Primary health care policy and vision for community pharmacy and pharmacists in England
The United Kingdom health and care system is changing dramatically to meet the health challenges of the 21st century. People will increasingly have multiple morbidities. The focus of service delivery is changing from hospital to community, patient to population and curative to preventive. This paper describes the NHS and primary care and community pharmacy in England at the start of 2020, a time of great change. The 10-year vison for the NHS is that everyone gets the best start in life, world class care for major health problems supporting people to age well. It has over 40 mentions of pharmacists and pharmacy. The key aims of the plan are to improve ‘out-of-hospital’ care, and finally dissolve the historic divide between primary and community health service in England. All of England is covered by integrated care systems and the newly formed primary care networks which will form the foundation of these new systems. Pharmacy is involved at multiple levels. There are 11,569 community pharmacies and most of their total income comes from the NHS (range 68-85%). Around 60% pharmacies are part of multiple chains, with the remaining 40% independents or small chains of less than six outlets. The new five-year community pharmacy contract provides an opportunity to develop community pharmacy and move towards service delivery away from dispensing volume. The new services are described under medicines optimisation, prevention and urgent care. The pharmacy quality scheme is also described. The new deal will help many community pharmacies to plan their future, particularly for those pharmacies who are ready and able to change and work closely with pharmacists and other health professionals in collaboration with Primary Care Networks. There will be specific challenges around: dispensing efficiencies, freeing up pharmacists’ time, wider use of clinical skills of community pharmacists, community pharmacy viability and consolidations.
NHS England. The NHS Long Term Plan, 2019. Available at: https://www.england.nhs.uk/long-term-plan/ (accessed Feb 3, 2020).
General Medical Council. The state of medical education and practice in the UK, 2016. Available at; https://www.gmc-uk.org/-/media/documents/SOMEP_2016_Full_Report_Lo_Res.pdf_68139324.pdf (accessed Feb 3, 2020).
Deloitte Under pressure: the funding of patient care in general practice. London: Deloitte. 2014. Available at: https://www.queensroadpartnership.co.uk/mf.ashx?ID=406a083a-144f-457d-b14b-aad537f67fc9 (accessed Feb 3, 2020).
Baird B, Charles A, Honeyman M, Maguire D, Das P. Understanding the Pressures in General Practice. The King’s Fund, London. 2016. Available at: https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/Understanding-GP-pressures-Kings-Fund-May-2016.pdf (accessed Feb 3, 2020).
NHS England General Practice Forward View. 2016, London. Available at: https://www.england.nhs.uk/wp-content/uploads/2016/04/gpfv.pdf (accessed Feb 3, 2020).
Gerada C, Riley B. The 2022 GP: our profession, our patients, our future. Br J Gen Pract. 2012;62(604):566-567. https://doi.org/10.3399/bjgp12X657053
Smith J, Picton C, Dyan M. Now or Never: Shaping Pharmacy for the Future. The Royal Pharmaceutical Society, 2013, London. Available at: https://www.rpharms.com/Portals/0/RPS%20document%20library/Open%20access/Publications/Now%20or%20Never%20-%20Report.pdf (accessed Feb 3, 2020).
Murray M. Community Pharmacy Clinical Services Review. 2016. Available at: https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2016/12/community-pharm-clncl-serv-rev.pdf (accessed Feb 3, 2020).
BMA and NHS England. Investment and Evolution A five-year framework for GP contract reform to implement The NHS Long Term Plan. 2019.London Available at https://www.england.nhs.uk/wp-content/uploads/2019/01/gp-contract-2019.pdf (accessed Feb 3, 2020).
DHSE and PSNC. The Community Pharmacy Contractual Framework for 2019/20 to 2023/24 supporting delivery for the NHS Long Term Plan. 2019, London. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/819601/cpcf-2019-to-2024.pdf (accessed Feb 3, 2020).
Public Health England. Healthy Living Pharmacy Level 1 Quality Criteria. Crown Copyright 2016 London. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/743128/HLP-quality-criteria-and-self-assessement-process.pdf (accessed Feb 3, 2020).
NHS Business Services Authority. Advanced Service Flu Report. 2019. London. Available at: https://www.nhsbsa.nhs.uk/prescription-data/dispensing-data/advanced-service-flu-report (accessed Feb 3, 2020).
Elliott R, Boyd M, Waring J, Barber N, Mehta R, Chuter A, Avery T, Tanajewski L, Davies J, Salema NE, Latif A, Gkountouras G, Craig C, Watmough D. Understanding and Appraising the New Medicines Service in the NHS in England: A randomised controlled trial and economic evaluation with qualitative appraisal comparing the effectiveness and cost effectiveness of the New Medicine Service in community pharmacies in England. Available at: http://www.nottingham.ac.uk/~pazmjb/nms/downloads/report/files/assets/common/downloads/108842%20A4%20Main%20Report.v4.pdf (accessed Feb 3, 2020).
NHS England and NJS Improvement. Advanced Service Specification NHS community Pharmacy Consultation Service. 2019. Available at: https://www.england.nhs.uk/wp-content/uploads/2019/10/advanced-service-specification-nhs-pharmacist-consultation-service.pdf (accessed Feb 3, 2020).
Pharmaceutical Services Negotiating Committee. Pharmacy Quality Scheme. 2019 Available at: https://psnc.org.uk/services-commissioning/pharmacy-quality-scheme/ (accessed Feb 3, 2020).
Copyright (c) 2020 Pharmacy Practice and the Authors
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors hereby transfer, assign, or otherwise convey to Pharmacy Practice: (1) the right to grant permission to republish or reprint the stated material, in whole or in part, without a fee; (2) the right to print pr epublish copies for free distribution or sale; and (3) the right to republish the stated material in any format (electronic or printed). In addition, the undersigned affirms that the article described above has not previously been published, in whole or part, is not subject to copyright or other rights except by the author(s), and has not been submitted for publication elsewhere, except as communicated in writing to Pharmacy Practice with this document.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-ND) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Author Self-Archiving Policy
Pharmacy Practice permits and encourages authors to post and archive the final pdf of the articles submitted to the journal on personal websites or institutional repositories after publication, while providing bibliographic details that credit its publication in this journal.