Framework for Scotland’s chronic medication service launched
Management of patients with long-term conditions is firmly on the pharmacy agenda in Scotland following the launch of the framework that will underpin community pharmacists’ contribution through the chronic medication service (CMS) earlier this week
Management of patients with long-term conditions is firmly on the pharmacy agenda in Scotland following the launch of the framework that will underpin community pharmacists’ contribution through the chronic medication service (CMS) earlier this week (9 December 2009).
Scotland’s Deputy First Minister and Cabinet Secretary for Health and Wellbeing Nicola Sturgeon announced the launch at a Scottish Pharmacy Board Parliamentary reception and confirmed that the service will be rolled out across Scotland in spring 2010.
The framework outlines the three stages of the CMS — registration of patients, pharmaceutical care planning and a shared care stage involving the patient, pharmacist and the patient’s GP (see Panel).
The report highlights 13 long-term conditions that should be a priority under the CMS and for which disease-specific protocols should be developed first.
Evidence from the UK and US suggests that these 13 conditions are those that are most commonly associated with drug therapy: hypertension, hyperlipidaemia, asthma, diabetes, angina, heart failure, chronic obstructive pulmonary disease, epilepsy, rheumatoid arthritis, Parkinson’s disease, osteoporosis, chronic pain and hypothyroidism.
The report provides a generic framework to guide pharmacists in delivering CMS across Scotland. Chairman of the CMS advisory group and report author Lewis Ritchie said: “It will be crucial that the guiding principles in this report are translated as effective operational plans, sufficiently resourced and adequately piloted/tested, as an essential precursor to national roll-out.”
Such preparation is already under way. Detailed work on the pharmaceutical care review plan is taking place along with work to ensure that IT systems underpinning the service are fully functional ahead of national roll-out, according to Community Pharmacy Scotland.
CPS is also working with the Scottish Government to finalise remuneration for pharmacists. However, the head of corporate affairs at CPS, Alex MacKinnon, was unable to say when these details would be announced.
Panel: How patients will be managed
Citation: The Pharmaceutical Journal URI: 10989180
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