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Health and Social Care Bill

survey 2012

Section Title


Response

• 440 Responses with unique membership numbers

• 1.5% response rate from English membership

• Response rate proportionally higher from hospital pharmacists and lower from community

pharmacists

40%

30%

34.4%

29.2%

20%

10%

0%

17.1%

Community Hospital Primary Care

organisation

11.2%

4.5%

1.9%

1.7%

Academia Industry Retired Students/Pre-reg

Base 440

1


Do you agree with the Health and Social Care Bill and its

implications for patients, pharmacists and the NHS?

100%

80%

76.6%

60%

40%

20%

12.3%

10.9%

0%

Yes No Don't know

Base 440

2


Do you agree with the Health and Social Care Bill and its

implications for patients, pharmacists and the NHS?

100%

80%

60%

40%

20%

0%

Yes

No

Don't know

Base 440

3


In my personal view, I believe that the Government's NHS

reforms including the Health and Social Care Bill will:

Enable greater collaboration between healthcare

professionals, including between doctors and pharmacists

Advantage patients through its intention to increase the use of

competition to provide NHS services

Increase the opportunities for the provision of pharmacy public

health services

Result in better use of pharmacy and medicines, and therefore

improve patient care

Increase the fragmentation of services to the detriment of

patient care

Base 440

Strongly Disagree Neutral Agree Strongly

Disagree

Agree

4


Believe the bill will: Enable greater collaboration between

healthcare professionals, including between doctors and

pharmacists

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Student/pre-reg

Other

Base 440

Strongly Disagree Neutral Agree Strongly

Disagree

Agree

5


Believe the bill will: Advantage patients through its intention to

increase the use of competition to provide NHS services

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Student/pre-reg

Other

Base 440

Strongly Disagree Neutral Agree Strongly

Disagree

Agree

6


Believe the bill will: Increase the opportunities for the provision

of pharmacy public health services

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Student/pre-reg

Other

Base 440

Strongly Disagree Neutral Agree Strongly

Disagree

Agree

7


Believe the bill will: Result in better use of pharmacy and

medicines, and therefore improve patient care

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Student/pre-reg

Other

Base 440

Strongly Disagree Neutral Agree Strongly

Disagree

Agree

8


Believe the bill will: Increase the fragmentation of services to the

detriment of patient care

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Student/pre-reg

Other

Base 440

Strongly Disagree Neutral Agree Strongly

Disagree

Agree

9


Should the Society continue to lobby on:

Ensuring a level playing field in

commissioning

Pharmacy representation at all levels within

the new NHS structures

A clear split between commissioning and

providing services

Retaining the expertise of primary care

pharmacists within the new NHS structures

Ensuring the public health role of

pharmacy is recognised and promoted

Reducing the potential for fragmentation of

services where this is harmful to patients

4.6%

6.9%

3.2%

1.6%

12.9%

11.0%

6.0%

6.9%

2.5%

2.5%

3.6%

3.0%

76.1%

88.9%

95.2%

87.2%

95.0%

93.4%

0% 20% 40% 60% 80% 100%

Base 440

Yes No Don't know

10


Should the Society continue to lobby on: Ensuring a level

playing field in commissioning

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Yes

No

Don't know

Student/pre-reg

Other

0% 20% 40% 60% 80% 100%

Base 440

11


Should the Society continue to lobby on: Pharmacy

representation at all levels within the new NHS structures

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Yes

No

Don't know

Student/pre-reg

Other

0% 20% 40% 60% 80% 100%

Base 440

12


Should the Society continue to lobby on: A clear split between

commissioning and providing services

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Yes

No

Don't know

Student/pre-reg

Other

0% 20% 40% 60% 80% 100%

Base 440

13


Should the Society continue to lobby on: Retaining the

expertise of primary care pharmacists within the new NHS

structures

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Yes

No

Don't know

Student/pre-reg

Other

0% 20% 40% 60% 80% 100%

Base 440

14


Should the Society continue to lobby on: Ensuring the public

health role of pharmacy is recognised and promoted

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Yes

No

Don't know

Student/pre-reg

Other

0% 20% 40% 60% 80% 100%

Base 440

15


Should the Society continue to lobby on: Reducing the

potential for fragmentation of services where this is harmful to

patients

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Yes

No

Don't know

Student/pre-reg

Other

0% 20% 40% 60% 80% 100%

Base 440

16


How should the English Pharmacy Board respond to the NHS

reforms and Health and Social Care Bill overall at this point?

Reject the Government's proposals

57.7%

Continue lobbying on specified areas as informed

by the results of this survey

29.6%

Support the proposals and work with Government

on implementing the reforms

5.9%

I require further information before making this

judgment

6.8%

0% 20% 40% 60% 80%

Base 440

17


How should the English Pharmacy Board respond to the NHS

reforms and Health and Social Care Bill overall at this point?

Academia

Community

Hospital

Industry

Primary Care Organisation

Retired

Student/pre-reg

Other

0% 10% 20% 30% 40% 50% 60% 70% 80%

Base 440

Reject the Government's proposals

Continue lobbying on specified areas as informed by the results of this survey

Support the proposals and work with Government on implementing the reforms

I require further information before making this judgment

18


Section Title

Qualitative feedback

We have grouped together responses to the question “What other issues should the Society

lobby on?” into four themes The slides following contain summaries of the responses we received

around:

1 Structural community pharmacy issues

2 Patient pathways

3 Other lobbying issues or positions

4 Concerns highlighted by pharmacists:


Section Title

Qualitative feedback: structural community pharmacy issues

• Properly structured well paid service. Dispensing remuneration should increase

• 100hour exemption (remove)

• Ensure applications satisfy the PNA


Section Title

Qualitative feedback: patient pathways

• Ensure all parts of the NHS work in partnership with each other, both within the

profession and between other HCPs – co-operation not competition, maintain a

multidisciplinary approach. Need better communication between pharmacists and HCPs

• Ensure seamless continuity of care and through all sectors

• Reduce red tape/paperwork

• Medicines optimisation around individual patients, medicines management in all

commissioned and provided services, medicines wastage

• Ensure equality of health care provision and access to drugs, prevent return to postcode

prescribing


Section Title

Qualitative feedback: Other lobbying issues or positions

• Campaign for national services that the public should expect to receive from any

pharmacy (through national HLP scheme), historically national schemes have not been

negotiated at a local level

• Decriminalising dispensing errors

• RP regulations

• Remote supervision

• End of dispensing doctors

• Remove competition clauses from bill

• Removal of VAT paid on medicines by hospital pharmacies

• Ensure NHS remains free for all, and a national service

• Ensure improved patient care is the top priority

• Emphasise self-care and how pharmacy can help patients to look after themselves

• Ensure (equal) opportunity and funding for postgraduate and professional training for all

pharmacists. Training and support needs, as well as research and education aspect, to

be maintained so that highly qualified staff are available in the future.

• End to constant reorganisation of the health service


Section Title

Qualitative feedback: Other lobbying issues or positions

• Many pharmacists feel that the motivations of patient care and competition are fundamentally

incompatible, and that patient care will be compromised in the pursuit of increased cost-saving

(profit-making in the private sector).

• The RPS is being/has been ‘bought’ with the promise of the end to decriminalising dispensing

errors

• Lack of visible action response from RPS has been interpreted as RPS support of the bill and

RPS only acting in the interests of community pharmacists, and not primary care/hospital.

• Private companies will be able to ‘cherry-pick’ the most profitable services to provide, leaving

complex, difficult to provide, rarer, risk-prone and multi-agency services in the public sector and

potentially under-resourced.

• Changes have been made in anticipation of the bill

• Many questions have been raised about how the new processes will work, what safeguards

are in place to ensure service is fit for purpose at point of care – there is a need for more

discussion and greater transparency about how things will work with respect to pharmacy

• There was also some reiteration of issues we are already lobbying on

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