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Pharmacist-led reviews in the management of T2D

In this study investigators wanted to assess the impact of a pharmacist-led patient review programme on the management and control of type 2 diabetes. Pharmacists reviewed people living with diabetes and worked with general practice teams to optimise medication and facilitate other interventions. The pharmacist-led review increased the number of diabetes key care processes administered and improved diabetes control during the year of the programme delivery.

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By Colin Kenny, GP, Dromore

This study was carried out by the Slough Clinical Commissioning Group and involved 13 general practices and three clinical pharmacists. The aim of the study was to benchmark current achievements within type 2 diabetes management, to engage with general practice teams and to allow the pharmacists to prioritise patient cohorts for review in line with relevant NICE and local guidance.

The pharmacist team identified 3211 patients who were missing at least one of the NICE-recommended interventions. The proportion of people receiving all of the NICE-recommended key care processes increased from 46% at project outset in April 2013 to 58% on completion in April 2014, and the percentage of those achieving HbA1c, blood pressure and total cholesterol targets all increased. In summary, the pharmacist-led review increased the number of key care processes administered and improved diabetes control during the year of programme delivery.

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