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Publication - Strategy/plan

Prescription for Excellence - the future of pharmaceutical care: vision and plan

Published
19 September 2013
Directorate
Health Workforce Directorate
Topic
Health and social care
ISBN
9781782568766

A vision and action plan for the future of NHS pharmaceutical care in Scotland through integrated partnerships and innovation.

View supporting documents Supporting documents

Chapter 6 Summary of key actions

PERSON CENTRED pharmaceutical care Years 1-3 Years 3-5 Years 5-10
1. Create a model to facilitate clinical pharmacist prescribers working in partnership with patients, GPs and other prescribers Check mark
2. Introduce the utilisation of clinical case load for review and management of Long Term Conditions and prescribing through Therapeutic Partnerships e.g. polypharmacy and medication review Check mark
3. Develop models to ensure all patients have pharmaceutical care including polypharmacy/ medication reviews where appropriate Check mark Check mark Check mark
4. Work with the rural practitioners to scope and develop the use of domiciliary visits/ telehealth/ mobile apps to respond to needs of different age groups, and different settings Check mark Check mark Check mark
5. Work with patients, professions to develop a NHS framework for registration with a 'named pharmacist' and implement the legislative and contractual framework to underpin this innovative approach Check mark Check mark Check mark
6. Establish a framework for anticipatory pharmaceutical care planning Check mark
7. Develop service models for those receiving high risk and high tech medicines building on risk assessment tools developed for polypharmacy and anticipatory care planning Check mark Check mark Check mark
8. Scottish Government will develop innovative pharmaceutical care to support the clinical application of translational genomics and stratified medicine Check mark Check mark
9. Develop national service with the professions new standard specifications for services and innovative Pharmaceutical care and pharmaceutical public health for specific patient groups of:
Cardiovascular health Check mark Check mark
Older People - in care homes and in their own home Check mark Check mark
Alcohol and Substance Misuse Check mark Check mark
Mental Health Check mark Check mark
Sexual health Check mark Check mark
Children Check mark Check mark
10. Further develop the pharmacists contribution to the management of common clinical conditions and develop new models of delivery of primary care services in partnership with GPs Check mark Check mark Check mark
SAFE pharmaceutical care Years 1-3 Years 3-5 Years 5-10
1. Review of the governance arrangements for the safe delivery of pharmaceutical care and use of medicines in the community Check mark Check mark
2. Implementing clinical guidelines and Monitoring use of Medicines Check mark Check mark
3. Establish partnerships with HIS, and the professions to mainstream the aims of the Scottish Patient Safety Programme in pharmacy and medicines practice Check mark Check mark Check mark
4. Develop and implement a framework for the appropriate use of patient identifiable prescribing data and risk assessment Check mark Check mark Check mark
5. Work with health professionals to enhance shared clinical patient information systems to support pharmacists providing clinical care Check mark Check mark Check mark
6. Develop with the professions NHS Pharmaceutical Care Performers list for patient registration to allow patients to have appropriate pharmaceutical care Check mark
EFFECTIVE pharmaceutical care Years 1-3 Years 3-5 Years 5-10
1. Consult on the powers of NHS Board Pharmaceutical Care Plans and its impact on existing planning arrangements including dispensing doctors Check mark Check mark Check mark
2. Establishing with NHS, NES and professional bodies the framework for development of general practice clinical pharmacist Check mark Check mark Check mark
3. Develop new models to enhance role of pharmacist by better use of pharmacy workforce such as pharmacy technicians and pharmacy assistants Check mark Check mark Check mark
4. Establish a framework of joint working and information sharing between primary and secondary care pharmacist and other members of the multidisciplinary team Check mark
5. Redesign the dispensing process to release pharmacists time or clinical care through workforce planning and improved use of pharmacy team and automation using robotics Check mark Check mark Check mark
6. Establish a public/private partnership framework to promote and increase the use of robotics Check mark Check mark Check mark
7. Build on the work being taking forward through NHS Scotland Efficiency & Productivity programme Check mark Check mark Check mark
8. Respond to Audit Scotland report into prescribing in general practice - in particular to extend joint working of pharmacist with all other prescribers to ensure all patients have appropriate pharmaceutical care Check mark Check mark Check mark
9. Introduce a framework to promote and increase the use mobile technology to support people manage their medications and improve adherence Check mark Check mark Check mark
INFRASTRUCTURE to deliver pharmaceutical care Years 1-3 Years 3-5 Years 5-10
1. Establish an education and training framework to help pharmacists deliver pharmaceutical care to patients in all settings Check mark Check mark Check mark
2. Develop and establish a framework for workforce development to ensure adequate resource to deliver the Vision of general practice pharmacists working in primary care Check mark Check mark Check mark
3. A framework to support clinical and professional leadership Check mark Check mark Check mark
4. Develop an integrated approach to deliver a Single Virtual Medications Care record available at each point of care Check mark Check mark
5. Support the on-going development and introduction of medications standards Check mark Check mark Check mark
6. Integrate and build on facilities already operational for the pharmacist-to-person registration service Check mark Check mark
7. Develop technology for decision support in prescribing and dispensing Check mark Check mark Check mark
8. HEPMA to allow for electronic capture of prescribing data in secondary care Check mark Check mark
9. Develop, consult on, and implement a modern framework for planning, contracting and delivering NHS Pharmaceutical Care Services considering legislative changes that might be needed supported by research Check mark Check mark Check mark

Contact

Email: Martin Moffat

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