CEPN Trainee Pharmacist and GP Project Simon Harris and Jill Merewood Project Leads, London and the South East jmerewood.cepnpharmacy@gmail.com simon@greenlightpharmacy.com
The National Context Nuffield Trust - Now More Than Ever (2014) • Pharmacists As Care Givers. • Pharmacists To Work In GP Surgeries. Five Year Forward Plan (2015) • GP Shortage – Plug Gap with Alternative Health Care Professionals • Move Minor Ailment Consultations To The Pharmacy • Maximise Use Of The Existing Clinical Pharmacy Skill-Base. Roland Report (2015) • Pharmacists To Become A Core Part Of The General Practice. • Greater Number Of Clinical Pharmacist To Manage Long Term Conditions • Create Network Or Federation Of GPs And Community Pharmacists.
The GP Issue RCGP: impending GP workforce crisis • Currently 16,000 GPs Short RCN: 10% of nursing posts vacant • In Kent, Surrey And Sussex: Up To 30% Of Current Practice Nurses Due To Retire In The Next 10 Years NHS Confederation • 57 Million Appointments For Minor Ailments • Pharmacy Has A Trained Workforce • Relative Oversupply
The CEPN Pharmacy Project: Phase 1 - Kent Surrey and Sussex, 2014-15 • Pre-regs From Community Pharmacy Spend Part Of Their Pre- reg Year Training In A GP Practice Containing A Practice Pharmacist • Gain A Deep Understanding Of How GP Practices Operate • First-hand Knowledge And Understanding Of How Pharmacists Can Help GPs • Forge Professional Links With GPs/Nurses/Practice Staff
The CEPN Pharmacy Project: Phase 2 - Kent Surrey and Sussex, 2015-16 • Increased Number Of Placements • Option Of GP Trainee To Be Placed In Pharmacy • Help GPs Understand How Pharmacy Helps The Local Community • Help GPs Understand How MURs And NMS Can Help Patient Concordance And Gain Positive Health Outcomes • Help GPs Understand How Pharmacy Can Help Them Treat The Patients They Both Share • Look At How To Overcome Potential Issues • Presentation Day For Trainees To Highlight Learning/Areas That Were Improved
Replica Projects: HENCEL Project 1: Trainee • Copy Of KSS Trainee Model • Pairs Of GP/CP Trainees At Outset, Working On Quality Improvement Project • Joint Presentation Day - Share Learning And Ideas Project 2: Advanced • As Above, Now With Qualified Practitioners • Six Week Leadership Programme Before Placements
The CEPN Pharmacy Project: Phase 3 - LaSE, 2016-17 • Wider rollout across geography • Using model from HENCEL projects • 110 pairs of trainees across LaSE • Embed this training model as the norm for our trainees
How will it work? • 110 pairs of trainee GPs and Pharmacists • Both sets of tutors complete online induction in Feb 2017. • Both sets of trainees meet at induction workshop in March ‘17. • Pre-reg spends 8 days, at weekly intervals, in the GPs practice. • GP Registrar spends 1 day, every fortnight, in the pharmacy over same 8 week interval. • Placements take place in April and May ‘17 .
How will it work? • Pre-reg tutors complete a six, short online training modules, incl. tutoring best practice, GPhC pre-reg requirements, CPD. • Each CP/GP pair will complete a joint Quality Improvement Project, on an issue they identify that both can work together to remedy. • A £50 payment is made to each pharmacy for hosting a GP trainee. • All pre-regs will be expected to complete a DBS background check and have a course of hepatitis B vaccinations.
Who is eligible? • All pre-reg trainees across the whole of London , plus those within Kent, Surry and Sussex. • All trainee GPs across the whole of London , plus those within Kent, Surry and Sussex.
Why should I take part? Better understanding of other sectors’ systems, procedures and challenges. Better understanding of services offered in each setting. Reduced work duplication. Improved communication. Improved patient care. Opportunities for future collaboration.
Why else should I take part? Additional evidence for your pre-reg to use when completing their GPhC Performance standards. Trainee will carry out a Quality Improvement Project to improve systems/procedures (which could be continued in future years). Relationship building between GP and Community Pharmacist.
Evaluation • Full academic evaluation • University of Portsmouth and Keele University • Feedback forms before/after placement • Further development of the project and training pathway for CPs and GPs • Presentation of Quality Improvement Projects at Celebration Day
Initial phase of recruitment – Sept 2016 If you or a colleague have a suitable pre-reg that could take part: • Contact local GP practices to establish if there is a GP trainee • Explain outline of project and check commitment • Complete sign up form online with both CP/GP details • Both tutors must support project
The Future • A normal part of the pre-reg training year. • Pharmacists working in GP practice. • Community Pharmacists playing a greater, more integrated role in patient care. • Better understanding leading to better co-working. • Work with CEPNs to effect a ‘handover’ in forthcoming years
Sign up • As soon as your trainee has paired with a GP Registrar, please complete the signup sheet at the following link: https://goo.gl/forms/WMS8GhKDf52EU38W2
For more information, please contact: Jill Merewood Project Lead for South London, Kent, Surrey and Sussex jmerewood.cepnpharmacy@gmail.com 07717873742 Simon Harris Project Lead for North, Central, East and West London simon@grenlightpharmacy.com 07811 214 456
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