More Comprehensive ‘Blueprint’ Supports Community Pharmacy – Latest Pharmacy News | Business | Magazine
NHS England and NHS Improvement released the findings of the Fuller ‘checkup’ on May 26 – setting out how primary care can work with partners in health and care to better meet the needs of their local communities.
Dr Claire Fuller report emphasizes the essential role of primary care and the potential of integrated neighborhood teams to reduce the burden of ill health and address health inequities.
He commends the community pharmacy for keeping “its doors open to the public throughout” the pandemic while being “one of the most recognizable of a host of dedicated staff providing round-the-clock care in all parts of the country”. The report highlights “recruitment and retention challenges across the primary care workforce,” including community pharmacy.
Highlighting the importance of community pharmacy teams in emergency care and prevention, including early diagnosis of cancers, the report points out that pharmacists could play “a more active role in referring eligible people to screening and supporting early diagnosis, building on a number of successful pilots such as those in the Accelerate, Coordinate, Evaluate (ACE) program”.
“Master Plan for Working in Partnership”
The report also includes a vote of thanks to distinguished pharmacist Reena Barai who served on two of the Fuller task forces.
At a report launch event on May 26, Barai said, “As a community pharmacist, I am part of the ‘primary care team’, which is more important than just general medicine. This report will model working in partnership as a “must” rather than a “nice to do”. Over the past two years, I’ve seen a growing desire for collaborative work, driven by the pandemic, but there’s still a long way to go. »
She also cited the NHS Community Pharmacists Consultation Service and the Hypertension Case-Finding Service as examples of services requiring close collaboration focused on patient needs.
Breaking down silos in primary care
The National Pharmacy Association described the document as a “clear signal” that integrated systems of care (ICS) must break down silos in primary care: “At the heart of the new vision for primary care integration is bringing together previously compartmentalized teams and professionals to do things differently to improve the care of entire populations”.
CNSs are encouraged to develop a “single, system-wide approach to managing integrated emergency care to ensure patients receive same-day care.” They are also asked to develop a system-level primary care forum or network, with a wide range of views, including professional representation. According to the NPA, this represents an important opportunity for pharmacies to engage with the NHS at local level.
NPA Chief Executive Mark Lyonette said, “The NPA is pleased to have worked with the Fuller team to ensure the voice of community pharmacy was heard in this review. So often in the past, community pharmacy has barely been recognized in key journals.
“This document is a clear signal to CNSs to break down silos in primary care and engage community pharmacy in a multidisciplinary push on prevention, emergency care, and long-term conditions. It is an invitation to be active partners in integrated care and that means investing time and energy in building relationships to improve local services.
RPS England chairman Thorrun Govind called the report an “important step” on the road to mainstreaming primary care.
She said: “To maximize the contribution of pharmacy teams, we will need to foster pharmacy leadership at the system, location and neighborhood level to ensure their involvement in decision-making.”
Stating that a ‘partnership philosophy was at the heart of my report’, Dr Fuller highlighted the role of the 42 SCIs who ‘arrive at just the right time, tasked with achieving four goals: improving the health outcomes of the population and health care; tackle inequities in outcomes, experience and access; improve productivity and value for money; and help the NHS support wider social and economic development.
“To get there, we are going to have to look beyond a traditional definition of primary care and understand that NHS emergency care is what patients first access in their community – usually from their home or street. principal and without the need for a referral from a general practitioner.
“This can be online advice on symptoms and self-care, going to a community pharmacy, a general practice appointment, an emergency treatment center or the 111 clinical assessment service out of hours. opening.
“Under access to emergency care, a patient can then be immediately referred to emergency care or go online or speak to someone before going to a hospital’s emergency department.”