Opportunities to harness hospital pharmacist expertise

SHPA calls for a seat at the table in CPA negotiations, and praises sections of the King Review Interim Report

The Interim Report of the Review of Pharmacy Remuneration and Regulation recognises the proven merit of Home Medicines Reviews (HMRs) and foreshadows a welcome broadening of CPA stakeholder negotiations, but represents a missed opportunity to consider the impact of the CPA on the crucial hospital pharmacy sector, says the SHPA.

Chief Executive Kristin Michaels says the organisation was pleased to see the value of medication review – and those initiated through hospital referral – recognised in yesterday’s report.

“SHPA welcomes the panel’s support of hospital-initiated HMR referral pathways for high-risk patients, which we have advocated for over the last decade, and its confirmation of our view toward an ongoing and appropriate level of accreditation and training for pharmacists to conduct these important reviews.

“Support to lift the cap of 20 HMRs per pharmacist per month and introduce more targeted eligibility criteria are also positive moves,” says Ms Michaels.

“HMRs performed by independent pharmacists, including follow-up in the home where people are most comfortable, have a strong evidence base and SHPA looks forward to working with partners across pharmacy and the broader healthcare practice to make them a reality.”

Ms Michaels says SHPA agrees with the report’s recognition that a broader range of stakeholders should be involved in CPA negotiations.

“To effectively ensure optimal health outcomes across all episodes of care, it is important the review recognises the specialised expertise of hospital pharmacists, their management of PBS resources and their trained capacity to most appropriately initiate and manage the transition of care to the community setting.

“It is therefore disappointing SHPA was not included in this widening of CPA negotiations as hospital pharmacists play a pivotal role in ensuring patients receive the best medicines management advice in the right place, at the right time – this could be upon leaving hospital, on the high street, or at home, depending on their needs.”

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