Delivery of clinical pharmacy services with a flexible workforce

Johanna Watts, Kate O'Donnell, Ruth Murdoch, Douglas Steinke

Research output: Contribution to journalArticlepeer-review


AIMS Delivering a clinical pharmacy service within
an NHS acute trust has many challenges, not least of
which is the conflict between workload demands and
staffing resource. The clinical pharmacy services
leads at Manchester University NHS Foundation
Trust (Wythenshawe site) have designed and
implemented a service delivery model utilising
a pharmacy digital tracker board and workforce
management system that allocates staff based on
patient risk and workload. The aim of this paper is
to describe the flexible service model and examine
outcome measures pre- and post-implementation.
Methods and results A bespoke digital pharmacy
tracker board was implemented from January to
March 2017 alongside a senior pharmacist ‘Clinical
Coordinator’ role to monitor workload and reassign
staff accordingly. Following implementation of
the new service delivery model, we recorded a
significant increase (p =0.001) in the number of
patients with medicines reconciliation completed
within 48 hours of admission, a 29% increase in
the number of discharge prescriptions dispensed
within two hours and a reduction in incident reports
relating to failure to deliver pharmaceutical care
as per local standards from four to zero. A staff
satisfaction survey supported the change in practice,
with staff reporting that it supported them in their
role and they felt strongly that it should continue.
Conclusion The introduction of a flexible service
module has demonstrated benefits both to patients
and staff (in terms of improved service delivery for
patients and increased support for pharmacy teams
when needed) by efficient and effective use of our
Original languageEnglish
JournalInternational journal of clinical pharmacy
Publication statusAccepted/In press - 24 Jan 2019


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