Joe says there is huge regional variation
Julie Evason, Health Diagnostics managing director says many pharmacies get the training, the funding and the equipment, but still don't deliver.
Again, Jonathan Mason picks up the difference between the contractor saying yes to a service, but not involving the pharmacist who will have to deliver
Nick Hunter says the problem is that it doesn't matter who it is within pharmacy, but they are all incapable of keeping to a service level agreement
He is worried that once PCTs are abolished a lot of the key people who chase pharmacists on services will be lost and services will suffer
Hemant say there needs to be a review of how pharmacists are incentivised to do services from a per hour to a per delivery model ad driven towards quality and outcomes
Ajit Malhi, AAH Pharmaceuticals head of marketing says it is about the t recruitment of the right people to deliver the services. Appropriate recruitment
Roshni Simmonds, Rowlands pharmacist says it is simpler than that. That as professionals, pharmacsts should know what good healthcare is. But Hemant says there are 'older' pharmacists who weren't trained to deliver healthcare, but taught about drugs
Mike Hewitson, Bearminster Pharmacy contractor says there are certain medicines that if you could improve adherence, you can save the NHS masses of money
Jonathan Mason says it is about continuing improvement.
From Twitter - what metrics do we already have that could support the quality cause?
Julie Evason, Health Diagnostics managing director says one thing is the patient survey
Jonathan Mason says that although pharmacy IT services can collect patient data but that there is no analysis
There is a bit of a debate about how sophisticated the systems are
Mr Patel also says the US are doing much much more with IT than the UK
Ajit Malhi, AAH Pharmaceuticals head of marketing says there also needs training
Hemant asks where the pharmacy vision is and where does IT fit into this
It seems the debate is around using the data on a wider scale. Hemant asks what is the data's influence on commissioning
Julie Evason, Health Diagnostics managing director says you need to know what information to take out of a PMR system
Hemant says that rather than LPCs, it should be NHS who decide what to do with the data
This is a hot debate. PNAs - a good or bad thing. Should there be individual patient health interviention?
Ajit Malhi, AAH Pharmaceuticals head of marketing believes it is about the patient experience from the whole pharmacy team