A Day in the Life of a PCT Pharmacist

Rachel Urban

PCT Pharmacist

Bradford South and West PCT

Background

• Started Bradford Uni – 1998• 5 yr sandwich course

• Independent community pharmacy in Halifax• Bradford Hospitals Trust (BHT)

• Dissertation – Repeat prescribing• Graduated – 2003• Bradford South and West PCT – 1 week• Moss Pharmacy – Area Relief• PCT Pharmacist – Feb 2004

Bradford District

Bradford South and West

• Population 150,000

• Budget £143million

• Staff 400

• GP Practices 23

• Opticians 11

• Dentists 17

• Pharmacists 26

Strategic and Managerial• Implement local prescribing strategies• Member of variety of committees

• Prescribing Development Group• GP prescribing group• Innovative services Panel

• Setting and monitoring GP prescribing budgets• Review policies associated with medicines and

medicine management• Line Management

Prescribing and Practice Support

• PACT data analysis

• Prescribing Incentive scheme

• Audits

• Prescribing review visits

• Prescribing Queries

Prescribing Development

• PGDs

• Nurse Prescribing

• Pharmacists Prescribing

• Multidisciplinary work

Community Pharmacy Development

– Anticoagulation monitoring– Emergency hormonal contraception– Terminals linked to GP surgeries– Methadone and Subutex supervision– Needle Exchange– Minor ailments schemes

New Pharmacy Contract

• Offers new opportunities in terms of medicines management

• Variety of new opportunities for pharmacists

• Main opportunities:– Medicines Use Reviews– Enhanced services

Pharmacy in the Future

• Repeat dispensing

• ETP

• LPS

• Prescribing/practice support

• Clinical Governance

• NPFIT

• Practice Based Commissioning

• Performance Management of New Pharmacy Contract

• New Pharmacy Contract– Essential– Advanced– Enhanced

• Upskilling support staff• POM to P switches• NHS direct referrals• Supplementary and

independent prescribing

Working in Primary Care

Advantages• Flexible hours• Utilise Clinical

Knowledge• Meet lots of people• Variety• Shaping local

pharmacy services

Disadvantages• Need to keep up to

date• Lots of meetings• Hard work• Hundreds of e-mails• No specific job

description for PCT pharmacists