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GPs' perspectives on Pharmacy First Services in England: a qualitative study
Ayodeji Matuluko1, Isaac Chu2, Mirza Lalani1
1London School of Hygiene & Tropical Medicine, London, UK.
Summary
General practitioners (GPs) in England expressed concerns about patient safety and continuity of care regarding the Pharmacy First (PF) initiative. Their views highlight the need for clear professional boundaries and trust in community pharmacists' training for successful implementation.
Area of Science:
- General Practice
- Pharmaceutical Services
- Qualitative Health Research
Background:
- Pharmacy First (PF) initiative launched in England in 2024 to alleviate primary care demand.
- PF enables treatment for seven common ailments in community pharmacies.
- This study is part of a larger mixed-methods evaluation of PF.
Purpose of the Study:
- To investigate General Practitioners' (GPs) perspectives on the implementation of Pharmacy First (PF) in England.
Main Methods:
- Qualitative study design utilizing semi-structured interviews.
- Purposive sampling of GPs across six NHS regions in England.
- Inductive thematic analysis of transcribed interview data.
Main Results:
- Key themes include the importance of GP-pharmacist relationships and patient trust.
- GPs raised concerns regarding community pharmacists' training and potential for misdiagnosis.
- Considerations about continuity of care, patient safety, and antimicrobial stewardship were identified.
- Findings are contextualized by general practice funding issues and professional boundary concerns.
Conclusions:
- GP perspectives are crucial for the successful implementation of Pharmacy First.
- Addressing concerns about training, safety, and continuity can optimize PF's integration into healthcare.
- The study informs ongoing evaluation of PF's impact on primary care demand.
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