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The on day service is increasing same day access for patients and freeing up time for the GP practices to better meet the needs of their patients with complex and long-term conditions. As part of the on day service ‘offer’ a clinical pharmacist, also known as the ‘patient facing pharmacist’, is linking in with colleagues to help provide a more comprehensive primary care service.

Clinical pharmacist Jason Punyer explains more about his role and where he sees opportunities to develop: “What we’re focusing on in Erewash is the on day service model and this is a service provided by a GP, advanced nurse practitioners, physiotherapists, mental health worker, and the clinical pharmacist.

"In the future I’ll be looking to see more patients face-to-face but what I’m concentrating on at the moment are telephone advice clinics around medication with prescribing if necessary. The other half of the job is carrying out targeted/reactive medication reviews on patients that are post-discharge or, for example, have had falls or are confused around their medication. 

“I look at the medication and can help manage those medications, particularly when working with patients who may have several long-term conditions. In Erewash we’re looking at more of the on day need and activity has been fairly low for me so far but we’re working to increase that. It may be that my work broadens out to wider support within general practice, freeing up more of the GPs’ time.

“I started covering just the Ilkeston side of Erewash initially and I am now covering the Long Eaton side until another pharmacist is recruited. The on day service for Ilkeston is based at Littlewick surgery and so when I have telephone clinics I’m based there, otherwise I am hosted by Dr Purnell and Partners at Ilkeston Health Centre.

“As well as supporting the GP practices in Erewash, I support the community services, district nurses, community matrons, the care homes team, the out of hours team, the care co-ordinators and the hubs. I’m there as a support resource around medications. My referrals tend to come through via the care coordinators for patients post-discharge who might be confused about their medication and don’t know what they’re supposed to be doing. Sometimes there’s duplicate medication or there’s missing information and I’m there to fill in the gaps and make sense of it all for them.

“As with any new pilot project it’s been a bit slow to start with but it’s starting to pick up now and I’m encouraged by that. The message to my colleagues is: if you’re unsure about whether a referral or appointment is appropriate then just book it or speak to me about it; I’m here, talk to me, email me, message me, just book it in and if it’s not appropriate I will provide feedback.

“Everyone does a job to try to make a difference and certainly in the contacts I’ve had with patients I’ve felt like I have made a difference. It’s always difficult to prove whether those patients would have led to a (hospital) admission but there’s lots of reasons to believe that these interventions will have prevented something.”

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Wellbeing Erewash

by Wellbeing Erewash