R Competency 1 - North East London Local Pharmaceutical Committee

Competency 1: Local leadership

Activity: Reputation

*The PCT should actively steer local health agenda.
*The PCT stimulates discussion on health and care matters.
*The PCT communicates a vision, priorities and strategy clearly to pharmacy users.
*The PCT communicates a vision, priorities and strategy clearly to pharmacists.
*National guidance is being followed e.g. The Pharmacy White Paper and the WCC Guidance.

LPC Comments:

*The PCT has yet to engage with the 30,000 a day pharmacy users.
*We feel that the local population would need convincing with evidence that the local NHS is improving community pharmacy.  In fact, there is contrary evidence.
*The PCT could engage a lot early with the pharmacy leaders and avoid playing its cards close to its chest.
*Stated aim to integrate services is still a dream.

*PCT is a GP led organisation.
*Pharmacists feel that things are done to them rather than engaging them in co-creation.
*Plans for developing the estates need to demonstrably involve pharmacy community at an early stage.
*The Board and the senior staff need to demonstrate their understanding of the pharmacy contribution to WC primary care.

LPC Score: Level 2

*The LPC believes that with greater involvement of the PCT Board and senior managers and addressing of the national guidance, and improved participation of the LPC in LTCs groups there could be rapid improvement.
*Action points for improvement are listed under appendix 1.

The LPC has posed several questions to the PCT Board and aree awaiting responses.

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Competency 1: Local leadership.

Activity:

*Change leader for local organisations:

LPC Comments:

*The PCT Board could engage with pharmacy.
*Senior managers could engage with pharmacy and demonstrate its understanding of pharmacy resource.
*Must co-create rather than bully.
*The Pharmacy team is trying hard but could do with more resources.
*Could benefit from joint training with local pharmacy leaders on change management.
*Needs to develop an agreed strategy for change management of the sector and supporting individuals.
*Needs to address key questions in appendix 1.

LPC Score: Level 2

Competency 1: Local leadership.

Activity:

*Position as an employer of choice.

LPC Comments:

*See above. And there is lack of clarity as to who is leading pharmacy within the PCT.
*The PCT Senior managers delegate responsibility without a modern audit of what is necessary to deliver the change.
*There is no evidence of change management expertise in the medicines team when the biggest agenda is change management.
*Public health directorate could be better connected with Medicines Management Team to deliver Pharmacy White Paper objectives (See appendix 2).

LPC Score: Level 1

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