Community Pharmacy Future starts recruiting patients for Pharmacy Care Plan service
Tuesday, 28 April 2015
New integrated service will help patients become more active in their own health care

The Community Pharmacy Future (CPF) project has started to recruit patients as part of the second phase of its work in developing new pharmacy services. Patients using 51 pharmacies in the North Kirklees and Wakefield areas of West Yorkshire are being offered the Pharmacy Care Plan service

Our aim is to recruit and support around 800-1,000 patients over a 12-month period. Patients will be offered an individual consultation with a pharmacist that will look at their health goals and beliefs. The pharmacists will work with the patient to identify steps that can be taken to achieve these goals. This could include support offered by the pharmacy to help improve medicines taking and other health or care issues. These actions will be documented in a Patient Care Plan that is kept by the patient, along with any relevant information to support their treatment.

Potentially eligible patients will be those aged over 50 years old who are receiving treatment for hypertension and/or diabetes and who are using multiple medicines. Each patient will have condition-specific assessments and age-related support (such as falls risk assessment) as well as being provided with access to public health services and signposting to local healthcare professionals and patient support groups, as appropriate. They will receive regular support, reviews and consultations when they return to collect their prescribed medication.

The second phase of the CPF work is being offered by 11 independent and supermarket pharmacies alongside 10 pharmacies each from Boots, LloydsPharmacy, Rowlands Pharmacy and Well (formerly The Co-operative Pharmacy). Community Pharmacy West Yorkshire will be supporting service implementation.

The Pharmacy Care Plan service builds on the successful first phase of the CPF project. Where appropriate, patients will be offered support that is based on the award-winning COPD Support Service – winner of the 2014 BMJ Award for “Respiratory Medicine Team of the Year” – or the Four or More Medicines Support Service for older people.

The Pharmacy Care Plan service evaluation is being funded by the CPF companies, with support from Pfizer, GSK and the PSNC, and is not drawing on local or national NHS funding, although patients will continue to receive any NHS services that they are eligible for. The service will be provided free-of-charge to patients.

The CPF project team held local events in January and February to introduce the Pharmacy Care Plan service to local pharmacy teams and then to train them on the service. The training events also covered enhanced communication skills, which included the opportunity to have an audio recording of a patient consultation professionally assessed. The reviews were undertaken by researchers from the School of Pharmacy, University of East Anglia, who will also be undertaking the full health economic benefit analysis and evaluation of the service. As part of the evaluation, Patient Activation Measure (PAM) levels will be used to help agree suitable goals and actions for patients and their PAMs will be studied to see how they have been encouraged to become more active in their own health and care.

Each participating pharmacy has received an innovative “Pharmacy Care Plan service box” containing all the paperwork needed to provide the service. This includes a full staff guide, relevant forms and patient recording forms, patient information leaflets and condition-specific questionnaires. The box also includes space to store patient records between visits.

Speaking on behalf of the CPF project team, Janice Perkins, Superintendent Pharmacist at Well and a member of the CPF Management Committee, says: “We are delighted that even more patients will be able to benefit from the integrated support offered by their local community pharmacies. The Pharmacy Care Plan service includes independent pharmacies from the beginning and builds on our successful work in the Wirral and Wigan over the past three years. There will again be a full independent health economic evaluation of the value pharmacy can be deliver, conducted by the University of East Anglia.”

Dr Martin McShane, Director of Improving the Quality of Life for People with Long-Term Conditions at NHS England, and Deborah Jaines, Head of Primary Care Policy and Contracts at NHS England have welcomed the start of the second phase of the CPF project. They have written to local CCGs to thank them for the support being given to the project, which they describe as “a great example of multi-professional working”.

Robbie Turner, Chief Officer of Community Pharmacy West Yorkshire (CPWY), says: “We are excited to have been selected as the location for this forward-thinking project. We like to think that our pharmacies are good at implementing new ideas, and part of that is through the support they get from CPWY. This project will demonstrate to local commissioners and GPs the place that community pharmacy can have in the new NHS. It will also raise the confidence of our pharmacy teams, bringing their professional skills to the fore and showing them that they have much more to deliver for patients.”

Patient recruitment is planned to run until the end of April. Patients will then receive ongoing support once they return to collect regular prescribed medication over the next year.

The Community Pharmacy Future project is a collaboration between
Boots
Well Pharmacies
Lloyds Pharmacy
Rowlands Pharmacy a company of the PHOENIX group