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       #Post#: 115--------------------------------------------------
       Implementation details for Pharmacist-led prescription service
   DIR By: admini5
       Date: May 12, 2015, 4:18 am
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       What are the implementation details for Pharmacist-led repeat
       prescription management service?
       Initially a pilot project was run in 2 practices to test the
       idea of practice-based pharmacists managing repeat
       prescriptions. During this pilot the need for the scheme was
       confirmed, processes were refined and outcome measures were
       developed.
       The scheme involves CCGs creating additional pharmacy capacity,
       so that GP practices can buy-in pharmacy time to manage repeat
       prescriptions. This is cheaper and ensures more appropriate
       prescribing than the previous system of GPs undertaking repeat
       prescriptions. GP practices buy-in the service out of their
       prescribing budget. The net cost to the budget of repeat
       prescriptions is reduced by this initiative.
       Following the pilot a commissioning business plan was developed
       to obtain approval for roll-out across 14 practices in the area
       that had expressed an interest. These practices were initially
       allocated 4 hours of pharmacist time per 1200 patients. To meet
       demand, the CCG increased the hours of pharmacist SLAs. The
       results of the wider roll-out confirmed the benefits to savings
       and quality resulting from pharmacist interventions.
       Once a successful evaluation of the project was completed at 18
       months, the service was offered to other localities within
       Walsall, with uptake in 56 (90%) practices. Practices typically
       used between 4-8 hours of pharmacist time per week, which was
       less than in the pilot. To meet this demand the medicines
       management team recruited additional pharmacists to provide
       capacity.
       The widespread adoption of the initiative suggests it could be
       successful in other areas.
       The work highlights the potential for pharmacists to be included
       as fully integrated members of a general practice team.
       For further information on the topic please go to :
  HTML https://www.nice.org.uk/Media/.../14-0001-qp-pharmacist-led-rpms.pdf
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