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
The Pharmacist’s role. In the delivery of Diabetes care And the NSF Irene Gummerson Pharmacist with a Special Interest in Diabetes Member of the Diabetes UK Advisory Council. Drivers for Change. Government: Wants better value ‘Pharmacists under-used’ - PowerPoint PPT Presentation
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The Pharmacist’s roleThe Pharmacist’s role
In the delivery of Diabetes careIn the delivery of Diabetes careAnd 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
NHS Pharmacy PlanNHS Pharmacy PlanChoosing Health through PharmacyChoosing Health through PharmacyVision for PharmacyVision for PharmacyNew Contract New Contract Other national & local policy documentsOther national & local policy documents
Drivers for ChangeDrivers for Change (Contd)(Contd)
Profession bodiesProfession bodiesRPSGB, PSNC, NPARPSGB, PSNC, NPAOther Professions Other Professions
Pharmacists Pharmacists Hospital, Community, PCT, GP practiceHospital, Community, PCT, GP practicePhwSIsPhwSIs
National Service Framework National Service Framework (NSF for Diabetes)(NSF for Diabetes)
Standards for Diabetes Services Standards for Diabetes Services (2001)(2001)
Std.1Std.1 Prevention of Type 2 diabetesPrevention of Type 2 diabetesStd.2Std.2 Early Identification (Screening)Early Identification (Screening)Std.3Std.3 Empowerment Empowerment Std.4/5/6Std.4/5/6 Clinical care of adults/ childrenClinical care of adults/ childrenStd.7Std.7 Management of diabetes emergenciesManagement of diabetes emergenciesStd.8Std.8 Care during admission to hospitalCare during admission to hospitalStd.9Std.9 PregnancyPregnancyStds.Stds.10/11/12 Detection/management of L.T. complications10/11/12 Detection/management of L.T. complications
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
Diabetes care, medicationDiabetes care, medication
NSF - Standards 4,5,6NSF - Standards 4,5,6 Clinical care of adults/ children Clinical care of adults/ children
RPSGB - firstRPSGB - first script script
– Essential PracticeEssential PracticeCheck they have diabetes Check they have diabetes Dosage regime, DIs, CIs etcDosage regime, DIs, CIs etcDiabetes UKDiabetes UK membership membership
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
Lower LimbLower LimbFoot care adviceFoot care adviceOTC salesOTC sales
NephropathyNephropathyCheck for renal impairmentCheck for renal impairmentDrugs to avoid or reduce doseDrugs to avoid or reduce dose
Smoking CessationSmoking Cessation
Relevant to:Relevant to:Management of L.T complications Management of L.T complications – (Standards 10,11,12)(Standards 10,11,12)Many government documents Many government documents RPSGB - Desirable PracticeRPSGB - Desirable PracticeNew Contract – Enhanced Service New Contract – Enhanced Service
Pharmacist’s role Pharmacist’s role in the delivery of Diabetes Care?in the delivery of Diabetes Care?Expanding Expanding – Increasing opportunitiesIncreasing opportunities– ChallengingChallenging
The New Contract & RPSGB guidanceThe New Contract & RPSGB guidance– Guide implementing Diabetes NSFGuide implementing Diabetes NSF
– 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