North East London Local Pharmaceutical Committee


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H Competency 8

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Competency 8: Promote & specify continuous improvements in quality & outcomes through clinical & provider innovation and configuration.

Activity:

*Implementation of improvement initiatives.

LPC Comments:

*Some progress has been made but the change does not appear as a result of systematic review of LTCs and involving LPC representation on working groups.
*Minor ailments and EHC , anticoag service (where pharmacy is the leading provider) are part of this
*Even Chlamydia despite its flaws – treatment only via pharmacy.

LPC Score: Level 2


C8D
C8A

Competency 8: Promote & specify continuous improvements in quality & outcomes through clinical & provider innovation and configuration.

Activity:

*Identification of improvement opportunities.

LPC Comments:

*Clinical pathways could bedesigned with pharmacy input.
*Innovation in pharmacy services is limited and ideas for good innovative services suppressed e.g. Minor Ailment Scheme. We understand that the service is planned for next year.
*GP led PEC is hampering integration and innovation and is being re-configured .
*The LPC has been invited to participate in the group to re-design diabetes service
*Similar involvement in LTCs re-design would create confidence in pharmacy.
*The CEO has clearly set out service redesign plans at the Forum meetings and has the general support of the pharmacists.
*Concerns remain around the processes and estates.
*Pharmacy users’ should be supported to further increase their expectations from community pharmacy by improved communication and education.

LPC Score: Level 2



Competency 8: Promote & specify continuous improvements in quality & outcomes through clinical & provider innovation and configuration.

Activity:

*Collection of quality and outcome information

LPC Comments:

*More work is needed to take this competency to the next level.
*Nationally, some work is ongoing.
*Locally, work can begin around traditional roles of community pharmacists. Community pharmacists and GPs should be made to work together under a mandatory GP/pharmacist duty of partnership to benefit the patient, the PCT, and the professions.
*The PCT must develop a mechanism for considering provider innovation and service configuration.
*Monitoring process shared with LPC and we are supportive of the process which is fair and the data required is proportional to the need.

LPC Score: Level 2


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