Pharmacy in Practice
Comment, analysis and interviews from UK Pharmacy
Patient group directions have traditionally been a ‘stop gap’ option, especially in the era before pharmacist independent prescribing. This debate will explore the future of patient group directions by community pharmacists. Many have lauded patient group directions as an excellent tool to extend the scope of practice of community pharmacists. However, many would say that a tick box technical process serves to continue the de-professionalisation of the pharmacist profession. In the coming years all pharmacists will qualify as independent prescribers but will they be able to make the step away from structured tick box pharmaceutical care or will they embrace uncertainty? Professor Harry McQuillan Chief executive of Community Pharmacy Scotland In addition to his role at Community Pharmacy Scotland Harry is also visiting Professor at the University of Strathclyde and a RNID pension fund trustee. Siddiqur Rahman GP pharmacist Siddiqur is a pharmacist who works in general practice, he is an independent prescriber, PCN clinical lead, Co-Director of the Pharmacist Co-operative and a PDA Union representative. Professor Derek Evans Travel health pharmacist Derek Evans is a pharmacist who owns a private travel health consultancy. He has worked in community pharmacy in many specialist roles and senior management positions. Farzana Haq GP pharmacist Practice pharmacist with experience in community pharmacy, hospital pharmacy, primary care and NHS 24.
1 hr 17 min
The debate based on whether or not screening for atrial fibrillation should be deployed nationally in Scotland has been progressing for some years now. There is precedent for such schemes elsewhere but so far there has been no nod to such a national service in Scotland. Does the evidence stack up in favour of such scheme? Should pharmacists be involved? If such a screening programme went national what precedent might it set for other clinical areas? What political lever would need to be pulled to make these things happen? You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
46 min 43 sec
The Aural Apothecary Podcast has captured the imagination of pharmacists across the land and has provided some light-hearted relief from what has been a tricky few years. The podcast is a lighthearted take on the world of medicines, pharmacy and healthcare in the UK from Jamie, Gimmo and Steve the Chemist. They have welcomed a number of guests onto their podcast and have asked each to describe their favourite song, book and drug. We are extremely proud to welcome them as guests at our inaugural conference. For fun, we will turn the tables and find out their favourite books, drugs and songs. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
1 hr 10 min
Getting involved in research activities can feel daunting. As pharmacists, it could be argued that we don’t prioritise research in our careers enough. This session will involve a conversation between some of the top pharmacists involved in research in the UK. With decades of experience between them, we are hopeful that they might share their insights on why research matters and also some simple, manageable steps you can take to start your own research journey. Professor Mags Watson Professor of Health Services Research and Pharmacy Practice University of Strathclyde Independent consultant. Watson Research & Training Limited – health services research (HSR), HSR training, mentoring & coaching. Registered pharmacist. Professor Catriona Matheson Professor in substance use Professor in substance use at the University of Stirling, a freelance researcher in drug dependence and Chair of Scottish Drug Deaths Taskforce. Dr Hayley Gorton Research and community pharmacist Senior Lecturer in Pharmacy Practice at the University of Huddersfield, interested in suicide research, community pharmacist and lead at RPS Greater Manchester. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
55 min 47 sec
Is the rise of robotics in the sector a threat or an opportunity? Learn about the range of robotic options available in pharmacy. Hear first-hand feedback about the use of the various types of robots. Understand the workflow implications. Find out about the return on investment on the various robots on the market. Understand some of the downsides of robots. Learn about the long term impact of the various robots on the future of community pharmacy. James Semple Community pharmacy contractor James Semple, Contractor and Vice-chairman of the Community Pharmacy Scotland Board. Kevin Murphy Co-founder of Medpoint Superintendent Pharmacist at Wellbeing Pharmacies Group, Co-founder and Clinical Director at Acorn. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
40 min 6 sec
For a number of years, there has been a movement towards advanced practice for pharmacists. Our panellists for this session has been right at the sharp end of developing and championing this movement. Learning objectives from this session include: Gain an understanding of what advanced practice is. Take part in debate around why consultant level practice for pharmacists is something we as a profession should aspire to. Consider whether the ‘procrastinating perfectionism’ that has been described by authors like Zubin Austin could act as a barrier to these goals. Learn about how you might start your own journey towards advanced practice as a pharmacist. Panellists Gordon Rushworth GP pharmacist and educator Programme Director, Highland Pharmacy Education & Research Centre, NHS Highland. FRPharmS(Consultant). Advanced Pharmacist Practitioner in GP. Paul Forsyth Lead pharmacist clinical cardiology Paul Forsyth currently works at the Department of Pharmacy, NHS Greater Glasgow and Clyde. He has an interest in the education of pharmacists and in particular competency-based learning as a progression towards advanced practice. Susan Roberts Associate Pharmacy Postgraduate Dean Susan is currently the Associate Pharmacy Postgraduate Dean at NHS Education for Scotland, she is a pharmacist and educator. She recently was asked by the CPhO to lead pharmacy operations at the Louisa Jordan hospital in Glasgow. Jacqueline Sneddon Antimicrobial pharmacist Antimicrobial pharmacist, interested in education and QI. Programmes Manager for BSAC, member of RPS Scottish Pharmacy Board and RPS AMR EAG. Fiona Marra Paediatric pharmacist MPharm (Consultant). Lead Clinician Paediatric Infection (SPAIIN). Principal Pharmacist U of Liv & PHS. PhD candidate. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
1 hr 8 min
Many pharmacists dislike failure. Research literature around this topic has characterised pharmacists as procrastinating perfectionists. If we assume these traits are well observed and we are aware of them then how do we as pharmacists ensure there is space to fail, learn and grow. Gary Redfeather Academic pharmacist Clinical, medical leadership, education and research programme lead at De Montford University. Yousaf Ahmad Chief Pharmacist Non-executive director, global pharmacy ambassador, advisory and editorial board member, university teacher practitioner. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
43 min 24 sec
Minna Eii is an Advanced Pharmacist Practitioner in Acute medicine. She is Vice-Chair of Sustainability at The Guild of Healthcare Pharmacists and also a Member of Pharmacy Declares (Twitter: @PharmDeclares) environmentally conscious pharmacy professionals calling for climate health/action, leadership, education, declaration, divestment. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
52 min 18 sec
Ade Williams is the Superintendent Pharmacist at Bedminster Pharmacy in Bristol, also part of the prescribing clinical team at Broadmead Medical Practice, a local GP surgery and the Associate Non-Executive Director of the North Bristol Trust. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
1 hr 6 min
Listening to the patient voice has always been very important to us at Pharmacy in Practice. Dr Ruth Edwards was diagnosed with breast cancer a number of years ago and since then she has courageously faced into the disease and more than that has shared her experience with considerable candour for the benefit of others, not least her pharmacist colleagues. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
42 min 42 sec
There’s a big world out there beyond UK pharmacy and a few years ago Dr Catherine Duggan stepped out into it. As the CEO of The International Pharmaceutical Federation, she has demonstrated transformational leadership globally. Through this work, she has championed the role of the pharmacist in many countries around the world. We are extremely fortunate to welcome her to the inaugural Future Pharmacist conference to explain how the pharmacist profession has developed globally especially in light of recent events. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
49 min 22 sec
The future of Scottish pharmacy We are very proud to be joined by the newly appointed Chief Pharmaceutical Officer for Scotland and Honorary Professor at the Robert Gordon University Alison Strath. Pharmacy in Scotland continues to thrive but what lies ahead? Alison has for years been one of the most visionary leaders in Scottish pharmacy so it is, therefore, a pleasure to welcome her to describe what her view of the future could look like. You can view all the sessions at the Future Pharmacist conference by clicking here. Thank you to our conference sponsors Wylie And Bisset. Find out more here.
52 min 7 sec
David Wightman was one of the youngest ever funeral directors in the UK. He has over 28 years of experience in his sector. We were very lucky to have some of his time to discuss his insight into death and dealing with families at the end of life. We had a good chat about the topic of death and how pharmacists might make an input when people are going through bereavement. About David David's new business, Prokey, is a new vaccination and management solution that aims to address this unmet need through a partnership with Pharmadoctor, the UK’s leading provider of vaccination service packages to UK pharmacies. Tapping into Pharmadoctor’s network of over 8,000 partner community pharmacies, Prokey provides funeral directors, private care sector works, lifeboat crews, first aiders and emergency service workers with a one-stop-shop vaccination service, ensuring businesses and organisations can find out which vaccines their teams require and arrange access for them. Pharmacies will be able to opt in to participate in the Pharmadoctor-Prokey Partnership and receive client referrals. Pharmadoctor will support Prokey clients to register online for a service such as hepatitis B vaccination, then, via the Prokey website, book an appointment at their local Pharmadoctor partner pharmacy to receive their jab(s). Prokey founder and CEO David Wightman is a serving funeral director and embalmer with nearly 30 years experience, a seasoned health and safety officer and an active lifeboat volunteer based in the beautiful seaside town of Broughty Ferry on the east coast of Scotland. Commenting on why he created Prokey, David says: “Having struggled to manage and source the appropriate vaccinations for my team of funeral directors in my role as health and safety officer, I wanted to create a simple solution which can be used by other professional and volunteer organisations across the UK so that they can protect their teams with the minimum hassle and disruption”. He goes on to say “When you’re out there helping others, your own safety can be the last thing on your mind. I genuinely want to see everyone around me carry out their duties as safely as possible, so if you are in the business of helping others, Prokey’s in the business of helping you”. David told us that Prokey has already teamed up with pharmacy group Davidsons Chemist so that their 44 branches throughout Scotland will provide the Prokey service. Commenting on the partnership with Prokey, Davidsons Chemists Superintendent Pharmacist Karen Gordon said: “Our collaboration with Prokey will provide the communities our pharmacies serve with cost-effective private vaccination services in addition to the clinical services our branches already provide”. Mrs Gordon goes on to say “we hope our collaboration with Prokey also helps to highlight the wider value community pharmacies play in providing the public with access to convenient local healthcare services”. You can find out more about Prokey on their website.
25 min 12 sec
We were very pleased to catch up with Leyla Hannbeck. Leyla is a pharmacist and CEO of the Association of Independent Multiple Pharmacies. We chatted about all things community pharmacy and in particular explored Leyla's views on how to make working in community pharmacy a more attractive proposition for pharmacists.
50 min 23 sec
Going into this series (with an open mind) we have made a few assumptions about the current 'lie of the community pharmacy training land' and it is largely that there is very little investment in community pharmacist development above and beyond mandatory training requirements. As part of this series, we will talk to a range of key players in pharmacy with an interest in community pharmacist education and training. My co-host for many of the series will be fellow pharmacist Derek Evans. In this episode, we were very fortunate to be joined by Professor Larry Goodyer. Larry Goodyer is Professor of Pharmacy Practice at the School of Pharmacy at De Montfort University UK. We discussed a range of topics. the list below will give you a flavour of the conversation. The current state of community pharmacy in the UK. The community pharmacy workforce crisis. Training activity currently happening in community pharmacy. Whether or not community pharmacists are knowingly competent when using their independent prescribing qualification. The regulation of independent prescribing. Futures training models for community pharmacists. The importance of supervision and multidisciplinary working. About Professor Larry Goodyer Larry Goodyer is Professor of Pharmacy Practice at the School of Pharmacy at De Montfort University UK. He worked as a clinical pharmacist through much of the 1980s and early 90s and until 2003 was Head of the Pharmacy Practice group at King’s College London. His principal interest is within the field of travel medicine, in which he is keen to promote the role of pharmacists. He has lectured and taught widely on Travel Medicine to both Health professionals and the public and has been invited to address both national and international conferences on the subject, as well as appearances on television and radio broadcasts. Related research interests include methods for bite avoidance and medical supplies for overseas travel. More broadly in his capacity as a Professor of Pharmacy Practice, he has been involved in research and teaching on a wide range of issues related to the profession of Pharmacy. These include new roles for pharmacists such as prescribing and medicines management. About Derek Evens Derek Evans FRPharmS, FRGS, FFTM RCPS (Glasg), FISTM, Independent Prescriber. Independent Travel Medicine Specialist and Consultant. Adjunct Clinical Professor in Pharmacy Practice. Doctor of World Sciences (h.c. CCU/USA).
57 min 51 sec
This has been a very disruptive period in our recent history and community pharmacists across the land have been thrust to the fore. The public-facing side of community pharmacy has remained resolute but we know that behind the scenes everyone in the sector is tired. Despite this heroic effort and undoubted fatigue, we hope you can join us as we begin to look to the future specifically in the area of community pharmacy training. This podcast marks the beginning of a series where we discuss the current reality of community pharmacy training, vaccination services and autonomous working in the UK, what possibly needs to change and what future models might look like. We are hoping to start a conversation about what we have come to expect as 'normal' in terms of community pharmacy training and associated career progression. We have talked to hundreds of community pharmacists over the years as part of our work publishing various stories on Pharmacy in Practice and a recurrent theme is a lack of time. And usually a lack of time for training. Going into this series (with an open mind) we have made a few assumptions about the current 'lie of the community pharmacy training land' and it is largely that there is very little investment in community pharmacist development above and beyond mandatory training requirements. As part of this series, we will talk to a range of key players in pharmacy with an interest in community pharmacist education and training. My co-host for many of the series will be fellow pharmacist Derek Evans. About Derek Derek Evans FRPharmS, FRGS, FFTM RCPS (Glasg), FISTM, Independent Prescriber. Independent Travel Medicine Specialist and Consultant. Adjunct Clinical Professor in Pharmacy Practice. Doctor of World Sciences (h.c. CCU/USA). Don't forget to check out our brand new (and ever-expanding!) community pharmacy training content. You can start learning by clicking here.
30 min 38 sec
Well, it has been a while since we have recorded a podcast on Pharmacy in Practice so when I was recently in touch with friend of PIP Jonathan Underhill I suggested we have a chat. And it was a fun, interesting and insightful conversation. We recorded the episode first thing on Monday morning after the England football defeat. We had a chat about Gareth Southgate's leadership and what the pharmacist profession can learn from him. We also talked about how the various sectors of pharmacy have weathered the pandemic and where the profession goes next. Professionalism, competence, shared decision making and the future for pharmacists were also topics we covered. Jonathan completed his pharmacy degree at Sunderland and has post-graduate qualifications from London and Liverpool Universities as well as the Institute for Learning and Development. He began his career as a hospital pharmacist in London before joining the National Prescribing Centre (NPC) in 1996. Working on MeReC publications and then developing an educational network/eLearning platform for evidence-based therapeutics and Information Mastery gave him a passion for understanding how clinicians keep up to date and help people make informed choices about their medicines. Now as a consultant clinical adviser for NICE, he inputs into those Clinical Guidelines that have a large medicines component, oversees outputs from the NICE Medicines team such as evidence summaries on new medicines and Antimicrobial Prescribing Guidelines as well as providing NHS access to the BNF. He also has an honorary post at the Keele School of Pharmacy teaching under and post-graduates as well as pursuing his research interests in Evidence-Informed Decision Making. He is a member of the Scientific Committee of the European Association of Hospital Pharmacists and a qualified COVID-19 vaccinator. This gives him less time than he would like to devote to the passions in his life such as mindful walks in the Cheshire countryside with his soulmate Wor Bobby the Border Terrier, captaining his village cricket team, singing in his decidedly ordinary style with some incredibly talented rock musicians and his long-standing and largely unrewarded devotion to NUFC.
55 min 33 sec
Laura Smith CTA is a Partner at Wylie & Bisset. We kick off a new season of podcasts on Pharmacy in Practice by talking to her about IR35. We have published a number of articles recently on this topic so thought it was time to have a chat with the experts. If you enjoy this episode and the PIP podcast please feel free to leave a review on your podcast player. It helps others to find us. For tax advice please contact your accountant. every situation is different and will potentially require advice specific to you. Previous coverage of the IR35 topic on PIP Could IR35 be good for pharmacist locums? Will IR35 change locum life forever? Is IR35 a potential tax time-bomb for pharmacist locums? About our guest Laura Smith CTA joined Wylie & Bisset in April 2016 as a Manager in the WB Healthcare team, was promoted to Head of Healthcare in July 2018, with a further promotion to Director in July 2019 and now partner with effect from 1st April 2021. Until joining Wylie & Bisset in April 2016, Laura spent the majority of her career working with a top 10 accountancy firm in Glasgow. Whilst developing her tax career and experience in the professional services sector, with a particular focus on the healthcare sector, Laura qualified as a Chartered Tax Adviser in 2013. Laura heads up the WB Healthcare team in all aspects of accounting and taxation matters, under the lead of partner Tom McGuire. In addition to the review of accounts for Healthcare sector clients, her expertise covers personal taxation including capital gains tax planning, remuneration planning, and advising on inheritance tax issues and planning considerations. The Pharmacy in Practice podcast is kindly supported by Glasgow based Wylie & Bisset LLP chartered accountants. Wylie & Bisset LLP is a leading chartered accountants Glasgow-based practice, with a national reach, whose growth has been organic, through referral and reputation. They have the background, expertise and extensive resources required to provide your business or organisation with the right solutions when it comes to managing and growing your business. The firm covers the whole of the UK, providing business advisory and support services to clients across a wide range of public and private sectors, ensuring you have access to the best possible accountancy and tax planning advice so your business runs smoothly, is financially sound and complies with regulatory and legal controls. Their approach is proactive and “hands-on” via a true partner-led service, which they believe is the best way to provide their clients with a first-class service. Their commitment to excellence and efficient service has maintained a reputation for high-quality professionalism and awareness, ensuring ongoing client loyalty and recurring referrals. If you are searching for a hands-on partner-led firm of accountants in Glasgow contact us today to see how they can assist your business.
33 min 38 sec
We recently had the pleasure of chatting to the founder and owner of Instant Dentist Aalok Shukla. Instant dentist is an innovative collaborative business that will help community pharmacies extend their digital impact but also deliver much earlier preventative dental care to people as they visit. We came back together to discuss the rapidly changing landscape of community pharmacy in the UK. Instant Dentist is one opportunity that pharmacy owners may wish to avail of but it is the 'tip of the iceberg' in terms of possible opportunities. Amazon Pharmacy has started to trade in the USA so the need to evolve is here like never before. Hopefully, this chat will give viewers and listeners some ideas on how to get started with incorporating digital activities into your pharmacy business. Aalok commented: "Through easy and affordable access to private dental care, Instant Dentist is the first dental wellness platform that allows you to manage your dental health in a way you’ve never thought was possible. Prevention and diagnosis from an experienced digital dentist is just a click away." We hope this podcast might give pharmacy owners across the country inspiration to extend into digital dental services if they have not already done so.
30 min 15 sec
Ian Strachan is a community pharmacy owner contractor. He owns a number of pharmacies in England. He was the Chair of the National Pharmacy Association (NPA) between 2014 to 2018. I have wanted to chat with Ian for a while now. He really has operated at the top of UK pharmacy politics for quite some time and has led the way with many innovative initiatives through his community pharmacies. We had a wide-ranging and fascinating conversation about many aspects of community pharmacy. Community pharmacy politics in England is a complicated and often turbulent arena. This came out in the chat but we offset these challenges with some positivity as we looked to the future. A fulfilling and attractive career pathway for pharmacists working in community pharmacy was important to both of us. Ian is passionate about the profession and in particular, he cares deeply about the professionalisation of community pharmacy. We discussed what he thought the vision for the future of community pharmacy should be in the coming years and delved into some notable long-standing community pharmacy topics like free deliveries for example. Ian is as enthusiastic an advocate for community pharmacy that I have spoken to for a while so it was fascinating to get his insight.
47 min 57 sec
Failure to identify high-risk medication errors in patients with complex needs can have a fatal outcome, a recently published report warned. The report, published by Healthcare Safety Investigation Branch (HSIB), sets out a case where a medication error with warfarin contributed to the death of a 79-year-old man. The patient had suffered a fall at home and had been admitted to hospital. An error on his chart whilst he was on the ward led to him receiving three or four doses of warfarin, which he did not normally take before the error was spotted by a ward-based clinical pharmacist. The patient developed internal bleeding and deteriorated (due to several health reasons) and died 21 days after his first admission. In the case HSIB examined, the patient was on 12 different medications and supplements at the time of admission. By day nine of his hospital stay, this had increased to 16. HSIB’s national investigation focused on the role of ward-based pharmacy services and how they work within the multidisciplinary teams (MDT’s) that administer care to patients. Ward-based pharmacists are crucial in enhancing the team’s ability to spot errors, especially in high-risk situations. However, the investigation findings emphasised that there is variance in the way the services are staffed and organised. They also found that other staff within the MDT’s could better understand the role pharmacists have in between admission and discharge of the patient. HSIB also found that more work needs to be done to assess the resilience of pharmacy services to operational pressures and the additional challenges associated with caring for older people. As a result of the national investigation, HSIB has made three recommendations to facilitate a better understanding of the role of the ward-based pharmacist and to encourage best practice and resilience when identifying and developing models of pharmacy provision. In this podcast, we were fortunate to be joined by Lead Investigator Deinniol Owens. We discuss some of the pertinent points in the investigation and explore some of the wider questions about pharmacy. In particular, we discuss how this investigation makes the case for the integration of pharmaceutical care led by pharmacists into every multidisciplinary team in the country. You can read the full report here.
40 min 57 sec
Graham Parsons is the Chief Pharmacist at Turning Point. He is a pharmacist with a wide range of experience in many aspects of pharmacy. As a specialist in Substance Misuse he has worked at both local, regional and national level (through the Advisory Council on the Misuse of Drugs, National Institute of Health and Care Excellence and Turning Point) to deliver a wide range of initiatives and policies which have impacted on both substance misuse services and the lives of individuals affected by substance use disorders. This has included over six years as a prescriber within the Plymouth Specialist Addiction Service. During this time he has also developed an interest in Mental Health and Pain and the management of these conditions in this cohort of patients. He has also delivered a number of training sessions covering a diverse range of topics from substance misuse to Controlled Drug legislation for a number of institutes including the University of Bath and the Royal College of General Practitioners and developed Post Graduate addiction courses for Medway University. I am an experienced public speaker who has presented at many events including the College of Mental Health Pharmacy International Conference and on local BBC radio. In the written media I have produced a number of articles on substance misuse and its treatment for the Pharmaceutical Journal. We had a wide-ranging discussion about the issues of the day in the area of substance misuse. There has been a move towards the use of Buvidal slow-release injection. Have you got any thoughts on this move especially in light of the current pandemic? What is the future of substance misuse services delivered through community pharmacy? What is the role of naloxone in community pharmacy? How can community pharmacy support alcohol brief interventions? Why are drug deaths still so high? How is polypharmacy relevant to the area of polypharmacy? Has nudge theory got a role in tackling the alcohol crisis in this country?
52 min 48 sec
I have never met a pharmacist or pharmacy technician that does not dread the letter of complaint from the GPhC dropping through the letterbox. Unfortunately in the context of overall rising numbers of complaints being made by fellow health professionals and also by the general public, I felt it important to touch base with our colleagues at Hempsons to get their views on what you can do if you find yourself in this terrible situation. In a very interesting chat, we covered the fitness to practise process and how to navigate it if you need to. We also discussed some of the reasons behind rising numbers of GPhC complaints and also the variation in where complaints come from between different professions. There were some key pieces of advice so hopefully, you find these useful. Tania Francis Tania Francis is a solicitor and partner at Hempsons. Tania advises doctors, dentists and other healthcare professionals with all sorts of issues to do with registration and regulatory issues, specialist registration or specialist lists, litigation, associate disputes, CQC registration, difficulties with NHS England and more. Tania is a qualified doctor and works in a team which also includes a qualified dentist, and they, therefore, offer a unique approach to our clients’ problems. The team regularly contributes to Independent Practitioner Today and Dentistry magazine and offers training and seminars to our clients. Tania is also on the council of the Medico-Legal Society. Thorrun Govind Thorrun is a trainee solicitor at Hempsons. Thorrun studied Pharmacy at King’s College London, completing her pharmacy pre-registration training in community pharmacy. As a practising community pharmacist, she has been a strong advocate for healthcare and healthcare professionals across traditional and social media. Thorrun studied for her Graduate Diploma in Law, full time whilst working as a pharmacist. She subsequently studied for her Legal Practice course and MSc in Law, Business and Management, attaining a Distinction. As a qualified healthcare professional, she has first-hand experience of operating in a challenging environment whilst striving to provide excellent care to patients. “This podcast is made available on the basis that no liability is accepted for any errors of fact or opinion it may contain. The content should not be regarded as a comprehensive statement of the law and practise in this area. Professional advice should be obtained before applying the information to particular circumstances.”
39 min 52 sec
I was very proud and grateful to get the chance to talk to the Chief Executive Officer of the General Pharmaceutical Council (GPhC) Duncan Rudkin. Duncan was very generous with his time and we discussed a wide range of topics. Time was limited so we didn't get through all the topics I wanted to but we did cover lots of ground. We ran out of time and there are questions we did not get round to. Duncan has very kindly agreed toa answer these in writing so stay tuned. Areas explored include the following: What is the role of the GPhC and to who are they accountable? Is the current revalidation process fit for purpose to safely regulate independent prescribers? Is independent prescribing practice ahead of regulation? How do the GPhC standards guard against the risk associated with unconscious incompetence? Is the fitness to practise process in its current form fit for purpose? Do you think the experience of registrants that have gone through the fitness to practise process good enough? Is a person who supplies a COVID-19 rapid antibody test unfit to practise? Will the GPhC express opinions on other matters for example homoeopathy? Are the public at more risk now that inspections have been stopped due to the pandemic? What was the most difficult decision the GPhC has had to make during the COVID-19 pandemic so far?
48 min 12 sec
We recently had the pleasure of chatting to the founder and owner of Instant Dentist Aalok Shukla. Instant dentist is an innovative collaborative business that will help community pharmacies extend their digital impact but also deliver much earlier preventative dental care to people as they visit. Aalok commented: "Through easy and affordable access to private dental care, Instant Dentist is the first dental wellness platform that allows you to manage your dental health in a way you’ve never thought was possible. Prevention and diagnosis from an experienced digital dentist is just a click away." We hope this podcast might give pharmacy owners across the country inspiration to extend into digital dental services if they have not already done so.
22 min 59 sec
Darshan Negandhi is a Primary Care Network (PCN) clinical pharmacist. Previously he was Director and Superintendent Pharmacist at Lewisham Pharmacy in London. He has recently made the move to work within the PCN and is thoroughly enjoying it. We had a great chat about all things pharmacy. Darshan is very modest but has a fantastic ambition to become a pharmacist partner ina GP practice. With his talent, vision and enthusiasm I fully expect him to achieve this. Thoroughly enjoyed this chat.
28 min 2 sec
Dr Andrew Radley is a consultant pharmacist in public health. He works in NHS Tayside and was recently a member of a successful team who managed to eradicate hepatitis C. He recently wrote to PIP explaining how 56 community pharmacies helped to eradicate hepatitis C in NHS Tayside. It was a real pleasure to discuss Andrew's recent activity around hepatitis C and in particular how community pharmacy was central to the success of this project. Our discussion broadened to cover topical issues like the new NHS Pharmacy First service, his views on how important a multidisciplinary team approach is in pharmacy and also his advice to pharmacists who are new to the register. We are unfortunately still in the midst of a global pandemic and I found Andrew's views on how we can learn from the hepatitis C service as we all work to get to grips with the current situation very interesting. Some fascinating insights here. Andrew is an extremely modest character but I found his work, particularly recently on the hepatitis C front, to be really inspirational. He demonstrates the tangible impact that community pharmacy can have when they are included in a service such as this. He was at pains to make the point that teamwork is key and attributed his personal career success to working effectively as a member of various teams over the years. I highly recommend you have a look at the stories on the hepatitis C service and we have included the original research articles within these stories if you are interested to delve a bit deeper.
29 min 19 sec
David Wright, Professor of Pharmacy Practice from the School of Pharmacy at the University of East Anglia has lead an independent review of the roles and structures underpinning Pharmaceutical Services Negotiating Committee (PSNC) and the Local Pharmaceutical Committees (LPCs) in England. The review has been called at a time when the community pharmacy landscape is rapidly changing and local representation and support has never been more important. The purpose of the review was to result in recommendations which will optimise PSNC and LPC contractor representation and support and ensure that the national network structure is working as efficiently for contractors as it can and is fit for the future. The review team has made 33 recommendations, including the introduction of an independent governance and strategy oversight committee, replacement of the PSNC with a council constituted with LPC chairs and significantly increased funding for national negotiation activities. You can read the full report here. This report goes much further than many people expected and as such we were very pleased to discuss the findings with Professor Wright on the PIP podcast.
48 min 23 sec
Professor Harry McQuillan has been Chief Executive Officer of Community Pharmacy Scotland for 14 years. He has worked in a range of roles across pharmacy since qualifying as a pharmacist a number of years ago. Our paths have crossed a number of times over the years but given the exciting developments in pharmacy in Scotland, the timing of this interview was really perfect. Earlier this year was supposed to be one of the most exciting times in community pharmacy in Scotland but all that was put on hold due to COVID-19. But with adversity comes opportunity and the community pharmacy network in Scotland 'creaked' but was never close to falling over even at the height of the crisis. It is this balance between a secure supply chain versus a platform to deliver valuable services right at the heart of communities that Harry describes as being most important. 'Supply is not enough'. Community Pharmacy Scotland has managed to support the development of a network of community pharmacies in Scotland that can deliver that core dispensing role efficiently but that also leaves the door open to innovation. And that innovation will shortly come in the form of Pharmacy First. We chatted about the in's and out's of the new service. I was particularly interested to hear Harry's vision for the future whilst casting a look over our shoulder to the days of Professor Bill Scott and some of the policy documents that have helped to deliver the opportunities that we see today. We even discussed the origins of pharmaceutical care back in 1990. 'Scotland is a place where you can work in community pharmacy and put your degree to the test'. The door has now been thrown open to innovation and service development up here all under the banner of 'Achieving Excellence in Pharmaceutical Care'. Rose Marie Parr has given the network permission to get on and do it. And the money from the Scottish Government has followed. The relationship between the players up here continues closer than ever. Harry harked back to the 'Prescription for Excellence' document and restated the ambition in there that every pharmacist should be an independent prescriber. The Pharmacy First deal makes a confident move towards a consultation based payment structure to the community pharmacy contract. The conflict of interest that is often cast up around supplying and dispensing on the same premesis has been mitigated and pharmacists can move forward with confidence. Harry described how the future involves gathering a complete dataset that will help with the articulation of the true value of community pharmacy. I found the chat extremely uplifting. Scottish community pharmacy are playing to win and so far have delivered. Pharmacy First is the next challenge and it comes at the right time. The network needs to not just recover but innovate, develop and thrive. There were a few probing personal questions in there so make sure and listen or watch to the end. I found it to be a very encouraging and optimistic conversation but don't take my word for it, decide for yourself. Johnathan.
49 min 37 sec
Jonathan Burton is Chair of the Royal Pharmaceutical Society Scottish Pharmacy Board and he has been on the frontline in community pharmacy throughout the COVID-19 crisis. We caught up to have a chat about the myriad of unprecedented things that pharmacists and their teams have had to cope with over the last few months. Changes in legislation, delays in registration of pre-registration pharmacists, opportunism by certain organisations and the performance of the RPS during the crisis. Below are some of the questions we put to Jonathan. We hope you enjoy the podcast to hear how he responded. Where do we go next in pharmacy? From a general perspective how do think the government in Scotland has performed in response to the pandemic? Has the national question in Scotland and the way decisions are taken favoured the profession? How has the Royal Pharmaceutical Society (RPS) performed during the crisis? How do you think RPS members feel about the decision to make resources free to the whole profession at the point when the RPS value proposition is arguably most potent? Have you got any concerns about some of the decisions made by any organisation during the pandemic? How can RPS support provisionally registered pharmacists? Do you think there will be increased responsibility on pre-reg tutors during this provisional registration process? Do you think there is a chance that the issue of vicarious liability could become an issue for pre-reg tutors especially if a provisionally registered student that they are supervising fail the registration exam? Do you feel that pharmacists have adequate development opportunities over the years and if not why has investment been lacking? If we encourage remote consultation services like NHS Near Me in community pharmacy why will people need to go to a community pharmacy? Can you tell us about your early experiences of using NHS Near Me? Who do you think the next Chief Pharmaceutical Officer of Scotland will be?
58 min 10 sec
Jasraj S Matharu is the founder of the Pre-registration and Newly Qualified Pharmacist Association (PNPA). He is currently a pre-registration student and has become involved with the Pharmacist Defence Association (PDA) as a union representative. I caught up with Jas to discuss the rapidly changing landscape for pre-registration pharmacists this year in light of the COVID-19 crisis. This has been a tough year for pre-registration students so it was important to cover some of the issues that they faced. Since we recorded this interview the GPhC have published guidance outlining the provisional registration of pre-registration pharmacists. The PNPA is an independent network for young pharmacy professionals. This group enables young pharmacy professionals to network, discuss and tackle key challenges and issues we are currently facing. Click here to find out more.
37 min 18 sec
Dr Emily Kennedy has worked as a prescribing support pharmacist in primary care in NHS Dumfries and Galloway for 16 years and now supervises 17 pharmacists working across general practice. Her varied and very successful career so far has involved education, research and work in community pharmacy. I was interested to discuss various aspects to her current and previous roles. In particular, I was interested to hear more about Emily's current role and how she has seen things change in pharmacy over the years. We discussed the current state of play in primary care pharmacy in Scotland and touched on education, training, supervision, competence and also the need for pharmacists to have confidence in their own ability. Scottish pharmacy has evolved dramatically over recent years and Emily has really been part of that evolution. We discussed how pharmacists' expectations have changed and how her work now involves During the COVID-19 crisis, Emily has been involved with her local COVID-19 hub in Dumfries and Galloway. I was interested to hear her insights around being involved here.
33 min 16 sec
Stephen Hughes MBA, MSc, MPharm, is a consultant antimicrobial pharmacist at Chelsea & Westminster NHS Foundation Trust. We were lucky enough to catch up with him on the podcast to discuss how he and his team have adapted to working life during the pandemic. We also discussed antimicrobial pharmacy at length. A fascinating conversation. In your view what is the importance of patient-reported outcomes in antibiotic use? How do we innovate before we have to in the antibiotic space? Are we too reliant on the pharmaceutical industry to keep coming up with new antibiotics and how sustainable is this cycle? Do we make the best use of new antibiotics? How should the UK government intervene to ensure a robust pipeline of new antibiotics remains into the future? Are we collectively being too complacent in the prescribing practise that we tolerate with antibiotics? What have you and your team had to unlearn during COVID-19? Are you concerned about a surge of secondary bacterial infection in people who have suffered COVID-19? How have your team coped with the COVID-19 situation?
53 min 32 sec
In our latest podcast, we sat down with Chief Pharmacist Yousaf Ahmad. Amongst other roles, Yousaf is currently Chief Pharmacist at Care UK and was also recently appointed to the GPhC Council. We had a wide-ranging chat about how Yousaf has coped with COVID-19 in his current role. How has your life as a pharmacist changed as a result of COVID-19? Has our over-reliance on the NHS been to our detriment during COVID-19? How has community pharmacy coped during the COVID-19 crisis? What is the most significant legislative change you have noticed during the COVID-19 crisis? Who hasn't wasted the COVID-19 crisis? How has your leadership changed in light of COVID-19? What does the future hold for you?
34 min 8 sec
Our guest for this podcast was Andrea James. Andrea is a regulatory lawyer advising doctors, pharmacists, vets, teachers & other highly regulated professionals. Andrea is a partner at Brabners. She leads their Professional Discipline and Healthcare Regulatory team, providing vital insight to our wider Regulatory team and Healthcare sector group. You can contact Andrea to engage her services by clicking here. In the first of two podcasts, we discussed how the recent fast-moving legislative changes and action by the GPhC may impact on the practise of pharmacy in the UK. In this second podcast, we had a discussion about the use of volunteers to deliver medicines. NHS England announced a new essential and advanced delivery service. The services involve community pharmacy contractors being used to work with volunteers to deliver medication during the COVID-19 pandemic. Whilst we discussed all relevant aspects of the delivery service and use of volunteers Andrea made interesting comments on potential liability issues that may arise during the running of the services. Please note that this podcast was recorded before the RPS and GPhC published their joint statement on the impact on 'pharmacy professionals'. Essential listening if you are a pharmacy contractor about to engage with this service. We discussed and recommended the Royal Pharmaceutical Society guidance on ethical professional decision making during the pandemic. We also chatted about the Headspace app. You can access and download it here. If you are under pressure and feel that you need support at this time click here.
38 min 5 sec
Our guest for this podcast is Andrea James. Andrea is a regulatory lawyer advising doctors, pharmacists, vets, teachers & other highly regulated professionals. She also loves animals, laughter and fairness. Andrea is a partner at Brabners. She leads their Professional Discipline and Healthcare Regulatory team, providing vital insight to our wider Regulatory team and Healthcare sector group. You can contact Andrea to engage her services by clicking here. In the first of two podcasts, we discussed how the recent fast-moving legislative changes and action by the GPhC may impact on the practise of pharmacy in the UK. Is there temporary deregulation of the pharmacy happening at the moment? What advice do you have for pharmacists having to make difficult ethical professional decisions? What advice would you give to pharmacists making a difficult ethical professional decision? How do you think things will change the new era after COVID-19? We discussed and recommended the Royal Pharmaceutical Society guidance on ethical professional decision making during the pandemic. We also chatted about the Headspace app. You can access and download it here. If you are under pressure and feel that you need support at this time click here.
I dropped Professor Zubin Austin an email out of the blue inviting him on to join me on the PIP podcast to discuss a number of aspects of pharmacy. I was delighted to hear the 'ping' of his positive reply landing in my inbox. We got together and had a chat about what it means to be a pharmacist and explored what many in our profession believe to be an existential crisis of pharmacist identity. Professor Austin is very interested in all aspects of how pharmacists perceive themselves and how they behave in practice. We discussed some of the following topics: Procrastinating perfection. Tolerance for ambiguity. The death of the expert. Professional self-mutilation. The fact that the seemingly fashionable movement to IP might not be the best direction for our profession. I have to say that this was one of the most insightful and interesting conversations I have had in recent years. Zubin and his colleagues in Toronto are involved in extremely important work. As pharmacists, we are grappling what we are for and Professor Austin and his team are helping us to understand where we go next. Professor Zubin Austin Professor Austin's research interests focus on the personal and professional development of the health human resources workforce. As the complexity and interdependency of care provision has advanced, the importance of investing in the continuous professional development of health professionals increases. Professor Auston's research recognises that artificial divisions between “personal” and “professional” development are counterproductive to the goal of enhanced quality care. Failure to recognise these important development needs in the workforce leads to burnout, disengagement, and ultimately error. A particular focus of his research involves internationally educated health professionals, a large and growing component of the Canadian workforce who have particular needs for professional and personal development.
42 min 54 sec
Emma was a 24-year-old pharmacy graduate. She had two degrees, was a high achiever and was making the most of her life. Sadly Emma took an overdose of both propranolol and citalopram. Emma called an ambulance, but her condition quickly worsened. Despite resuscitation efforts from both paramedics and medical staff in the hospital she was transferred to, Emma sadly died. The purpose of this podcast was to highlight the findings of the report written as a result of the investigation undertaken by the Healthcare Safety Investigation Branch (HSIB). We were fortunate to be joined by Deinniol Owens a National Investigator at the HSIB. Deinniol and I had a chat about the aspects of the investigation that are pertinent to pharmacists. The report makes a number of recommendations but also emphasises that there is a link between anxiety, depression and migraine and that more research is needed to understand the interactions between antidepressants and propranolol in overdose. The safety recommendations focused on the following: Updating clinical guidance (NICE) and the UK’s pharmaceutical reference source (the British National Formulary) on use of propranolol and highlighting the toxicity in overdose. National organisations supporting their staff members to understand the risks when prescribing propranolol to certain patients. Improving the clinical oversight in ambulance control rooms and the treatment/transfer guidance for ambulance staff for propranolol/beta-blocker overdose.
24 min 48 sec
I recently wrote an article about the Scottish NHS Pharmacy First service but I wanted to find out more so I got in touch with Director of Operations at Community Pharmacy Scotland, Matt Barclay. He was good enough to take time out from the ambitious schedule of NHS Pharmacy First engagement evenings to have a chat about what the new service might mean for community pharmacists in Scotland. Before this chat, I had lots of questions, to be honest. Matt didn't disappoint. He shared details on how the service would be rolled out and most interestingly what his long term vision for the service would be. We discussed how CPS feel that this service will create a true 'unique selling point' for community pharmacy in Scotland We discussed how the service will actually work and most importantly how the data about the service will be gathered. I asked him what pharmacists might do with this data. I found this very interesting. The age-old question about allowing community pharmacists to get read/write access to the patient medical record came up during our chat. Matt described details about early conversations that CPS are having with the digital health institute to help position community pharmacy in the best possible place to secure a digital future for the sector. The workforce issues in community pharmacy across the whole of the UK, not just Scotland, are well known. Matt painted a picture of the challenges but also the opportunities might be. A key theme coming through is that this NHS Pharmacy First service will hopefully provide new depth to the role and also may provide a career pathway for community pharmacists that is interesting and varied. We talked about the concept of a community pharmacy training practice. I also delved into the governance frameworks that may have to be established to facilitate this new world of pharmacists working in the heart of the community as independent prescribers. Finally, we chatted about the prospect of community pharmacists in Scotland being independent prescribers. I asked Matt if he felt that it was time to declare that every community pharmacy in Scotland should have an independent prescriber working there. His answer was fascinating. We look forward to seeing how the service develops over the coming months and years.
54 min 20 sec
Sometimes you have to try something completely different to uncover new perspectives on age-old problems. The profession of pharmacy as we know it today has made huge strides since Jacob Bell founded the Pharmaceutical Society of Great Britain in 1841. This podcast series will explore where we go next as a profession. We will find the most interesting and forward-thinking people with an interest in all things technology and health. In this conversation, we started at the beginning. We take a close look at what a pharmacist is, how technology has evolved in pharmacy and where we go next. The topics of pharmaceutical care and also technaceutical care were discussed. No topic was off-limits and there were challenging questions around the survival and viability of the profession of pharmacy in light of the rapidly emerging technology. Our guest Jaime Acosta Gómez is a practising community pharmacist with a deep understanding of international community pharmacy, healthcare and international pharmacy associations. Jaime is an innovative, hard-working and passionate about healthcare, technology and supply chain. He is currently an Executive Committee member of the FIP Community Pharmacy Section. We invited Jaime on to the podcast because of his interest in technology in pharmacy. Jaime is the first guest in the series but every guest from here on will be nominated by the current guest. Jaime chose Dr Catherine Duggan as our next guest. Your hosts Johnathan Laird and Professor Darrin Baines.
41 min 19 sec
Gary Paragpuri is the former editor of the Chemist and Druggist magazine. He is now CEO of the specialist consultancy firm called Hub and Spoke Innovations. Hub and Spoke Innovations aims to help pharmacists and dispensing GPs grow their businesses and provide a better service for their patients through technology. Their flagship product is the Pharmaself24, which is a vending machine for prescription medications. This product allows people to collect prescriptions from a community pharmacy at any time of day or night. Tune in to the PIPcast below to find out how Gary is driving change in UK community pharmacy using this technology. We talked about the role of automation in community pharmacy and the seismic shifts in this regard but we also had a fascinating chat about Gary's time as editor of C&D magazine. We talked about how the internet has revolutionalised publishing in the online and offline world.
58 min 48 sec
Greg Lawton is a pharmacist specialising in patient and medicines safety, staffing, data protection, privacy and healthcare policy. We were lucky to catch up with Greg to have an in-depth conversation about dispensing errors in pharmacy. There a few things that strike fear into hearts of pharmacists more than making a dispensing error. Making a dispensing error is still a criminal offence and can still lead to a custodial sentence. Unfortunately, we live in the real world and these errors do on occasion happen. Are there too many errors? Are all near misses and dispensing errors reported and are they analysed appropriately? Should pharmacists face potential custodial sentences? Do we share insights nationally well enough? The issue is still on-going but it is my hope that we re-ignite the conversation around this topic.
42 min 37 sec
Francesca Aaen is a pharmacist consultant and runs her consultancy called Aaen Care. Aaen Care delivers medicines and healthcare-related training, consultancy and advice to both private and public sector providers of health and social care services across the UK. Francesca has over the years had a number of NHS roles in care services and also throughout the NHS. She is also a member of the Pharmacy in Practice Editorial Board. In this podcast I asked her the following questions: Why did you start your own business? You live in Andorra. Do you enjoy running your business from there and do you get home often? What was it like to write your first prescriptions? What was your experience of working within dementia services? What are your views on the rush for everyone to work in general practice? What aspect of being an independent prescriber do you think pharmacists will struggle most with? Do you think the pharmacists training and supervising pharmacists should be working in practice themselves? How did you discover an interest in coaching? What is your advice to pharmacists joining the register? What does 2020 have in store for you?
49 min 23 sec
Gavin Birchall is a pharmacist, designer and marketer who has created, led and marketed businesses at senior level and carried out the first research into the brand of pharmacy on the planet. Having spent 15 years in community pharmacy, practising in both independent and multiple owned pharmacies, Gavin has worked in academia, primary care and representation. He was instrumental in setting up a 21 strong community pharmacy group where he was Operations and Marketing Director and Superintendent Pharmacist. Frustrated by the lack of recognition received by pharmacy, Gavin completed research into the brand of pharmacy as part of a Masters In Graphic Design and in 2015 set up a pharmacy specialist design and marketing agency, DOSE Design and Marketing Ltd, to support pharmacies to present and promote themselves more effectively. Gavin and his associates now support a range of clients in community pharmacy and beyond. On the podcast, we had a wide-ranging conversation about pharmacy now and into the future. I asked Gavin the following questions: What is a pharmacist? How is pharmacy as a profession perceived? As pharmacists have we lost our entrepreneurial spark? Why are there very few start-up community pharmacies? If you were starting a business again tomorrow what would your strategy be? Has pharmaceutical care been forgotten? How does technaceutical care fit into the future agenda of pharmacy? Why have General Practitioners protected their brand so effectively compared to pharmacists over the years? What is the importance of independent prescribing to the future of the pharmacy profession? What will the effect of the erosion of the community pharmacy contractor model have on our profession?
1 hr 2 min
Emma Hartley is a freelance journalist from London. She wrote a story recently on the topic of hormone replacement therapy (HRT) shortages. The article examined the on-going HRT shortages and sought to find answers. This problem has had a significant impact on people suffering symptoms of the menopause. Emma has delved into all aspects of the supply of HRT in the UK and beyond. She has covered issues related to the drug tariff, Brexit and has even considered the involvement of China in the stuttering supply of these vital medicines. We were lucky to catch up with Emma on the podcast to discuss the article.
40 min 39 sec
Dr Ollie Hart is a GP partner, Primary Care Network (PCN) Clinical Director and also owns Peak Health Coaching. Ollie Practises in Sheffield and I met him recently for the first time at a meeting in London. We got talking and went for a coffee after the meeting. Unfortunately, we ran out of time as I had to catch a flight but we agreed to chat again soon. He didn't bargain that said chat would be on the PIP podcast but here we are. Ollie describes himself as a 'typical GP who spins a few plates'. He is a PCN Clinical Director in Sheffield, has experience of commissioning for the NHS, still practises as a GP and also finds time to run his own health coaching company called Peak Health Coaching. Ollie talks passionately about chronic pain and his desire to inform and coach these people. "The more people are engaged with their own health the better their outcomes will be. People have so much thrown at them in life so how we deal with adversity is crucial. I've been very involved with patient activation and care planning as part of my commissioning role in Sheffield. "Good skills are missing to help people take much more of a partnership. It's not easy. This is how Peak Health Coaching evolved. Dr Tim Williams and I founded the business then and we have had good success so far." The conversation flowed from here. Below are some questions I asked Ollie. Tune in to the podcast to hear his fascinating approach to coaching. Do you think your interest in chronic pain was the trigger to start a business? Do you think pharmacists and GP's over-prescribe medication in the chronic pain space? What does a typical interaction look like? Is this a move away from the paternalistic model of healthcare? PCNs are the promised land. What do you think PCNs are a reinvention of? What does the role of PCN Clinical Director actually involve? One of the consequences of the development of PCNs has been a rush for pharmacists to work in general practice. Are pharmacists welcome guests in general practice or is it their home? What are your thoughts on the workforce pressures that the inception of PCNs has driven? What's next for you? What is your advice for pharmacists or doctors joining the register?
32 min 36 sec
We recently ran a story about a new report that highlighted the fact that poorly implemented ePMA (electronic prescribing and medicines administration) systems can result in potentially fatal medication errors. We were very fortunate to catch up with Scott Hislop and Helen Jones, two of the investigators, on the podcast to discuss the series of events that ultimately culminated in the sad passing of Mrs Ann Midson. The report comes after the Healthcare Safety Investigation Branch (HSIB) looked at the case of 75-year old Ann Midson, who was left taking two powerful blood-thinning medications after a mix-up at her local hospital where she was receiving treatment whilst suffering from incurable cancer. Ann sadly died 18 days after being discharged and the error with her medication was only picked up three days before. This led to the HSIB investigation to question why this happened, even when the hospital had an ePMA system in place. The report highlights that many NHS trusts across England are taking up this technology as they reduce medication errors, but that incomplete use of e-systems could create further risks to patient safety. The investigation found that often all the functions of ePMA systems aren’t being used and that staff switch between using paper record and digital records, increasing the likelihood of crucial information being missed. Ann’s case also highlighted the routine lack of information sharing between NHS services, such as GP surgeries and pharmacies. She had been taking one blood-thinning medication on admission. This was stopped during her time at the hospital, but this message was not relayed to her local pharmacy and she continued to take both after leaving hospital. The report also identifies that the availability of a seven-day hospital pharmacy service is crucial to support a digital system and pick up any errors quickly. The length of time it took in Ann’s case had a huge effect on both her and her family. Ann’s daughter said: “Not only were we grieving the loss of mum but also that she had to deal with the stress and upset of this towards the end of her life. She had to spend a lot of time within different parts of the NHS and all we ever wanted was for her to get the best possible care at every stage.
40 min 21 sec
Dolly Sud is a Specialist Mental Health Pharmacist and PhD student. She is also a member of Cochrane and College of Mental Health Pharmacy. We caught up with Dolly on the PIPcast. Dolly gave us a fascinating insight into her role as a Specialist Mental Health Pharmacist and also her views on some of the wider issues in pharmacy.
48 min 46 sec
We were delighted to be joined by Miles Briggs MSP on the PIP podcast. Miles is a Scottish Conservative and Unionist Party MSP for Lothian. He is involved in quite a number of cross-party committees and notably for pharmacists he a member of the Health and Sport Committee. You can find out more about Mile's voting record, his recent speeches, recent questions that he has asked of the Scottish government and recent motions he has brought forward here. The conservative party in Scotland have created a five-point plan aimed at supporting pharmacy north of the border and this informed a portion of our conversation. Miles was also was good enough to tell me about his background. He was quite candid about how he copes with the day to day rough and tumble of being an MSP. We discussed the thinking behind running the medicines review in Scotland. Miles is involved in this process as a member of the Health and Sport Committee. I asked him about the role of pharmacists in the modern NHS and where he felt the future lies for our profession. We agreed that for the first time in years there are pressures on pharmacy from a workforce perspective. He revealed that he recently asked a question to Jeanne Freeman about how this issue can be addressed and hopefully solved. I asked Miles directly if the Conservative party in Scotland managed to get into power would they invest in community pharmacy. Miles discussed his frustration around the lack of information sharing and particularly told me his strong view that pharmacists should have access to all the patient information that they require. For community pharmacists, this specifically means joined-up information technology and ensuring community pharmacists get access to the patient record. For years community pharmacists have been supporting people who are in recovering from substance misuse. Miles discussed his views in this area and talked about the need to recognise community pharmacists particularly as unsung heroes in this area. We got some insight into the vaccine transformation programme happening across Scotland. Miles is an advocate of community pharmacy extending what they currently deliver in the flu vaccination space but also talked about the need to include pharmacy in the wider discussions on the vaccine transformation programme.
49 min 32 sec
Emma Davies recently took over as host of the PIP podcast and was kind enough to interview editor Johnathan Laird. It was a really interesting conversation and below are a handful of the questions Emma asked. Why did you do pharmacy? What are the selling points of pharmacy? Do pharmacists work autonomously? Are community pharmacists ready for the general practice pharmacy role? How important is credentialing in pharmacy? How much information should be given to members of pharmacy support organisations? What motivated you to start Pharmacy in Practice? Do you see enough leadership in pharmacy at the moment? What was your experience on the RPS Board like? Is bullying still a problem in pharmacy? What does leadership mean to you?
1 hr 22 min