PSNC Vision and work plan
PSNC Vision and work plan
PSNC’s vision is to work collaboratively to ensure a robust and sustainable community pharmacy network, meeting the needs of patients, contractors and government.
Community pharmacy development
PSNC is now in negotiations on the Community Pharmacy Contractual Framework (CPCF) for 2019/20 and beyond.
The negotiations will take the form of tripartite discussions between representatives from PSNC, the Department of Health and Social Care (DHSC) and NHS England.
From details in the NHS Long Term Plan and GP Contract, we can expect discussions on how NHS England and DHSC want to utilise better the skillset and reach of community pharmacy. In particular with proposals for urgent care, prevention and medicines safety. For example:
- The possible roll-out of a national minor illnesses referral service via NHS 111, and the piloting of referrals to community pharmacy from other settings such as GPs and NHS.UK;
- The future of the Healthy Living Pharmacy (HLP) programme and effective use of the Pharmacy Integration Fund; and
- Medicines safety interventions and the future of Medicines Use Reviews (MURs).
The discussions will be complex and while they are ongoing PSNC, DHSC and NHS England have agreed that the negotiations will remain confidential to facilitate frank and open discussion.
2019/20 work plan
PSNC’s Strategic Plan for 2019/20 was agreed at the Committee’s February 2019 meeting.
The plan pulls together all of the work streams being undertaken by PSNC’s six subcommittees – Service Development; Legislation and Regulatory Affairs; Funding and Contract; LPC and Contractor Support; Communications and Public Affairs; and Resource, Development and Finance.
Further information about PSNC’s ongoing discussions and actions can be found within our committee and subcommittee agendas and minutes, which are available from the PSNC meetings section of our website.
PSNC Service Development Options
PSNC’s latest set of service proposals give an indication of the breadth of what pharmacy has to offer, highlighting some of the ways in which developing pharmacy services could:
- Reduce demand on GPs and urgent care;
- Reduce future healthcare demand (by focusing on prevention);
- Building primary care capacity; and
- Optimise use of medicines, ensuring that the NHS gets best value from its spend on medicines.
Learn more about our service development proposals
These proposals were developed following discussions with NHS England officials in which PSNC identified the need to update its service development proposals to include options for nationally commissioned urgent care and public health services. These include commissioning of national Emergency Hormonal Contraception (EHC) and stop smoking services from community pharmacies and NHS Health Checks, blood pressure measurement and Atrial Fibrillation (AF) identification.
How to achieve this
In order to deliver all of this, we recognise that pharmacies will need to undergo a programme of change that enables them do more to help people to stay healthy, manage long-term conditions and avoid visits to GPs and hospitals. Close integration with developing local healthcare networks and with GPs will be essential, as will campaigns that promote the use of pharmacy. Other healthcare providers in integrated networks should also be able to direct patients to pharmacy services, as well.
To achieve this change programme, we would like to agree a multi-year settlement, setting out what pharmacies need to deliver in each year in return for the funding they will receive. At the heart of this must be a Government vision setting out what it wants from pharmacies – this would enable the sector to plan. PSNC will look to work with Government and NHS England on setting out this vision.
Community pharmacy and the NHS Long Term Plan
The NHS Long Term Plan states that the NHS wants to make better use of community pharmacists’ skills and we believe there are a number of ways in which we could do this to help ease pressure on GP practices and other urgent care providers such as A&E.
Community Pharmacy: The Long Term Future of the NHS
This briefing, which was published ahead of the Long Term Plan, broadly outlines where PSNC would like to see community pharmacy help, including through the wider commissioning of a community pharmacy minor ailments service and doing more to help people prevent ill health. Both of these would help to reduce pressure on GPs and other services.
The Community Pharmacy Forward View
As part of PSNC’s work to develop community pharmacy, we worked with Pharmacy Voice, with the support of the RPS English Pharmacy Board, to create a joint vision document.
The Community Pharmacy Forward View sets out the sector’s ambitions to radically enhance and expand the personalised care, support and wellbeing services that community pharmacies provide. Although it was published in 2016, much of the ambition in the Forward View remains relevant. In the scenarios outlined in the document, pharmacy teams would be fully integrated with other local health and care services in order to improve quality and access for patients, increase NHS efficiency and produce better health outcomes for all.
The Community Pharmacy Forward View sets out the organisations’ shared ambition for the sector, focused on three key roles for the community pharmacy of the future:
- As the facilitator of personalised care for people with long-term conditions
- As the trusted, convenient first port of call for episodic healthcare advice and treatment
- As the neighbourhood health and wellbeing hub
Further details of PSNC’s previous work to enhance the community pharmacy service can be found on the following pages: