2019Pharmacists as a guarantee of health and social progress

Executive Summary Sustainability Report 2019

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“We are transformative health professionals”We are Pharmacists’ Manifesto

The ultimate mission of the General Pharmaceutical Council is to become a reference body in the health sphere, as an expert and representative body of the pharmaceutical profession before national and international institutions, and in the provision of innovative services for 21st century health.

Rural Depopulation

The humanization of health care

Using the Community Pharmacy to ensure

comprehensive health care in areas threatened

by depopulation

Strengthening the Community Pharmacy model by promoting Pharmaceutical Care Services and coordinating them with the work of other health professionals

Incorporating the pharmacist in the strategies and policies to address chronicity carried out by the Public Administration

Facilitate patient access, through the community

pharmacy network, to all innovative medicines

To integrate Community Pharmacy into national strategies and regional

public health programmes

To integrate Community Pharmacy into public

campaigns aimed at vulnerable groups

and those at risk of social exclusion

Promoting health and social well-being

Health challenges

An evolving ecosystem

Lack of health care workers

Driving e-health in pharmaceutical provision with the interoperability of e-prescription and electronic access to all patients’ medication

Driving the health of the future In response to these challenges and in accordance with our values, the “We are Pharmacists” strategy was launched, with three axes marking the future and evolution of the pharmaceutical profession:

We are social We provide care We are digitals

75,260 53,305 22,102registered pharmacists in Spain pharmacists working in

community pharmaciescommunity pharmacies

Distribution of registered pharmacists by sector

53,305

12,063

11,665

10,352

5,903

2,014

1,914

1,793

1,246

959

835

340

Community pharmacy

Pharmaceutical food sector

Dermopharmacy

Orthopedics

Other activities

Hospital pharmacy

Clinical Laboratory

Óptica y acústica

Industry

Administration and public health

Distribution

Education and research

*The figure does not include those 32 men whose “age is not recorded”

20.8%

23.1%

0.04%23.5%

18%

5.3%9.3%

Less than 35 years old

Aged 35-44

No data available*Aged 45-54

Aged 55-64

Aged 65-69

+70

Distribution of registered pharmacists by gender and age

Areas of professional

activity

Political activity and institutional

relations

Product and service innovation

Research and health promotion

Professional development

Ageing, dependence and chronicity

The digital transformation

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BOT PLUS Up-to-date and homogeneous information on medicines, medical devices and parapharmacy

Medicamento Accesible PLUS Medicines information for all, regardless of functional diversity

Fostering dialogue and building partnerships

272meetings held by the presidency in 2019

251meetings held with several bodies

21meetings held with Provincial Chambers/Regional Pharmaceutical Council 4

Regional Coordination

3General Assembly

11Plenary sessions

3

Meetings held by Heads of Provincial Chambers

19

18

6

11

174

23

Meetings with High Ranking state officers

European and international meetings

Meetings with mutual insurance companies

Meetings with the Parliament and political parties

Scientific societies

Meetings with Steering Committees, workshops and national committees

The General Pharmaceutical Council entered agreements with

Meetings held in 2019

25agreements entered in 2019

5

6

14

Public bodies

Patients and users

Private sector bodies

“We have been walking beside you since ancient times. We are by your side throughout your life, building your future”We are Pharmacists’ Manifesto

Pharmacists Chambers and registered pharmacists, the heart of our strategy

More than 25,000 medicines for human use

16,000 veterinary medicines

54,000 parapharmacy products, including medical devices, dietetics or cosmetics

More than 13,000 monographs on interactions of medicines and over 36,000 pairs of interactions

50,000 multimedia documents (4,512 introduced during 2019)

65,000 codified foreign medicines

48 intuitive pictograms on pharmacological aspects of medicines

20,500product data sheets

21,000 package leaflets

131 automatic updates of BOT PLUS information in 2019. BOT PLUS web is updated on a daily basis

53,892Total number of users having MEDICAMENTO ACCESIBLE PLUS installed

+69%than in 2018

22,002Number of users having MEDICAMENTO ACCESIBLE PLUS installed in 2019

+307%than in 2018

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Training, information and communication

National Plan for Ongoing training

6,303 registrations in 21 courses in 2019

Formative meetings

1,180 pharmacists in the 6 professional workshops held in 2019

46 collaborating entities

Call center (CAC)

25,462 consultations, 2,122 on a monthly basis

Studies and reports

• Health and medicines reports• 9 current pharmacological items• Economic and statistical reports• Monthly medicines spending• NHS medicines consumption and expenditure• Pharmaceutical employment• Medicines and Pharmacy in figures• Statistics

Panorama Actual del Medicamento magazine

20,300 subscribers

10 issues edited on an annual basis

Farmacéuticos magazine

69,118 monthly issues

10 issues on an annual basis

Medicines Information center (CIM)

2,059 queries

Communication with Provincial Pharmacists’ Chamber

1,553 communications issued to the Regional Pharmaceutical Councils and Provincial Pharmacists’ Chambers

Portalfarma

1,648,161 users

4,353,864page visits

88.7%new visitors

2,645,983sessions

1.61sessions per user

1.36 min.average per session

Twitter

Linkedin Instagram Facebook

Followers in social networks 2019

2,329@Pnfc_Cgcof

1,558@hazFarma

27,663@portalfarma

3,417 11,000 4,087

3,905@presidenteCGCOF

“Moving forward with a firm step, driven by our vocation of service”We are pharmacists’ Manifesto

We are pharmacists: We provide care

Medicines Review with Follow-up Service

2,456 patients from 17 provinces605 pharmacists399 community pharmacies30 months of fieldwork

Celebrating its 10th anniversary in November

Therapeutic adherence

2,036 patients from 12 provinces265 pharmacists188 community pharmacies12 months of fieldwork

530 conciliated patients60 primary care and hospital pharmacists420 community pharmacists255 community pharmacies and 9 hospitals8 - 12 months of fieldwork 2,814 pharmacists / 354 reported cases

6.74 points Patient-perceived

quality of life improvement

54.1% reduction of uncontrolled health problems

53.1% reduction of patients attending hospital emergencies

59.8%reduction of patients admitted to hospital

30% improved clinical management of asthma

22% Improvement of COPD patients

13%Improvement of hypertension patients

Estimated savings considering chronic polymedicated elderly people*

303 M€million in medicines

340 M€million in emergency visits

1,629 M€million in hospital admissions

Medication conciliation after hospital admission - Currently under development

Pilot study was conducted in Teruel

Network of Practice Facilitators launched in January 2019 to facilitate the practice of community pharmacists and the development of Professional Pharmacy Services

EXXITO - CHILDREN, YOUTH AND COMMUNITY PHARMACY APPROACHING THE LATEST DISEASES

60 participating pharmacies (50% of the whole)88 participating pharmacists351 patients

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Together with society as a whole

New impetus to boost development

For by and with the patient

The Community pharmacy generates cohesion and territorial rebalancing, as well as supporting, directly or indirectly, up to 210,000 jobs.

All Spaniards can access to the latest pharmacotherapeutic innovations, regardless of their place of residence, and specifically to their medication financed by the NHS, through the implementation of the electronic prescription

Pharmacies make it easier for citizens to dispose of medicine waste properly.

More than 3000 public health pharmacists carry out the control and monitoring of water for human consumption.

Through the participation in the SIGRE system, significant energy savings and emission reductions are achieved.

For a healthy environment

Providing services to the most vulnerable and facilitating ac-cess to medication, including in emer-gency situations.

Promoting access to healthy, nutritious and sufficient food for all, and fighting against malnutrition

Collaboration with the Government in relation to the State Pact against gender violence and participation in the promotion of healthy beha-viours in relation to sexuality.

Training to be able to collabo-rate in actions aimed at fighting violence against minors or vulne-rable people.

Encouraging collaboration with other health professionals to improve patient care and achieve better health outcomes and contribute to the sustainability and effectiveness of health systems.

Collaboration in campaigns against social exclusion.

Pharmacies participate in projects and campaigns aimed at both promoting health and preventing different diseases; guaranteeing Spaniards’ access to safe, quality medicines and vaccines.

“This is a different way of working for the benefit of society. Looking for new solutions for pharmaceutical care in Spain” We are pharmacists’ Manifesto

We are pharmacists: We are social

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“In a world where technology is changing society and the way we relate to each other, the time has come to transform ourselves, inside and out, to meet the new challenges, and to be closer than ever” We are pharmacists’ manifesto

We are pharmacists: We are digital

3Sustainability

99% of the Spanish population can have one of the 22,000 pharmacies at their disposal in their place of residence:

Focusing on patients, with all their diversity: more than 52,000 community pharmacists.

The Community Pharmacy guarantees the equity, quality and cohesion of the Health System, a task that promotes social and economic impact while mitigating the environmental impact, favoring rural development, generating savings in the National Health System and promoting correct environmental management.

Able to generate 90,000 direct jobs and to face up to challenges such as ageing, chronicity and dependence, serving 2.3 million people every day.

1Equity and

equality

2Diversity

4 Social welfare and economic

progress

“Because true revolutions are born within oneself”We are Pharmacists’ Manifesto

Pharmacists as a guarantee of health and social progress

22,102 pharmacies

53,305 community pharmacists

2/3 pharmacies are based off the provincial capitals

5,339 rural pharmacies

3/4 rural pharmacies are placed in municipalities below 5,000 inhabitants

2.3 mill. million people are attended to on a daily basis

Boosting the digitisation of pharmaceutical care

Electronic Prescription Mutualities Electronic Veterinary Prescription

Updated information on medicines shortages

Unified information in all provinces on short supply

Pioneers in medicines verification

We are the country with the highest level of anti-counterfeiting compliance

8,800participating pharmacies

6,335Reporting pharmacies

+11.000medicines reported on a weekly basis

363Medicines experiencing supply problems

40%pharmacies in Spain

29%pharmacies in Spain

Less than 1%are considered significant supply problems

60% more than in 2018

180active pharmaceutical substances or combinations of active substances

664 million operations

394 million checks

263 million dispensations

22.091 active pharmacies

(* Data: Dec 31, 2019)