THE key for pharmacy was to ensure it tied Prescription for Excellence into the changing healthcare landscape in Scotland, to continue to deliver safe, effective and sustainable pharmaceutical care, explained Scotland’s Chief Pharmaceutical Officer, Professor Rose Marie Parr at the NHS National Education for Scotland (NES) and Royal Pharmaceutical Society (RPS) in Scotland, Shaping Pharmacy conference.
These main changes included: health and social care integration; Scotland’s multi-morbidity problem; the quality strategy; the move to treat people closer to home in their communities; and the need to reduce hospital admissions.
“How do you change the world? All we can really do, is do it step by step. And that transition is really important. It’s not just about practise change, but culture change,” she told delegates. Other important factors to consider were the new Chief Medical Officer’s first annual report, Realistic Medicine, and the National Clinical Strategy.
“We know we want to enhance primary care, and that’s been the talk for the last 10 years, and has that happened really? Probably not. But things are moving.” However, she said, change would still be difficult due to the financial climate, nevertheless, it was important that it wasn’t about process, input and targets, but about outcomes. Pharmacy also needed to be more enabled and joined up: “We need to look to the future not just to the first few years, but 5, 10, 20 years into the future,” she said.
Turning to her own aims, Professor Parr said these included refreshing Prescription for Excellence, which was “really code for keeping pharmaceutical care on the burner”; making Scotland the safest place to take medicines; articulating what the profession does; developing an evidence base to prove the benefits of pharmaceutical care; and improving pharmaceutical care across all the boundaries. Her immediate priorities included e-prescribing and discussing the future of supervision to free up pharmacists “clinical capacity”.