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London LPC makes pharmacies first port of call for long-term condition

A pilot unveiled by North East London LPC will see pharmacies provide self-care plans for patients with long-term conditions and act as their healthcare co-ordinator,, says LPC secretary Hemant Patel

A London LPC has set out ambitious plans to transform pharmacy in the UK by establishing the sector as the main port of call for patients with long-term conditions.


From June, 60 pharmacies will help patients to produce a self-care plan setting out their health priorities for the year in a pilot unveiled by North East London (NEL) LPC on Wednesday (April 23).


Pharmacists will work through their patients' priorities during regular consultations and act as a "co-ordinator" of the patient's overall healthcare, the LPC said.


Initially, pharmacists will invite patients with diabetes, respiratory diseases, cardiovascular diseases and mental health problems to complete a health, wellbeing and social questionnaire.


The model will re-establish pharmacy as a clinical profession, says North East London LPC secretary Hemant Patel

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The questionnaire will inform a self-care plan, created by the patient in collaboration with the pharmacist. The pharmacist will constantly review the plan and refer the patient to other healthcare services if necessary, said Hemant Patel, NEL LPC secretary.


The model would re-establish pharmacy as a clinical profession and provide a better working life to pharmacists fed up with dispensing, Mr Patel said.


"I believe that this model, handled with the respect and enthusiasm it requires, has got the potential to change pharmacy not only in this country but everywhere else," he said.


He said that CCGs and local authorities in the area had already voiced their support for the mode and the LPC would provide data on the trial's success. He was hopeful of securing funding for the model before an evaluation meeting in September.


Out of 316 pharmacies in the LPC, around 100 were interested in adopting the model and 60 would begin training this Sunday (April 27) ahead of the June launch, Mr Patel said.


Contractor Prakash Patel of Chapel Pharmacy, Whitechapel, who has signed up to the scheme, said the model was the "way forward" and that he had already started "up-skilling" his pharmacy staff.


He told C+D that the model would allow pharmacists to make more use of their clinical skills and he would employ another pharmacist to take over dispensing to ensure that patients could access the service whenever they needed.


Louise Dibsdall, senior public strategist, public health, London Borough of Havering, told C+D she admired the principles behind the scheme. "Whatever support we can offer we will offer it where we can," she said.


Simon Reid, healthy lifestyles commissioning manager, London Borough of Newham, said he would rather have a small number of pharmacists operating the scheme well than a lot of pharmacies providing an average service.


"I don't need everyone to be entrepreneurs, I just need them to be well spread out," he said.


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8 Comments
Question: 
What do you make of this story?

Pharmacy HLP, Manager

Pharmacy can deliver. 11,000 plus sites ready to go after appropriate training, great distribution and open ending times. But who is going to pay to keep people out of A&E and GPs surgery. NHE are you interested in funding pharmacy or shall we reinvent the wheel with very costly minor ailments units ?

Farmer Cyst, Community pharmacist

I love bashing Pharmacy and exacerbating anxiety by talking about how we're all doomed - but this genuinely does seem to be good news. It sounds a lot like the Pharmacist is taking the (what could be described as!) waste of time G.P appointments where basically everything is fine and the patient just needs to be checked up on. If they're not OK then they can be referred appropriately - pragmatically this is probably the best realistic outcome for Pharmacists professional image and identity. (You can forget widespread diagnosis and prescribing, even if restricted to specialties. If nothing else the G.Ps simply wont let us have that). "Rather have a small number of pharmacists operating the scheme well than a lot of pharmacies providing an average service." - This attitude is probably also extremely useful if it spreads into other CCGs. Pharmacists are overworked in most instances. They simply do not have time for new services in most instances, and I think this is often mistaken by those outside of the profession as disinterest. If those who can (because they have the time and skill) do provide this service, and do so well, then it will establish the skills of Pharmacists in the minds of commissioners not that familiar with the profession. This should eventually translate into funding changes which would allow those of us with the skill who currently don't have the time, to be freed up from the checking grind to be allowed to take a more clinical role. Too many decent schemes are cancelled often because of headline figures like 'only 15% of Pharmacies participated' rather than looking at the quality of the work done in the 15% who had the time!

Farmer Cyst, Community pharmacist

Obviously the 'Community Pharmacist' in my fully anticipates that the sectors natural throat cutting, 'crabs in a bucket' mentality will mean that the whole thing will end up as a target driven exercise in getting a signature on a form - but for a moment we can all dream.

Barry Pharmacist, Community pharmacist

Back to the real story.... This is exactly what LPCs should be doing. Well done NEL LPC. We have a glut of very well trained pharmacists and the NHS has a shortage of doctors and nurses. Doesn't take a genius to figure out we can help. Our trouble is persuading the NHS that pharmacists ARE providers of quality NHS care and it sounds like this scheme has overcome that hurdle. Well done.

MESUT OZIL,

Motilium, a heartburn and anti-nausea drug taken by millions of people, should be restricted because of the risk of fatal heart problems, regulator says

Around two million people were prescribed Motilium, also known as domperidone, for sickness and nausea symptoms, stomach conditions and heartburn. Now following a review at European level, the drug will be restricted for those with sickness and nausea only.

It was found there have been 342 reports of serious side effects and 57 people known to have died from heart problems while taking domperidone.

N O, Pharmaceutical Adviser

What is the relation of MESIT's reply to this article ?? On a high again ??

Prafulkumar Soneji, Locum pharmacist

It is a copy and paste job of an article from the newspaper.....not original. It is also quite obvious as there are no grammatical errors and restrained use of capitals lock key on the keyboard.

MESUT OZIL,

Thanku sonijim

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