Hot topics

Hot topics

​Join in with the latest conversations taking place across pharmacy.
Jan 04, 2023

How integrated is your pharmacy within your PCN

We are actively ignored and excluded by our PCN who make any contact as difficult and fruitless as possible. To be fair to them, they treat the public in the same way, being completely invisible to anyone but GP surgeries and communicating with no one else... when I did find a way in it was short lived and obviously done to tick their box saying contact made with "Pharmacy"  They dont employ Pharmacists locally, doing all their Pharmacist work remotely via a Tele Pharmacy organisation who have no interest in helping me here. A local Pharmacist who happened to be near two GPs discussing PCNs overheard them saying that "if they think we are spending any money in Pharmacy services they can get lost" which sums up their attitude nicely.
Aug 16, 2022

GPhC: FtP cases ‘ongoing’ after an inquest into death by codeine abuse + online providers

I am an experienced specialist pharmacist prescriber in substance misuse, I deal with patients every day like Katie Emma Corrigan who have had similar backgrounds. Sadly, it's very easy to be focused that the dispensing of codeine was to blame for her demise. I agree that issuing of control drugs should be tighter by prescribers. Independent prescribers in my view are being exploited, being allowed to work for conveyor belt prescribing organizations. Some form of formal contact is essential to prescribe in my view phone calls video call or face-to-face (which is the gold standard) The GP should not have abruptly stopped her codeine – this is improper Things went wrong when the GP stopped her prescription: “When the weaknesses in the GP prescribing system were identified, the GP refused to prescribe further Zapain without a discussion with Mrs. Corrigan” This may have caused a drop in tolerance and forced the patient to seek illicit drugs or drugs via other means putting the patient at risk. The article should be about how we manage opiate risks. And the correct referral pathway should be built into systems to identify these and manage such risks. Referral to specialist opiate/substance misuse services The focus has been on codeine its classification and how easy to obtain, which in my eyes is a polarised view and does not address a wider problem.
Jun 23, 2022

Toni Hazell: Opinion

https://www.chemistanddruggist.co.uk/CD136202/GP-view-Pharmacy-cancer-scan-plan-leaves-more-questions-than-it-answers I miss the comments under the articles, but despite knowing that almost no-one will read this post... ...I just wanted to applaud the last two paragraphs in Toni's piece above. Universally applicable across healthcare these days, and many other walks of life, too. 
Jun 01, 2022

"My thanks to community pharmacy"

Inspired by this Twitter thread...here's your chance to pay tribute to community pharmacy and thanks those individuals who have inspired you along the way. (Add yours by commenting below) Clare Howard, clinical lead for medicines optimisation at Wessex Academic Health Science Network (AHSN) “I would like to thank England Pharmacy in Wigan for opening the door to the world of pharmacy to me. I started there in 1988 as a Saturday girl. I had been a waitress (a job I hated) and so it was lovely to start work in a family-run, busy, friendly community pharmacy in Gidlow, Wigan. I am so grateful to Mr England for letting the clumsy, clueless girl that I was, loose on the customers and patients of Gidlow.  “All human life was there. I learned so much in that job. Firstly, I have never laughed so much. The ‘girls’ who worked in the shop and dispensary were all so good to me and the banter was priceless. But I also saw real hardship too: people with serious addiction problems; older people struggling with their mobility; as well as the usual community pharmacy bread and butter of pregnancy testing, children's illness, long-term conditions and people seeking advice and reassurance from a professional person in their high street.  “These formative years have shaped my career. You cannot work in a pharmacy like England's and not see how important community pharmacy is to the people it serves. I saw the GPs and nurses in the practice across the road as part of the team I was in – we must preserve this model of care close to home.  “I had no idea then that this part-time job would open up to me a career that has given me so much. I have worked in all sorts of pharmacy roles, but I have never forgotten the things I learned at the start. Thank you Mr and Mrs England, I am forever in your debt.”    Neelm Saini, pharmacist manager at Cookham Pharmacy in Berkshire “I began my community pharmacy career at the age of 16, working on ‘cash’n’wrap’ (aka the till) at Boots in Redhill for four hours each Saturday. This continued while I completed my GCSEs, A-Levels and degree, and developed from working on the till to other shop duties, but most importantly for me, I was trained to work behind the chemist counter. “The branch manager at the time was Mr Burridge and he was a fine example of a gentleman and a pharmacist. Nothing phased him and I can only ever remember him smiling, being forever present on the shop floor – the true face of the pharmacy. Margaret and Jenny were two other pharmacists that worked at the branch. Jenny (bless her) had the tough time of introducing me to the dispensary on a day when they were short staffed. “In my early days, I recall placing an order for 100 plastipak syringes – except I didn’t appreciate that they came in outers of 100 and so I was welcomed the next morning by a wall of 100 boxes. Let’s just say I wasn’t popular that day! Pre-regs came and went and I was inspired. Sarah was one that I will always remember. Her last day was a very eventful Saturday…I don’t think what she went through that day is even listed in the official competencies! But she made it. “Denise Ede took me though my pre-reg at Boots in Horley. She was fantastic! I had THE best pre-reg year with a brilliant tutor. Her advice on my first day has always stuck with me: ‘Start the day with a clear and organised bench.’”   Ade Williams, lead prescribing pharmacist at Bedminster Pharmacy in South Bristol and director and superintendent pharmacist of the M J Williams Pharmacy Group “Traherne Pharmacy in Hove was across the road from us when I arrived to live in Hove with my aunt. I walked past it every day on my way to college and my aunt – a nurse – advised me to chat to the pharmacist about his career. “He completely sold it to me. It was the richness of the humanity and the access I loved. A local NHS bastion, always with a friendly, welcoming ambience.”   Bruce Warner, NHS England’s deputy chief pharmaceutical officer “Once I qualified from Sunderland [university], I followed my heart to the north west where by now wife was also doing her pre-reg year – being brought up in the home counties it was certainly very different. I did my pre-reg in Boots in Wigan (what a great place!) and then went on the obligatory ‘milk round’ with Boots all over Merseyside. “I remember very soon after I had qualified, I was working in the St Helen’s branch when an elderly man came up to the dispensary counter and asked to speak to the pharmacist. The dispenser said ‘certainly’ and came to fetch me. As I walked out, the patient took one look at me and said: ‘He won’t know anything’ and simply walked off. I was crushed, a newly qualified pharmacist low on confidence and trying to establish himself in the workplace and the profession. “I reflected on that for a long time and in hindsight decided the patient was probably right – a few weeks after qualifying I knew nothing. I want to thank that patient for making me realise that there is absolutely no substitute for experience and actually doing the job. That sixth sense that only develops over time that something is not quite right – there are no shortcuts, no matter how well you are trained. “I have never forgotten the look on that patient’s face or how I felt that morning and would like to think I became a much better pharmacist as a result of that experience. I owe that patient a debt of gratitude for setting me off on the right foot and helping me realise that without the confidence of the patient, we as pharmacists are helpless.”    

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