Evidence map›Paper›PMID 30154077›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018

Evolution of the general practice pharmacist's role in England: a longitudinal study.

Fay Bradley, Elizabeth Seston, Ceinwen Mannall, Chris Cutts

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Exploring the implementation and integration of structured medication reviews in primary care: a qualitative evaluation using normalisation process theory.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  6. Adoption of clinical pharmacist roles in primary care: longitudinal evidence from English general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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  12. Negotiating new roles in general practice: a qualitative study of clinical pharmacists.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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  13. Article
  14. GPs' and pharmacists' views of integrating pharmacists into general practices: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Fay BradleyHealth Services Research Centre, Alliance Manchester Business School.
Elizabeth SestonCentre for Pharmacy Workforce Studies, Division of Pharmacy and Optometry.
Ceinwen MannallClinical Pharmacists in General Practice, Centre for Pharmacy Postgraduate Education, Division of Pharmacy and Optometry.
Chris CuttsDivision of Pharmacy and Optometry, University of Manchester, Manchester.
American Pharmacists Association · USManchester Academic Health Science Centre · GBManchester University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo address the growing GP workforce crisis, NHS England (NHSE) launched the Clinical Pharmacists in General Practice scheme in 2015. The NHSE scheme promotes a newer, patient-facing role for pharmacists and, currently, there is little insight into the role and activities undertaken. All scheme pharmacists are enrolled on the general practice pharmacist training pathway (GPPTP).

aimTo investigate the role evolution and integration of clinical pharmacists in general practice in England. DESIGN AND

settingLongitudinal survey of all phase 1 GPPTP registrants working in general practice at start of (T1) and 6 months into (T2) training.

methodAn online longitudinal survey was administered to all phase 1 GPPTP registrants (

resultsResponse rates were 46% (T1) and 52% (T2); 158 participants completed both questionnaires. Perceived knowledge, skill, and confidence levels increased significantly from T1 to T2 for all areas, except for managing acute or common illness. Scope of practice increased significantly, particularly in patient-facing activities. Sharing office space with administrative staff was common and 13% of participants reported having no designated work area. Perceived integration at T2 was fairly high (median = 5 on a scale of 1-7) but GP clinical support was 'too little' according to one-third of participants.

conclusionFindings show not only patient-facing role expansion, but also practice environment and support issues. Pharmacists may appreciate more GP time invested in their development. Practices need to be realistic about this support and not expect an immediate reduction in workload.

Indexed as

Community Pharmacy ServicesGeneral PracticePharmacistsAttitude of Health PersonnelEnglandHealth Services ResearchHumansLongitudinal StudiesProfessional CompetenceProfessional RoleStaff DevelopmentSurveys and Questionnairesclinical pharmacistsgeneral practicegeneral practice pharmacist training pathwayworkload

Identifiers

PMID30154077
PMCPMC6146003
OpenAlexW2808173707

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.