The new contract historical context

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The new contract historical context

• 1999 Generics pricing problems
• Led to demand from government for new systems for
  reimbursement
• 2000 Pharmacy in the Future
• Promised new contract
• Rewarding quality not volume
• Result working towards a new contract which
  builds services around supply
• Protecting supply role
• Engaging fully with primary care

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New contract negotiations

• Discussions underway with
• Department of Health
• NHS Confederation representing PCTs
• Target implementation date April 2004
• Contractors will be balloted on the new contract

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New contract - structure

• Core services offered by all contractors
• Additional services which will eventually be
  provided by all contractors
• Local services agreed nationally, but
  commissioned locally by PCTs
• Contract gradually develops over time new
  services added at all levels

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Core services

• Dispensing
• Repeat dispensing
• Medication waste reduction promoting
  appropriate use of medicines and reducing waste
• Signposting patients to other healthcare
  professionals
• Clinical governance
• SoPs
• Error/near miss reporting
• Pharmacist CPD
• Service audits patient questionnaires

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Additional services

• Medication utilisation reviews
• Promoting concordance
• Identifying problems with medication
• Addressing requirements of Older Peoples NSF
• Promoting self care
• Provision of advice on self care options
• Minor ailments scheme (along the lines of the
  Care at the Chemist scheme)
• Addressing NHS Access targets

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Local services

• Drug misuse services
• EHC access services
• Mental health concordance advice services
• Community MDS services
• Home delivery services
• Home support services
• Care home services
• Smoking cessation
• Diabetes screening
• CHD screening and health living clinics
• Language access services
• Palliative care services
• This is not an exhaustive list of services being
  considered

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Consultations on the contract

• LPC are being consulted now
• Contractors have been given brief information
  within Community Pharmacy News
• National roadshows are organised for June/July
• Contractors will be balloted on the new contract

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Comments and ideas

• Nothing is currently set in stone within the
  development of the new contract
• Let us know your views on the framework outlined
  so far
• Let us know your ideas for other new services
• Please e-mail comments to Alastair Buxton
  (alastair.buxton_at_psnc.org.uk )
• Make sure you attend one of the Roadshows and
  tell us what you think