The research, part of a larger body of work evaluating the implementation of the CPCF, investigated issues related to work load and job satisfaction and was led by Professor Alison Blenkinsopp of Keele University, together with Professor Christine Bond, University of Aberdeen and Gianpiero Celino, Webstar Health.
The research funded by the Pharmacy Practice Research Trust (the Trust) and published today reports the findings from the largest survey to date of community pharmacists undertaken since the introduction of the contract.
There was evidence that all three tiers of the CPCF led to increased community pharmacists’ work load but there was a particular rise related to paperwork, the research reported. Respondents spent up to 25% of their time counselling patients and up to 25% on other management tasks in addition to existing services such as dispensing. Some community pharmacists interviewed expressed disappointment that workflow management systems to support and manage existing workload such as repeat dispensing and the electronic prescription service (EPS) had not materialised.
Sixty-eight per cent of respondents indicated they had delegated more work to non-pharmacist staff members with a further 34 per cent indicating they planned to make other staff changes in the next year. Pharmacists providing medicine use reviews (MURs) were more likely than other responders to have devolved more work to non-pharmacists and 23 per cent had specifically employed a locum to either conduct MURs or provide cover for conducting MURs.
The report found that 58 per cent of respondents felt stressed within their job and only 17 per cent of community pharmacists stated they were more satisfied overall compared to before the contract was introduced. Pharmacists providing the MUR service were more satisfied than those who were not. Overall, only a third (33%) stated they would be likely to still be working in community pharmacy in the next ten years – a concern for future workforce planners.
The findings from the study describe experiences of pharmacists on the ground and highlight the areas that should be addressed in future planning of services, namely robust management programmes such as EPS and identification of training needs for technicians and pharmacy support staff as they move into cascaded evolving roles. Greater use of IT to reduce paperwork, as in the implementation of the Scottish community pharmacy contract, will also be important.
‘It may be that a better more appropriate skill mix is emerging, although detailed exploration of this would be needed to identify the tasks delegated, the competencies of those now delivering them, and the outcomes”, said Alison Blenkinsopp, Professor of the Practice of Pharmacy, Keele University. “These changes in the pharmacy team may result in higher job satisfaction across the team, particularly among pharmacists who report that job dissatisfaction is related to a feeling that they have insufficient time to do justice to the job. We therefore welcome the timing of the publication of the recent DH White Paper for pharmacy and its recognition of the need for a more robust support framework and its endorsement of the evolving role of pharmacy technicians.”
"The value of commissioning a study like this is that it identifies barriers that might inhibit the full implementation of new policies and areas where further research is necessary and policy makers can take note of these" said Sue Ambler, Director of the Trust. "The research indicated that the vast majority of pharmacies are engaging well with the new contract and that participation in the MUR service was associated with increased pharmacist satisfaction but it did also identify areas where pharmacists were indicating some stress.”
The report and an executive summary of the main findings from the full national evaluation of the CPCF is available at www.pprt.org.uk/Publications/2008Publications.aspx
Bonnie Green | alfa
Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT
Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont
In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.
Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...
Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.
The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
07.12.2016 | Health and Medicine
07.12.2016 | Life Sciences
07.12.2016 | Health and Medicine