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Issue : Clinical Pharmacist, 2013

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  • Clinical Pharmacist's monthly news round-up: the top 10 Subscription

    2 DEC 2013 11:05

    What has been happening in the world of pharmacy? The team at Clinical Pharmacist summarises the month’s top 10 clinical pharmacy and NHS stories.

  • X-ray of the hip showing femoral neck fracture (James Cavalini/Dreamstime.com)

    Offer a drug holiday from biphosphonates to prevent fractures Subscription

    2 DEC 2013 9:37 By Louise Maguire

    Your patient, a 68-year-old woman, has been taking alendronic acid for five and a half years. She has responded well to the treatment and manages the side effects fairly well. She has not had her therapy reviewed recently and you believe it might be time for a drug holiday. What is the next step?

  • Valerie Sillio

    A seat at the table, whatever the setting Subscription

    29 NOV 2013 15:56 By Valerie Sillito

    It may well be that some pharmacists are frightened of these new developments and might not be comfortable with the direction in which pharmacy is moving, and will seek not to be involved.

  • Virtual handshake

    Save money from high-cost medicines using gain share Subscription

    29 NOV 2013 15:00 By Maureen O'Sullivan

    Virtual handshake Source: Tsung-lin Wu/Dreamstime.com

  • Fly the flag for pharmacy

    29 NOV 2013 14:53 By Maureen O'Sullivan

    By Maureen O’Sullivan

  • Alison Ewing

    Don't get comfortable: apply for the Faculty Subscription

    29 NOV 2013 14:48 By Alison B Ewing

    Alison Ewing

  • What does quality look like when it comes to homecare services? Subscription

    31 OCT 2013 12:58 By Matthew Wright

    The market for homecare services has grown substantially over the past decade. But these services come with clinical and financial risks and, until recently, there has been no recognised framework available to describe what a good homecare service should encompass.

  • Clinical Pharmacist's monthly news round-up: the top 10 Subscription

    31 OCT 2013 12:35

    What has been happening in the world of pharmacy? The team at Clinical Pharmacist summarises the month's top 10 clinical pharmacy and NHS stories. 1. Recognition for first RPS Faculty membersSeventy-five pharmacists have become the first members of the Royal Pharmaceutical Society Faculty.

  • No hat, no play

    31 OCT 2013 12:20 By Matthew Wright

    Slip! Slop! Slap! Slip on a shirt, slop on sunscreen and slap on a hat. Those are the words to a jingle that everyone knew in Australia when I was growing up in the 1980s.

  • Learn about the gold standard for homecare Subscription

    31 OCT 2013 12:17

    By Carol McCall, PhD, MRPharmS, and Ray Fitzpatrick, PhD, FRPharmS, FFRPS

  • Employees (Rafter/Dreamstime.com)

    Commissioning support units —what pharmacists do there Subscription

    31 OCT 2013 12:12 By Elizabeth Sukkar

    Meet the dark horse of the NHS: the commissioning support unit (CSU). Little tends to be said about these organisations, borne out of the NHS reforms in England that went live in April 2013. Initially there were 23 CSUs, but their number has been falling and now sits at 17. In future, there is an expectation that there will be fewer of them, as smaller CSUs merge with larger ones to give them more financial security.

  • Emma Graham-Clarke

    Confident, coherent and complete Subscription

    31 OCT 2013 10:56 By Emma Graham-Clarke

    And send. That’s it: my application to join the Royal Pharmaceutical Society Faculty was submitted. Electronic portfolio completed, peer testimonials received, curriculum vitae updated and fee paid. I began the wait for my submission to be assessed.

  • Flynt/Dreamstime

    Introduction of a pharmacist prescriber to a heart failure service Subscription

    30 SEP 2013 12:47

    Heart failure (HF) is a complex condition, with a poor prognosis and a considerable impact on quality of life. The condition affects around 900,000 people in the UK, and almost the same number of people have damaged hearts but no symptoms. HF accounts for around one million inpatient bed days, 2% of all NHS inpatient bed days and 5% of all emergency admissions.1

  • Rachel Hall

    Support for new prescribing professions Subscription

    30 SEP 2013 9:59 By Rachel Hall

    Prescribing decisions are highly complex. Once you have worked out that you need to prescribe a drug, you then need to consider a multitude of other things, including medicines that could potentially interact, contraindications (such as poor renal function), dose, therapeutic effects, side effects and so on, and that’s before you’ve even thought about the legal and ethical aspects of prescribing.

  • Clinical Pharmacist's monthly news round-up: the top 10 Subscription

    30 SEP 2013 9:43

    What has been happening in the world of pharmacy? The team at Clinical Pharmacist summarises the month's top 10 clinical pharmacy and NHS stories.

  • A standard fit for gran

    30 SEP 2013 9:09 By Matthew Wright

    freThe friends and family test. You’ve heard people talk about it — the one where you ask: “Would I be happy for granny to be treated this way?”

  • Alia Gilani

    Get to know the needs of your community Subscription

    30 SEP 2013 9:02

    In the 21st century one of the biggest hurdles to overcome for healthcare professionals is an acceleration in the prevalence of certain chronic conditions leading to challenges in prevention and treatment. Much emphasis in healthcare delivery is placed on modern medicine, which has undoubtedly contributed to an increase in life expectancy in the UK population.

  • Annette Blochberger

    Qualified but still not prescribing Subscription

    4 SEP 2013 11:23 By Annett Blochberger

    I have been registered as a non-medical prescriber (NMP) for several years now. Although the training has helped me gain confidence in what I do as a pharmacist, I confess that I have never used the qualification to prescribe.

  • Checklist (Kineticimagery/Dreamstime)

    Plan your way to portfolio confidence in five easy steps Subscription

    3 SEP 2013 15:33

    You have taken the first step towards joining the Royal Pharmaceutical Society Faculty and applied for eligibility. You can now access a suite of additional RPS resources and a link to your portfolio appears when you log in to your member dashboard.

  • Clinical Pharmacist's monthly news round-up: the top 10 Subscription

    3 SEP 2013 15:18

    What has been happening in the world of pharmacy? The team at Clinical Pharmacist summarises the month’s top 10 clinical pharmacy and NHS stories.

  • Opportunities for recognition

    3 SEP 2013 14:46 By Matthew Wright

    You will have read a fair bit about the Royal Pharmaceutical Society Faculty in the pages of Clinical Pharmacist over the past six months.

  • David Gerrett

    Safety lessons for the new NHS in England Subscription

    3 SEP 2013 14:31 By David Gerrett

    It could be argued that clinical pharmacy has been around ever since people asked the question: “What’s the best medicine for me?” People have routinely sought the opinion of those considered to be medicines experts. Clinical pharmacy is, I believe, a term embracing many of the actions of pharmacists and pharmacy technicians to optimise the use of medicines and answer that very question.

  • /files/rps-pjonline/180_computer_search_IT_Dreams_Dimkyy

    Increase referrals intelligently and boost access to specialist advice Subscription

    16 JUL 2013 9:03

    Patients with dementia and other mental health conditions are at risk of premature death, longer hospital stays and experiencing frequent adverse events if they are prescribed more than one antipsychotic medicine for their condition.1–3 It is crucial that such patients receive regular specialist review to optimise their therapy and prevent them from harm.4

  • /files/rps-pjonline/180_scaffolding_building_Dreams_Senkaya

    Use a "scaffolding" approach to build your portfolio for assessment Subscription

    16 JUL 2013 8:40

    Pharmacists have never had a clearer picture of what they have to do to advance in their practice. The launch in June 2013 of the Royal Pharmaceutical Society Faculty has made is possible for members to have their portfolios assessed and credentials awarded on the basis of their stage of development.

  • David Gibson

    Another tool for protecting patients Subscription

    15 JUL 2013 14:08 By David Gibson

    The guidance acknowledges that harm can be, and usually is, avoided if professional colleagues intervene before an error reaches a patient and, furthermore, emphasises the importance of protecting patients from harm by challenging poor prescribing practice.

  • Niserin/dreamstime.com

    Clinical pharmacists keen to make a valuable contribution Subscription

    15 JUL 2013 13:35

    Looking back over the past few months, Clinical Pharmacist has updated readers on the latest in medicines optimisation, kept them in touch with development of the Royal Pharmaceutical Society Faculty and offered food for thought on the next steps for NHS organisations in the wake of the final Francis report.

  • Time to declare your interest Subscription

    15 JUL 2013 12:50 By Matthew Wright

    I reckon the Pharmaceutical Care Awards are the most interesting in pharmacy. First a declaration of interests: I work for PJ Publications, a part of the Royal Pharmaceutical Society (the awards are organised jointly by the RPS and The Pharmaceutical Journal, with support from GSK); and I chaired this year’s proceedings, held on 14 June at the Royal Institution of Great Britain, London. So there might be some bias there; but I still believe I’m right, and here is why.

  • Chris Green

    A lot of money for the NHS to spend wisely Subscription

    15 JUL 2013 12:41

    The Department of Health has launched the “Safer hospitals, safer wards” initiative, which sets out a vision of “a fully integrated digital record for patient information across all settings by 2018” in England — a central tenet of which is the patient’s NHS number as a unique identifier.

  • Clinical Pharmacist's monthly news round-up: the top 10 Subscription

    28 MAY 2013 8:12

    What has been happening in the world of pharmacy? The team at Clinical Pharmacist summarises the month's top 10 clinical pharmacy and NHS stories.

  • Valerie Sillio

    How independent must we be? Subscription

    24 MAY 2013 14:11 By Valerie Sillito

    As a supplementary prescriber, I had thrived within the comfort zone of my affiliated medical prescriber and by following our agreed clinical management plan it seemed I could do no wrong. However, I wanted to become an independent prescriber so I could make my own decisions about the patients under my care

  • People moving forward (NI/Dreamstime.com)

    The medicines optimisation revolution gathers pace Subscription

    24 MAY 2013 14:02

    Medicines optimisation is a term with which many readers will be familiar. For the past couple of years it has been a well publicised concept used to describe how pharmacists, and other professionals, can improve patient outcomes by helping patients get the most out of their medicines.

  • Give feedback and get feeds Subscription

    24 MAY 2013 13:22

  • Ways to embed medication safety in pharmacy practice Subscription

    24 MAY 2013 13:15

    It is well recognised that medication incidents account for a substantial proportion of patient safety incidents 1,2 and that pharmacists in all sectors of healthcare are central to delivering safer medication practice.3,4

  • Peter Kopelman

    The Faculty is for you Subscription

    24 MAY 2013 13:14 By Peter Kopelman

    Pharmacists’ roles have evolved considerably since my days as a consultant physician and senior lecturer in east London in the 1980s at the time when local formularies were first being developed. My interest in pharmacy originates from the period when I chaired Newham’s district medicines committee, which included both hospital and community pharmacists. I appreciated then the pivotal role pharmacists play in advising and guiding people about appropriate treatments.

  • Ways to embed medication safety in pharmacy practice Subscription

    24 MAY 2013 12:52

    It is well recognised that medication incidents account for a substantial proportion of patient safety incidents 1,2 and that pharmacists in all sectors of healthcare are central to delivering safer medication practice.3,4

  • Clinical Pharmacist's monthly news round-up: the top 10 Subscription

    1 MAY 2013 10:32

    What has been happening in the world of pharmacy? The team at Clinical Pharmacist summarises the month's top 10 clinical pharmacy and NHS stories.

  • Emma Graham-Clarke

    Weighing your options Subscription

    30 APR 2013 15:12 By Emma Graham-Clarke

    The problem with critical care is that the usual standards and guidance have a tendency to disappear out of the window. Take weights. All patients should be weighed on admission to hospital, which is fine for elective patients and those who are reasonably fit. But this is impracticable for many patients we admit, such as those undergoing resuscitation.

  • Using a “MAP” to steer patients away from medicines-related falls Subscription

    30 APR 2013 12:03

    Falls are an increasingly common complication in patients over the age of 65 years. In 2001, the National Service Framework for Older People dedicated one of its standards to the treatment and prevention of falls, owing to the high costs of falls-associated treatment for the NHS. Despite this, alarming statistics have emerged in recent years:

  • Six ways to get your portfolio Faculty-ready Subscription

    29 APR 2013 16:05 By Matthew Wright

    The RPS Faculty will give pharmacists the tools they need to develop and a system for recognising advanced practice.

  • Discover new opportunities Subscription

    29 APR 2013 15:46

    Some diseases are managed today pretty much the same way that they were 30 years ago. But for most conditions there have been improved diagnostic techniques, modernised surgical interventions, new pharmacological options, updated approaches to monitoring treatment and so on. Management of medical conditions does not stand still and that is certainly true in the case of hepatitis C.

  • The end of postcode prescribing for cancer Subscription

    29 APR 2013 15:40

    One of the original drivers for the formation in 2000 of what was then the National Institute for Clinical Excellence was to eliminate the variation in access to new expensive cancer medicines that had been dubbed "postcode prescribing". Variation in access to high-cost drugs for cancer seems to have been in the public eye ever since.

  • Clinical Pharmacist's monthly news round-up: the top 10 Subscription

    4 APR 2013 10:08

    What has been happening in the world of pharmacy? The team at Clinical Pharmacist summarises the month’s top 10 clinical pharmacy and NHS stories.

  • Rachel Hall

    "Here you go, take these tablets — there’s little point in saying that Subscription

    3 APR 2013 14:14 By Rachel Hall

    Over the years I have certainly had some tricky patients. Often they have been in denial about their diagnosis of, say, type 2 diabetes or hypertension or not wanting to take medicines when they are clearly indicated. 

  • Discuss patients' perceptions of treatment to tackle non-adherence Subscription

    3 APR 2013 13:51

    In 2006–07 the NHS in England spent £10.6bn on medicines. However, around £300m worth of prescription medicines are wasted in England per year and up to 50% of medicines prescribed for long-term conditions are not taken as recommended.1,2

  • What could be more liberating than that? Subscription

    3 APR 2013 13:02

    This April Fool’s Day has passed, leaving a newly reformed NHS for England in its wake. For those of you formerly employed by primary care trusts and strategic health authorities, it will have been a long, drawn-out two-and-a-half-plus years. Now you will know where, or whether, your job subsists. Clinical Pharmacist wishes you well.

  • Look on the bright side Subscription

    3 APR 2013 10:18

    Pharmacists are their own worst critics. We hear that up to 50% of patients don’t take their medicines as intended, we read about £300m in wasted medicines (with £150m of that avoidable) and we learn that some 5–8% of hospital admissions are because of adverse effects of drugs. And what do pharmacists do? We look at our practice to see where we have gone wrong.

  • Care must trump cash Subscription

    26 FEB 2013 21:10

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