Background
Methods
Aim
Design
Sample
Recruitment process and access
Patient and public involvement
Data collection
Analysis
Results
Respondents
Medicines access practices
Methods of providing new prescriptions in-hours
Which of the following are you able to provide for patients to obtain new prescriptions during working hours? Please select all options you use: | |||||
---|---|---|---|---|---|
CNS N (%) | CN N (%) | GP N (%) | PCP N (%) | CP N (%) | |
Personal home visits | 349 (92) | 82 (93) | 484 (98) | 52 (43) | 49 (35) |
Telephone consultations | 335 (88) | 78 (91) | 498 (100) | 134 (96) | 147 (85) |
Email consultations | 79 (24) | 8 (10) | 169 (35) | 32 (28) | 63 (43) |
GP practice appts. | 168 (51) | 43 (56) | 496 (100) | 122 (91) | 44 (38) |
Community pharmacy appts. | 37 (12) | 11 (15) | 118 (29) | 28 (29) | 131 (73) |
Referral to nurse prescriber | 194 (58) | 69 (78) | 286 (65) | 102 (78) | 101 (62) |
Referral to pharmacist prescriber | 64 (20) | 21 (26) | 149 (34) | 66 (65) | 81 (53) |
Referral to GP | 375 (97) | 92 (96) | 351 (95) | 147 (100) | 185 (93) |
Nurse and pharmacist prescribing
Are you able to prescribe via an electronic system? | |||||
---|---|---|---|---|---|
Total N (%) | CNS N (%) | CN N (%) | PCP N (%) | CP N (%) | |
No – pad only | 142 (58) | 122 (94) | 14 (64) | 68 (78) | 4 (20) |
Yes – with transfer to pharmacy | 74 (30) | 2 (1.5) | 4 (18) | 17 (20) | 11 (55) |
Yes – no transfer to pharmacy | 28 (11) | 6 (4.6) | 4 (18) | 2 (2.3) | 5 (25) |
Out-of-hours services for medicines access
Community pharmacy commissioned service provision
If you are a community pharmacist in a community pharmacy, do you provide an enhanced service for palliative care (e.g. on-demand availability of specialist drugs)? | ||
---|---|---|
Yes | No | |
Commissioned servicea | 67 (31) | 148 (68) |
Of those with a commissioned service | ||
Stocking a locally agreed list of core palliative care medicines | 62 (93) | 5 (7.5) |
OOH availability of palliative care medicines from your pharmacy | 32 (48) | 35 (52) |
OOH availability of palliative care medicines from other linked pharmacies in your area | 19 (28) | 48 (72) |
Provision of info on the service to other pharmacy contractors and HCPs to signpost patients to the service | 47 (70) | 20 (30) |
Provision of info on the service to patients and carers directly | 41 (61) | 26 (39) |
Factors influencing medicines access service provision
Prescribing competence
Access to patient records
Do you have access to shared patient records for communication about medicines access between health professionals? Tick all that you are able to access: | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CNS | CN | GP | PCP | CP | |||||||||||
Paper N (%) | Elec. N (%) | No N (%) | Paper N (%) | Elec. N (%) | No N (%) | Paper N (%) | Elec. N (%) | No N (%) | Paper N (%) | Elec. N (%) | No N (%) | Paper N (%) | Elec. N (%) | No N (%) | |
GP records | 22 (5.7) | 203 (52) | 173 (44) | 5 (5.1) | 77 (78) | 18 (18) | – | – | – | 14 (9.3) | 145 (96) | 2 (1.3) | 10 (4.6) | 62 (28) | 149 (68) |
GP OOH records | 8 (2.1) | 117 (30) | 264 (68) | 1 (1.0) | 60 (61) | 38 (38) | 72 (14) | 349 (70) | 86 (17) | 13 (8.6) | 100 (66) | 39 (26) | 6 (2.7) | 21 (9.6) | 192 (88) |
CN records | 77 (20) | 218 (56) | 105 (27) | – | – | – | 39 (7.8) | 281 (56) | 186 (37) | 7 (4.6) | 97 (64) | 48 (32) | 1 (0.5) | 15 (6.9) | 203 (93) |
Hospice/ palliative care specialist records | – | – | – | 3 (3.0) | 66 (67) | 30 (30) | 46 (9.2) | 154 (31) | 304 (61) | 20 (13) | 58 (38) | 77 (51) | 3 (1.4) | 12 (5.5) | 204 (93) |
CP records | 2 (0.5) | 18 (4.6) | 369 (95) | 1 (1.0) | 8 (8.1) | 90 (91) | 12 (2.4) | 29 (5.8) | 458 (92) | 4 (3.3)a | 9 (7.4)a | 108 (89) | – | – | – |
Summary Care Record | 23 (5.9) | 153 (39) | 219 (56) | 2 (2.0) | 60 (61) | 37 (37) | 26 (5.2) | 417 (84) | 59 (12) | 6 (4.0) | 138 (91) | 8 (5.3) | 13 (5.9) | 198 (90) | 8 (3.7) |
Impact of nurse and pharmacist prescribing
Community pharmacy provision of palliative medicines
How frequently do you: | |||||
---|---|---|---|---|---|
Never | Rarely | Sometimes | Often | Always | |
Undertake medicines optimisation reviews for palliative care patients | 61 (28) | 65 (30) | 52 (24) | 26 (12) | 13 (6.0) |
Feel that lack of awareness of patients’ palliative status influences your ability to help patients access medicines | 13 (6.0) | 22 (10) | 71 (33) | 87 (40) | 25 (11) |
Encounter a discrepancy between palliative care medicines prescribed and the stock you hold | 12 (5.5) | 36 (17) | 76 (35) | 79 (36) | 14 (6.5) |
Limit your stock of palliative care medicines because ‘use by’ dates are likely to expire | 27 (12) | 37 (17) | 47 (22) | 67 (31) | 40 (18) |
Limit your stock of palliative care medicines because of lack of storage space | 63 (29) | 59 (27) | 38 (18) | 41 (19) | 15 (6.9) |
Experience problems receiving prescriptions electronically from patients’ GP practices | 28 (13) | 40 (18) | 65 (30) | 51 (23) | 34 (16) |
Encounter carers not having satisfactory ID, seeking to collect Controlled Drug prescriptions for patients | 16 (7.3) | 68 (31) | 73 (33) | 51 (23) | 10 (4.6) |