CPS MANIFESTO


from the AUDIT tool and is designed to be used in busy clinical settings.


2000/01 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2009/10 2010/11 2011/12 2012/13 2013/14


The graph shows the percentage uptake for both categories.


The Scottish NHS should increase public choice and capacity by offering an NHS fl u vaccination service which utilises General Practice surgeries and community pharmacies working together to achieve the WHO target. This is currently not possible in Scotland as the NHS (Scotland) Act 1978 only allows the NHS to contract with general practice. The Act should be amended to facilitate the NHS to broaden the scope of its vaccine services.


NHS England are already utilising their community Pharmacy network as part of a national NHS fl u vaccination service. Research has shown that utilising the community pharmacy network can increase vaccination uptake and is associated with a high level of patient acceptability.


Many of Scotland’s Community Pharmacy Contractors already provide a private fl u vaccination service outside of the NHS for those who are not eligible for NHS programmes or who choose to attend the pharmacy because the current NHS service does not meet their needs. National training should also be provided by NHS Education for Scotland to ensure every


12 - SCOTTISH PHARMACIST 62.4% 63.4% 67.5% 72.2%


71.0% 39.3%


77.8% 46.3%


37.8%


74.3% 44.4%


76.3% 47.8%


75.0% 51.1%


75.0% 51.1%


76.2% 56.1%


76.6% 59.7%


77.4% 59.2%


77.0% 60.6%


65 and over (2000/01 to 2004/05 based on HPS surveillance data, 2005/6 onwards based on GP claims for payment)


Under 65s in an at risk group (not available prior to 2004/05; 2004/05 to 2010/11 based on HPS surveillance data, 2011/12 onwards based on GP claims for payment)


WHO target for seasonal influenza vaccine uptake.


community Pharmacy contractor has the opportunity to participate in the service.


17


A web based electronic platform should be utilised so community Pharmacists and GPs can communicate which patients have been vaccinated and update medical records accordingly.


COMMUNITY PHARMACY ALCOHOL BRIEF INTERVENTIONS SERVICE It is widely recognised that in Scotland there are unhealthy relationship with alcohol that compares unfavourably with many other countries. A self- reporting survey showed that 40% of men and 31% of women exceed sensible drinking guidelines across a range of socioeconomic groups.


NHS Scotland requires a range of public health initiatives to support other Government policy such as minimum pricing to tackle Scotland’s destructive relationship with alcohol.


An evidence base exists that well designed Alcohol Brief Interventions (ABIs) are effective, cost effective and easy to administer. A report for Healthier Scotland in 2012 concluded that community pharmacies were an appropriate setting for ABIs. The FAST brief intervention has been developed


Abortions rates in Scotland are also falling but still stand at 11,475 for the year 2014. The community Pharmacy sexual health service which is a core element of the national contract has contributed to the downward trend in these statistics. Currently around 6,500 women each month use the community Pharmacy NHS emergency hormonal contraception service. The Pharmacy sexual health service should continue to support the family planning decisions of women in Scotland.


The Pharmacy service should be built upon with the ability for Pharmacists where appropriate to initiate long term contraception in the form of a progestogen only pill (POP) following the supply of emergency hormonal contraception. A 28 day supply should be given to the patient together with appropriate support.


The Pharmacy team will also support those who have used the service to access either general practice or local sexual health facilities.


Community Pharmacy Scotland believes that community Pharmacy teams can deliver even more to support the public health of the nation and asks for support to enable this to happen.


SUPPORT Working with the public (including carers) to maximise the benefi ts of their medication


A reduction in inappropriate hospital admissions, reduced medicine waste and improved quality of life can all be achieved when the public are supported to get the best from their medication.


The network of community Pharmacy healthcare professionals can use their expertise in medicines to support these areas in a cost effective manner ensuring that valuable NHS resources


COMMUNITY PHARMACY SEXUAL HEALTH SERVICES Despite some good progress in this area Scotland still has a higher teenage pregnancy rate than most other northern and western European countries. There also remains a strong correlation between teenage pregnancy and deprivation. Reducing teenage pregnancy rates remains a priority for the Scottish Government.


are used appropriately.


HOW: The potential of the Chronic Medication Service (CMS) should be fully realised in a variety of ways:


• Working in partnership and integrating further with NHS colleagues and services


• Targeted support can be delivered for those most likely to suffer ill health


• Policy on Polypharmacy (people on fi ve or more medicines) should be incorporated formally into CMS2


Community Pharmacy Scotland seeks a commitment to proper funding and resource to support continued contractual development with CMS in line with many of the aspirations outlined in the Prescription for Excellence national strategy.


Chairman Martin Green states, “The Scottish community pharmacy network’s primary concern is the care of people.


“We deliver this through our national NHS Pharmacy contract and our community Pharmacy teams are playing an increasingly important role in maximising therapeutic outcomes and improving medicine safety for all. Our pharmacies are at the heart of every community and play a vital part in the drive to ensure that the people of Scotland receive the care and services that they require and deserve.


We need to fi nd a way to further enhance our role within the national strategy, Prescription for Excellence and other areas such as the Scottish Patient Safety Programme.


“Community Pharmacists currently play a vital role in Scotland’s modern NHS. This manifesto highlights where we believe we can further integrate with primary care teams and use our unique skills and expertise, working in partnership with Scotland’s patients, to build on the wide range of pharmaceutical care services already provided.


“Community Pharmacy is the fi rst port of call for and a direct access portal to the NHS. The Minor Ailment and Pharmaceutical Public Health Services have increased patient access to immediate care provision and allowed community Pharmacists to make a signifi cant contribution to the health of the nation. There is more that could and should be done to harness this access and expertise further.” •


See page 20 for picture coverage of the Community Pharmacy Scotland Dinner held to mark the launch of their Manifesto


10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


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