Publication - Strategy/plan
Prescription for Excellence - the future of pharmaceutical care: vision and plan
A vision and action plan for the future of NHS pharmaceutical care in Scotland through integrated partnerships and innovation.
Chapter 6 Summary of key actions
PERSON CENTRED pharmaceutical care | Years 1-3 | Years 3-5 | Years 5-10 |
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1. Create a model to facilitate clinical pharmacist prescribers working in partnership with patients, GPs and other prescribers | |||
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 | |||
3. Develop models to ensure all patients have pharmaceutical care including polypharmacy/ medication reviews where appropriate | |||
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 | |||
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 | |||
6. Establish a framework for anticipatory pharmaceutical care planning | |||
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 | |||
8. Scottish Government will develop innovative pharmaceutical care to support the clinical application of translational genomics and stratified medicine | |||
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 | |||
Older People - in care homes and in their own home | |||
Alcohol and Substance Misuse | |||
Mental Health | |||
Sexual health | |||
Children | |||
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 |
SAFE pharmaceutical care | Years 1-3 | Years 3-5 | Years 5-10 |
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1. Review of the governance arrangements for the safe delivery of pharmaceutical care and use of medicines in the community | |||
2. Implementing clinical guidelines and Monitoring use of Medicines | |||
3. Establish partnerships with HIS, and the professions to mainstream the aims of the Scottish Patient Safety Programme in pharmacy and medicines practice | |||
4. Develop and implement a framework for the appropriate use of patient identifiable prescribing data and risk assessment | |||
5. Work with health professionals to enhance shared clinical patient information systems to support pharmacists providing clinical care | |||
6. Develop with the professions NHS Pharmaceutical Care Performers list for patient registration to allow patients to have appropriate pharmaceutical care |
EFFECTIVE pharmaceutical care | Years 1-3 | Years 3-5 | Years 5-10 |
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1. Consult on the powers of NHS Board Pharmaceutical Care Plans and its impact on existing planning arrangements including dispensing doctors | |||
2. Establishing with NHS, NES and professional bodies the framework for development of general practice clinical pharmacist | |||
3. Develop new models to enhance role of pharmacist by better use of pharmacy workforce such as pharmacy technicians and pharmacy assistants | |||
4. Establish a framework of joint working and information sharing between primary and secondary care pharmacist and other members of the multidisciplinary team | |||
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 | |||
6. Establish a public/private partnership framework to promote and increase the use of robotics | |||
7. Build on the work being taking forward through NHS Scotland Efficiency & Productivity programme | |||
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 | |||
9. Introduce a framework to promote and increase the use mobile technology to support people manage their medications and improve adherence |
INFRASTRUCTURE to deliver pharmaceutical care | Years 1-3 | Years 3-5 | Years 5-10 |
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1. Establish an education and training framework to help pharmacists deliver pharmaceutical care to patients in all settings | |||
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 | |||
3. A framework to support clinical and professional leadership | |||
4. Develop an integrated approach to deliver a Single Virtual Medications Care record available at each point of care | |||
5. Support the on-going development and introduction of medications standards | |||
6. Integrate and build on facilities already operational for the pharmacist-to-person registration service | |||
7. Develop technology for decision support in prescribing and dispensing | |||
8. HEPMA to allow for electronic capture of prescribing data in secondary care | |||
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 |
Contact
Email: Martin Moffat
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