EVALUATION UPDATE MAKES MAJOR IMPACT
The publication of the Year 3 Evaluation of the community pharmacy element of IMPACTAgewell®
, which commenced
in April 2018, has shown the vital role that the profession has played in the employment of an integrated community development approach to improving the health and wellbeing of older people.
P
rimarycare and Community Together (PACT) – which represents approximately 20 community pharmacies within the
Mid and East Antrim Borough Council – was funded via the IMPACTAgewell®
model to
support the costs of healthcare professionals involved in this work.
PACT initially facilitated six community pharmacists to represent the surrounding network of pharmacies on the IMPACTAgewell® locality hubs. These PACT pharmacists advised the locality hubs on pharmacy-related issues and also ensured that there were no gaps in the provision of commissioned community pharmacy.
PACT worked with the Medicines Optimisation Innovation Centre (MOIC) to deliver an additional two-year independent evaluation of the community pharmacy element of IMPACTAgewell®
which commenced in April
2018. The evaluation - which was funded by Northern Pharmacies Trust Fund – provides additional evaluation complements and adds value to the overall action research evaluation.
Although one of the main objectives of the evaluation was the effectiveness of the PACT pharmacist working within the IMPACTAgewell® locality hubs, great emphasis was also placed on both the effectiveness of community pharmacies delivering community pharmacy services referred via IMPACTAgewell®
and on the
potential savings that could be generated in terms of unscheduled health and social care.
As part of the evaluation, 426 recommendations were made by community pharmacists. These recommendations were sent to the GP and IMPACTAgewell®
hubs. The majority – 96 per cent - were accepted and actioned.
The majority of clinical interventions by community pharmacists were classified as Grade 4 (71 per cent) using the Eadon scale. There were also eight Grade 5 interventions (interventions which are very significant and which prevent major organ failure or adverse reaction of similar importance).
As a result of the PACT interventions, costs avoided by the National Health Service proved to be up to £58,158 per annum. This means that for every £1 spent on community pharmacists within
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