The roles of the Department of Health and NHS England in relation to community pharmacy. PSNC Community Pharmacy Conference 2013

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1 The roles of the and NHS England in relation to community pharmacy PSNC Community Pharmacy Conference April 2013

2 The s (DH) role: The helps people to live better for longer. We lead, shape and fund health and care in England, making sure people have the support, care and treatment they need, with the compassion, respect and dignity they deserve. Leading the nation s health and care 2 PSNC Community Pharmacy Conference - 24 April 2013

3 3 PSNC Community Pharmacy Conference - 24 April 2013

4 DH s responsibilities are: to lead across health and care by creating national policies and legislation, providing the long-term vision and ambition to meet current and future challenges, putting health and care at the heart of government, and being a global leader in health and care policy to support the integrity of the system by providing funding, assuring the delivery and continuity of services and accounting to Parliament in a way that represents the best interests of the patient, public and taxpayer to champion innovation and improvement by supporting research and technology, promoting honesty, openness and transparency, and instilling a culture that values compassion, dignity and the highest quality of care above everything In these times of austerity DH has a special commitment to play our part in supporting economic growth. 4 PSNC Community Pharmacy Conference - 24 April 2013

5 DH s six core functions of stewardship: As system steward, DH s job is to ensure that the health and care system operates effectively to meet the needs of people and their communities. Specifically, stewardship entails: Setting national priorities which reflect what patients, service users and the public value Securing and allocating resources to meet priorities and deliver services Sponsoring our national bodies by supporting them and holding them to account for the delivery of their role Fostering relationships, collaborating with partner organisations, and ensuring that the system works well together Creating and updating the policy and legislative frameworks within which the health and care system operates Accounting to Parliament and the public for the effectiveness of the system 5 PSNC Community Pharmacy Conference - 24 April 2013

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7 NHS Pharmaceutical Services Product Reimbursement Services Remuneration

8 NHS Pharmaceutical Services Product Reimbursement Services Remuneration Division of roles Determines NHS reimbursement price of medicines & appliances NHS England Commissions NHS Pharmaceutical Services including essential, advanced & enhanced services, plus local pharmaceutical services

9 DH and NHS England - Interrelationship DH/NHS Liaison Group for NHS Pharmaceutical Services Support the transition of current DH and PCT functions, which continue in 2013/14, to NHS England, and other consequential system changes, to maintain safe and effective NHS pharmaceutical services; and Underpin effective working between DH and NHS England in the longer term, beyond April 2013, in respect of NHS pharmaceutical services 9 PSNC Community Pharmacy Conference - 24 April 2013

10 DH and NHS England - Interrelationship New medicine service NHS England decision to extend DH Ministers agreed change to Directions to enable extension Community pharmacy contractual framework funding negotiations, include Total funding for essential and advanced services, and uplift formula Reform of medicine margin and reimbursement changes Greater reward of quality initial steps Elements for which DH and NHS England are responsible therefore working together 10 PSNC Community Pharmacy Conference - 24 April 2013

11 NHS Pharmaceutical Services Product Reimbursement Services Remuneration Division of roles Determines NHS reimbursement price of medicines & appliances NHS England Commissions NHS Pharmaceutical Services including essential, advanced & enhanced services, plus local pharmaceutical services Pharmacies, appliance contractors (& dispensing doctors) Dispense medicines & appliances & provide associated & other services

12 NHS Pharmaceutical Services Product Reimbursement Services Remuneration Division of roles Determines NHS reimbursement price of medicines & appliances NHS England Commissions NHS Pharmaceutical Services including essential, advanced & enhanced services, plus local pharmaceutical services Pharmacies, appliance contractors (& dispensing doctors) Dispense medicines & appliances & provide associated & other services

13 NHS Pharmaceutical Services Product Reimbursement Services Remuneration Division of roles Determines NHS reimbursement price of medicines & appliances NHS England Commissions NHS Pharmaceutical Services including essential, advanced & enhanced services, plus local pharmaceutical services Pharmacies, appliance contractors (& dispensing doctors) Dispense medicines & appliances & provide associated & other services Clinical Commissioning Groups Charged for product reimbursement Charged for service remuneration

14 NHS Pharmaceutical Services Product Reimbursement Services Remuneration Division of roles Determines NHS reimbursement price of medicines & appliances NHS England Commissions NHS Pharmaceutical Services including essential, advanced & enhanced services, plus local pharmaceutical services Pharmacies, appliance contractors (& dispensing doctors) Dispense medicines & appliances & provide associated & other services Commission other services Clinical Commissioning Groups Charged for product reimbursement Charged for service remuneration

15 Executive Agency Public Health England NHS Pharmaceutical Services Product Reimbursement Services Remuneration Determines NHS reimbursement price of medicines & appliances Division of roles Pharmacies, appliance contractors (& dispensing doctors) Dispense medicines & appliances & provide associated & other services NHS England Commissions NHS Pharmaceutical Services including essential, advanced & enhanced services, plus local pharmaceutical services Inform market entry & commissioning decisions Local Authorities Health & Well Being Boards produce pharmaceutical needs assessments Commission public health services Commission other services Clinical Commissioning Groups Charged for product reimbursement Charged for service remuneration

16 Executive Agency Public Health England NHS Pharmaceutical Services Product Reimbursement Services Remuneration Determines NHS reimbursement price of medicines & appliances Division of roles Pharmacies, appliance contractors (& dispensing doctors) Dispense medicines & appliances & provide associated & other services NHS England Commissions NHS Pharmaceutical Services including essential, advanced & enhanced services, plus local pharmaceutical services Inform market entry & commissioning decisions Local Authorities Health & Well Being Boards produce pharmaceutical needs assessments Commission public health services Commission other services Health & Social Care Information Centre Collates & provides information Clinical Commissioning Groups Charged for product reimbursement Charged for service remuneration Connecting for Health functions

17 Executive Agency Public Health England NHS Pharmaceutical Services Product Reimbursement Services Remuneration Determines NHS reimbursement price of medicines & appliances Division of roles Pharmacies, appliance contractors (& dispensing doctors) Dispense medicines & appliances & provide associated & other services NHS England Commissions NHS Pharmaceutical Services including essential, advanced & enhanced services, plus local pharmaceutical services Inform market entry & commissioning decisions Local Authorities Health & Well Being Boards produce pharmaceutical needs assessments Commission public health services Health Education England & Local Education & Training Boards Commission other services Health & Social Care Information Centre Collates & provides information Clinical Commissioning Groups Charged for product reimbursement Charged for service remuneration Connecting for Health functions

18 Leading the Nation s health and care Thank you PSNC Community Pharmacy Conference April 2013

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