The benefits of Community Pharmacy delivering Vascular Risk Assessments.
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Transcript of The benefits of Community Pharmacy delivering Vascular Risk Assessments.
Introductions
[Insert here the names and responsibilities of the persons from the LPC that are present.]
Today's Objective
[e.g. To illustrate the unique nature of community pharmacy in X PCT, and how community pharmacy can assist
the PCT to deliver and hopefully exceed Vascular Risk Assessment
targets]
The challenges of delivering VRA• Primary care capacity
• Delivering access and engaging the public
• Delivering lifestyle interventions
• Inter-professional relationships
Community pharmacy can help the PCT overcome these challenges
Delivering primary care capacity
• Estimate how many VRA screens your pharmacies could deliver
Community pharmacy can deliver VRA capacity
Delivering access and engaging the public
• Most adults use pharmacies– 84% visit pharmacy at least once a year– 78% of visits are for health reasons– 75% have visited within the last 6 months
• Excluding those who report never visiting a pharmacy, an adult visits a pharmacy 16 times a year, of which 13 visits are for health related reasons
• An estimated 1.6 million visits take place daily, of which 1.2 million are for health-related reasons
This footfall provides a massive opportunity to promote VRA and healthy lifestyle messages
Delivering access and engaging the public
• The wide diversity of pharmacy locations enhances access, e.g. high streets and supermarkets
• 99% of the population – even those living in the most deprived areas – can get to a pharmacy within 20 minutes by car and 96% by walking or using public transport
• Long opening hours and opening at weekends increases access
• Pharmacy services can be delivered without the need for appointments
Delivering access and engaging the public
• Add details of the pharmacies within the area – highlight geographical dispersion in target areas and their accessible opening hours
• Add any data that can demonstrate use of local pharmacies by hard to access groups of the population
Delivering access and engaging the public
• Community pharmacies are used by groups who may be infrequent users of GP services:– In particular men and people working
long hours;– Women, aged over 35 and people with
LTCs or disabilities are frequent users of pharmacy;
• Any eligible person who visits a pharmacy could access a VRA, including people not registered with a GP
Consultation facilities
• Over 75% of pharmacies now possess a private consultation area which provides a convenient yet accessible location for VRA
• Add further details on the availability of consultation facilities in your local pharmacies including access to internet enabled computer terminals
Staff competency and training
• Across the country, community pharmacy has already demonstrated its ability to deliver professional screening services to appropriate standards, e.g. diabetes screening and BP measurement
• Pharmacy staff are trained to use POCT equipment, safely handle blood samples and clinical waste
• A trained pharmacist would take the clinical lead and responsibility for this service, including ensuring the competency of pharmacy staff
Staff competency and training
• Community pharmacists and their staff are constantly updating their knowledge through continuing education programmes and CPD
• [Include an update on local training initiatives]
Governance
• A pharmacist will act as clinical lead for the service• All pharmacies are required to comply with
professional and NHS confidentiality and information governance standards
• All pharmacies have professional indemnity insurance in place which would cover this activity
• Pharmacies have experience of carrying out patient experience evaluations
• Community pharmacy uses Standard Operating Procedures for all services provided
POCT equipment
• Use of POCT equipment allows immediate calculation of risk in one appointment – reducing lost to follow up scenarios
• Robust systems will be put in place to guarantee the appropriate use of and the QA of all POCT equipment
Follow up interventions
• Following VRA, a pharmacy is an ideal location for– stop smoking advice– healthy eating and lifestyle advice– weight management programmes
• Pharmacies already provide a signposting service as part of our NHS contract
Integration into the wider NHS VRA programme
• Pharmacies generally have excellent relations with local GP surgeries
• Add details of discussions with LMC/GPs, e.g. discussions on information transfer and referral systems
• The pharmacy service should be integrated into the VRA call and recall system
Summary
Community pharmacy can help X PCT deliver VRA
• Increasing access and choice
• Engaging a different part of the population from general practice
• Engaging hard to access groups
• Helping to minimise health inequalities