Pharmacy: looking to the future by HC120704175152

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									Pharmacy: looking to
    the future


       Kevin Ratcliffe
    Consultant Pharmacist
Stereotypes…..?
      • Traditionally, role
        dominated by
        dispensing
      • SMS: needle
        exchanges and
        supervised
        consumption
      • Role is now evolving
      • Key benefit: ACCESS
Minor Ailments
       •   Already trained
       •   Signposting / referral
       •   Fear
       •   Some minor ailment
           schemes available
           but no national
           standards (and
           certainly not national
           coverage)
   BBV – some scary stuff
• Nationally, 40% IDUs have HCV (marked
  variation of prevalence)
• Half of these are unaware of their status
• 20% IDUs infected with HCV within 3
  years of starting
• Uptake of Hep B vaccine better, but
  completions still low.
• HIV rates rising again (1/3 of IDUs
  unaware of their status).
BBV: options
      • Pilot studies of Hep B
        vaccination
        completions via
        pharmacies hugely
        successful.
      • HCV screening (dried
        blood spot sampling)
      • HIV as well ?
      • NX and SC
PGDs: Naloxone
       • Overdose
         response training
       • Supply and use of
         naloxone
       • Inc. partners /
         carers
       • Universally
         available
PGDs: Sexual Health
          • Morning after pill
          • Chlamydia
            screening and
            treatment
          • Sexual health
            advice (inc. supply
            of free condoms
            and lube)
PGDs: antibiotics
         • A “minor ailments
           plus” scheme
         • Defined conditions
           and defined
           circumstances
         • Skin infections /
           abscesses ?
Smoking Cessation
Alcohol
    • Many pharmacists
      already skilled at brief
      interventions
    • Referral pathways in
      place
    • Harm reduction
      measure (esp. as
      illicit drug use
      decreases)
Non-medical prescribing
            • Effective use of skill
              mix
            • Many benefits
            • Already present in
              primary care,
              specialist teams and
              prison service
            • But, could we take
              this further……….?
The main challenges:
 At every crossroads on
the path that leads to the
   future, tradition has
placed ten thousand men
    to guard the past.
                    Anon.

								
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