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Empowering Dispensing Doctors for Patient Care: Key Insights from 2017 Conference

Stay informed on reimbursement, pharmaceutical needs assessments, dispensing fees, EPS rollout, FMD implementation, and rural practice challenges. Discover future strategies for securing the excellence of doctor dispensing.

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Empowering Dispensing Doctors for Patient Care: Key Insights from 2017 Conference

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  1. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients” 1

  2. 2017 Conference • Reimbursement • Pharmaceutical needs assessments (PNA) • Dispensing fee • EPS • FMD • Pharmacy • Shortages • Rural practice challenging times • Securing the future 2

  3. Reimbursement • Unfinished business • Seen NHS Employers • Want a system where right prescription for the patient is the right one for the NHS and the practice • Remove perverse incentives 3

  4. Pharmaceutical Needs Assessments (PNAs) • These are very important. • Health and Wellbeing Boards are writing the new ones due in April 2018 • You need to check yours • Need to make sure your LMC is involved with them. • Your dispensing might be at risk! • Used to cut pharmacy contracts 4

  5. Dispensing fee2017 • Still on the same formulae • No inflationary uplift • Staff numbers defined • Pay cap removed • Fall in October • Should increase in April 5

  6. EPS • It is continuing to be rolled out • Pharmacies will be signing up patients • Dispensing module for practice systems is being developed • Cost is an issue • DDA working with NHS Digital/NHS England. • Looking to pilot EPS4 6

  7. EPS • Workload, should decrease if properly implemented, but if not will increase • Risk re loss of scripts

  8. FMD • To be implemented by 2019 • Plans as yet vague • Could have large workload implicactions

  9. Pharmacy Contract • Cut in dispensing fee • DH appears to want less contracts but more pharmacists • Move towards clinical services and away from dispensing • ? Changes to reimbursements • Threats and opportunities

  10. Working with pharmacy • Workload, the need to help with GP workload not create it • Need to make sure resources are made available so general practice is not destabilised • Clinically safe • Will be work for us from secondary care • Clinical pharmacists

  11. Shortages • Ongoing • No solution • Prices very fluid this month Keppra/ Levetiracetam Cat M price £2.76 buying price about £27.50 11

  12. Rural practice Challenging times • GP shortage • Workload increase • Solutions urban centric • Poor IT • Less cross subsidy from dispensing as profits falling • Wales LHB 33% more expensive • Suffolk GMS contract plus 50%

  13. Challenges • Smaller practices due to Geography • Branch surgeries to support

  14. Securing the future • Need NHS and politicians to understand • Look after what you have • New systems will be more expensive • Once lost very difficult to replace • Dispensing is a key to survival • Need rural as well as urban solutions

  15. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients” 15

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