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  • General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

    General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

    Tuesday, 31 July 2018 15:31
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Umesh Modi is a chartered accountant, and Pamini Jatheeskumar is a chartered certified accountant at Silver Levene...
  Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead...
Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead pharmacist, Health and Wellbeing Directorate, Public Health England
More inWhite Papers  

a green cross imageApril 23 2018

A community pharmacy service which seeks to help improve the physical health of people with psychosis has been highlighted by the Royal College of Psychiatrists.

 The scheme involved pharmacies in North East London who were able to offer physical health checks to people with a diagnosis of a psychotic illness. A report on the project has been included in the a RCPsych’s publication ‘Why QI? A guide to quality improvement from the Faculty of General Adult Psychiatry’.

PSNC has flagged up the scheme, which included ECG, blood pressure, cholesterol and glucose testing with results available on the same day. Of 350 people eligible for the intervention, 180 were offered checks and 140 people attended. 

“Pharmacists spent up to an hour coaching patients and empowering them to self-manage their physical health” it said. 

“Additionally, 70% of attendees had all five Lester cardiometabolic risk factors monitored which is a higher rate of patient uptake compared to the NHS England national inpatient and national community setting averages. This is significantly better than standard care in Barking and Dagenham, where only 36% of patients had all five risk factors monitored.”

The scheme was a collaborative effort involving North East London LPC, North East London NHS Foundation Trust (NELFT) and University College London, with support from Public Health London, Borough of Barking and Dagenham and the London Mental Health Strategic Clinical Network.

Consultant psychiatrist Dr Asif Bachlani is the clinical lead for mental health tariff at South West London and St George’s Mental Health NHS Trust, and was involved with the project. He had been invited to talk to community pharmacists about models of self-care.

“They had started performing physical health checks for people with common mental disorders such as anxiety and depression, using a self-care model that aimed to support patients to self-manage and take control of managing their illness. It occurred to me that carrying out health checks in pharmacies for people with more severe mental health disorders might work for this difficult-to-reach population,” he said. 

Pharmacists had the facilities and capacity, and were happy to be involved in a pilot, and funding was approved. 

“Patients really liked it because the pharmacists spent up to an hour with them coaching and empowering them to self-manage their physical health, which is far longer than we could offer in the trust, due to other pressures,” he added. 

Hemant Patel, Secretary of NEL LPC, said: “Pharmacists provide high quality and accessible care from local pharmacies which was very much appreciated by this vulnerable patient group. The carers, too, appreciated local support and need for avoiding going to hospital or clinic and using public transport. Pharmacists enjoyed the training and patient contact which improved their consultation skills and feeling of contribution to their community.”

Links:
PSNC announcement    
RCPsych ‘Why QI? A guide to quality improvement from the Faculty of General Adult Psychiatry’ 

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