meetings

+

interviews

Targeted

stakeholder

briefings

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• VIDEO from the House of Parliament launch to be played here

Structure of the report Challenges facing the NHS

Challenges facing pharmacy

Examples of models of care identified through the Commission

Why the models of care are not more widespread

What needs to be done

Recommendations

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Challenges facing the NHS

Future models of care delivered through pharmacy depend fundamentally on what is happening in the wider NHS

 • A decade of flat funding • Rising demand – especially for long-term

conditions• Stronger focus on quality of care  Pharmacy has a central role to play in assuring

safe and consistent medicines management and wider care, in primary, social and acute care.

 

Pharmacy will have to make its case for delivering new models of care, based on evidence of cost and clinical effectiveness, and the ways in which it can help address the core problems facing the NHS.

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Challenges facing pharmacy

Long-debated potential to assume a broader role in patient care

Moving from dispensing and supply of medicines to helping people to make the most of their medicines, and supporting their wider care.

 Technology and skill-mix are driving change in

pharmacy Community pharmacy is under pressure:• NHS funding for dispensing and other services is

constrained• Reimbursement of drug costs is less• Non-pharmaceutical sales are falling• Over-supply of pharmacies and pharmacists 

Pharmacy has a once-in-a-generation opportunity to capitalise on highly trained professional workforce, local and accessible premises, and understanding of local communities

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Models of care

Over 100 models of care reported to us

The future is here – but only in some places Models developed despite the barriers often reported Pharmacists are slowly forming new networks and organisations Disheartening that examples remain relatively rare Much more that could be done – is the desire really there?

1. Access for advice and minor ailments

2. Integrated long-term conditions management

3. Support for older and vulnerable people at home or in care

4. Helping people to get or stay out of hospital

5. Providing local public health services

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Why are they not widespread?

Pharmacists (especially community) are marginalised within the NHS, nationally and locally

 There is a poor level of understanding

among the public, and within the NHS, of the potential role of pharmacists

 Lack of national and local leadership,

exacerbated by multiple groups Lack of fulfilling career opportunities for new

graduates

 Locally, pharmacists are often professionally isolated from the wider primary care team and sometimes peers.

 Fragmented and complex commissioning of

community pharmacy services. Little alignment of pharmacy funding with

that of general practice and other community services

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In Summary

•Widespread consensus that pharmacists are an underutilised resource – 40,000 plus in England and their numbers are increasing

•The NHS must adapt to the needs of patients with long-term conditions and preventable illnesses. Pharmacists have a vital role here

•Some patients, carers and members of the public already have access to a broader range of care from pharmacists (see www.rpharms.com/futuremodels)

•But progress is slow and access is patchy.

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In Summary

•Pharmacy is marginalised

•Lack of public awareness about pharmacy – pressing need to de-mystify

•Urgent need for focused, outward-looking local and national leadership of pharmacy

•Shift in the balance of funding, contracts and service provision toward the provision of patient care (away from fee per item dispensing)

•Explore networks, ‘chambers’, consortia, lead providers as a way of integrating pharmacy into the provision of primary and coordinated care

•Window of opportunity is open now, it may not be open for long

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Download a copy of the report at: www.rpharms.com/futuremodels

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The Royal Pharmaceutical SocietyThe Royal Pharmaceutical Society is the professional body for pharmacists in Great Britain. The Royal Pharmaceutical Society Future Models of Care Commission brought together expertise from across health and social care to provide a coherent narrative for the pharmacy profession’s role in the reformed NHS in England.

You can find out more at:www.rpharms.com/futuremodelsJoin the conversation on Twitter @NoworNever

Exploring in more detail

• Questions

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