Nigel Swift on LinkedIn: The BMA has told C&D that GPs are not reluctant to engage with Pharmacy… (2024)

Nigel Swift

Managing Director Rowlands Pharmacy. Deputy Managing Director Phoenix UK

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The BMA has told C&D that GPs are not reluctant to engage with Pharmacy First but are concerned it was rolled out too quickly leading to avoidable additional pressures on some GP surgeries. I am not sure why that is the case: surely every GP practice should be falling over themselves to embrace shared professional care delivery which reduces their workload. In fairness, they have a point about how quickly Pharmacy First was rolled out; how primary care professionals were engaged; and the strategy going forward. Scotland’s Europe-leading Pharmacy First patient-centric service involved years of discussion between the sector and government about what maximizes patient access/benefit; how that fits within shared primary care provision; how members of the public are then engaged and informed; and how GPs/pharmacies work together. The approach has worked for patients, the NHS, GPs and pharmacy. Although we do have different NHS services across the UK we really ought to learn from each other. Community pharmacies’ implementation of Pharmacy First in England is a credit to the sector just as its frontline role during COVID lockdown was. However, the services were indeed introduced at breakneck speed; the NHSE public information campaign was a shambles; and little time was given to engage GPs although there are many examples of GPs working in harmony with their local pharmacy colleagues because they understand the benefits for their surgery and their patients. It is worrying that around 40% of Pharmacy First consultations do not meet the NHSE payment threshold. That threshold will double next month and increase thereafter making Pharmacy First service provision – which is voluntary – a less attractive proposition at a time when dispensing volumes are growing. Yet the dilemma is that future government funding will be determined by the success of Pharmacy First in England so as a sector – from national chains to independents – we need to make it work otherwise government policy makers and NHS funders will look at alternative service solutions. Arguably this is the biggest challenge/opportunity facing our sector since the NHS was created. I am convinced we will meet this challenge and once again demonstrate we are the third pillar of patient access to NHS care alongside our GP and A&E colleagues.

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Darren Lingaloo

Pharmacy Manager at Village Pharmacy

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Hi Nigel, the pharmacy first initiative has been discussed as part of the Primary Care Recovery Plan since February 2023; all a key part of Sunak’s political agenda. Pharmacies and the CPE (PSNC at the time) were slow to react and engage with this. In fact the PSNC were actively discouraging pharmacies to engage with the NHS Contraception Service. Instead of fighting for funding, they submitted to Pharmacy First (including the Contraception Service and Hyper-tension Case Finding), with no clear instruction or guidance given to pharmacies on how to proceed. NHSE have been quite transparent about this from the start. The issue is, and always will be, the people who represent pharmacies. You should have influence in your post at Rowlands Pharmacy, however you also seem fairly naive to it. Realistically, leaders of large organisations should have been involved in discussions with NHSE and government to enable appropriate remuneration. The fact that you feel Pharmacy First was implemented too quickly or caught you off guard is a fundamental leadership problem within your organisation. The Covid lockdown was over 4 years ago now. The workforce and our patients/customers have moved on from this.

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