The Pharmacist’s role The Pharmacist’s role In the delivery of Diabetes care In the delivery of Diabetes care And the NSF And the NSF Irene Gummerson Irene Gummerson Pharmacist with a Special Interest in Pharmacist with a Special Interest in Diabetes Diabetes Member of the Diabetes UK Advisory Member of the Diabetes UK Advisory Council Council
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The Pharmacist’s role In the delivery of Diabetes care In the delivery of Diabetes care And the NSF Irene Gummerson Irene Gummerson Pharmacist with a Special.
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The Pharmacist’s roleThe Pharmacist’s role
In the delivery of Diabetes careIn the delivery of Diabetes care
And the NSFAnd the NSF
Irene GummersonIrene Gummerson
Pharmacist with a Special Interest in DiabetesPharmacist with a Special Interest in Diabetes
Member of the Diabetes UK Advisory CouncilMember of the Diabetes UK Advisory Council
Drivers for ChangeDrivers for Change
Government:Government:– Wants better valueWants better value
NSF - Standard 2NSF - Standard 2Early IdentificationEarly Identification
‘‘When community pharmacists….. see When community pharmacists….. see people with symptoms suggestive of people with symptoms suggestive of diabetes, diabetes,
they should advise them to see their GP they should advise them to see their GP for diagnostic testing’for diagnostic testing’
NSF - Standard 2NSF - Standard 2Early Identification Early Identification
‘‘..there is currently uncertainty as to what ..there is currently uncertainty as to what is the best way to identify people with is the best way to identify people with undiagnosed asymptomatic Type 2 undiagnosed asymptomatic Type 2 diabetes..’diabetes..’
‘‘..targeted..’..targeted..’
‘‘..combined with CVD.’..combined with CVD.’
NSF - Standard 2 NSF - Standard 2 Early IdentificationEarly Identification
RPSGB guidance RPSGB guidance – Essential PracticeEssential Practice
Monitoring OTC sales – support staffMonitoring OTC sales – support staff
New ContractNew Contract– Enhanced service Enhanced service
Diabetes screeningDiabetes screening
NSF - Standard 3NSF - Standard 3EmpoweringEmpowering
NSF: Standards 4,5,6NSF: Standards 4,5,6Clinical Care of adults/ childrenClinical Care of adults/ children
RPSGB - RPSGB - repeat scriptrepeat script
– Essential PracticeEssential PracticeAnomalies, side effects, concordanceAnomalies, side effects, concordance
– Desirable practice Desirable practice Remind, clarify, educate Remind, clarify, educate
NSF: Standards 4,5,6NSF: Standards 4,5,6Clinical Care Clinical Care (contd)(contd)
LPSLPS
New ContractNew Contract– Advanced ServicesAdvanced Services
Medicines Use Reviews (MURs)Medicines Use Reviews (MURs)
InterventionsInterventions
NSF: Standards 4,5,6NSF: Standards 4,5,6Clinical Care Clinical Care (contd)(contd)
New ContractNew Contract– Enhanced ServicesEnhanced Services
Medicines reviews - medical records/ or notMedicines reviews - medical records/ or not– Pharmacy, care homes, domiciliary settingsPharmacy, care homes, domiciliary settings– Not just target diabetesNot just target diabetes
Supplementary prescribingSupplementary prescribing– BP, testsBP, tests– bloods by pharmacist, nurse, phlebotomistbloods by pharmacist, nurse, phlebotomist
NSF for Diabetes NSF for Diabetes ‘Delivery Strategy’‘Delivery Strategy’
‘‘pharmacists are a regular point of contact pharmacists are a regular point of contact for people with diabetes and can play a for people with diabetes and can play a central role in improved medicines central role in improved medicines management’.management’.
– recognition of the pharmacist’s rolerecognition of the pharmacist’s role
– All sectorsAll sectors– Pharmacists & pharmacy techniciansPharmacists & pharmacy technicians– Strengthening pharmacy’s role in diabetes careStrengthening pharmacy’s role in diabetes care– Document Consultation groupDocument Consultation group