The young tradition of ESCP spring conferences came to an end with the conference in Edinburgh from 16-19 May entitled ‘Tackling inequalities in the delivery of pharmaceutical care’. In the future, spring

events will change format. I was an eye witness of the event, as were more than 700 attendants. The nice experience merits a written impression.

When approaching Edinburgh from the air, the city is remarkably close to the sea, creating harbor facilities. Two bridges, one of them an impressive metal railway bridge, open the gate to northern Scotland. The coast is not in sight when strolling through the streets, but the wind from the sea is blowing firmly. Even at temperatures around 12 to 15 degrees Celsius, people are sitting on terraces, with a southern dress: Scotsmen and -women like their open air. I must postpone a visit to this marvelous country, as I am here as the president of ESCP, to assist at the 7th Spring Conference on Clinical Pharmacy. Even when arriving late from Brussels, I save still one hour by the time difference. This makes it possible, before midnight, to enjoy a pint of (Belgian) beer with French colleagues. The next day I may take the presidency of the fully present General Committee. ESCP is flourishing intellectually, but has material concerns. Financial concerns are not uncommon among scientific organizations. The recipe to solve to financial problem seems simple: we should not spend more than we can afford. As a consequence, committee members are becoming pace-setters of the Society. I am glad with the engagement of my colleagues. Everyone of them seems well aware of his or her responsibility. An awareness that I encounter throughout the committee meetings I assist at. Unfolding responsibilities into actions crystallizes on Saturday, the last day of the conference. In a dynamic morning session Pat leads us through procedural routes in order to define initiatives to be taken in the near future when the International Office will be transferred and every member of the General Committee

together with the leaders of the other committees will cover a part of the structure of ESCP. Solidarity is also tested when on Wednesday night at 3.30am the fire alarm gets of in the hotel and the majority of the General Committee founds itself half-naked in the middle of Lauriston Place.

The opening session puts light on the Scottish character of the meeting with Pat Murray (Conference President), Christine Bond (Scientific Committee Chair) and Bill Scott (Scottish Executive Health) as speakers. Caring about patients remains the utmost important in clinical pharmacy. Together we take up again the song we introduced in Antwerp in 2001:

The three days following the opening of the conference are a mix of passing expertise during workshops, exchanging thoughts during (SIG) meetings, actualizing knowledge during plenary sessions, discussing data during poster discussion or at oral communications. My sincere thanks go to all the speakers, workshop leaders and authors of abstracts. I am grateful to the scientific committee for the efforts they made long before we were sitting in the audience. An active participation and feedback resulted as a response from the public:

Due to the many administrative meetings, I can participate at few sessions of the scientific program. As a president I am grateful to Wyeth for organizing the lunch Satellite Symposium and to Pfizer and Glaxo Smith Kline for their Breakfast Symposia. These symposia may also considered as bringing ‘fresh’ bricks to our knowledge of TNFα targeted therapy, of bacterial resistance in hospital infections and candidaemia’s with mortality rates up to 59% and of a quantitative and qualitative approach of COPD patients .

ESCP conferences mean socializing and taking the opportunity to meet European colleagues and even colleagues from other continents. The conference dinner on Friday evening attracts most of the attendants. The food part quickly changes in a feet part when the band of musicians moves in. Jig, Circassian Circle, Dashing White Sergeant and Long Rows: nearly everybody joins in for folk dancing. I hardly can remember such a spontaneous evening party. If a society can dance, it will live for ever.

After the closing session I climb Calton Hill, to quietly say goodbye to Edinburgh. The hawthorn still blossoms, the sea wind is cool, the sunset is brilliant. My memory goes back a few hours when we gathered around the accordion to sing our farewell song:

Gert LaekemanGert LaekemanGert LaekemanGert Laekeman ESCP President

The bi-monthly newsletter of the European Society

of Clinical Pharmacy News

E u r o p e a n S o c i e t y o f C l i n i c a l P h a r m a c y The overall aim of the Society is to develop and promote the rational and appropriate use of medicines by the individual and by The overall aim of the Society is to develop and promote the rational and appropriate use of medicines by the individual and by The overall aim of the Society is to develop and promote the rational and appropriate use of medicines by the individual and by The overall aim of the Society is to develop and promote the rational and appropriate use of medicines by the individual and by society.society.society.society.

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Edinburgh: a conference with body and soul Edinburgh: a conference with body and soul Edinburgh: a conference with body and soul Edinburgh: a conference with body and soul

… It’s a good thing of being together To think to discuss and to see We all are so curious whether

What outcome of meeting will be …

… We come to this meeting for action To lively participate

Please give us your thoughts and reaction For keeping the song up to date …

… Patient care in pharmacy That’s what we are doing in ESCP

Come and join the company This is a nice place to be …

… This conference brings us to Scotland It deals with care equality

The patients are for us important The number of days we meet three …

This is the end of conference, we enjoyed it very much

The strength of the Society is the intellect as such

Research and transfer of results, there remains our focus

We thank Pat and Christine: their work was simply marvelous

My dearest group of attendants, your mind may now be full

But don’t forget we are going on, so come to Istanbul!

ContentsContentsContentsContents : A Few words 1 ESCP life 2 Articles & Reports 5 Announcements 8

Transparency is an important characteristic in a well functioning Society. According to that rule ESCP informed its members by organising an extra General Assembly during the Edinburgh conference. This assembly was driven by material concerns. ESCP transferred its International Office from The Hague to Brussels. This decision was taken in October 2001 during the ESCP fall conference in Antwerp. From 2002 on, MCI was in charge of the management of ESCP. The period between 2002 and 2006 was characterized by internal reorganizations, especially as the Education, Publication and Research Committees were concerned. These committees were functioning within the so called RESP together with the SIG-groups. The statutes were revised. General and Executive Committees were regularly meeting in the International Office in Brussels. MCI also took over the full management of the conferences (e.g. Valencia, Prague, Stockholm,

Amsterdam, Vilnius, Vienna, Edinburgh). Despite valuable efforts, the MCI management turned out to be too costly as compared to the income ESCP could generate from the membership, corporate sponsorship and conferences. The decision to stop the contract with MCI was not an easy one. It was taken in full agreement between both parties and MCI is very helpful in supporting the transfer of information. From 1 July on the General Committee is fully responsible for the management of ESCP. The tasks were divided as follows:

• Finances: Erik Gerbrands and Martin Schulz

• Newsletter: Marie-Caroline Husson

• RESP: Maria Skouroliakou, Mara Guerreiro and Francesca Venturini

• Membership database: Johnny Beney and Erik Gerbrands

• Website: Johnny Beney

• Past Presidents: Jiri Vlcek

• Joint ESCP-ACCP Congress: Pat Murray

• GC, EC, GA: Gert Laekeman and Frank Jorgensen

The International Office is located on the following address: Pharm. E. Gerbrands ‘It Kruswald’ Pharmacy Voorstraat 13 – 9285 NM Buitenpost ; The Netherlands e-mail: info@escpweb.org telephone: +31 645 915 831 fax: +31 511 543 660 Internet: www.escpweb.org The biggest challenge for the future is to turn the financial loss of the past into a profit. Herewith an overview of the financial results from 2003 on (all figures in EURO):

Special efforts will be made to minimize the costs and to stimulate the revenues. Membership fees should generate a higher income for the society by attracting more members (e.g. by stimulating dual membership) and slightly enhancing the membership fee from 2008 on. The Newsletter is now sent electronically and will be limited to 4 issues. Conference budgets are currently closely monitored. Sponsorship is sought (65,000 € could be attracted for the Edinburgh Conference and a corporate sponsorship of 22,500 € could be secured by the efforts of the sponsorship task force). Diversification of ESCP ‘products’ is needed: e.g. master classes, patient centered teaching courses and

workshops on clinical pharmacy are available for interested clients. Identification of these clients is a hot item. A French and a Dutch version of the software ‘Cybele’ is available on the ESCP website. ‘Cybele’ supports the correct use of medicines during pregnancy and lactation. An English demo of it will soon be available. Also the conference policy is changing. Only one ESCP conference a year will be organized in the coming years. We are currently working on a conference in Malta for October 2008. An international workshop on ‘the oncological patient and the clinical pharmacist’ is planned in Leuven at the end of May 2008. A joint ACCP-ESCP conference will take place in April 2009 in Orlando. And Switzerland or France may be candidates for an ESCP fall conference in 2009. Co-operation with EAHP lead to a joint EAHP-ESCP seminar, organised in Prague from 20-21 April 2007 for our Eastern European colleagues. The theme of the seminar was ‘safety at the patient’s bedside’. ESCP provided speakers and EAHP took the material and logistic part (see

elsewhere in the Newsletter for a report on this event). RESP, GC and EC are cooperating closely in order to support ESCP as a sound scientific society where everybody can meet and communicate at the same level. However, challenges remain as always when we want to move things forward. We are confident iin our membership when turning the page in the history of ESCP.

Gert LaekemanGert LaekemanGert LaekemanGert Laekeman

President

Frank JorgensenFrank JorgensenFrank JorgensenFrank Jorgensen Vice-President

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Extra general assembly on Thursday Extra general assembly on Thursday Extra general assembly on Thursday Extra general assembly on Thursday 17 May 2007 in Edinburgh17 May 2007 in Edinburgh17 May 2007 in Edinburgh17 May 2007 in Edinburgh

YearYearYearYear RevenueRevenueRevenueRevenue ExpensesExpensesExpensesExpenses Final resultsFinal resultsFinal resultsFinal results

2003

605,210

528,857

76,35376,35376,35376,353

2004

810,293

650,057

160,237160,237160,237160,237

2005

674,087

903,245

----229,158229,158229,158229,158

2006 preliminary accounts

601,449

765,782

----164,332164,332164,332164,332

Friday, 20Friday, 20Friday, 20Friday, 20thththth April, 2007 April, 2007 April, 2007 April, 2007 After welcoming the participants and the speakers the EAHP Vice President, SR. Mag. Elfriede Dolinar initiated the seminar with an overview on EAHP. EAHP was created in The Hague, Netherlands in 1972. The aim of the EAHP Foundation is to foster research and promote educational activities allowing hospital pharmacists to develop their activities in a public health general setting in Europe or in their respective country promoting co-operation with other organizations. EAHP members hail from twenty-six European countries.

Dr. Patrick Muff, Chief Clinical Pharmacist, in Riaz, Switzerland gave an introductory lecture on a report that was published by the Council of Europe ‘Creation of a better medication safety culture in Europe: building up safe medication practices’ accompanied by a plenary discussion. Dr. Muff went through the different eras: since when hospital pharmacists had not to be ‘clinical’ but to focus on GMP and GDP, until the hospital pharmacist started focusing on patient care, thus becoming ‘clinical’. He emphasized that in medication use process pharmacists are the link to recognize and prevent errors and at the same time recommend and implement strategies, which should be recognized worldwide by physicians and politicians. The second speaker was, Moira Kinnear, Head of Pharmacy Education, Research & Development, NHS Lothian, Edinburgh and Lecturer in Clinical Practice, University of Strathclyde, Glasgow, Scotland, UK.

She conducted Pharmaceutical Care Plans – a tool for teaching. She started by inviting the participants to the educational course in Patient Centred teaching to be held prior to the conference ‘Tackling Inequalities’ – both being held between Monday 14th till Saturday the 19th of May.

She then went on to describe the roles and responsibilities of clinical pharmacists by illustrating the educational advantage of learning through individual patient care plans contributing to patient safety at the bedside. She spoke on effective treatments to achieve optimum outcomes and insisted on the actual management of patients in Primary care to reduce acute episodes. She believes that Clinical Pharmacists are responsible for continuity management within the system. She displayed the British National Formulary and the Scottish Intercollegiate Guidelines Network – it seemed that some of the participants had never heard about them. She ended off her session by presenting a case and the pharmaceutical care plan was discussed accordingly.

Contribution by participantsContribution by participantsContribution by participantsContribution by participants In most countries, daily work at the pharmacy is leaving little time for clinical pharmacy - however pharmacists are still required to be present at ward level. It was also highlighted that the pharmacists’ mentality has to change before other health care professionals and politicians’ start to change theirs. It was argued that pharmacists should not be thought of as law enforcers but as part of the multidisciplinary

team. It was stated that Universities, in some countries are more technological and do not match the actual happenings in hospital. More cooperation is needed between the Faculty and the hospital!

Saturday, 21Saturday, 21Saturday, 21Saturday, 21stststst April 2007 April 2007 April 2007 April 2007 Dr. Marie Zajícová, from Slezská nemocnice Opava (Hospital), Pharmacy Department gave a presentation on the history and the present situation of the Clinical Pharmacy in the Czech Republic. She discussed the fact that more pharmacists are needed to practice as clinical pharmacists – present position in Czech Republic: only 2 out of 9 pharmacists are present at the ward level. In her opinion, clinical pharmacists are in the right position to communicate with physicians and patients regarding medicines. It was concluded that it is important for a pharmacist to be present before a clinical decision has to be made and this can only be carried out by being present during ward rounds.

Albert W. (Bertil) Lenderink, from the Hospital Pharmacy Midden-Brabant, The Netherlands, was the next speaker. He showed his work in electronic medication administration registration. He indicated that the risks of hospital admissions are higher than the fatalities associated with traffic accidents and insisted that bedside barcode scanning prevents errors and even deaths. After an animated discussion, it was concluded that a hand-held terminal-system is not optimal in every hospital and that many health care professionals are skeptical about the bar coding and IT system.

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he European Association of Hospital Pharmacists [EAHP] in collaboration with he European Association of Hospital Pharmacists [EAHP] in collaboration with he European Association of Hospital Pharmacists [EAHP] in collaboration with he European Association of Hospital Pharmacists [EAHP] in collaboration with the European Society of Clinical Pharmacists [ESCP] organized a foundation the European Society of Clinical Pharmacists [ESCP] organized a foundation the European Society of Clinical Pharmacists [ESCP] organized a foundation the European Society of Clinical Pharmacists [ESCP] organized a foundation seminar on the Safety at the patient’s bedside between Friday 20th April and seminar on the Safety at the patient’s bedside between Friday 20th April and seminar on the Safety at the patient’s bedside between Friday 20th April and seminar on the Safety at the patient’s bedside between Friday 20th April and Saturday 21st April 2007, in Prague.Saturday 21st April 2007, in Prague.Saturday 21st April 2007, in Prague.Saturday 21st April 2007, in Prague. T

Exchanging facts and ideas in the Exchanging facts and ideas in the Exchanging facts and ideas in the Exchanging facts and ideas in the EAHP ESCP seminar in PragueEAHP ESCP seminar in PragueEAHP ESCP seminar in PragueEAHP ESCP seminar in Prague

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Alison Anastasi and Louise Azzopardi, hospital pharmacists from the Department of Pharmacy, University of Malta started by giving an introduction on patient compliance, adherence and concordance. The 3 terms were explained clearly in two clinical examples – affective disorders and HIV. The presentation ended with an overview on patient information given upon discharge, to improve compliance by using simple standardized systems. After giving the practical experience of clinical pharmacists at St. Luke’s Hospital, the participants were asked to intermingle into five different groups, so that different participants from different countries could share their experience. Five cases were presented to each group, and the necessary documentation and guidelines were distributed. They needed to discuss the treatment and the pharmacist’s advice and present the case themselves. They enjoyed being involved in the workshops and they kept asking questions on the Pharmacy course at the University of Malta and the practice in the local hospital.

Social ProgrammeSocial ProgrammeSocial ProgrammeSocial Programme On Friday a dinner was held at the Bohemia restaurant in Top Praha Hotel. On Saturday evening all the participants were invited for a breath-taking bus tour, which showed the contrasts of the old and new Prague. The trip ended on a cobble-stoned pavement near the U.S. Embassy. All were taken to a friendly charming restaurant in the centre of Prague ‘David’ where the participants exchanged their experiences and contact details over a delicious dinner in a relaxing homely atmosphere.

Take Home MessagesTake Home MessagesTake Home MessagesTake Home Messages � We are from different countries but we have the same problems, so we can help each other. I think that it is better to make a few small steps, than to do nothing. Thank you for this seminar. Maříková MartinaMaříková MartinaMaříková MartinaMaříková Martina, A hospital pharmacist From Czech Republic.

��

� The problems with clinical pharmacy are similar in countries taking part in this seminar. Good to know that we are not alone on this matter. Kristjan Kongi Kristjan Kongi Kristjan Kongi Kristjan Kongi From Estonia.

��

� Because of our everyday problems on work we sometimes forget about our role of being a clinical pharmacist. This seminar was a refreshing reminder of our primary role of being a pharmacist. VesnaVesnaVesnaVesna BizjakBizjakBizjakBizjak From Slovenia.

�� � We heard different opinions from other countries, met interesting people, and made new friendships. New ideas that can be applied in our hospital were shared. LázničkaLázničkaLázničkaLáznička From Czech Republic.

��

� Great participant number giving the chance to share experiences with the colleagues, and learn from practical issues, besides having really great speakers. AnonAnonAnonAnon.

��

� Taking part in the EAHP-ESCP seminar in Prague was a nice experience for me. It was an opportunity to meet young, keen, enthusiastic pharmacists from several Eastern European countries. It was nice to be able to share experiences and in some ways provide tips in terms of my own personal experiences in trying to develop my role as a clinical pharmacist several years ago. The enthusiasm of these young pharmacists requires to be embraced by professional organizations within their own countries to influence policy and academic curriculum to include a vision for safe and effective pharmaceutical care within practice and teaching. Innovative ways of working requires provision of appropriate education and training of both pharmacists and pharmacy support staff. All the course participants were keen to learn and I hope they returned home with some drive to take small steps towards stimulating change in their own environments. Thank you for the opportunity to be part of this initiative!” Moira KinnearMoira KinnearMoira KinnearMoira Kinnear Head of Pharmacy Education, Research & Development, NHS Lothian, Edinburgh and Lecturer in Clinical Practice, University of Strathclyde, Glasgow, Scotland UK.

��

� Attending the EAHP-ESCP seminar in Prague gave me the opportunity to meet other young pharmacists from Eastern Europe who were very much enthusiastic about introducing clinical

pharmacy in their respective workplace. Through the seminar I was happy to extend and share my clinical practice with the participants and also learn from them how they would introduce clinical pharmacy given their sometimes limited manpower. Louise AzzopardiLouise AzzopardiLouise AzzopardiLouise Azzopardi Clinical Pharmacist, St. Luke’s Hospital, Malta and Tutor, Department of Pharmacy, University of Malta.

��

� Clinical Pharmacy is not an aim But a Tool and pharmacists can’t contribute to patient safety if they stay inside the walls of the pharmacy – they should regularly go to wards. Dr. Patrick MuffDr. Patrick MuffDr. Patrick MuffDr. Patrick Muff Chief Clinical Pharmacist Riaz, Switzerland

��

� I very much appreciated being invited as a lecturer in a combined ESCP-EAHP meeting. I think these 2 organizations should work together more often in shared scientific subjects. A seminar like this one, organized for Eastern European colleagues, is a very good start. There is however a lot more subjects than "medication safety at the bedside" that can be handled in this kind of workshop. The enthusiasm of the participants was great and next time we should try to involve them more actively. I think they are prepared to do some "homework" if asked so. From the start it is important to "mix" the participants so a maximum of exchange of thoughts can happen. There seems to be almost no language barrier. Of course the social aspect was good as well, Prague being a nice city. Perhaps next time a hotel a little bit more close to the centre would be nicer. Albert WAlbert WAlbert WAlbert W. (Bertil) Lenderink Hospital Pharmacy Midden-Brabant The Netherlands

��

� Participating in the EAHP-ESCP seminar in Prague was very fruitful, since I had the opportunity to share my work practice experience and at the same time learn what the current practice in Eastern European hospitals is. I admired the fact that even though some hospitals lack manpower and resources they still promote clinical pharmacy. Continuous professional develop-pment and mixed expertise made this seminar successful. Alison AnastasiAlison AnastasiAlison AnastasiAlison Anastasi Hospital Pharmacist, St. Luke’s Hospital, Malta. Tutor, Department of Pharmacy, University of Malta.

��

The 7th ESCP Spring Conference on Clinical Pharmacy was held last May in Edinburgh, United Kingdom. Participants had the opportunity to learn about the Scottish research and clinical pharmacy programmes.

WelcomeWelcomeWelcomeWelcome The opening ceremony held at the Edinburgh Convention Centre was addressed by Gert Laekeman, President of ESCP, Pat Murray, Conference President and Bill Scott, Scottish Executive of the Health Department.

Gert Laekeman welcomed all participants to the ESCP family and gave a very characteristic welcome while playing the accordian and singing the ESCP song: Bill Scott gave some background on pharmaceutical care in Scotland. Scotland has a population of around 5 million and 75 million prescriptions are dispensed from the community pharmacies. The drugs bill amounts to 1 billion sterling (Euro). There are 3500 pharmacists and 1170 community pharmacies. Bill Scott emphasized the need to adopt a systematic approach to practice for the provision of pharmaceutical care and clinical pharmacy services. The challenge for the profession is that now pharmacists should develop into pharmacotherapists.

Scientific programmeScientific programmeScientific programmeScientific programme The theme of the conference was Tackling Inequalities in the Delivery of Pharmaceutical Care and as the scientific committee chair, Christine Bond states “inequalities in health outcomes, such as morbidity and mortality occur globally and are of great concern to health care providers”. During the opening session on the first day an overview of the differences in health outcomes across Europe, and the significance of these, was presented. Harry Burns, Chief Medical Officer for Scotland, presented examples from Europe of inequalities in health while Ivana Silva from the Pharmaceutical Group of the European Union (PGEU) described the level of service and types of service provided by community pharmacists in different countries across Europe.

The morning plenary session on the second day tackled the Clinical Experiences of Inequality and looked at factors affecting uptake of new medicines. Andrew Walker from the United Kingdom described how in Scotland, the reviewers look at the submission by the manufacturer and then undertake a critical appraisal which includes pharmacy review and economic reviews. He stated that the Quality Adjusted Life Year measure gives cost per quality life gained and therefore presents a better picture than cost-effectiveness analysis. This parameter captures changes in survival and quality of life. Nils Wilking, Sweden used cancer as an example of inequalities in access to medicines. He reports that over the past 50 years there was an increase in cancer cases. However since 1980 a dramatic decrease in mortality occurred and this is well before radical changes in surgery or radiotherapy. The decrease in mortality is mainly attributed to the introduction of drugs such as tamoxifen. About 3.5-7 % of total drug sales are for cancer drugs, 10-15% of costs for cancer care are for drugs, 5-7% of costs of health-care relate to cancer care, and 10-12% of research h spending is for cancer drugs. It is essential that review times for cancer drugs are kept to a low level so as not to delay equal and early access to cancer treatment for all patients. The third morning session looked at integrated approaches to address inequality. Clinical examples from Scotland were presented by Steve McGlynn, Fiona Reid and Asgher Mohammed. Pharmaceutical care provided to patients with coronary heart disease risk at the hospital, primary care and community pharmacy levels was discussed. Examples of the interventions by the pharmacists in the different settings such as in drug review, patient education and monitoring were presented. Afternoon plenary sessions were held to discuss management of new and expensive medicines and long-term care of pat ients w i th dementia. The pharmacotherapy updates were held in the area of dementia. Workshops were held on preventing drug related problems, development of consultation within pharmacy settings, pharmaceutical care in

cancer, shared care protocols. During the symposium, 240 papers were presented. Of these 19 papers from 8 different countries were presented as oral communications and 39 papers from 16 different countries were presented in poster discussion forum sessions.

Social ProgrammeSocial ProgrammeSocial ProgrammeSocial Programme A welcome reception was organized at St Mary’s Episcopal Cathedral A traditional Ceilidh Evening was held at the Assembly Rooms as a conference dinner. Ceilidh music was provided by an assortment of musical instruments and participants were lured into having a go at traditional Gaelic social dances!

ConclusionConclusionConclusionConclusion During the closing ceremony Gert Laekeman thanked Pat Murray, Christine Bond, all the members of the committee and all participants for making the Edinburgh conference a success. He closed the conference hoping that all participants feel that this is a nice place to be and will ask colleagues to join the company and participate in the next ESCP activities. The 36th European Symposium on Clinical Pharmacy on “Implementing Clinical Pharmacy in Community and Hospital Settings: Sharing the Experience” will be held in Istanbul, Turkey between the 25-27 October 2007. The 37th European Symposium on Clinical Pharmacy will be held in October 2008 in Malta. Cued Mille Failte’ as the Scottish say…. A thousand welcomes to the ESCP family. See you in Istanbul.

Lilian M. AzzopardiLilian M. AzzopardiLilian M. AzzopardiLilian M. Azzopardi Malta

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ESCP spring conference in Edinburgh:ESCP spring conference in Edinburgh:ESCP spring conference in Edinburgh:ESCP spring conference in Edinburgh: Patient care in pharmacy Patient care in pharmacy Patient care in pharmacy Patient care in pharmacy

That’s what we are doing in ESCPThat’s what we are doing in ESCPThat’s what we are doing in ESCPThat’s what we are doing in ESCP

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The 7th European Society of Clinical Pharmacy (ESCP) Spring Conference, ‘Tackling Inequalities on the Delivery of Pharmaceutical Care’ took place at the Edinburgh International Conference Centre from 16 to 19 May 2007.

An interesting programme drew 630 delegates from the UK, Europe and beyond, with eminent speakers from pharmacy, medicine and health economics. Thirty ESCP committees held meetings during the conference and a total of 47 speakers participated. The conference was preceded by an educational course in patient centred teaching and a masterclass on paediatric pharmaceutical care.

Masterclass Masterclass Masterclass Masterclass ---- Paediatric Phar Paediatric Phar Paediatric Phar Paediatric Phar----maceutical Care maceutical Care maceutical Care maceutical Care

A Masterclass was also organised, and was very well attended with nearly 50 pharmacists participating. The speakers were highly specialised paediatric pharmacists from the UK (Simon Keady, Lead Paediatric Pharmacist at UCHL-London, Sharon Conroy, Lecturer in Paediatrics University of Nottingham, Rowena McArtney, Chair of NPPG and lead Paediatric Pharmacist at Cardiff and Vale Trust, Phil Dale, Lead Paediatric Pharmacist Cornwall and Sara Arenas-Lopez, Specialist Paediatric Pharmacist Guy’s & St Thomas NHS Foundation Trust London and Paediatric SIG Leader).

The topics covered included pharmacokinetics and dynamics in children compared to adults, medication errors in children, prescription monitoring, epilepsy and asthma. The sessions were very practical with some degree of lecturing but lots of case scenarios and group work. To complement the study day, paediatric colleagues from Edinburgh’s Royal Hospital for Sick Children (Cathy Sedgeworth and Neil Richardson’s team ran a series of clinical ward visits to several units in the hospital to enhance the learning experience for the participants. The feedback from the participants was very positive. It was an excellent example of collaboration between organisations and it is hoped that a similar course can be repeated in Europe in the future as it has demonstrated a clear need to develop paediatric pharmacy in European countries.

Educational Course Educational Course Educational Course Educational Course ---- Patient Patient Patient Patient Centred TeachingCentred TeachingCentred TeachingCentred Teaching An educational course to develop clinical pharmacy teachers was run at Edinburgh Royal Infirmary over the 3 days prior to the 7th ESCP Spring Conference. This course developed from an original 5 day course designed by a team from NHS Lothian and University of Strathclyde. In 1996, 1997 and 1998 three courses were run in Glasgow/Edinburgh for European pharmacists including senior pharmacists in Scotland who support clinical placements for pharmacy students. Extracts from the course have been delivered in various formats within international conferences in Iceland, Malta and Jerusalem. In May 2005, a 3 day course was delivered in the Karolinska University Hospital

prior to the ESCP conference in Stockholm. This model was repeated in Edinburgh last month for eight participants from Australia, Germany, Norway, Sweden and Switzerland. The course was led by members of the original design team, NHS Lothian Pharmacists Moira Kinnear, Lead Pharmacist for Education, Research and Training and Pat Murray, Director of Pharmacy, who also hold honorary appointments with the University of Strathclyde. Tutor support was provided by pharmacists from NHS Glasgow & Clyde who also hold university honorary appointments (Jenny Macdonald and Lee Stewart). The first day of the course was classroom focused and covered the concept of ‘preparing to teach’ through consideration of designing learning objectives and teaching plans to support the development of clinical skills.

Day 2 was spent in the clinical environment with approval from senior management and local medical and nursing staff. A team of clinical pharmacists led by Anne Kinnear, Lead Directorate Pharmacist, Medicine for the Elderly/Stroke obtained appropriate consent from patients and staff to participate in role play teaching exercises. With guidance from tutors and clinical pharmacists, the course participants designed teaching sessions to involve their patient and also if appropriate, discussion with the general practitioner about the continuity of pharmaceutical care.

The general practitioner role was played by Dr Marion Storrie. Each participant had the opportunity to be a ‘teacher’ and a ‘student’ in the role play exercise. On the final day, participants reflected upon the experience and shared their ideas for developing their own clinical teaching practice. It is planned to repeat this course to support the development needs of clinical pharmacists who provide undergraduate pharmacy student clinical placements.

WoWorkshops reflecting the WoWorkshops reflecting the WoWorkshops reflecting the WoWorkshops reflecting the Scottish ExperienceScottish ExperienceScottish ExperienceScottish Experience rkshopsrkshopsrkshopsrkshops A range of workshops were held throughout the conference. Dr Alison McCallum, Director of Public Health, NHS Lothian, led a workshop at the conference, ‘Reducing inequalities in access to pharmaceutical care’. The interactive workshop, encouraged participating delegates to explore how pharmacists working in community settings can provide equal access to services for all patients living in a particular area. Case studies were used and participants were encouraged to discuss population profiles and identify health care needs. Anne Kinnear, Lead Pharmacist, Medicine of the Elderly and Stroke Services at Edinburgh’s Royal Infirmary and Esperanza Palenzuela, Community Pharmacist, Manchester, also led a workshop. The aim of the workshop was to explore the use of a standardised care plan as a tool to aid pharmacists in the provision of equitable pharmaceutical care to stroke patients throughout their hospital journey. The learning

objectives were to identify pharmaceutical care issues in stroke patients and to describe the potential value of the care plan and its educational benefits. The standardised pharmaceutical care plan incorporates evidence based criteria from National Guidelines and was developed as part of an MSc pharmacy project with NHS Lothian, the MCN for Stroke and the University of Strathclyde. The workshop attracted over 30 participants who, after a background introduction to stroke and the care plan, were divided into small groups to apply the care plan to stroke patient case studies. A great deal of discussion was generated with over half the participants staying over the allocated time to continue the debate and 10 of the 18 evaluation forms rated the session as 'excellent'. A further two workshops were led by Lothian practitioners. Sandra McNaughton, Associate Director of Pharmacy, Primary Care, ran an interactive workshop on shared care protocols – supporting care across the interface. Alison Cockburn and Lubna Kerr ran a workshop on the management of cardiovascular risk in patients with diabetes and specialist diabetes care for minority ethnic patients.

Presentations from ScotlandPresentations from ScotlandPresentations from ScotlandPresentations from Scotland Worth noting is the significant input to the conference programme from local pharmacists and other colleagues from across NHS Lothian. Six Lothian pharmacists presented oral communications, four presented their work at the poster discussion forum, and a further eight presented posters. Moira Kinnear provided educational support for many of these projects. The presentations are available on the ESCP website at http://www.associationhq.com/escp/edinburgh/presentations Thanks to Moira Kinnear, Head of Education, Research and Development, NHS Lothian Pharmacy Service, Anne Kinnear, Lead Pharmacist, Medicine of the Elderly and Stroke Services, Edinburgh Royal Infirmary and Sara Arenas-López, Specialist Paediatric Pharmacist, London, for contributing to this article.

Anne GilchristAnne GilchristAnne GilchristAnne Gilchrist Pharmacist, Medicines Management Team,

NHS Lothian (Edinburgh, Scotland, UK)

� The 2008 Annual Symposium The theme of 37th ESCP Symposium is Therapeutic Innovations in October 2008. The symposium is expected to attract many pharmacists from different countries. It is expected to serve as a reunion for colleagues who have been associated with ESCP in the past years as well as newcomers to the ESCP family. For further details please visit the ESCP website. The chairperson of the organizing committee Lilian Azzopardi may be contacted on: lilian.m.azzopardi@um.edu.mt.

The Scottish Experience at the ESCP Spring Conference The Scottish Experience at the ESCP Spring Conference The Scottish Experience at the ESCP Spring Conference The Scottish Experience at the ESCP Spring Conference

Symposium CommitteesSymposium CommitteesSymposium CommitteesSymposium Committees Symposium PresidentSymposium PresidentSymposium PresidentSymposium President Mehmet Domaç...............................Turkey Organizing CommitteeOrganizing CommitteeOrganizing CommitteeOrganizing Committee Şule Apikoğlu Rabuş .......................Turkey Sanem Asli Yürür .............................Turkey Johnny Beney...........................Switzerland Mehmet Domaç ..............................Turkey Ekrem Eşkinat..................................Turkey Meral Keyer Uysal............................Turkey Sevim Rollas ....................................Turkey Fethi Şahin.......................................Turkey Mesut Sancar ..................................Turkey Scientific CommitteeScientific CommitteeScientific CommitteeScientific Committee Fikret Vehbi Izzettin, Chair ..............Turkey Anna Carollo ........................................ Italy Kutay Demirkan ..............................Turkey Gül Dülger ........................................Turkey Frank Jørgensen .............................Norway Serpil Nebioðlu ................................Turkey André Rieutord................................ France ESCP General CommitteeESCP General CommitteeESCP General CommitteeESCP General Committee Gert Laekeman, President .......... Belgium Frank Jørgensen, Vice-President ......Norway Erik Gerbrands, Treasurer ..... The Netherlands Francesca Venturini, RESP Chair ....... Italy Johnny Beney...........................Switzerland Mara Guerreiro ............................. Portugal Marie-Caroline Husson................... France Luis Maria Mendarte Barrenechea................Spain Pat Murray ............................................. UK Martin Schulz...............................Germany Maria Skouroliakou ........................ Greece Jiri Vlcek ............................ Czech Republic

Abstract country reportsAbstract country reportsAbstract country reportsAbstract country reports CountryCountryCountryCountry AbstractsAbstractsAbstractsAbstracts PercentagePercentagePercentagePercentage France 96 33,22 % Spain 38 13,15 % Turkey 23 7,96 % Belgium 17 5,88 % United Kingdom 14 4,84 % Portugal 12 4,15 % Iran (Islamic Republic of) 12 4,15 % Switzerland 9 3,11 % Netherlands 6 2,08 % Norway 4 1,38 % Saudi Arabia 4 1,38 % Argentina 4 1,38 % Malta 4 1,38 % Andorra 4 1,38 % Lithuania 3 1,04 % Ukraine 3 1,04 % Romania 3 1,04 % Serbia 3 1,04 % Sweden 2 0,69 % Bulgaria 2 0,69 % Indonesia 2 0,69 % Austria 2 0,69 % Czech Republic 2 0,69 % Italy 2 0,69 % Germany 2 0,69 % Kuwait 2 0,69 % Egypt 1 0,35 % Canada 1 0,35 % Estonia 1 0,35 % Nigeria 1 0,35 % Qatar 1 0,35 % Jordan 1 0,35 % New Zealand 1 0,35 % Franch Guiana 1 0,35 % United States 1 0,35 % Colombia 1 0,35 % Croatia 1 0,35 % South Korea 1 0,35 % Georgia 1 0,35 % Sudan 1 0,35 %

TotalTotalTotalTotal 289289289289 100 %100 %100 %100 %

Abstract topic reportsAbstract topic reportsAbstract topic reportsAbstract topic reports Topic Abstracts PercentageTopic Abstracts PercentageTopic Abstracts PercentageTopic Abstracts Percentage Pharmaceutical care 100 34,6 % Pharmacotherapy 58 20,07 % Pharmaco-epidemiology and public health 36 12,46 % Education in Clinical Pharmacy 30 10,38 % Drug information 24 8,30 % Pharmaco-economics 21 7,27 % Clinical Pharmacokinetics 12 4,15 % Nutritional Support and intravenous Therapy 8 2,77 %

TotalTotalTotalTotal 289289289289 100 100 100 100 %

29 August 2007 Early Registration Early Registration Early Registration Early Registration

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Implementing Clinical Pharmacy in Community and Hospital Settings:

Sharing the Experience

To learnlearnlearnlearn more more more more about the

programme and register, visitvisitvisitvisit:

www.escpweb.org/istanbul

New membersNew membersNew membersNew members:

Mr Ph Vera Bakić, Belgrade, Serbia Kifah alqawasme, Abu Dhabi, United Arab Emirates Gordana Vucinic, Sremska Mitrovica, Serbia and Montenegro Prof Dr Carlos Sinogas, Pavia, Portugal Dr Sandra Mimoso, Parchal, Portugal Nuno Machado, Amadora, Portugal Prof Dr Salem Elghmati, Tripoli, Libya Jean-François Locca, Prilly, Switzerland Thomas Uhrhan, Berlin, Germany

New members General Committee per General Assembly in Oct 2007, IstanbuNew members General Committee per General Assembly in Oct 2007, IstanbuNew members General Committee per General Assembly in Oct 2007, IstanbuNew members General Committee per General Assembly in Oct 2007, Istanbul:l:l:l: For Italy: Piera Polidori For the small countries: Cecilia Bernsten For Spain: no nomination received.

Publication on MCQs in Clinical PharmacyPublication on MCQs in Clinical PharmacyPublication on MCQs in Clinical PharmacyPublication on MCQs in Clinical Pharmacy

A book which presents 320 multiple choice questions in clinical pharmacy edited by Lilian M. Azzopardi has been pub-lished by the Pharmaceutical Press, the publications division of the Royal Pharmaceutical Press. The book MCQs in

Clinical Pharmacy carries contributions from Anthony Serracino-Inglott, Maurice Zarb Adami, Steve Hudson and Sam Salek. Questions in the book are practice-oriented and are intended to present the application of clinical knowledge, evaluative and analytical skills into clinical practice.

2007200720072007

25252525----27 October 27 October 27 October 27 October Istanbul

Turkey

36th ESCP European Symposium on Clinical Pharmacy Implementing Clinical Pharmacy in Community and Hospital Settings: Sharing the Experience

2008200820082008

MayMayMayMay

Leuven

Workshop on Oncology

OctoberOctoberOctoberOctober

Malta

37th ESCP European Symposium on Clinical Pharmacy

For Your DiaryFor Your DiaryFor Your DiaryFor Your Diary

ESSSSCP European Society of Clinical PharmacyEuropean Society of Clinical PharmacyEuropean Society of Clinical PharmacyEuropean Society of Clinical Pharmacy

ESCP News ESCP News ESCP News ESCP News is published by ESCP Editor: Marie Caroline Husson (France) Co-ordinator: Lilian M. Azzopardi (Malta) Page make-up: Corinne Tollier (France)

The contents of this publication are compiled in good faith. The publisher accepts no responsibility for omissions or errors.

ESCP International OfficeESCP International OfficeESCP International OfficeESCP International Office It Krúswâld Pharmacy—Voorstraat 13 NL-9285 NM Buitenpost—The Netherlands Tel: +31-645 915 831 Fax : +31 511 543 660 E-mail: info@escpweb.org www.escpweb.org Deadline for the submission of material: for issue number 137 is 15 November 2007 ; for issue number 138 is 1 February 2008.

ESCP News

ESCP News

ESCP News

ESCP News �� �� August 2007

August 2007

August 2007

August 2007 �� �� Number 136

Number 136

Number 136

Number 136 �� �� ISSN 1353

ISSN 1353

ISSN 1353

ISSN 1353-- -- 0321

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Announcements

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From July 1st on the International Office of ESCP is being transferred From July 1st on the International Office of ESCP is being transferred From July 1st on the International Office of ESCP is being transferred From July 1st on the International Office of ESCP is being transferred from Brussels to Buitenpost in The Netherlands:from Brussels to Buitenpost in The Netherlands:from Brussels to Buitenpost in The Netherlands:from Brussels to Buitenpost in The Netherlands:

ESCP International OfficeESCP International OfficeESCP International OfficeESCP International Office "It Krúswâld" Pharmacy"It Krúswâld" Pharmacy"It Krúswâld" Pharmacy"It Krúswâld" Pharmacy————Voorstraat 13Voorstraat 13Voorstraat 13Voorstraat 13————NLNLNLNL----9285 NM Buitenpost9285 NM Buitenpost9285 NM Buitenpost9285 NM Buitenpost

The NetherlandsThe NetherlandsThe NetherlandsThe Netherlands Email: info@escpweb.orgEmail: info@escpweb.orgEmail: info@escpweb.orgEmail: info@escpweb.org

Tel: +31 645 915 831Tel: +31 645 915 831Tel: +31 645 915 831Tel: +31 645 915 831————Fax: +31 511 543 660Fax: +31 511 543 660Fax: +31 511 543 660Fax: +31 511 543 660

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