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Pharmacy must grasp new clinical opportunities with both hands


I recently tried working at a GP practice in Chester. I thought my role was to be the Pharmacist responsible for investigating polypharmacy in the elderly who had not been reviewed in the previous twelve months by the GP, making recommendations where possible to reduce this, provide medicines education and improve compliance and of course refer to appropriate practitioner if urgent care needed etc etc...all the issues that you would expect a pharmacist with 20 years experience obtained across various clinical roles to be able to undertake with ease and without question. After 6 months I was told that I was no longer " financially viable" and that the part-time Medicines Manager ( newly promoted from reception clinical knowledge!!) was in fact capable of providing this role!!!! I was told that in was in fact my " job " to count the tablets that the patients were asked to bring along to the appointment ( which the majority of patients did not, due to the sheer volume that they had or for fear of being mugged....seriously!!) and organise a reconcilliation prescription (that I was told by the Lead GP not to print and forward for signature one day but then moved the goal posts to suit and changed his mind on a weekly basis!!!) Sorry for the rant but I just hope that some GP's open their eyes and see that sometimes they can be their own worst enemy. The practice manager who shall we say "let me go" ( also new to role with no previous GP practice management experience) had no idea what my role involved and just saw the invoice ( four hours once a week) and decided I was a luxury they couldn't afford). I agree that training pharmacists to undertake these roles is a brilliant move forward for our profession but if the management team within the practice are not educated before we take up these roles then we face yet another uphill struggle.... It is not all about quantity of patients assessed on a daily basis but the quality of the assessment provided ( does this sound familiar?? MUR targets in Community) I know for a fact that in my short stay at the practice I prevented numerous potential falls and many hospital admissions amongst my elderly patients...none of which obviously appeared on the "financially viable" spreadsheet. All I can say is I am sorry to the patients that I was not given the opportunity to assess...I wish them luck for the future.

Posted date

16 JUN 2016

Posted time



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