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)