Hot topics

​Join in with the latest conversations taking place across pharmacy.
Go to the profile of Charlotte Messer

Statement on Aquiette Proposal by Dr Julian Spinks

My name is Dr Julian Spinks and I am a general practitioner with a specialist interest in the management of incontinence. The proposal to make low-dose oxybutynin (Aquiette) available through pharmacies needs to be viewed against a background of the large number of women who suffer from urinary incontinence caused by overactive bladder. Despite the increasing visibility of incontinence products in adverts, incontinence continues to be a condition which is associated with significant embarrassment and stigma. This often leads to long delays before women seek help from healthcare professionals. These women miss out on early opportunities to treat the underlying cause of their incontinence, such as overactive bladder. Widening the availability of treatment with low-dose oxybutynin through pharmacies offers women with the early stages of overactive bladder an additional way to receive the help they need if they do not wish to consult their GP or a continence service. Oxybutynin is already widely in use as a prescription-only treatment for overactive bladder and, together with other anticholinergic bladder drugs, remains recommended by NICE as a first-line prescribed pharmacological treatment for overactive bladder following bladder training (Bladder training is a way of teaching the bladder to hold more urine and helps to reduce the number of times a person needs to pass urine and to reduce incontinence) Long-term use Oxybutynin is not suitable for some women, particularly older women who are at a greater risk of physical or mental decline and NICE recommends it is not used in this group. The current proposal is for short-term (12 weeks maximum), low-dose, oxybutynin in 18 to 65 year-olds. This would only be offered after a pharmacist has assessed to ensure it is appropriate to use in the individual. The dose and duration proposed are highly unlikely to present the same concerns than long term use of higher-dose anticholinergic medications on prescription. The oxybutynin is being offered together with bladder training. This offers an opportunity for the woman to reduce the progression of her overactive bladder and should diminish the need for ongoing pharmacological treatment at the end of the course. An additional proposed protection is that those women who continue to have problems will be advised to seek advice from their doctor or from a continence service. Given the large numbers of women who do not seek help but continue to suffer from urinary incontinence due to overactive bladder, I view the availability of low-dose oxybutynin through pharmacies to be an extremely positive development and an important way to improve women’s health.
Go to the profile of Eliza Loukou

Did you or your pharmacy make use of any of the provisions under the Coronavirus Act?

The Coronavirus Act formed one of the pillars of the government’s plan to combat the COVID-19 pandemic by envisaging changes in legislation which gave “public bodies across the UK the tools and powers they need to carry out an effective response to [the] emergency” the pandemic presented. Do you think the Coronavirus Act helped pharmacy teams? Do you think it will have a lasting impact on pharmacy?
Go to the profile of Grace Lewis

Crime in pharmacies: Have you/your team been the victim of crime while at work? Did this involve violence and/or harassment?

The latest revelation from C+D's investigation into crime in pharmacies - #NoExcuseForAbuse - found that police forces in England, Wales and Northern Ireland received at least 1,240 reports of violent crime committed in pharmacies in 2021. Are you surprised by these findings? What is your experience of crime and or harassment/violence at work? Share your thoughts and stories below, or email if you wish to remain anonymous
Go to the profile of Leon

Will Patients Pay for LFTs?

Do you think people will pay for lateral flow tests? I can't see it happening unless there is an immediate and coerced need to do so. I'm wondering if it is going to have a direct impact on the overall health of the community? Or maybe the variants will become milder to the point where there is no reasonable benefit to isolation? I'd never pay for an LFT. Ever. 
Go to the profile of Grace Lewis

Would you support the introduction of a pharmacist apprenticeship scheme?

The discussions around introducing a pharmacist apprenticeship resumed this summer after its unintentional sabbatical due to COVID-19. Meanwhile, the proposals for a doctor degree-level apprenticeship have seemingly been welcomed by the majority, says Sean Quay in his latest blog. Have these factors prompted you to reconsider the pharmacist apprenticeship proposals too?  Share your thoughts below
Go to the profile of Valeria Fiore

Does your pharmacy offer the Pharmacy Collect service?

More than £20m was paid to community pharmacy owners in England who submitted their claims for COVID-19 lateral flow test kit transactions in the first five months of the Pharmacy Collect service, C+D can reveal. Full story here: Meanwhile, C+D revealed earlier this year that the sector cashed in just over £6m for Community Pharmacist Consultation Service claims. Do you think the Pharmacy Collect service is working well? Should it be commissioned indefinitely?
Go to the profile of Emily Stearn

Have your working arrangements changed since the introduction of IR35?

The PDA has advised locum pharmacists they “are under no direct obligation” to help contractors gather data for an HMRC investigation into off-payroll working rules - also known as IR35 - although they “may choose to do so to help ensure HMRC reaches a final decision".  PDA: Locums may assist contractors in HMRC IR35 probe but ‘no obligation’ to do so :: C+D (
Go to the profile of Valeria Fiore

What do you think about Boots' decision to cease the provision of pharmacy services in its 22 stores?

Boots will cease the provision of pharmacy services in 22 of its stores, which will remain open as retail premises, a spokesperson for the multiple has confirmed.
Go to the profile of Leon

How Should CPCS Be Improved?

As has been discussed before CPCS is a mixed bag. For some, it's been an effective tool for having a paid service to common things like emergency supply, although it is also marred with a variety of issues in the appropriateness and quality of the referrals. In my personal experience, it has been a tool that is known but not often used.  Is it fit for purpose? Does it solve an issue? What needs to happen to improve it? Should it be scrapped? CPCS Service Specification CPCS Toolbox for Pharmacy
Go to the profile of Getting Shorter

Toni Hazell: Opinion 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. 
Go to the profile of Grace Lewis

"My thanks to community pharmacy"

Inspired by this Twitter'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.”    
Go to the profile of Ian Amos


Why would a pharmacist refuse to sell me, a pensioner, a common medical product I have used throughout my life to treat an occasional condition to good effect? I ask because that is what happened to me this week at my local chemists. The condition was an eye infection - a stye - and the product I sought to buy was Gold Eye Ointment, which I have always found to be easily available. My experience began when, with red, inflamed eye, I was asked by the counter assistant why I wanted the product. I then stood there - feeling somewhat vilified - while the assistant held a lengthy discussion with the pharmacist, to be told he would hold a consultation with me. If I had wanted a consultation I would have seen a GP. The pharmacist then became involved in a consultation with a mother and child, on the shop floor and I decided to leave. He spoke to me as I was leaving and I asked if he would allow me to buy the product - he said no. I purchased the product a short while later from a chemist in the same group a few miles away. The assistant merely asked two questions relating to contact lenses and diabetes. Having read the many articles on this site and elsewhere relating to big developments with pharmacists regarding consultations and fast-track training to become GPs - and the great enthusiasm and, in some cases zeal, created - I understand the drive to offer a better public service. But where are the checks and balances? In my case, and I suspect many others, I was denied the simple opportunity to treat a condition I knew with a product I've known and used since childhood without ill effect. How is this improving anything?
Go to the profile of Grace Lewis

What is your favourite thing about working in community pharmacy?

There has been a lot of discussion around community pharmacy employers struggling to recruit and retain pharmacists and pharmacy staff, with the prospect of "better working conditions" and career opportunities in primary care prompting many to leave the sector. Also see C+D's Big Debate on the topic: But Shenu Barclay recently celebrated 45 years in community pharmacy and shows no signs of stopping a career that she loves, but didn't choose. What do you love about working in community pharmacy? Share your favourite experiences and career highlights below
Go to the profile of Beth Kennedy

What pressing issue in community pharmacy should the new PSNC CEO address first?

The Pharmaceutical Services Negotiating Committee (PSNC) has today (February 4) announced that Janet Morrison will become its new CEO from March.  But which issue facing contractors in England do you think Ms Morrison should address first? Comment below.
Go to the profile of Kevin Western

COVID tests and the PSNC

The most important questions about the current debacle are - Who in the PSNC thought it would be acceptable (much less a good idea) to say yes to the stupidity of the 16 digit code? what did they think this would take in terms of resources? did the contractors agree to put in extra to cope, paid for by the payment we recieve? for too long they have said yes to ANYTHING which brings in a few mor pennies irrespective of how much work is involved... maybe they should be the ones doing it.
Go to the profile of Grace Lewis

What do you make of the Boots UK sale rumours?

With the news that Boots' parent company is rumoured to be "exploring" the sale of its pharmacies in the UK - according to Sky News - what impact could this have on the UK pharmacy market? Read C+D's story and share your thoughts:
Go to the profile of Eliza Loukou

Should online pharmacies be subject to differentiated regulatory fees?

The General Pharmaceutical Council said it is considering “differentiated fees options to cover the increased regulation needed for online pharmacies” in papers released ahead of their upcoming meeting on December 9.
Go to the profile of Grace Lewis

What do you make of the Lloydspharmacy sale announcement?

Lloydspharmacy’s parent company McKesson has sold off its UK businesses to the private equity firm Aurelius Group for £477 million. Private equity firm Aurelius acquires Lloydspharmacy’s UK parent company in £477m deal | Chemist+Druggist :: C+D ( What do you make of the announcement? Do you work for Lloydspharmacy? Are you concerned by the move? Share your thoughts below.
Go to the profile of Axed Locum

CCA: More pharmacy closures 'unavoidable' due to pharmacist shortage

This is a complete nonsense. There are well over 55K registered pharmacists on the register, and with no more than 12K working in the community sector.I would only believe this article when i see community pharmacies closing or changing hands for nil goodwill. The temporary closures and reduced hours opening is to portray a false scenario of work overload and shortage of workforce to retain as much profit as possible. Such scenarios are also engineered to hold the NHS England and/or the government  to ransom, and and extract and retain as much of the funding as possible. The contractors also use NHS funded Platform to provide private services at extortionate profit!!
Go to the profile of Eliza Loukou

What are you thoughts on implementing hub-and-spoke?

The General Pharmaceutical Council (GPhC) CEO Duncan Rudkin has said that the regulator will consider whether “additional guidance is required” if the legislation is changed to roll out the hub-and-spoke model across all pharmacies. Gareth Jones, head of corporate affairs at the NPA, stressed that it was up to individual businesses to implement hub and spoke in the future and assess whether it would benefit them. However, Mr Jones argued that there is not “a huge business incentive for independent pharmacies” to introduce the model. “I don’t see [hub and spoke] revolutionising pharmacy practice within multiples either”, Mr Jones continued.
Go to the profile of Eliza Loukou

Do you think COVID-19 vaccines should mandatory for pharmacists?

The General Pharmaceutical Council called on pharmacists and pharmacy technicians to get the vaccine, following health secretary Sajid Javid’s decision to make COVID-19 jabs mandatory for staff working in Care Quality Commission (CQC) registered businesses.
Go to the profile of Valeria Fiore

What effect do you think this could have on the fight against COVID-19 in the UK?

The Medicines and Healthcare products Regulatory Agency (MHRA) has approved the first oral antiviral for the treatment of COVID-19 at home. 
Go to the profile of Long Standing

Codeine death case ?

I am disappointed that a full tail is not reflected on regarding the death of the nurse who died due to a combination of medication. Although I don't know the full storey there are numerous points which needs to be addressed ... Why did the GP stop prescribing the medication? Was she referred to a specialist substance misuse clinic what was the status of her mental health addressed? I do NOT believe that the major contributory factor was that of codeine being bought OTC  I agree that the sale of codeine linctus needs some more checks and balances but it is unreasonable to state that this could be the major cause of her death  May her soul be blessed God rest her soul
Go to the profile of Valeria Fiore

Should COVID-19 and flu vaccinations be mandatory for all community pharmacy staff?

Respond to our poll: And share your views below!
Go to the profile of Grace Lewis

Have you or your team be subjected to harassment and/or violence from patients in the pharmacy?

Share your experience below. If you wish to do so anonymously, please email
Go to the profile of Getting Shorter

Where did comments go?

Unless I'm missing something, I'm sad to see that comments have disappeared from under articles. They often provided a deeper interest/insight into each subject - as well as a chance to vent! - which raised the C&D above similar websites.  These conversation rooms are not nearly so immediate (or easy to navigate) :(
Go to the profile of Fivemoreyears

Oh dear

Yes changes very much for the worse. Comments need to be linked directly to article. For example Lloyds superintendent now involved in patient safety??!!! the same company who drives down pay and working conditions concerned about standards wtf! Yet there is nowhere to comment on this
Go to the profile of Grace Lewis

How are you preparing for the next flu season?

With a global lack of defence built up against flu, modelling for this next season suggests that flu levels in the UK could be up to 50% larger than typically seen for the 2021/22 flu season. So, how are you and your team preparing to ramp up this year's service? Will you be offering flu vaccinations alongside COVID-19 booster jabs? Share your thoughts and experience below.
Go to the profile of Z Rafiq

No comments

I agree with the most recent posts, after the new website update, where are the comments after each article. Whether you agree or disagree with a comment at least there is a flavour of the mood amongst our profession. I hope c + d look into this and make the necessary changes. 
Go to the profile of Valeria Fiore

Have you noticed a change in medicine supply issues during the pandemic?

A C+D investigation has revealed that the Department of Health and Social Care (DH) identified almost 300 medicine supply issues across primary and secondary care in the initial 14 months of the COVID-19 pandemic. Do these findings tally with your experience of medicine supply issues? 
Go to the profile of Mustak Kurji

Shortage of Pharmacist

PSNC Needs to negotiate realistic remuneration in comparison with other healthcare professional. Also all free services should be stopped and reasonable fund should be made available from nhs england