Cookie policy: This site uses cookies (small files stored on your computer) to simplify and improve your experience of this website. Cookies are small text files stored on the device you are using to access this website. For more information please take a look at our terms and conditions. Some parts of the site may not work properly if you choose not to accept cookies.

Join

Subscribe or Register

Existing user? Login

sections

Hospital pharmacy

Almost a third of hospitals report ‘complete outages’ of medicines during COVID-19 pandemic

Data from 98 NHS trusts in England showed that there were shortages of some first-line critical care medicines during the COVID-19 pandemic, with several other drugs also being in short supply.

Pharmacist selecting medicine box

Source: Shutterstock.com

Around a third of acute hospitals reported experiencing “complete outages” for specific medicines during the COVID-19 pandemic

Around a third of acute hospitals reported experiencing “complete outages” for some medicines during the COVID-19 pandemic, according to the sixth national summary report for the NHS Benchmarking Network’s Pharmacy and Medicines Optimisation project.

The report, which collated and analysed data from 98 NHS trusts in England, revealed that some trusts experienced shortages of first-line critical care medicines, including the neuromuscular blocking agents atracurium and cistracurium, and the anaesthetic propofol.

Compilation of the annual report was initially suspended in March 2020 and then resumed following the first wave of the pandemic, with new questions added on how COVID-19 had affected hospitals.

Other drugs listed as being in short supply during the COVID-19 pandemic included noradrenaline, which one trust said they “completely ran out of” in the first week of the pandemic; fentanyl; and the benzodiazepine medicines lorazepam and midazolam.

Some trusts said that shortages were “intermittent” and were managed with pre-emptive action.

The report also highlighted that more than half of organisations extended their pharmacy opening hours in response to the COVID-19 pandemic and 61% of trusts reported that their pharmacy department increased aseptic service provision to increase the supply of ‘ready to administer’ medicines.

The figures in the report also showed that the number of hours spent on wards per week by pharmacists, per 100 beds, had almost doubled in six years, from 56.8 hours in 2013–2014 to 105.1 hours in 2019–2020. It also revealed that the Hospital Pharmacy Medicines Optimisation (HoPMOp) project target for 80% of pharmacists’ work to be in clinical pharmacy was yet to be reached, with 75.8% of pharmacists’ time being devoted to clinical pharmacy in 2019–2020.

The percentage of pharmacists actively prescribing also did not meet the HoPMOp target of 50%. In 2019–2020, 31.8% of pharmacists were reported to be prescribers and, of those qualified to prescribe, the mean percentage of pharmacists routinely prescribing was 60.7%. 

In reference to mitigating the risks associated with the use of valproate products, the report revealed that 94% of organisation had an action plan in place; 65% of organisations had a pharmacy system that directed pharmacy teams to check for childbearing potential when dispensing valproate products; and 77% of organisations with electronic prescribing and medicines administration had systems that gave warnings when valproate products were prescribed.

The results from the survey are due to be presented at a virtually held conference later this month.

Citation: The Pharmaceutical Journal DOI: 10.1211/PJ.2021.20208706

Have your say

For commenting, please login or register as a user and agree to our Community Guidelines. You will be re-directed back to this page where you will have the ability to comment.

Recommended from Pharmaceutical Press

  • BNF and British National Formulary for Children

    BNF and British National Formulary for Children

    Now available as a 1 year print subscription to both the BNF and British National Formulary for Children, ensuring you have the latest medicines information as it publishes and at a greatly reduced price.

    £138.50Buy now
  • BNF and British National Formulary for Children

    BNF and British National Formulary for Children

    Now available as a 2 year print subscription to both the BNF and British National Formulary for Children, ensuring you have the latest medicines information as it publishes and at a greatly reduced price.

    £262.50Buy now
  • Patient Care in Community Practice

    Patient Care in Community Practice

    Patient Care in Community Practice is a unique, practical guide for healthcare professionals or carers. Covers a range of non-medicinal products suitable for use at home.

    £22.00Buy now
  • Drugs of Abuse

    Drugs of Abuse

    A concise, easy-to-read guide for healthcare professionals who encounter drug abuse.

    £38.00Buy now
  • Pharmaceutical Toxicology

    Pharmaceutical Toxicology

    Explains the methodology and requirements of pre-clinical safety assessments of new medicines. Includes registration requirements and pharmacovigilance.

    £40.00Buy now
  • Print
  • Share
  • Comment
  • Save
  • Print Friendly Version of this pagePrint Get a PDF version of this webpagePDF

Newsletter Sign-up

Want to keep up with the latest news, comment and CPD articles in pharmacy and science? Subscribe to our free alerts.