Inpatient and Improved care

Working with Community Pharmacy

In December 2016, Cornwall & Isles of Scilly, Local Pharmaceutical Committee (LPC) and the South West Cardiovascular Clinical Network launched a developmental service in 20 community pharmacies across Cornwall. The project is one of the first in England where community pharmacists are using the Patient Activation Measure (PAM) along with motivational interviewing to improve patient activation and self-management of type 2 diabetes (T2DM). All patients over 18 years with a diagnosis of T2DM as verified by patient records, discussion with GP or accessing the summary care record are eligible for the service.

Following initial goal setting there must be at least four further short consultations at 2-3 weekly intervals. These consultations can be conducted by telephone or in person, they may also be undertaken spontaneously if the patient visits the pharmacy for another reason. The pharmacist uses open questioning to find out the patient’s progress and support & encourage them to maintain their progress.

At the end of March, 240 patients had been enrolled into the new service which is due to end September 2017 with final analysis of the outcomes to be published December 2017.