Supporting patients with long-term conditions in the community: evaluation of the Greater Manchester Community Pharmacy Care Plan Service

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Abstract

The Greater Manchester Community Pharmacy Care Plan (GMCPCP) service provided tailored care plans to help adults with one or more qualifying long-term condition (hypertension, asthma, diabetes and COPD) to achieve health goals and better self-management of their long-term conditions. The service ran between February and December 2017. The aim of this study was to investigate the impact of the service on patient activation, as measured by the PAM measure (primary outcome). Secondary outcomes included quality of life (EQ-5D-5L, EQ-VAS), medication adherence (MARS-5), NHS resource use and costs, systolic and diastolic blood pressure, HDL cholesterol ratio levels and body mass index (BMI). A before and after design was used, with follow-up at six-months. A questionnaire was distributed at follow-up and telephone interviews with willing participants were used to investigate patient satisfaction with the service. The study was approved by the University of Manchester Research Ethics Committee. Quantitative data were analysed in SPSS v22 (IBM). A total of 382 patients were recruited to the service; 280 (73%) remained at follow-up. Ten patients were interviewed and 43 completed the questionnaire. A total of 613 goals were set; mean of 1.7 goals per patient. Fifty percent of goals were met at follow-up. There were significant improvements in PAM, EQ-5D-5L and EQ-VAS scores and significant reductions in systolic blood pressure, BMI and HDL cholesterol ratio at follow-up. Mean NHS service use costs were significantly lower at follow-up; mean decrease per patient of £236.43 (±SD £968.47). The mean cost per patient of providing the service was £203.10, resulting in potential cost-savings of £33.33 per patient (SD± 874.65). Questionnaire respondents reported high levels of satisfaction with the service. This study suggests the service is acceptable to patients and may lead to improvements in health outcomes and allows for modest cost savings. Limitations of the study included the low response rate to the patient questionnaire.

Bibliographical metadata

Original languageEnglish
Pages (from-to)1671-1687
Number of pages17
JournalHealth and Social Care in the Community
Volume28
Issue number5
Early online date14 Apr 2020
DOIs
Publication statusPublished - 14 Sep 2020