Think Pharmacy First - PowerPoint Presentation

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Think Pharmacy First Minor Ailment Scheme

16th July 2015Slide2

Urgent and Emergency Care Vision - Gateshead‘‘Right Care, Right, Time, Right Place – a modern sustainable 24 hour, 7 days a week urgent and emergency care system designed to meet the needs of the people of Gateshead’Slide3

NHS England’s Review of Urgent and Emergency Care, Domain 2 - Faster, Convenient, Enhanced Services Support the co-location of community-based urgent care services in coordinated Emergency/Urgent Care Centres. Same day, every day access to general practitioners, primary care and community services. Slide4

Commissioning Intentions 15/16Overall objective: Ensure that urgent and emergency care services (which includes access to primary care) are developed and modernised into a 24 hour, 7 days a week model appropriate for the health needs of the people of Gateshead - providing the right care, at the right time in the right place.Action: develop a fully integrated urgent primary care service (and would include GP OOH service)Slide5

Prime Ministers Challenge FundSlide6

NHS England’s Review of Urgent and Emergency Care, Domain 2 - Faster, Convenient, Enhanced Services Support the co-location of community-based urgent care services in coordinated Emergency/Urgent Care Centres. Same day, every day access to general practitioners, primary care and community services. Harness the skills and accessibility of community pharmacy. Slide7

Minor AilmentsCurrent scheme Set up in July 2010 as an NHS Enhanced ServiceRenewed in subsequent years on the same terms Underutilised Only pharmacies who are signed up to original scheme able to deliverAwareness of the scheme can be lowOpportunity to reinvigorate scheme and align with local UEC visionSlide8

The New Scheme

Appropriate and competent member of the pharmacy team (Pharmacist, Pharmacy Technician, Dispensing Assistant or Pharmacy Assistant) is able to undertake consultation with patientRequired to operate for the full opening hours of the pharmacy and any patient can access (i.e. patient does not need to live in Gateshead)Slide9

Aim of the SchemeIncrease patient choice to access primary care in alternative settings.Contribute towards a reduction in demand for appointments at GP surgeries and patients attending A&E with minor conditionsBring care closer to home for patients.Contribute towards the cost-effective use of medicines.Promote self-care and make every contact a health improvement contactSlide10

Which ailments are included?Aches and pains:Back PainHeadacheMigraineMuscular achePeriod painTeethingToothacheGastrointestinal care:ConstipationDiarrhoea DyspepsiaHaemorrhoidsIndigestion

RefluxThreadwormVomitingSkin care:Athletes footChickenpoxCold soresContact Dermatitis / Atopic eczemaFungal skin infectionsImpetigoNappy RashPruritis ScabiesWarts and verrucaeAllergy:Bites and stingsHay feverSkin reactionEar care:EaracheEar infectionEar wax

Mouth Care:

Cold Sores

Oral Thrush

Ulcers

Colds

and Flu:

Cough

Congestion

Sore Throat

Fever / temperature (including

Post-immunisation pyrexia)

Eye care:

Bacterial Conjunctivitis

Styes

Head

Lice

Vaginal Thrush

SundriesSlide11

Who can access the service?Any patient accessing the community pharmacy, regardless of where they live presenting with symptoms associated with the agreed list of ailments.Adult patients (over the age of 16) should be in attendance in order to access the service. In the case of a child under 16 years of age, a parent, guardian or carer must be in attendance, but the child being treated need not be present.Slide12

How do patients access the service?Self-referral / community signpostingAccessed through triage or signposting:GP practice staff A&ENHS 111Non-participating pharmacies will signpost patients accordinglySlide13

However…People who usually manage their own minor ailments through self-care and purchase of Over the Counter (OTC) medication should continue to self-manage and treat their minor ailments. A patient requesting to purchase an over the counter medication should not be used as an automatic referral.Slide14

The ConsultationConsultationAssess patient’s condition. For some of the conditions a limited examination will be necessary.Identify any concurrent medication or medical conditions, which may affect treatment of patient.Consider any prior medication used and assess appropriateness of further supply.Provide advice on the management, the self-limiting nature and time course of the condition.Provide an appropriate and relevant information leaflet.Slide15

ConsultationTreatmentProvide medication from the formulary appropriate to the patient’s condition as required.Provided in line with clinical knowledge summaries.RecordsComplete record of the interaction on PharmOutcomes using standardised dataset.If a product is supplied, ensure supply is recorded on the PMR system.Slide16

Onward ReferralsQuick and seamless referral to GP or other health professionalChange4Life Standardised Point of Access Slide17

Payment & Reporting£3.40 per patient consultationReimbursement of formulary medications – to be agreed annually between Commissioner and LPC Claims to be made quarterly toNECSU.EnhancedServices@nhs.netSlide18

Payment & ReportingMonthly submission of PharmOutcomes dataAnnual service evaluation including service user questionnaire Support for system resilience through better and regular dialogue between LPC and the CCGSlide19

Think Pharmacy First Marketing & Public LaunchSlide20

Background Think Pharmacy FirstThis branding has operated in Newcastle, North Tyneside and NorthumberlandPreviously has never had any significant investmentTo develop the marketing and communications campaign market research and segmentation has taken placeSlide21

Target audiencePatients – advertising and promotional activity Segmentation has taken place:Children under age of 16Unemployed residents under age of 65 yearsResidents over the age of 60Health professionals – increasing awareness and encouraging referralsSlide22

Key messagesGreater choice and better access to treatment for minor ailments.Using the skills and knowledge of pharmacists to provide the right treatment for patients at the right time, in a place which is convenient to themEasier access to treatment for minor ailments without having to make an appointment to see their GPSlide23

Tactics Public launch septemberLow level activity throughout the yearHigh level activity in:June/July – hayfever and aligned to pollen levelsSeptember – children and going back to schoolDecember – general winter illnessesSlide24

ActivityMaterials for pharmacies including point of saleLeaflet to target the specific target groupsDigital advertisingPR launchPosters in community venues eg libraries, bus stops, Metro systemDoor-to-door distribution in key areasWork with local pressWork with schoolsPromotional staff out on streetSlide25

Examples of materials in situ