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Majority of GPs will employ 'clinical pharmacists' when funding ends

One GP who took part in the study said their practice pharmacist was good value for money
One GP who took part in the study said their practice pharmacist was good value for money

The majority of GP sites involved in NHS England’s “clinical pharmacist” programme will still employ practice-based pharmacists after their funding ends, a study has found.

Practice-based pharmacists have had a “significant impact” on the management of patients’ long-term conditions, according to an NHS England-funded evaluation published today (July 26).

According to the report, by academic researchers at the University of Nottingham, “the majority of [GP] sites, at a practice level, are seeking to employ their pharmacist when the pilot scheme funding ends” in 2020-21. “Clinical pharmacists should be an integral part of general practice,” the authors concluded.

One GP who took part in the study said: “We can’t survive without pharmacists, they are part of what we do,” while another said employing pharmacists in GP surgeries is “just common sense”as it is “excellent value for money and improves patient medication care”.

Reducing pressure on GPs

Researchers surveyed 78 GP sites where 373 pharmacists were employed as part of the NHS England scheme, as well as practice pharmacists themselves, and found “clinical pharmacists significantly increase patient appointment capacity and reduce pressure on GPs”.

Medication reviews were the “sole task” for 70% of the practice pharmacists in the study. “As part of these reviews, they were able to provide invaluable medicines education and usage advice to patients.”

“A large proportion of clinical pharmacists were responsible for streamlining the [hospital] discharge reconciliations process for patients, [with] 63% doing a discharge review every day,” researchers added.

Pharmacists also deprescribed medicines and provided support for healthy lifestyles. “Several” GP sites reported increased patient safety and a reduction in prescribing errors, the research found.

GPs’ “mismatch of expectations”

However, the research suggested that while “several” GP sites recognised the benefits that pharmacists bring to GP surgeries, “there is evidence of [a] mismatch in professional expectation, as some GPs expect clinical pharmacists to arrive in a state ready to conduct more patient-facing work than they actually are”.

GPs also suggested that the practice pharmacist role “is expensive to the practice, and financial benefits are not the main (or any real) motivation” for developing the role.

In future, “GPs wish to localise the role according to the demands of the practice and the specialisms of the clinical pharmacist”.

New career path

Dr Matthew Boyd, associate professor in patient safety and pharmacy practice at the University of Nottingham and lead author of the research, said: “Patients told us they understood their medicines in a way they never had, were now trying to follow lifestyle advice to help manage their health conditions such as diabetes, and had improved conditions following a medication review. 

“Now we know the positive impact this new pharmacist role can have, we need to ensure robust education and training is in place to respond to this new career path,” he stressed.

England’s chief pharmaceutical officer Dr Keith Ridge said: “Clinical pharmacists in general practice are playing an important role in the NHS…and we are confident that the benefits of the programme will continue across more GP practices as we continue the rollout.”

Royal Pharmaceutical Society (RPS) English pharmacy board chair Sandra Gidley said the “positive” research “clearly demonstrates overall how patient outcomes can be improved by thinking differently about how pharmacists integrate into the healthcare system”.

The RPS “supports better use of pharmacists’ skills to benefit patient care wherever they work”, she added.

Read a full copy of the University of Nottingham’s Clinical Pharmacists in General Practice: Pilot Scheme Evaluation here.

Background to NHS England’s ‘Clinical Pharmacists in General Practice’ scheme

More than 490 “clinical pharmacists” were placed in over 650 practices across England in the pilot project, which supports the aim of having over 2,000 “clinical pharmacists” working in general practice by 2020-21 – a ratio of one per 30,000 patients.

In 2016, the GP Forward View outlined an investment of £31 million to pilot 470 clinical pharmacists in over 700 practices. NHS England then pledged to invest over £112m to get an extra 1,500 pharmacists into general practice by 2021, to help relieve GP workload.

Would you consider applying for a GP pharmacist role?

R A, Community pharmacist

Given the fact that everyone is getting prescribing qualification and independent prescribers don't have a specific body representing them to set reasonable remuneration rate this will be a repeat of pharmacy school proliferation where the only winners were the multiples and University! In this situation, the winners will be the GP practices and the Universities again!

A Hussain, Senior Management

Talk is cheap.  Well not as cheap as getting a pharmacist for free!

Another Pharmacist, Hospital pharmacist

It’s just the government trying to cover up culling community pharmacy so when someone says “there’s no jobs”, they say “look at the (pathetic) attempt we made in GP practices”. And like A Hussain says, pharmacists are free right now...when it comes to the crunch, how many practices will follow through?! And as RA says, I agree, the universities are the real winners. More money for pointless courses - can’t say I learnt anything from my IP course but the uni got their dosh. And GPs get a “repeat rx signer-monkey”...yay...that’s why I read pharmacy. If I could only turn back the clock...

Angela Channing, Community pharmacist

Yes, was thinking of doing IP course, but from what you say, am glad that at the moment I haven't. 

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