Reducing emergency admissions: unlocking the potential of people to better manage their long-term conditions

The Health Foundation, August 2018

Health Foundation summary of research that explores the link between how well patients feel able to manage their long-term conditions such as asthma, diabetes and depression and their use of health care.  The findings show the NHS could reduce avoidable health care use and improve people’s quality of life, if they were better supported to manage their long-term conditions.

Click here to view this report.

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In Good Health: A Report following the All Party Pharmacy Group’s 2018 Inquiry into Long Term Conditions

All Party Pharmacy Group, July 2018

Report from the All Party Pharmacy Group that recommends:

  1. Patients with one or more condition must have access to a care plan, giving them control over how their condition is managed, that they can review. Community pharmacy is ideally placed to manage this.
  2. Calls for  for pharmacists tohave full read/write access to patient records and service and contract integration with primary care.
  3. Community pharmacy should be a signposting service to services delivering a high standard of care, currently the offer is not universal.
  4. Innovative community pharmacy services should be commissioned at a national level once their effectiveness and value for money has been demonstrated at a local level.

Click here to view the full report.

Perfect Patient Information Journey: 7 steps for health services to improve information for people with long term conditions

Patient Information Forum, July 2018

Embedding high-quality, accessible healthcare information across all patient pathways will enhance patient experience, improve outcomes and support patients with long-term conditions to manage their health. This will help tackle health inequality by empowering more people to make informed choices about their health and care.

The Patient Information Forum has developed 7 steps to support healthcare services to develop and embed patient information across their pathways.

  1. Get the leadership team on board and clarify roles
  2. Find out what your patients think
  3. Find out what your staff think
  4. Map the current patient information journey and identify gaps
  5. Identify and make improvements
  6. Evaluate the impact of changes made
  7. Benchmark, review and maintain patient involvement in implementation of change.

Click here to view the report.

The Improving Access to Psychological Therapies (IAPT) Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms

NHS England, March 2018

From April 2018 all CCGs are expected to expand IAPT by commissioning IAPT services integrated into physical healthcare pathways. This document supports this expansion by setting out the treatment pathway that underpins the access and waiting time standards, which all services should seek to measure themselves against. The guidance also provides evidence on what works, as well as local case studies of service-led examples that describe how to make IAPT-LTC services a reality.

Click here to view the full report.

Frontline pharmacists: making a difference for people with long term conditions

Royal Pharmaceutical Society, November 2016

This report argues that community pharmacists should be able to routinely prescribe medicines for people with long term conditions and refer them directly to other healthcare professionals to ease the overwhelming demand facing the NHS.  Care for people with long term conditions, such as such as diabetes or asthma, currently accounts for 50% of all GP appointments, 64% of all outpatient appointments 70% of all health and social care spending.

The RPS is calling for a change in policy regarding the training of prescribers to enable more pharmacists to become prescribers. This means they could take on the management of patients whose condition is stable but require regular monitoring and alteration of their medicines to stay well, so keeping them out of hospital or GP surgeries.

Click here to view the report.

Multimorbidity: clinical assessment and management. NICE Guideline.

NICE, September 2016

This guideline covers optimising care for adults with multimorbidity (multiple long-term conditions) by reducing treatment burden (polypharmacy and multiple appointments) and unplanned care. It aims to improve quality of life by promoting shared decisions based on what is important to each person in terms of treatments, health priorities, lifestyle and goals. The guideline sets out which people are most likely to benefit from an approach to care that takes account of multimorbidity, how they can be identified and what the care involves.

Click here to access the guideline.

Community pharmacy forward view

PSNC, September 2016

Written jointly with Pharmacy Voice, this document sets out the ambitions for community pharmacies to enhance and expand personalised care, support  and wellbeing services offered by the sector. The paper also argues for fuller integration with other local health and care services and highlights the role of the community pharmacy in being the facilitator of personalised care for patients with long-term conditions and in being a neighbourhood health and wellbeing hub.

Click here to read the full report.