First Floor Runcorn Town Hall Heath Road Runcorn Cheshire WA7 5TD NHS Halton CCG - Prime Ministers Challenge Fund Community Pharmacy schemes Expression of Interest from Halton Pharmacies Following the successful awarding of nearly £1.6m of (non-recurrent) funding to support the Together for the health of Halton Prime Ministers Challenge Fund (PMCF), a number of schemes are being developed and imminently ‘going live’. The PMCF is designed to offer extended and alternative choices of access into General Practice and Primary Care. It also offers the opportunity to use the non-recurrent funding to test innovative practice and solutions and to monitor and evaluate their effectiveness. One of the schemes NHS Halton CCG and General Practice in Halton is developing and implementing is about the expansion of Community Pharmacy, coupled with more integrated working between local pharmacies and General Practice. We truly believe that whilst expanded and alternative services in pharmacy will result in a benefit for both the patient as well as the overall health system, even more benefits will be realised by closer and more joined up working and information sharing between local pharmacies and GP surgeries. We recognise the need to invest in the relationships and to this end, have formed a small oversight group to manage this project that includes LPC representation, the GP Clinical Lead for Medicines Management and representation from the CCG. We will be running a series of engagement events, inviting local pharmacists and GPs to discuss the overall PMCF programme, all the schemes as well as other relevant developments throughout the year too. The benefits we are looking to achieve overall are: Improved and extended service access; Greater convenience for patients; Dovetails with GP services to improve care; Reduced avoidable admissions; Reduced demand on GP appointments for minor ailments and routine LTCs Patient education about choice of services. To this end, we are going to use an element of the budget available to target respiratory disease which is a significant challenge across Halton. We have secured funding for 12 months and are looking to get schemes up and running from September/October 2015. There are two schemes in development; 1. Childhood asthma Scheme: To provide a pharmacy-led intervention in schools that will contribute to a measurable improvement in the inhaler technique, adherence, and associated health outcomes, of children and young people (CYP) with asthma in primary and secondary school settings. To assess, and if necessary improve, inhaler technique for each CYP during one school-based pharmacy-led workshop and one follow-up workshop To show a reduction at follow-up in self- and/or parent-reported: a. Number of school days lost b. A&E attendances c. Emergency hospital admissions d. GP / OOH appointments To assess, and if necessary, improve condition control To show an improvement in quality of life – in terms of symptoms, activity limitation and emotional function – at follow-up To assess, and increase if necessary, the self- and/or parent-reported adherence of CYP to their asthma therapy To increase the confidence of CYP, parents and teachers in the use of inhalers 2. Adult Respiratory Reviews To support patients with diagnosed COPD to get the most from their respiratory medicines through improved understanding, adherence and technique. To improve quality of life and confidence to get involved in additional activities as a result of feeling better. To reduce exacerbations and reduce avoidable admissions for COPD patients. To support the optimal use of rescue packs (antibiotics and steroids) To support the development of patient COPD self-management plans alongside local GPs and practice nurses. Detailed specifications are being developed at the moment and will be available in due course. We are therefore seeking Expressions of Interest from Community Pharmacies who are keen to work with the CCG and local practices on these two schemes. We are looking to identify up to a maximum of 4 pharmacies to support the childhood asthma school programme We are looking for up to 6 pharmacies to support the adult respiratory review programme. Two essential criteria to consider are that by expressing an interest, you are committing to taking part in any relevant training sessions and that you are also prepared to talk to colleagues and peers about the programme of work and share lessons and experiences. Sharing the knowledge and lessons is a key feature of the overall PMCF programme. Appendix A and B contain an expression of interest form for each scheme, please complete these forms and submit to John.hewitt@haltonccg.nhs.uk by 04th September 2015. The oversight group will then assess the applications against the stated criteria. Successful applicants will be informed before 14th September 2015. If you have any further questions about PMCF scheme please contact Karen Irvine via the email address above. Appendix A Expression of Interest Form PMCF Community Pharmacy Schemes Pharmacy Name, Address and Telephone number: Name of Key Contact and contact details (including email address): Geographical Area Covered including main local GP Practices: Pharmacy Opening Hours: Other services offered: The pharmacy named above would like to express an interest in piloting the following PMCF schemes: Paediatric Asthma Schools Programme Adult Respiratory Reviews Programme Signed: _______________________________ Date: _____________________ Print Name: _________________________________ Designation: _________________________________