GP DMIRs Project


Service Goal:

  • To reduce the burden on General Practice by referring patients requiring advice and treatment for certain low acuity conditions from a GP practice to a community pharmacist.
  • Its aim is to ensure that patients have access to the same levels of care, close to home and with a self-care emphasis.


How:

  • When a patient contacts their GP practice to make an appointment, the GP practice team will advise patients they can attend a local pharmacy for a consultation with a pharmacist, using a streaming process or other local protocol to identify appropriate patients to be referred, dependent on the symptoms declared by the patient.
  • On presentation, the pharmacist will undertake a clinical consultation to assess the patient, provide relevant self-care advice and support and will refer the patient to another service or healthcare professional, where it is appropriate to do so.
  • Pharmacies will receive £14 per consultation.


Aims and Objectives:

Asthma Review Project

​Service Goal:

To identify people who need an asthma review, have had exacerbations or there is an indication their asthma is poorly controlled (overuse of SABA inhaler) and signpost to community pharmacy to have their annual review with the pharmacist.


How:

  • Patients within the eligibility criteria will be identified in the general practice and passed to the nominated community pharmacy. The patient will be offered an asthma review which meets QoF requirements in the community pharmacy including:•inhaler technique
  • •assessment of asthma control using ACT score which includes assessment of SABA use
  • •patient-reported record of exacerbations
  • •check that the patient has a personalised action plan in place


Aims and objectives

Bury Hypertension and AF Screening Project


Service Goal:

  • To identify the ~17675 people in Bury with undiagnosed Hypertension
  • To identify the ~834 people in Bury with undiagnosed Atrial Fibrillation


How:

  • Opportunistic brief interventions with BP & Pulse measurement in community pharmacy
  • Lifestyle advice
  • Referral & Signposting


Service Overview: 

North Manchester Hypertension Project


Service Goal:

  • To identify people with undiagnosed Hypertension in North Manchester
  • To identify people with undiagnosed Atrial Fibrillation in North Manchester


How:

  • Opportunistic brief interventions with BP & Pulse measurement in community pharmacy
  • Structured lifestyle consultations with those who have raised BP
  • Post-diagnosis support through NMS for those ‘found’ through the service​


Aims and Objectives:

Programme 2: INNOVATE

CHL will work with partners to seek out innovative new services, including proof of concept innovation and nationally commissioned pilots.