The Future of NHS Community Pharmacy Representation and Support

‘Your Representation, Your Say’ Survey

Survey questions on role of national organisations: https://forms.office.com/r/ExZELyVswj

Survey questions on role of local organisations: https://forms.office.com/r/eZXx4bvFzG

Deadline to respond to survey questions: Wednesday 1st September

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Why does the review matter to pharmacy owners?

Pharmacy owners receive a wide range of support at both a local and national level. For example: • PSNC represents pharmacies in national negotiations on pharmacy funding and services, and

provides guidance to help pharmacies provide NHS services;

• LPCs represent pharmacies in negotiations on local services and provide a range of resources to help contractors.

Given these critical roles, and the monies that contractors pay for them, it is important that the national and local organisations are working effectively to provide the best possible support for contractors, as well as the best outcomes on pharmacy funding and services. The review is seeking to define the future model for community pharmacy representation and support- it matters because it will determine the support contractors receive in the future.

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How will this improve representation & support for me as a contractor?

Success will be defining a future model that will ensure:

….. your levy contribution is being used efficiently and effectively to provide support

….. the team representing you have been appropriately sized, staffed and trained to deliver the best possible outcomes

….. your voice can (and will) be heard at both national and local level

….. there are governance arrangements ensuring oversight of the performance of the national and local organisations on your behalf

…..you are receiving the same level, type and quality of support to your counterparts across England

To do this well, input from you as pharmacy owners is critical

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Purpose of this survey

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The first step is to define the roles that will provide NHS community pharmacy owners with the representation and support they want and need Once we have this model, we can then work on the structure and organisation, to ensure it is set up to deliver the best possible representation and support to contractors - including interaction with other bodies, how it is funded, and how it is governed and held to account

The purpose of this survey is to seek your feedback on:

• The functions we have proposed should be delivered at a national level

• The functions we have proposed should be delivered at a local level

• What functions, if any, should be provided at a regional level?

• Which common functions needed at a local level could be delivered centrally e.g. financial management, HR support etc?

Focus of this survey

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• Organisations operate more effectively

• Duplication of effort is eliminated

• Focus is directed towards high value activities that best support contractors

• There is consistency of representation and support for contractors

What do we want to achieve by defining the roles for the future?

Draft - Confidential

Potential Roles of National Organisation

Vision & Leadership • Set a forward-looking vision of NHS Community Pharmacy for England • Perform research, analysis and advocacy on policy issues • Set mandate for contract / negotiation

• Shape and influence national policy and public opinion • Harness and leverage innovation for community pharmacy, collating inputs

from contractors • Set direction on adoption of new technologies

Negotiate the national Community Pharmacy Contract with DHSC and NHSE&I • Set strategy for contract / negotiation • Service design & development of contract (with input from contractors) • Secure best possible contractual terms and remuneration + conditions of services for NHS pharmaceutical services

Implement and manage the national Community Pharmacy Contract • Review execution of the contract

(effectiveness, feasibility….) • Support contractors to maximise

benefits and mitigate risks from the contract

• Support national provider company • Ongoing pricing audit function

Centralised guidance and support for community pharmacy • Promote and develop national services

for community pharmacy • Advise & support negotiations with the

local NHS, local authorities and other commissioners

Representation of community pharmacy at national level • Represent, protect and serve the

interests of all NHS pharmacy contractors

• Represent contractors in discussions and negotiations with Government Departments and other bodies

Communications & Public Affairs • Guidance and advice for local orgs and community pharmacy teams in

dealing with local media requests and engaging with patients and the public

• Briefing MPs and peers on community pharmacy issues • Creating resources that community pharmacy teams and local orgs can provide

to patients and the public • Developing promotional material for local orgs to use with local commissioner

Performance management & Reporting • Monitoring performance / KPIs and reporting these to a governance board

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Draft - Confidential

Potential Roles of National Organisation

Vision & Leadership Negotiation Implementation, Representation, Central Support

Communication

Survey questions on potential roles of the national organisation: 1. Do you agree with the potential roles of the national organisation?

2. What do you need from the national organisation to support you in your day to day role in a LPC or as a

contractor?

3. How would this be different to the support you get today from PSNC? How should the system of representation and support work together (local, national, central) ?

4. What should the national organisation do more of or less of?

Audit & Reporting

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Draft - Confidential

Potential Roles of Local Organisations

Negotiation & Contracts

Local Support Representation

Relationships

Promoting understanding and

mutual benefits between community pharmacy and local

health structures

Negotiate local contracts and services with local healthcare systems

• Negotiate and develop local contracts based on national templates and frameworks

• Support contractors on local service related matters

• Inform the national negotiation through provision of local insight to National Organisation

Represent the community pharmacy voice locally within relevant healthcare and local

authority systems • Engage and listen to contractors local needs

and concerns • Respond only to local consultations by NHS

ICS and HWBs on behalf of local contractors • Represent local contracts to the Local

Advisory Board + National Organisation • Local market entry matters and needs

assessments

Build & influence local relationships • Engage with local commissioners, local NHS bodies at a

system-level and where applicable place based level – e.g. ensuring pharmacy presence in ICS discussions (both clinical and contractor representation)

• Maintain and develop relationship with other representative Committees / and local providers, for the benefit of local pharmacy contractors

• Collaborate with National Organisation as appropriate on all matters relating to the provision of local pharmaceutical services – requests for information, etc

Localised guidance and support for community pharmacy

• Provide information and briefings to contractors on matters relating to the local commissioning of NHS services or other elements of the local NHS environment

• Provide information on local service opportunities • Facilitate integration at a PCN level

Communications & Engagement

• Maintain communications between the committee and contractors by way of the website, newsletters, meetings and other appropriate methods

• Engage and influence local decision makers

• Engage with local media to support voice for local community pharmacy as needed

• Demonstrate value and impact

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Draft - Confidential

Potential Roles of Local Organisation

Representation Communications &

Engagement Relationships

Negotiation & Contracts; Local Support

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Survey questions on potential roles of the local organisation: 1. Do you agree with the potential roles of the local organisation?

2. What do you need from the local organisation to support you in your day to day role in a contractor?

3. How would this be different to the support you get today from LPCs?

4. What should the local organisations do more of or less of?

5. With the changes in the local NHS structure and shift in local commissioning to ICS, what are your views on:

Who is best placed to maximise community pharmacy influence and engagement in the new system structure and emerging clinical and professional leadership models?

Draft - Confidential

Potential Roles of Central Support Function

Roles Potential Benefits

Human resources Reduce risk; better employment practices

Treasury, finance & budgeting support Support organisations to improve financial transparency

Central communications team Enhance public perception of community pharmacy through better external communications

Core training, e.g. governance Consistency of messages and standards Standardised support and service

Service development and evaluations, e.g. creating national service specifications; support design and analysis of evaluations

Reduce duplication in service introduction and development Improved quality of evaluations

Provider company Reduce duplication and risk in locally-set up provider companies

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Draft - Confidential

Survey

• This survey is for LPCs and contractors

• The closing date for comments is Wednesday 1st September 2021

• Survey questions on role of national organisations: https://forms.office.com/r/ExZELyVswj

• Survey questions on role of local organisations: https://forms.office.com/r/eZXx4bvFzG

• If you have any questions please contact us at review@pharmacy-review.org

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