ENTERPRISE WITHIN PHARMACY PRIMARY CARE AND COMMUNITY TOGETHER (PACT)
supported by
John Laverty, Regional Sales Manager, Scotland & NI, Alliance Healthcare and the team from Primary Care and Community Together
In 2013, dunhill Medical trust initiated their £4million ‘older People’s care Improvement Initiative’ in response to public provision failings in the care of the frailest people in society. this initiative supports research on improving safety, effectiveness and satisfaction in the care of older people to create a radical change in public sector provision which is not only technically excellent but, most importantly, has kindness, dignity and focus on the person, at its core.
In october 2015, dunhill announced a competition to support a project over three years with an award of £1m to meet the aims of this initiative. Mid & East antrim agewell Partnership, MEaaP took the lead to co-produce a new model of care supporting older people building upon their relationships established with the Mid & East antrim Borough council, the northern trust, northern health & Social care commissioning and the northern Integrated care Partnerships. MEaaP were interested to include community pharmacy within this model of person centred support, which puts wellbeing and social needs on a par with medical needs. they were introduced to Pact (Primary care and community together) who were invited to become a strategic partner of the IMPactagewell social prescribing model.
Pact has developed a new ‘model of care’ for the community pharmacy network, which includes a Pact pharmacist to represent all of the community pharmacies within a locality. this is a new concept
34 - PharMacY In focUS
of community pharmacies working together to provide a population model of care.
the focus of the community pharmacy element of IMPactagewell is to provide coordinated community pharmacy support to the service user. this will include participating as a partner within the project and multidisciplinary hubs and on providing pharmaceutical interventions within the project.
IMPactagewell will have the data surrounding 1100 old people six months prior to, six months during and six months after they have been in the service. this data includes all trust data, gP records and is being mined by MEaBc statisticians.
In april 2017, the six local health and wellbeing hubs were established across the Mid and East antrim area. Each hub is a partnership with a gP practice, a Pact pharmacist, an IMPact officer and a member from the trust community team. over three years, they will support up to 1,100 older people with a variety of alternative care prescriptions.
the six Pact pharmacists in the IMPactagewell project are to attend monthly multidisciplinary hub meetings and strategy/training meetings twice a year. at the hub meetings, they will also identify and discuss any pharmaceutical interventions that may be appropriate for the service user.
the IMPactagewell community-led Social Prescribing project in Mid and East antrim has been actively
supporting older people for more than six months now. Each of the six hubs has a growing case load of older people benefiting from the support, and much learning has been had along the way.
as a partner in the IMPactagewell project, Pact has ensured that community pharmacy is an intricate part of the hub model. this is achieved by the six Pact pharmacists who represent the network of community pharmacies on the IMPactagewell hubs, and sit alongside gPs, northern health and Social care trust staff and MEaaP Project officers discussing each case. the Pact pharmacists, where appropriate, refer the older person to their usual community pharmacy to provide contracted community pharmacy services.
due to the national interest focused on the project, given that it has been funded by the dunhill Medical trust, and the fact that there are very few social prescribing projects with similar community pharmacy input, the Pact directors realised it would be an excellent opportunity for community pharmacy to demonstrate its value within the project.
Pact has, with the support of partners, been successful in securing a grant from northern Pharmacies trust ltd to deliver a comprehensive evaluation of the community pharmacy aspect of the project. the grant will also be used to support all community pharmacists involved in the project, allowing networking and training opportunities to build capacity and learning across the sector.
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