{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:26:55Z","timestamp":1792006015646,"version":"4.4.0"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T00:00:00Z","timestamp":1516752000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec id=\"S1463423617000925_abs1\" sec-type=\"general\"><jats:title>Aim<\/jats:title><jats:p>This service aimed to improve patient access to treatment for urinary tract infections (UTI), impetigo and exacerbation of chronic obstructive pulmonary disease (COPD) and relieve pressure on general practice and out of hours services.<\/jats:p><\/jats:sec><jats:sec id=\"S1463423617000925_abs2\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>In 2016, a service (Pharmacy First) was introduced in Forth Valley for the management of UTI, impetigo and exacerbation of COPD using patient group directions in community pharmacies. Trained pharmacists supplied a limited range of prescription medicines. Pathways for GP referral were defined. After 5 months of implementation, the service was evaluated.<\/jats:p><\/jats:sec><jats:sec id=\"S1463423617000925_abs3\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A quantitative evaluation was undertaken. Feedback was sought from patients, GPs, pharmacists and GP reception staff, using structured questionnaires. Pharmacy records were used to assess referrals and pharmacy data summarised the number and type of consultations. Basic cost data was obtained from the Health Board.<\/jats:p><\/jats:sec><jats:sec id=\"S1463423617000925_abs4\" sec-type=\"general\"><jats:title>Findings<\/jats:title><jats:p>In all, 75 pharmacies (of 76), and all 55 GP practices in the area, participated in the service. Over a 5-month period, 1189 cases were managed, the majority being for UTI (75.4%) followed by impetigo (15.2%), then COPD (9.3%). Of all cases, 77.9% were prescribed medication by the pharmacist, 9.1% were given advice only and 16.7% were referred to the GP. Independent clinical assessment of a random sample of 30 GP referrals considered all to be \u2018appropriate\u2019. Feedback was received from 69 pharmacists, 34 GPs, 54 reception staff and 73 patients. Patients were very satisfied with the service, most frequently citing the \u2018quick and efficient\u2019 access to treatment, and a \u2018professional service\u2019. Two thirds of GPs (67%) and 59% of reception staff found the service useful, mainly because it reduced pressure on GP appointments. A further cost benefit evaluation would allow objective assessment of the value of this service.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1463423617000925","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T08:29:25Z","timestamp":1516782565000},"page":"531-541","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":33,"title":["Building capacity in primary care: the implementation of a novel \u2018Pharmacy First\u2019 scheme for the management of UTI, impetigo and COPD exacerbation"],"prefix":"10.1017","volume":"19","author":[{"given":"Fiona","family":"Stewart","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Caldwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirstin","family":"Cassells","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Burton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,1,24]]},"reference":[{"key":"S1463423617000925_ref14","author":"Smith","year":"2013"},{"key":"S1463423617000925_ref5","unstructured":"Information Service Division (ISD) 2016: Primary Care Workforce Survey Scotland 2015: a survey of Scottish general practices and general practice out of hours services publication. Retrieved 18 January 2017 from http:\/\/www.isdscotland.org\/Health-Topics\/General-Practice\/Publications\/2016-06-14\/2016-06-14-PrimaryCareWorkforceSurveyScotland2015-Summary.pdf."},{"key":"S1463423617000925_ref13","unstructured":"Scottish Government 2017: Achieving excellence in pharmaceutical care launched August 2017. Retrieved 18 January 2017 from http:\/\/www.gov.scot\/Publications\/2017\/08\/4589\/0."},{"key":"S1463423617000925_ref12","unstructured":"RPSGB 2015: Website statement. Retrieved 18 January 2017 from http:\/\/www.rpharms.com\/our-campaigns\/pharmacists-and-gp-surgeries.asp."},{"key":"S1463423617000925_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-7174.2011.00130.x"},{"key":"S1463423617000925_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2015.12.007"},{"key":"S1463423617000925_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2016.01.002"},{"key":"S1463423617000925_ref6","unstructured":"Joint Statement RPS (Scotland) RCGP (Scotland) 2011: Breaking down barriers: how pharmacists and general practitioners can work together to improve patient care. Retrieved 18 January 2017 from https:\/\/www.rpharms.com\/scottish-pharmacy-board-pdfs\/breaking-down-the-barriers-final-200120926.pdf."},{"key":"S1463423617000925_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-7174.2010.00042.x"},{"key":"S1463423617000925_ref9","unstructured":"NICE 2013: Patient Group Directions: Medicines Practice Guideline (MPG2). Retrieved 12 December 2016 from https:\/\/www.nice.org.uk\/guidance\/mpg2."},{"key":"S1463423617000925_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.07.017"},{"key":"S1463423617000925_ref2","unstructured":"CWFI 2014: In depth review of the general practitioner workforce. Retrieved from www.cfwi.org.uk."},{"key":"S1463423617000925_ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0152257"},{"key":"S1463423617000925_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2012.02.006"},{"key":"S1463423617000925_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12099"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423617000925","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T22:52:05Z","timestamp":1555109525000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423617000925\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,24]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["S1463423617000925"],"URL":"https:\/\/doi.org\/10.1017\/s1463423617000925","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,24]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2018\u00a0","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}