title: The UK Pharmacy Care Plan service: Description, recruitment and initial views on a new community pharmacy intervention.
abstract: BACKGROUND
  The UK government advocates person-centred healthcare which is ideal for supporting patients to make appropriate lifestyle choices and to address non-adherence. The Community Pharmacy Future group, a collaboration between community pharmacy companies and independents in the UK, introduced a person-centred service for patients with multiple long-term conditions in 50 pharmacies in Northern England.
  
  
  OBJECTIVE
  Describe the initial findings from the set up and delivery of a novel community pharmacy-based person-centred service.
  
  
  METHODS
  Patients over fifty years of age prescribed more than one medicine including at least one for cardiovascular disease or diabetes were enrolled. Medication review and person-centred consultation resulted in agreed health goals and steps towards achieving them. Data were collated and analysed to determine appropriateness of patient recruitment process and quality of outcome data collection. A focus group of seven pharmacists was used to ascertain initial views on the service.
  
  
  RESULTS
  Within 3 months of service initiation, 683 patients had baseline clinical data recorded, of which 86.9% were overweight or obese, 53.7% had hypertension and 80.8% had high cardiovascular risk. 544 (77.2%) patients set at least one goal during the first consultation with 120 (22.1%) setting multiple goals. A majority of patients identified their goals as improvement in condition, activity or quality of life. Pharmacists could see the potential patient benefit and the extended role opportunities the service provided. Allowing patients to set their own goals occasionally identified gaps to be addressed in pharmacist knowledge.
  
  
  CONCLUSIONS
  Pharmacists successfully recruited a large number of patients who were appropriate for such a service. Patients were willing to identify goals with the pharmacist, the majority of which, if met, may result in improvements in quality of life. While challenges in delivery were acknowledged, allowing patients to identify their own personalised goals was seen as a positive approach to providing patient services.
authors.affiliation: School of Pharmacy, University of East Anglia, Norwich Research Park, Norwich, United Kingdom.
authors.forename: Michael J
authors.identifier: http://orcid.org/0000-0003-0910-3850
authors.initials: MJ
authors.lastname: Twigg
authors.affiliation: School of Pharmacy, University of East Anglia, Norwich Research Park, Norwich, United Kingdom.
authors.forename: David
authors.initials: D
authors.lastname: Wright
authors.affiliation: Boots UK, Beeston, Nottingham, United Kingdom.
authors.forename: Charlotte L
authors.initials: CL
authors.lastname: Kirkdale
authors.affiliation: School of Pharmacy, University of East Anglia, Norwich Research Park, Norwich, United Kingdom.
authors.forename: James A
authors.initials: JA
authors.lastname: Desborough
authors.affiliation: Boots UK, Beeston, Nottingham, United Kingdom.|School of Pharmacy, University of Nottingham, Nottingham, United Kingdom.
authors.forename: Tracey
authors.initials: T
authors.lastname: Thornley
mesh_terms: D000368:Aged; D003157:Community Pharmacy Services; D005260:Female; D017144:Focus Groups; D006694:Holistic Health; D006801:Humans; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D019338:Polypharmacy; D057285:Precision Medicine; D011788:Quality of Life; D006113:United Kingdom