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NHS England Rolls Out Pharmacy Reforms

As part of a major expansion of primary care services, thousands of women across England will be able to get the contraceptive pill at their local pharmacy from next month.

More than a hundred pharmacies took part in the contraceptive pilot earlier this year with more than 4,500 women who had already accessed the pill able to receive an ongoing supply of oral contraception at their local pharmacy.

NHS Primary care access recovery plan

Pharmacies across the country will begin offering the new contraceptive service in December with almost half a million women able to access the pill next year without needing to contact their GP first. The rollout is part of the NHS and government’s primary care access recovery plan, announced by the head of the NHS and the Prime Minister in May, which committed to making it quicker and easier for millions of people to access healthcare on their high street. The ambitious blueprint aims to free up to 10 million GP appointments a year by next winter, and give the public more choice in where and how they access care.

Pharmacists will also ramp up the number of life-saving blood pressure checks given to at-risk patients over the next year with a commitment to deliver 2.5 million a year by Spring 2025 – up from 900,000 carried out last year.  It is estimated this could prevent more than 1,350 heart attacks and strokes in the first year.

Next year, patients will also be able to get treatment for seven common conditions directly from a pharmacy, without the need for a GP appointment or prescription. The new service will cover sinusitis, sore throat, earache, infected insect bite, impetigo, shingles, and uncomplicated urinary tract infections in women.

Responses

Amanda Pritchard, NHS chief executive, said: “The care and support people receive from their local pharmacy is rightly highly valued by patients and so it is essential we use the skills and convenience of community pharmacies to make it as easy as possible for people to get the help they need. This is really good news for women – we all lead increasingly busy lives, and thanks to this action, rather than making a GP appointment, they can simply pop into their local pharmacy when they need or want to access contraception. We will also be expanding services so that more health checks are available for patients on the high street, which is not only better and easier for patients but also frees up NHS time for more GP appointments for those who need them most.”

Health and Social Care Secretary, Victoria Atkins, said: “It is a pleasure to start my time as Secretary of State with such a positive example of the government, NHS and pharmacy sector working together to reach an agreement to improve services and save lives. For the public these changes will mean more options for women when making a choice about their preferred contraception, reduce the risks of people suffering heart attacks and strokes and make it easier to access medicines for common conditions. And for healthcare professionals this will free up GP appointments and make better use of the skills and expertise within community pharmacies.”

Dr Claire Fuller, NHS medical director for primary care and the NHS’ lead GP in England said: “I’m delighted the changes that the NHS is making mean people will have new and convenient ways of accessing treatments for many common conditions. In particular, contraception is essential for many women, and this is a big step forward in making these services easier for women to access. Local pharmacies are trusted parts of our communities and GPs and pharmacists work closely together. Pharmacists have always provided continuity and long-term support to patients, families, and carers. So, this is a safe and common-sense way of making NHS services easier for patients to use”.

David Webb, Chief Pharmaceutical Officer for England, said: “Pharmacy First demonstrates the significant and exceptional contribution of community pharmacy teams to the NHS. This further expansion of clinical services delivered by pharmacy teams in local collaboration will enable thousands of people to access the help and care they need quickly and conveniently.”

William Pett, Head of Policy, Public Affairs and Research at Healthwatch England, said: “Women across England will welcome the convenience of getting the contraceptive pill at a local pharmacy. Being able to see your GP in a timely manner remains the public’s top concern. If this initiative is effectively communicated and delivered, it will make a real difference to patients and relieve the pressure on hard-pressed services. There could be potential problems, such as pharmacists not being able to see enough of people’s GP records or the ability of different communities and areas to access the new service. However, if evaluated well, the NHS will be able to ensure that this promising new service really works for patients.”

Ms Tase Oputu, Chair of the Royal Pharmaceutical Society’s English Pharmacy Board, said: “This move will provide women with greater choice in obtaining contraception and advice in the way that best meets their needs. Pharmacists are experts in medicines and perfectly placed to provide relevant health checks and ongoing support for women accessing contraception. The trials of this scheme showed a widespread welcome for the service and the convenience community pharmacy offers as the front door to the NHS. It also makes suitable use of the clinical skills of pharmacists in partnership with GPs and existing sexual health services”.

Curia’s NHS Innovation and Life Sciences Commission

Jointly chaired by former Life Sciences and Innovation Minister, Lord James O’Shaughnessy and former Deputy Medical Director at NHS England Professor Mike Bewick, the Commission seeks to identify examples of good practice in innovation, draw learning and consider how implementation plans across the sector can improve the lives of patients. By bringing together key strands of policy and developing effective implementation strategies through extensive research, the Commission seeks to see change at every level within the NHS.

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