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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)
Submissions
(deadline 14 June 2013)
1-2-1
Manchester
Launch
event
stakeholder
event
Literature
meetings
review
+
interviews
‘Tell us what you think’ – over
130 submissions
Analysis
(June-July 2013)
1-2-1
Birmingham
meetings
round table
+
interviews
Commission report
(November 2013)
Targeted
Report published 5 November
stakeholder
Houses of Parliament
briefings
www.rpharms.com/futuremodels
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•VIDEO from the House of Parliament launch to be played here
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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-ageneration 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
Locally, pharmacists are often
professionally isolated from the wider
primary care team and sometimes peers.
There is a poor level of understanding
among the public, and within the NHS, of
the potential role of pharmacists
Fragmented and complex commissioning of
community pharmacy services.
Lack of national and local leadership,
exacerbated by multiple groups
Lack of fulfilling career opportunities for new
graduates
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
The Royal Pharmaceutical Society
The 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/futuremodels
Join the conversation on Twitter @NoworNever
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Exploring in more detail
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Questions