NHS Commissioned patient services: Innovative pharmacist led services
Prescribing Support Services supports a number of practices across West Yorkshire
with the provision of practice and domiciliary based anti-coagulation services.
Prescribing support services have been providing anti-coagulation services to practices
for a number of years. Our service contracts are currently with individual practices
(based upon the current procurement model within Bradford LES).
The current PSS anticoagulation team includes pharmacists, nurses an anticoagulation
team manager, and phlebotomy staff; with general management provided by the PSS
We have contributed to the development and delivery of a 20 credit level 7 postgraduate
anticoagulant management module at the University of Liverpool which is now run
at Liverpool and Shipley, West Yorkshire.
PSS also supports on-going CPD for all staff through facilitating the Bradford primary
care anti-coagulation network. This network facilitated by PSS is open to any healthcare
professional delivering anti-coagulation services with Bradford. The network meets
every 6 weeks and PSS organises a range of training and development sessions.
PSS has also worked with local commissioners to define the competency standards
for staff delivering anti-coagulation services. We use these standards to assess
the current and on-going training needs for all staff.
Within our portfolio of anticoagulant management we also offer:
- Training on support on atrial fibrillation case finding – designed to increase the
detection rate of people with non-valvular atrial fibrillation.
- Case finding of patients with AF but not treated with oral anticoagulants.
- Shared decision making clinics to help support patients to make an informed decision
about accepting anticoagulant treatment with warfarin or a NOAC.
PSS provides a range of other clinical services including supporting practices with
COPD and angina clinics. Our Angina clinics include a nurse led pre clinic telephone
assessment as well as ongoing telephone support for patients. This service includes
a telephone based patient assessment.
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