C+D COLUMNISTS

Andy Murdock: PCT short-termism makes no sense

Reports that PCTs are scrapping minor ailments schemes in a bid to cut costs says more about the asymmetry of primary healthcare funding than it does about the value of the schemes themselves.

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The Web Hunter: We want to hear from you

In the modern world of publishing, room in print has become scarcer and competition to appear in the printed word has become fierce.

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Sue Sharpe: Deliver more for less by improving adherence

Adherence services should be seen as a fundamental part of pharmacy's role, not as a 'nice-to-have' clinical add-on

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Xrayser: Why have they reinvented the NHS wheel?

We all know that public services can only ever improve, and new policies must always be an advancement, so a radical shake-up of the NHS was inevitable – after all, a new government can’t just put its feet up and say “If it ain’t broke, don’t fix it!”, so we have to have yet another white paper – this parliament’s attempt to reinvent the NHS wheel.

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No need for aspirin when flying

 

Air travel poses no significant threat to cardiovascular health for most patients, according to media outlets this week. So what does this mean for sunseekers preparing to jet off on their summer holidays when it comes to preventing DVT?

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Xrayser: Making the best decisions – do the maths 15/07/2010


I like to think of myself as an advocate for the profession. Pharmacy has been good to me – as much as any demanding, uncertain, stressful profession can be – so I agreed to be shadowed by an A level student thinking through career options.

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The Victorian pharmacist: German views

Earnest advice on not pressing corks with the teeth, holding powder-envelopes in the mouth or shaking up mixtures with the finger over the mouth of the bottle and a firm recommendation that no dispenser should come to work in his dressing-gown and slippers.

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Dealing with decriminalisation disappointment 01/07/2010

A deal to decriminalise dispensing errors has been on and off more often than teenage sweethearts.

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David Reissner: Where was RPSGB during Lee prosecution? 07/07/2010

The RPSGB should have a better understanding than the Crown Prosecution Service of whether a case merits prosecution, but the Society stopped bringing prosecutions a long time ago. The Society’s abdication of responsibility left a vacuum that the less well-informed CPS has filled.

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Clinical debate: rich-poor gap hints at new role 08/07/2010

Last week, the nationals revelled in old cliches about the health differences between rich and poor after the National Audit Office (NAO) exposed a gulf in patient health. Reading between the lines of the report, it could be the government intends for pharmacy to play a substantial role in the solution to this public health puzzle.

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Terry Maguire: Paying the price for free prescriptions 02/07/2010

Since April 1, when Northern Ireland (NI) abolished prescription charges, there has been surprisingly little media attention.

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Mike Smith: Time for sector to make a stand 11/06/2010

With the NHS financial landscape looking decidedly bleak, Alliance Healthcare chairman Mike Smith believes only a united pharmacy front will see the sector survive

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Mark James: DH action or pharmacy unity - which first? 10/06/2010

 

Another year and we have yet another pharmacy minister at the Department of Health. I wonder how long before we hear the first speech praising pharmacy, but offering no concrete commitments.

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The Web Hunter: small should be beautiful

I got married a fortnight ago and for our honeymoon my wife and I went to Venice, a wondrous city full of fantastic architecture, tiny canals, expensive food and con-artist gondoliers.

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Coalition health policy: more of the same? 27/05/2010

There’s been precious little mention of pharmacy’s role in long-term conditions or public health – actually, there’s been zero mention of pharmacy’s role in any of the government’s health policy documents.

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Nick Barber: In search of the entrepreneurial spirit 28/05/2010

I have spent a remarkable few weeks filming The Victorian Pharmacy for BBC2. It has been great fun... what came over to me most strongly was the entrepreneurial spirit of the Victorian pharmacists.

 

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Sue Sharpe: No guarantees for pharmacy in Lib-Con NHS 21/05/2010

 

It has been a cataclysmic fortnight in Westminster and a remarkable few months for British politics. We are undoubtedly in uncharted political waters. But as our politicians get back to the business of governing, we must assess what this election means for pharmacy.

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More needs to be done to relieve workplace pressure


Being attacked by knives, air rifles and guns or having bicycles and tills thrown at us is something we are more likely to associate with a Tarantino movie than a description of what passes for life in an average dispensary.

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The Web Hunter: online hustings were an excellent spectacle

By the time you read this, David Cameron will be the new prime minister and we might even have a new opposition party for the first time in 88 years

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Smoking bans have no effect? Do the maths 13/05/2010

In a new series, C+D’s Chris Chapman looks at the evidence behind the headlines. This week, he looks at the figures behind smoking bans.

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Terry Maguire: Regulating homeopathic remedies 29/04/2010

My attempts over the past few years to ridicule colleagues who support and promote homeopathic remedies and to get them to stop seemed to amount to nothing. I had, I thought, completely misjudged the extent of human credulity...

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Sue Sharpe: This is no time for complacency 24/03/2010

At last week’s Community Pharmacy Conference, I was struck by how far our profession has come in the past 10 years... community pharmacy is at the heart of the health policy agenda in a way it has never been before.

 

 

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Ravi's Blog: students count the cost of OTC medicine   29/03/2010

Two female university students came in together to the pharmacy today for ‘the morning after pill’. Without getting into the debacle of asking whether it was a coincidence they both needed emergency contraceptives at the same time, I simply made sure their requests suited the criteria.


Mike Hewitson: A tale of two pharmacies – which are you? 24/02/2010

Imagine two identical pharmacies in two different PCTs. The first has a very pro-pharmacy PCT; the second exists in a wasteland where monies negotiated at national level for pharmacy are diverted to fill the PCT’s financial black hole. But how can some PCTs be allowed to effectively opt out of a national funding deal to balance their own books?

 

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One rule for doctors, another for the rest 18/02/2010

Image of David Reissner

If you’ve read my jottings about pharmacy’s disciplinary procedures, you will know I have not always been complimentary about them.

 

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Xrayser: It’s not easy being perfect 11/02/2010

Xrayser image“If you were to spend the rest of your life with your peeing condition the way it is now, how would you feel about that?” An odd question for Mrs Xrayser to ask me, especially at work…

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When evidence doesn’t match reality 11/02/2010

Twice the bridesmaid. In the English Board Elections, in both the open and academic sections, I got more votes than anyone else – anyone who was not elected, that is. In each case I was beaten by candidates who are against remote supervision.

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Should community and hospital pharmacists have separate leadership bodies?   11/02/2010

It is regrettable that the new professional leadership body (PLB) has got off to a potentially inauspicious start for an organisation that is intended to be the representative body for the whole of pharmacy, Colin Rodden writes.




We can’t afford not to pay the cost of advice 03/02/2010

Image of Xrayser with finger raisedI walked into the pharmacy this morning, and saw another sackful of returned drugs. I feel like showing our overflowing drug disposal bins to every patient who raves about the current drug shortage and saying: “Help yourself to some of the £100 million worth that goes unused.” With such anxieties, why is medicines adherence such a problem?

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Making POM to P switches a surefire success 03/02/2010

image of Terry MaguireFor reasons unknown, I was recently invited to an MHRA meeting to investigate how the public might get better access to medicines.

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Ravi's Blog: Did good propaganda sway Boards' election? 02/02/2010

Picture of Ravi patelI was not surprised to read who won the seats for the England and Wales Pharmacy Boards given all the 'encouragement' to solely vote for these particular candidates.

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Sue Sharpe: Do your bit to help the cost of service inquiry 27/01/2010

Community pharmacy contractors hold a unique position in the NHS primary care network. They are (as the Conservatives noted in their recent public health Green Paper) “a vital resource for healthcare and condition management” and are “many people’s most frequent link to a knowledgeable health professional”. They are also retailers and business owners, delivering a high quality service while keeping an eye on the bottom line.

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David Reissner: Casting a legal eye over 2009 21/01/2010

What a year 2009 was! The MHRA issued guidance trying to stop exporting. The NHS Counter Fraud Service began investigating specials. The Medicines Act was amended to bring in a requirement for responsible pharmacists. The National Health Service Act was amended to introduce as from this year a new control of entry test. But the most prominent legal issues faced by pharmacists in 2009 were in the criminal courts...

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Richard Smith: Will 2010 be a good year for pharmacy? 13/01/2010

A precarious financial situation, a likely change of leadership and a series of seemingly impossible choices. I could be talking about Britain in 2010 or about pharmacy in the year ahead. Take your pick...

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David Reissner: Testing time for necessary or expedient rules 16/12/2009

There is no point in being nostalgic about the necessary or expedient test. Pharmacy owners and wannabe owners should get their views across when PCTs consult before publishing PNAs.

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Sue Sharpe: A first for pharmacy - an inter-party love in 09/12/2009

PSNC’s community pharmacy question time last week marked the first time all three parties have fielded representatives to publicly debate pharmacy issues. I was joined by...

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Terry Maguire: Will it be a brave new world? 25/11/2009

One key issue for me is that where the structures now in place hold such promise and opportunity, this may be squandered in cautious conservatism, our tragic national trait.

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VIDEO MASON

 
Jonathan Mason, the Department of Health's community pharmacy tsar, has joined C+D as a video blogger. Armed with a mini-camcorder, he will be keeping a diary of his thoughts as he works to deliver the pharmacy white paper.



XRAYSER

Xrayser: We need a Mary Portas -style shake-up 07/07/2010

A while ago, an NPA friend asked if I fancied having Mary Portas come round. If you are not familiar with this lady, you can catch her TV programme on Monday nights, where she acts as a  sort of troubleshooter on high street shops... Perhaps we do need Mary Portas to shake us up, not just individually but as a profession.

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YOUR LETTERS

Letter to Mr Lansley

Sir
Congratulations to Andrew Lansley for being appointed as secretary of state for health. At last we have a secretary who understands health.

Mr Lansley, we are all acutely aware that savings have to be made. May I suggest a modest start.

All pharmacies are paid £200 a month for Electronic Transmission of Prescriptions (ETP). But ETP is not fit for purpose and barely a few thousand prescriptions are dispensed via ETP.

I suggest you have a thorough independent review of the project. Meanwhile I suggest you suspend this payment. This will mean a saving of about £2m a month and will not affect frontline services.

Uma Patel
Dunns Chemists
Middlesex

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