pharmacy: looking to the future kevin ratcliffe consultant pharmacist

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Pharmacy: looking to the future Kevin Ratcliffe Consultant Pharmacist Slide 2 Stereotypes..? Traditionally, role dominated by dispensing SMS: needle exchanges and supervised consumption Role is now evolving Key benefit: ACCESS Slide 3 Minor Ailments Already trained Signposting / referral Fear Some minor ailment schemes available but no national standards (and certainly not national coverage) Slide 4 BBV some scary stuff Nationally, 40% IDUs have HCV (marked variation of prevalence) Half of these are unaware of their status 20% IDUs infected with HCV within 3 years of starting Uptake of Hep B vaccine better, but completions still low. HIV rates rising again (1/3 of IDUs unaware of their status). Slide 5 BBV: options Pilot studies of Hep B vaccination completions via pharmacies hugely successful. HCV screening (dried blood spot sampling) HIV as well ? NX and SC Slide 6 PGDs: Naloxone Overdose response training Supply and use of naloxone Inc. partners / carers Universally available Slide 7 PGDs: Sexual Health Morning after pill Chlamydia screening and treatment Sexual health advice (inc. supply of free condoms and lube) Slide 8 PGDs: antibiotics A minor ailments plus scheme Defined conditions and defined circumstances Skin infections / abscesses ? Slide 9 Smoking Cessation Slide 10 Alcohol Many pharmacists already skilled at brief interventions Referral pathways in place Harm reduction measure (esp. as illicit drug use decreases) Slide 11 Non-medical prescribing Effective use of skill mix Many benefits Already present in primary care, specialist teams and prison service But, could we take this further.? Slide 12 The main challenges: Slide 13 At every crossroads on the path that leads to the future, tradition has placed ten thousand men to guard the past. Anon.

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