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PSNC adds national EHC service to plans for new pharmacy contract

PSNC: A national pharmacy EHC service could help support NHS England's urgent care agenda
PSNC: A national pharmacy EHC service could help support NHS England's urgent care agenda

A nationally commissioned pharmacy emergency hormonal contraception (EHC) service is one of several additions to the negotiator’s proposals for a new service-based contract.

The Pharmaceutical Services Negotiating Committee (PSNC) also suggested pharmacies across England should be commissioned to provide smoking cessation services, blood pressure measurement, and hypertension and atrial fibrillation identification.

Pharmacies could also offer nationally commissioned NHS health checks with “more follow-up of patients [and] personalised wellbeing plans”, PSNC added.

Plans for a service-based pharmacy contract “were originally developed in 2017, and did not include proposals for nationally-commissioned urgent care or public health services”, PSNC said in an update from its October committee meeting published on Wednesday (November 7).

“At that time, NHS England and the Department of Health and Social Care (DH) saw commissioning of such services as local, not national priorities,” it added.

As part of its original service development proposals, PSNC suggested the new medicine service (NMS) should be “repurposed” as an essential service, and potentially expanded to also deal with depression.

“Work to develop a new NHS long-term plan and discussions with NHS England officials have highlighted a new focus on both these areas,” PSNC said.

2019-20 negotiations yet to start

PSNC is yet to begin negotiations for the 2019-20 funding settlement, but has told C+D it will propose a service-based contract to the DH.

On Monday, the DH said community pharmacies will play a stronger role in its plans to make prevention “an integral part” of its long-term strategy for the NHS.

Last month, NHS England’s head of pharmacy commissioning Dr Jill Loader said the “direction of travel” for community pharmacy in England is towards “urgent care and wellbeing, which are critical to supporting the rest of the NHS”.

3 Comments
Question: 
What services would you like to see commissioned nationally?

Watto 59, Community pharmacist

To answer the question, it seems to me that as we are doing( unpaid) much of the work of doctor's receptionists i.e. taking calls for repeat medication and ordering  for patients we should also be  processing and authorising the actual prescription too.  Thise would save hours of time wasted with what happens at the moment i.e. the receptionists write/process the pescriptions with little or no idea of what they are writing and the GP signs them with little or no idea of what they have signed.  We are then left to sort out what has been missed or duplicated or plain wrong, with calls to surgeries if one can get through and long winded explanations to receptionists as to what they should or should not have done.  This is essentially the RD process transferred more fully to pharmacy's control for a suitable fee of course

Benie I, Locum pharmacist

From DoH point of view you were doing so well then you spoiled it with the bit at end about ‘a suitable fee’. 

David Moore, Locum pharmacist

EHC was the one service that gave me the most satisfaction.

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