Ratio of GPs to population falls by a tenth since 2009

Ratio of GPs to population falls by a tenth since 2009

July 13 2018 There were 62.0 GPs per 100,000 population in 2017, a decrease of 11.2% from the...

Dementia risk advice introduced into NHS Health Check

Dementia risk advice introduced into NHS Health Check

June 19 2018 Health professionals providing the NHS Health Check service will be expected to give...

Wales announces £100m to shake up NHS and social care services

Wales announces £100m to shake up NHS and social care services

June 14 2018 Wales is to undergo a significant overhaul of NHS and social care services, the...

Welsh pharmacies to supply flu vaccine for care home workers

Welsh pharmacies to supply flu vaccine for care home workers

June 11 2018 Care home workers in Wales will be eligible for free flu vaccination in the 2018-19...

Flu vaccination by GPs sees increase for 2017-18 season

Flu vaccination by GPs sees increase for 2017-18 season

May 30 2018 Flu vaccine uptake among people aged 65 years or over increased to 72.6% for the...

  • Ratio of GPs to population falls by a tenth since 2009

    Ratio of GPs to population falls by a tenth since 2009

    Friday, 13 July 2018 13:02
  • Dementia risk advice introduced into NHS Health Check

    Dementia risk advice introduced into NHS Health Check

    Tuesday, 19 June 2018 10:15
  • Wales announces £100m to shake up NHS and social care services

    Wales announces £100m to shake up NHS and social care services

    Thursday, 14 June 2018 14:24
  • Welsh pharmacies to supply flu vaccine for care home workers

    Welsh pharmacies to supply flu vaccine for care home workers

    Monday, 11 June 2018 14:07
  • Flu vaccination by GPs sees increase for 2017-18 season

    Flu vaccination by GPs sees increase for 2017-18 season

    Wednesday, 30 May 2018 11:07

a blood pressure monitor imageJuly 11 2018

Community pharmacy referrals for hypertensive patients under the New Medicines Service has not increased GP workload appreciably.


Analysis of 131,419 patient records in England has found that 4.5% of patients were referred by a pharmacist to a GP within the first 2 weeks of starting a new antihypertensive medication. The patients most commonly referred to the GP were those experiencing side effects, but other significant influences on referral were medication-related concerns and the drug class.

In terms of drug class, the introduction of an alpha blocker into the patient’s therapy was most likely to result in a referral, while patients prescribed angiotensin-II receptor blockers were least likely to be referred. 

The findings have been published in the British Journal of General Practice, with the researchers looking at data relating to the introduction of the New Medicines Service in 2011-12. It found that the mean age of patients assessed under the NMS was 65 years.

“These data are reassuring, in that additional pharmacist involvement does not increase medical workload appreciably, and support further development of pharmacist-led hypertension interventions,” said the researchers from the Nuffield Department of Primary Care Health Sciences, University of Oxford.

“The impact on clinical workload of additional pharmacy services is worthy of consideration. With the incidence of new hypertension cases at eight people per 1,000, a 4% referral rate would mean that of the 52 new hypertension cases per practice per year only two would need to be seen again by their GP within two weeks of medication initiation. 

“Without knowing the rate of patient re-presentation to GPs outside of the NMS, it is difficult to determine whether a 4% referral rate would indeed represent an improvement or worsening of the current situation; however, these numbers appear low.”

Link:
A Albrasi et al. ‘Hypertension referrals from community pharmacy to general practice: multivariate logistic regression analysis of 131 419 patients’. Br J Gen Pract 5 July 2018; bjgp18X697925.        

Contract News

July 27 2018 Adolescent boys will be offered the human papilloma virus (HPV) vaccine to protect them from cancer, the Department of Health and Social Care has announced.
July 20 2018 Doctors are being reminded to ensure that any patient or other records which may be relevant to the UK Infected Blood Inquiry are not destroyed. Earlier this month, the Inquiry’s Chair, Sir...