The role of practice-based pharmacists
Expanding the use of practice-based pharmacists as an integral part of the GP team would enable the utilisation of a highly skilled workforce
Posted: 14 April 2016
If you’ve missed yesterday’s episode of this week’s feature on practice-based pharmacists, click here.
Writers: Dr Simon Hodes, Coach House Surgery, Bridgewater House and Rena Amin, Practice Based Pharmacist, Hartland Way Surgery
Two clinicians make the case for practice-based pharmacists to become a formalised role for the future.
1) Access: increased access for patients to see a healthcare professional.
2) Clinical work: management of long-term conditions, for example running spirometry, asthma and diabetic clinics; monitoring and amending medication as per NICE/clinical guidelines; management of minor illness, in particular using their expertise in health promotion, self-management and use of OTC medications.
3) Safety of care: for example dealing with hospital discharge letters to ensure medication changes and monitoring have been actioned on GP notes; arranging any necessary follow up blood tests and review following discharges; and safe monitoring of DMARDS, Warfarin, NOACs and other high risk medications.
4) Admission avoidance with proven reduction in A&E attendances and acute admissions (we know 17 per cent of admissions in over 65 year olds are medication related).
5) Domiciliary and nursing home visits for agreed range of conditions.
6) Involvement in MDT meetings, offering advice and support to the team, and assisting in safe coordination of care.
7) Support with medicines management, implementing MHRA or patient safety warnings, assisting with repeat prescribing, advice on complex medication regimes, and increased pharmacovigilance.
8) Health promotion: for example running smoking cessation and weight management clinics.
9) Reduction in medicine wastage, overuse and over ordering.
10) Involvement in managerial roles, QOF, CQC work, business planning and clinical governance.