A vision for the future of community pharmacy

The community pharmacy is a platform to learn more and more effective ways of medicine. It is said that pharmaceutical services are an intrinsic part of health services and investment in them can help achieve universal health coverage.  Community pharmacists require the understanding, skills, and tools to ensure their patients are getting the most out of their treatment. The PCRA Community Pharmacy Platform is designed to start you on the journey to providing great respiratory care, helping you make every contact count. The future of community pharmacy depends on its way of applying.  Pharmacists can look beyond the surface, explore causes and contribute solutions for a good future.

At present times community pharmacy faces turbulent times in England and other countries with funding cuts and unpopular reforms. Community pharmacy services started a few months ago

There are multiple streams of theories that describe their policy formation as a result of three processes (or streams). When these three streams come together simultaneously, a ‘window of opportunity’ is created these are problem stream, policy stream, and politics stream. We can describe it as the problem for the positive change that has been addressed and co-exist within community pharmacy service. Policymakers have been given priority to NHS reforms and it received wide-spread attention

First of all, a problem is recognized and then gains the attention of the whole community and addressed by several so this is called the problem stream. Secondly, a technically and politically feasible solution can be provided for it this is called policy stream. After that, a political stream is created for a positive way of change...

 Ensuring high quality of care, pressures technologies from an aging population with more long-term conditions and political instability reflect the complexity of healthcare challenges. In addition, community pharmacy is recognized as a highly valued resource but underutilization.

Over the last decade, governments have proposed various solutions to reform the health system. There have been structural changes and a gradual but noticeable shift from central to local leadership. Examples include the NHS Five Year Forward View, sustainability and transformation plans and accountable for care systems. Solutions for community pharmacy as a service provider have been proposed not only by the government but also in visions published by various professional companies. An example is the publication of Community Pharmacy Forward View in August 2016 as the first sector-wide vision for the future. The need for community pharmacy to secure its future in a world of constantly changing proposals for NHS reforms is highlighted.

According to multiple streams theory, political motivation is necessary for a positive change to emerge. This may explain why the policies above have not resulted in positive change for community pharmacy. In general, the signals in this stream are positive, since the NHS is a priority topic for governments. Numerous policy publications aiming to transform primary care and general practice demonstrate this with specific mention of pharmacy...

The multiple streams theory helps understand that there is infrastructure for a positive change because these three streams are present. My research has identified this ‘policy window’ and aims to contribute to a brighter future for community pharmacy. My ambition is to facilitate responses to current challenges and identify realistic steps for the future.

Initially, pharmacist conducts a health policy review to compare government and professional policies and summarize the drivers behind them. This will be followed by gathering opinions from all relevant stakeholders, including patients, pharmacists, other healthcare professionals, businesses and commissioners. The third phase will comprise case studies of existing innovative community pharmacy services, and their development from and contribution to past and future policy developments.

Community pharmacy teams are untapped and more milestones await aims to contribute towards a good community pharmacy vision.

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