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The Pharmaceutical Journal
Vol 271 No 7266 p311
13 September 2003

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Outcomes of consultation on patient choice to help develop NHS services

Beth Taylor: putting the spotlight on the patient’s perspective

Pharmacists are being asked to contribute to a Government consultation in England on patient choice.

The consultation was announced in the summer, but the first meetings of the task groups leading the work were held this week. Based around a consultation document, “Fair for all, personal to you: choice, responsiveness and equity in the NHS and social care”, it aims to find out what people want from health care. This includes what different people’s priorities are, how choice can be made available to all and what kind of support is required to exercise this choice. The document states: “Real choice includes decisions about where and when care is received as well as what services and how someone wishes to be treated or manage their condition.”

Eight themes, each with a task group, have been identified. They are: maternity care, children’s health, primary care, emergency care, elective care, mental health, services for people with long-term conditions and older people’s health. Patients form the majority of each task group, with NHS staff in a minority.

Beth Taylor, specialist principal pharmacist, London Pharmacy Services, is a member of the primary care task group. She told The Journal that it was clear that the health secretary Dr John Reid, who addressed the first meetings of the task groups, was committed to patient choice: “This is not just one of a plethora of NHS initiatives but meets with his own thoughts and will be used to inform other NHS policy work.” She added: “This consultation puts the spotlight on the patient’s perspective.”

Ms Taylor said that pharmacists should contribute to the consultation. “Pharmacists should think about how they want to contribute, preferably drawing on local examples,” she said. One area that had been mentioned at the first meeting of the primary care task group was an opportunity for wider access to services through pharmacies. Pharmacists could describe how they could contribute to providing wider access, she suggested. In addition, she hoped that pharmacy organisations would contribute to the consultation, perhaps putting forward common themes in their responses to provide a more powerful collective voice.

The National Pharmaceutical Association has already written to the primary care task group this week to point out the central role community pharmacy has in promoting patient choice. The NPA said that pharmacists offer schemes to help people manage their own medicines at home, that pharmacists support patient education and concordance, that community pharmacists are among the most accessible health care professionals and that self-care available through pharmacies means that people do not necessarily see themselves as patients.

The Department of Health wants ideas about how to develop services in a way that patients and the public want, and how to back up these choices with information. Views are sought from patients, users and carers, all those involved in running and providing health care, people in the voluntary and independent sectors, patient organisations and the public. As well as national consultation, local consultation will be undertaken by strategic health authorities.

Comments should be submitted by 11 November and findings will be published by the end of the year. Further information about the consultation is available here. Comments can be made via the website or by e-mail to choiceconsultation@doh.gsi.gov.uk or by post to Choice, Responsiveness and Equity Project Team, Department of Health, Room 533 Richmond House, 79 Whitehall, London SW1A 0NS.

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