NHC has been successful in bidding for additional clinical pharmacists in the national wave 3 pharmacy pilot. The success of NHC will allow all practices across Newham to have additional Pharmacist time. Practices will recall that NHC was successful in the wave 1 pilot previously. Some practices already have clinical pharmacists. The success of the second bid will allow all practices in Newham to have clinical pharmacists. This is excellent news for Newham residents and for Newham practices who have often had to bear the cost of Locums. NHCs approach to pharmacists bid in Wave 3 has resulted in NHS E asking NHC to provide support and mentorship to other federations nationally. Another success for Newham since this supports NHC vision in making Newham a nationally recognised centre of excellence.

 

If you have any queries regarding Clinical Pharmacy, please contact NHC on nhc@nhs.net

 

Overview

Clinical pharmacists must work in general practice as part of a multi-disciplinary team in a patient facing role to clinically assess and treat patients using their expert knowledge of medicines for specific disease areas. They will be prescribers, or training to become one, and must work with and alongside the general practice team, taking responsibility for patients with chronic diseases and undertaking clinical medication reviews to proactively manage people with complex polypharmacy, especially for the elderly, people in care homes and those with multiple comorbidities. They must provide specialist expertise in medicines use while helping to address both the public health and social care needs of a patient at the practice (s).i Clinical pharmacists must provide leadership on person centred medicines optimisation (including ensuring prescribers in the practice conserve antibiotics in line with local antimicrobial stewardship guidance) and quality improvement while contributing to the quality and outcomes framework and enhanced services. Clinical pharmacists must have a leadership role in supporting further integration of general practice with the wider healthcare teams (including community and hospital pharmacy) to help improve patient outcomes, ensure better access to healthcare and help manage general practice workload. The role has the potential to significantly improve quality of care and patient safety.

 

 

 

Benefits

 

Initial feedback from the pilot programme has described the potential benefits that clinical pharmacists in general practice have on patients, the practice and the wider healthcare system.

 

Potential benefits to the public

  • Improvement in patient outcomes and quality of life
  • Supporting patients to get the best use of their medicines and identifying medicines related issues.
  • Reducing potential A&E admissions, attendances and readmissions.
  • Better care closer to home through home and care/residential home visits
  • Independent prescribing qualification for pharmacists will improve timely access to medicines for the public, deliver care close to home, reducing general practice workload, enable self-care and self-management of conditions, improves patient safety and improve treatment results for patient by maximising the benefits of clinical pharmacists. 1.3.2 Potential benefits to general practice
  • Expanding the general practice team to include clinical pharmacists, with their skills and knowledge. This will allow reallocation of general practice workload.
  • Increase GP practice capacity to see and help more members of the public.
  • Ensure safer prescribing and improvement in patient safety and quality of care.
  • Increase capacity to offer more on the day appointments and provided OOH/extended hours/on-call services
  • Improved integration with the community and hospital pharmacy teams.

 

Potential benefits to the wider healthcare system

  • Improvement in the clinical and cost effective use of medicines
  • More efficient and effective communication between general practice and wider healthcare teams
  • Better integration with the wider healthcare systems/teams due to clinical pharmacists being key point of contact for primary and secondary care services
  • Optimisation of the patient journey through the healthcare system

 

 Reduce pressure on urgent and emergency care departments by preventing avoidable admissions/readmissions. NHS England will maintain contact with participating providers by establishing learning sets through which providers can share good practice and lessons learned. These learning sets will support providers to deliver maximum benefit to patients, practices and the wider NHS system. NHS England will be conducting an external evaluation of the programme to report evidence of the benefits of clinical pharmacists in general practice.