Graham Parsons. Pharmacist with Special Interest (PhwSI) NHS Plymouth.
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Transcript of Graham Parsons. Pharmacist with Special Interest (PhwSI) NHS Plymouth.
Graham Parsons.Pharmacist with Special Interest (PhwSI)
NHS Plymouth
Thank you for coming!
OutlinePersonal ProfileOverview of NICE guidelines (Pharmacy
Perspective)Examples of PracticeExercise
Personal ProfilePharmacist for 18 yearsCommunity Pharmacist since 1991Started working in Substance Misuse Service
in 2003Employed by Trust since 2005Pharmacist Prescriber since April 2007Co-opted onto PHIAC in 2008 (development
of NICE guidelines)Appointed PhwSI in April 2009
NICE Recommendation OnePlanning, needs assessment and community
engagementMulti-agency data collection (PHO, HPA, local
information, LPC, NSP Co-ordinator)Pharmaceutical Needs Assessment – local PCODoes current pharmacy service meet local
need?Service user involvement through pharmacies?
NICE Recommendation TwoMeeting Need
Respond to needs assessment process!Involve LPC and key local pharmacistsLocal Specialist pharmacist in PCO?“Figurehead” Pharmacist?
NICE Recommendation ThreeTypes of Service
Level One: Lidl (5)Level Two: Tescos (6)Level Three: Marks and Spencers (2)
“Open all hours” – The Arkwright effect!ExtendedWeekend100-hours24-hour pharmacies
NICE Recommendation FourEquipment and Advice
No limit on distributionRange of paraphenalia – “should meet their
needs”Sharps binsADVICE AND INFORMATION – trained and
informed workforce?
Signposting – do your pharmacists know the local service provision?
NICE Recommendation Five and Six(5) Community Pharmacy Based NSPs
Sharps bins and safe disposal serviceTRAINING – local or national?Health Promotion training/Advice for L2&3
servicesHealth & Safety trainingHepatitis B vaccination – what's the story!Signposting
(6) Specialist NSPs: level three servicesWhat extended services can be provided at CPs?
Examples of Practice (1)Wicker modelRegular meetings to provide training for ALL pharmacy
staff Joint meetings with Sheffield GP’s treating Drug AddictionMonthly newsletter “At the Sharp End” Harm minimisation messages via screen in waiting area.Swabs, filters, sterile water, citric acid, ampoule breakers,
skin cleanser, steripots, condoms.Never Share SyringesNurse-led wound treatment & vaccination clinic 2 evenings
per week.Wicker Supplementary Prescribing service pilot – May 09
Examples of Practice (2)BBV Testing (Hepatitis C trust pilot)PGD (antibiotics, naloxone,vaccination)