Chronic obstructive pulmonary disease (COPD) affects around 1.2 million people in the UK and has an impact across NHS services. Patients frequently present acutely in the emergency department with an exacerbation of the disease and rely heavily on community ...
The article ‘Have legislative changes curbed use of ’legal highs’?’ (The Pharmaceutical Journal 2018;301:7920) concerning novel psychoactive substances (NPSs) highlighted the huge number of these drugs that are now available, with more appearing each week. One problem is that many of these NPSs ...
Calculation questions in the preregistration exam must be fair and reflect real-world practiceSubscription
Over the past 20 years I have supported preregistration students, particularly with calculations in the preregistration exam. One advantage of the old multiple-choice question style was that the answer was given in the correct format with the correct units. In the new style of question, assistance is limited to a box in which to enter a number and the examinee is required to enter the correct units. I have been asked for help with these questions used for preregistration training — ...
Recruiting community pharmacies to a smoking support service trial using the 'Russian doll' approachSubscription
‘Smoking Treatment Optimisation in Pharmacies’ (STOP) is a six-year programme funded by the National Institute for Health Research. STOP is a complex intervention based on behavioural theory, and involves training for pharmacy staff and associated study materials, such as badges and posters. The STOP trial is assessing the effectiveness and cost-effectiveness of the STOP intervention on smoker recruitment, retention and quit rates in the NHS stop smoking service based in community pharmacy. ...
Managing interstitial lung disease: impact of involving a specialist respiratory pharmacistSubscription
Interstitial lung disease (ILD) is an umbrella term describing a diverse group of lung diseases that result in impairment or fibrosis of the alveolar interstitium. Idiopathic interstitial pneumonias are the most common ILDs; and idiopathic pulmonary fibrosis (IPF) is most common among this cohort of patients. Symptoms of ILD include breathlessness and a persistent, dry and irritating cough. Patients with ILD may experience acute exacerbations, which can increase the burden of disease, ...
Tony Sivner will retire from his post as chief pharmacist at Tameside Hospital on 31 December 2018 after 35 years’ service to Tameside and Glossop Integrated Care NHS Foundation Trust.
Health Education England (HEE) welcomes the attention placed on the Mary Seacole leadership programme in Hemant Patel’s ‘A message to Keith Ridge: unrealistic expectations are not the way forward’, and we are pleased to see that he and his local pharmaceutical committee colleagues have applied ...
Harriet Pike’s recent article in The Pharmaceutical Journal, ‘Deprescribing: the fightback against polypharmacy has begun’, points to a clear problem relating to conventional medicine. The reductionist approach associated with this type of medicine lends ...
NICE must provide patient decision aids if the tools are to become part of routine practiceSubscription
The National Institute for Health and Care Excellence’s (NICE) guideline NG5 — ‘Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes’ — sets recommendations around patient decision aids (PDAs) used in consultations involving ...
With many options for learning, and many different organisations providing guidance, wouldn’t it be great if we could consolidate the resources and support available?
While reading the November issue of The Pharmaceutical Journal, was I the only one who noticed the slight irony in the ‘News in brief’ section?
Bacterial endophthalmitis is a sight-threatening eye infection, which may occur after penetrating injuries and ocular procedures. Bacterial load in the eye can double within 30 minutes. For this reason, European guidelines recommend delivery of endophthalmitis treatment within one hour of presentation
The pharmacist-led direct oral anticoagulation (DOAC) clinic at Northwick Park Hospital in Harrow, north west London, was set up in April 2017 and sees patients from Brent and Harrow clinical commissioning groups.
I read with interest a piece by Greg Lawton proposing that the General Pharmaceutical Council (GPhC) uses its powers to set mandatory minimum staffing levels in community pharmacies. Like many others, I ...
This is a plea for the designers of blister pill packs to consider the increasing numbers of older people (and others) who have serious problems removing pills from the blister packs in which they are supplied.
Those working in community pharmacy may be familiar with the same faces and camaraderie, but those working in an airport pharmacy will have a different set of customers and patient groups to consider. One such group is airline pilots, who have very specific needs — in particular, the need to operate an aeroplane safely.
Guidelines from the National Institute for Health and Care Excellence recommend that empirical antibiotic courses initiated in hospital inpatients should be reviewed within 72 hours; ...
Children exposed to valproate in utero are at a high risk of serious developmental disorders (30–40% risk) and congenital malformations (10% risk). Valproate is now contraindicated in pregnancy for all indications, except for the treatment of epilepsy in the absence of a suitable alternative
The National Institute for Health and Care Excellence (NICE) guideline NG94, published in March 2018, focused on organising and delivering emergency and acute medical care for people aged over 16 years in the community and in hospital
I was disappointed by your editorial ‘Exam gap must be closed’ (The Pharmaceutical Journal online, 24 September 2018).
Time changes everything, except true friendships made at the School of Pharmacy of Aberdeen Robert Gordon’s Institute of Technology (RGIT; now Robert Gordon University). Come back to reconnect, recapture, and recreate your special moments at your class of 1986 reunion!
I commend The Pharmaceutical Journal for securing an interview with England’s ...
I am a pharmacist and a lecturer in pharmacy practice, but I am also a sculptor. I enjoy the tactile and sensory nature of the sculpting process and I experiment with a range of materials. I am fascinated by the way objects occupy space and affect how people feel.
In 2016, spend on diabetes prescribing — and glucagon-like peptide 1 (GLP-1) mimetics, in particular — at NHS Hastings and Rother Clinical Commissioning Group (CCG) and NHS Eastbourne, Hailsham and Seaford CCG was significantly higher than expected, based on national prescribing patterns. There was also significant variation between GP practices. A project was undertaken by the medicines management (MM) team to support primary care diabetes teams to work with patients to optimise prescribing ...
Following the UK general election in 2017, The Pharmaceutical Journal ran an article asking several pharmacists for their thoughts on the result (2017;298:351–353). One pharmacist worked in a GP surgery, but the remainder all worked in community pharmacy. I wrote to the journal then (
Clinical Pharmacist today invites article submissions to showcase current and best practice in the area of polypharmacy and medicines optimisation.
The opinion piece ‘Let’s be honest about the new medicine service’ (The Pharmaceutical Journal online, 21 August 2018) argues for more research before the new medicine service (NMS) is rolled out to mental health patients; the argument is based partly on statements about perceived weaknesses ...
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