A multi-method evaluation of the Pharmacy First Minor Ailments scheme
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Objectives To evaluate whether the Pharmacy First Minor Ailments scheme achieved its objectives in terms of improving access to medicines and reducing doctor workload for minor ailments by enhancing the role of community pharmacists in the management of minor ailments. Setting Nottingham, the United Kingdom. Methods A mixed-methods study was conducted, including semi-structured interviews with key stakeholders, a patient survey, and an analysis of the Nottingham City Primary Care Trust data. Main outcome measures Stakeholders’ acceptability of the scheme and scheme users’ satisfaction with the scheme. Results Most health care professionals were positive about the implementation of the scheme, although they reported some problems, such as the restricted formulary. The majority of stakeholders perceived benefits of the scheme for both patients and health care professionals. The level of patient satisfaction with the scheme was high, particularly in terms of ease of access and convenience. The current structure of the scheme appears to be an acceptable way to run the scheme. Since its commencement the scheme has enabled the transfer of a substantial number of minor ailments consultations from general practices to community pharmacies. Conclusion It appears that the Nottingham City Primary Care Trust is successful using community pharmacies to improve access to medicines and provide a greater choice in primary care for patients with minor ailments. Thus, the Primary Care Trust should continue the scheme, although there are some important issues (e.g. the restricted formulary, the lack of privacy in some pharmacies) that need to be addressed to improve and develop the service further. The Nottingham City Primary Care Trust should build on this success to further utilise the pharmacy in their primary care service development.
KeywordsAccess to medicine Community pharmacy Minor ailments
The authors would like to thank all stakeholders taking part in this study for their cooperation and valuable information.
This research was partially funded by Nottingham City Primary Care Trust.
Conflicts of interest
- 4.Department of Health. Self care—a real choice, self care support—a practical option [Internet] London: Department of Health; 2005 Jan [updated 2005 Jan 12; cited 2011 Jan 08]. Available from http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4101702.pdf.
- 5.Blenkinsopp A, Noyce PR. Minor illness management in primary care: a review of community pharmacy NHS scheme. Keele: Department of Medicines Management, University of Keele; 2002.Google Scholar
- 6.The National Pharmaceutical Association. Implementing a community pharmacy minor ailment scheme. A practical toolkit for primary care organisations and health professionals [Internet] Herts: The National Pharmaceutical Association; 2003 Dec [updated 2003 Dec; cited 2011 Jan 08]. Available from http://www.npa.co.uk/Documents/Docstore/PCO_LPCs/implementing_a_community_pharmacy_minor_ailment_scheme.pdf.
- 7.NHS information Centre. General pharmaceutical services in England and Wales, 2000–01 to 2009–10. London: NHS Health and Social Care Information Centre, 2010. [updated 2010 Nov 25; cited 2011 Jan 08]. Available from http://www.ic.nhs.uk/webfiles/publications/007_Primary_Care/pharmserv0010/General_Pharmaceutical_Services_England_2000-01_2009-10_report.pdf.
- 8.Whittngton Z, Cantrill J, Hassell K, Bates F, Noyce PR. Community pharmacy management of minor conditions—the “Care at the chemist” scheme. Pharm J. 2001;266(7141):425–8.Google Scholar
- 9.Vohra S. A community pharmacy minor ailment scheme—effective, rapid and convenient. Pharm J. 2006;276(7406):754–6.Google Scholar
- 11.Parkinson J. Minor ailments schemes can improve patients’ access to treatment and advice. Pharm Pract. 2005;15(5):215–7.Google Scholar
- 12.Kemper N. Minor ailments scheme now involves over a third of Sheffield’s pharmacists. Prescr Med Manag. 2004;272(Mar 20):PM2.Google Scholar
- 13.Baqir W, Todd A, Learoyd T, Sim A, Morton L. Cost effectiveness of community pharmacy minor ailment scheme. Int J Pharm Pract. 2010;2(Suppl):3.Google Scholar
- 16.Flint L, River P. Evaluation of the Pharmacy First Service. Research and Evaluation Services, 2003.Google Scholar
- 17.Whittngton Z, Hassell K, Cantrill J, Noyce PR. Care at the chemist: A question of Access - A feasibility study comparing community pharmacist and general practice management of minor ailments. University of Manchester, 2001.Google Scholar
- 18.Schfheutle E, Noyce P, Sheehy C. Direct supply of medicines in Scotland: evaluation of a pilot scheme [Internet]. Edinburgh: Scottish Executive Social Research; 2003 [updated 2006 May 22; cited 2011 Jan 08]. Available from http://scotland.gov.uk/Resource/Doc/47034/0029655.pdf.
- 19.Sheehy C, Jones L. Direct supply of medicines in Scotland: extended monitoring of a pilot scheme [Internet]. Edinburgh: Scottish Executive Social Research; 2003 [updated 2006 May 22; cited 2011 Jan 08]. Available from http://www.culturalcommission.co.uk/Resource/Doc/47034/0029654.pdf.
- 20.Islington Primary Care Trust. Islington minor ailments pilot scheme evaluation report (final copy)—October 2004; 2004.Google Scholar
- 22.Yamane T. Statistics: an introductory analysis. 2nd ed. New York: Harper&Row; 1967.Google Scholar
- 23.Ware J, Hays RD, Davies AR. The patient satisfaction questionnaire [Internet]. California (CA): RAND Corporation; 1994 [updated 2009 Oct 26; cited 2010 Nov 03]. Available from http://www.rand.org/health/surveys/PSQIII.html, http://www.rand.org/health/surveys_tools/psq/psq3_survey.pdf.
- 25.Watson M, Walker A, Bond C. Views about the treatment of vaginal symptoms in community pharmacies. Pharm J. 2000;265(7114):R43.Google Scholar
- 27.Anonymous. NPA wants more consultations areas. Pharm J. 2002;268(7200):715.Google Scholar
- 28.Buisson J. How to make space for a consultation room in your community pharmacy. Pharm J. 2005;275(7378):689–91.Google Scholar