Non-Medical Pharmacist Prescriber, Fferyllwyr Llyn Cyf T/A R J Jones Pharmacy, Nefyn, Gwynedd
Llyr Hughes currently manages a community pharmacy practice that provided a large number of enhanced and advanced clinical services in a rural part of North Wales.
After qualifying as a pharmacist he became a branch manager of a busy community pharmacy. Three years later he decided he needed a further challenge and became a primary care pharmacist going around GP practices. A few years later Llyr became the prescribing advisor lead for what was the Local Health Group, before it became a Health Board. Then, 17 years ago he had an opportunity to purchase his own community pharmacy. Llyr has since amalgamated his pharmacy with others and now has a group of three pharmacies with five pharmacists, who are very committed to driving the frontiers of what community pharmacy can offer. Llyr and colleagues have played their part in developing and piloting a number of clinical services, such as the level 3 smoking cessation service. Extensive private travel health clinics are provided and Llyr operated was one of the first sites for the ‘Choose Pharmacy’ minor ailment service,
Recently, all five pharmacists in the team have become non-medical independent prescribers with a speciality in dealing with acute conditions. They have worked closely with our local Health Board (Betsi Cadwaladr University Health Board – BCUHB) and have been piloting a new acute conditions independent prescribing (IP) service in the three pharmacies. This service enables patients to either self-refer or be referred by the GP surgery where they can assess, evaluate and prescribe appropriate treatment for a wide range of acute conditions as necessary, including conditions such as respiratory tract infections, ENT infections, skin infections and urinary tract infections to name but a few. The pharmacies are located in an area whereby GP access has been somewhat of an issue. This new service has been welcomed by both patients and local GP practices as a way of better using the skill mix of a primary care team. Llyr and colleagues feel that this new service has truly helped ensure that community pharmacy and themselves as pharmacists are now an integral part of the primary care team.
Llyr, Alison Hughes and Dr Adam Mackridge are presenting Community Pharmacy unscheduled care services to improve access and ease GP workload.
This session will include presentations from the commissioner and contractor perspective outlining the development and implementation of services in unscheduled care to help improve patient access and reduce demand on general practices and other unscheduled care providers. The session will include discussion and Q&A with a focus on sharing experiences, including the challenges and successes of taking these services forward in North Wales.