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Rowlands: Embrace and promote new pharmacy supervision regulations

“The new normal is a unique opportunity to improve patient access to healthcare”

Regulations that allow pharmacies to be supervised remotely by a pharmacist are appropriate, says Rowlands' superintendent pharmacist Margaret MacRury

It’s good to see COVID-19 restrictions easing, but the grim reality is it will take years for the NHS to catch up on the backlog of postponed procedures and appointments. We also have the additional pressures of flu season on the horizon, which could put the health service into crisis mode.

Over the last few months, community pharmacy has proven its value as the “third pillar” of healthcare in delivering NHS services alongside GPs and hospitals. When access to the latter was understandably restricted, community pharmacies kept their doors open, providing not only medication, but also trusted professional healthcare support and advice.

When the government looks at the immense healthcare challenges that lie ahead, it must recognise there can be no return to ‘as was’. Instead, it must seize the opportunity to reset how care is planned, commissioned and delivered.

Surely, one of the lessons we can learn from the COVID-19 crisis is that our country needs the community pharmacy network as a critical local healthcare access point. The network needs to be financially viable – currently it is not in England. Who thinks pharmacy closures are a good idea post-COVID? Is the community pharmacy contractual framework (CPCF) in England still fit for purpose?

However, if we expect the government to play its part in supporting the new normal for our sector by commissioning more services and providing sustainable funding, then we too need to be bold and progressive in our thinking.

If the sector wants to encourage the public to think “pharmacy first” when it comes to treating minor ailments, seeking wellbeing advice such as smoking cessation or even COVID-19 antibody tests then we have to change the way we work to deliver an expanded range of services.

We should therefore embrace and promote new regulations about pharmacy supervision that don’t dilute professional due diligence, but are appropriate for the new realities of delivering high-quality patient care.

Given the circumstances, we also need to adopt more efficient dispensing practices such as hub-and-spoke to create the time to provide patient services. In addition, we need to see more GPs refer patients to pharmacies when it is clinically appropriate to do so, but we also then need the capacity to respond to those referrals.

The new normal is a unique opportunity to improve patient access to healthcare with community pharmacy at the forefront of illness prevention, chronic condition management, testing, triage and wellbeing support.

The healthcare challenges that our nation is facing are daunting. Community pharmacy has a critical role to play in meeting those challenges, but we need to adapt our ways of working to reflect the new realities we face in delivering the best possible care for patients.

Margaret MacRury is superintendent pharmacist at Rowlands.

16 Comments

Industry Pharmacist, Director

Wow Margaret! You are really towing the company ethos aren't you? De-valuing the profession by suggesting silly ideas with no real evidence of improvement. 

How will remote supervision help anybody except your shareholders, by saving your company money at the expense of patient safety by not requiring a pharmacist on premises? 
 

Margaret in the Superintendent of Rowlands and has clearly been indoctrinated into the 'commercial' way of thinking rather looking at from a patient safety aspect. If she did look at it with patient safety at the forefront of her mind, why didn't she step in when locums were denied PPE?? Where was her concern then? Obviously, refusing PPE for locums was another cost saving measure at the expense of patient safety. 
 

Margaret you should be ashamed to call yourself a pharmacist, you are doing nothing for the profession except sucking it dry for big companies. 

 

Lucky Ex-Locum, Superintendent Pharmacist

Funny how there's not a word about the money Rowlands will, just purely co-incidentally, save from remote supervision and hub-and-spoke.

A Pharmacist, Allocation & Distribution

Sod off, Margaret.

Lucky Ex-Locum, Superintendent Pharmacist

Best post I've ever seen on here! Well said!

Shahan Mir, Community pharmacist

 

"When access to the latter was understandably restricted, community pharmacies kept their doors open, providing not only medication, but also trusted professional healthcare support and advice"

Your own quote above advocates for a 'trusted professional' to be onsite and evidence from the pandemic vindicates the physical presence in comparison to reduced GP services. 

The incoherent and contradictory messages are somewhat more worrying as you are reported to be the Superintendent Pharmacist. The role should be to mitigate any potential risks to patient safety and not be swayed by proposals which are quite clearly to provide financial benefits. 

Principle 2 from The GPhC Standards for Pharmacy Premises:

"Staff are empowered and competent to safeguard the health, safety and wellbeing of patients and the public."

Pharmacists undergo extensive training and are experts in medication. There are areas of knowledge which are out of the scope of Pharmacy Technicians and other support staff. I would argue that the 'trusted professional' that the patient has appreciated during the current pandemic needs to remain a physical pharmacist by your own reasoning.

Beyond that, the only reason I can think why Rowlands are trying to reduce the number of RPs would be that there is not enough PPE to go around?

 

 

 

 

Farhad Hotak,

Remote supervision has a negative effect on community pharmacies. when the pharmacist communicate with staff or patients through technology, nonverbal communications and responding to symptoms become less effective and the outcome can be dangerous if any red flags are missed.

Taking a responsible pharmacist away from the premises hinder pharmacist ability to quickly support staff or help patients in urgent situations.

Is it not the time we consider the need for superintendent pharmacist

Dodo pharmacist, Community pharmacist

She is contradicting herself massively in this article. Firstly she wants more referrals to community pharmacy and pharmacies to see more patients, then she wants no pharmacist present in the pharmacies and remote supervision. It is either one or the other, not both. 

Paul Summerfield, Community pharmacist

Having read the article a few times, I agree with the post to which this a reply to. The argument put forward makes no sense and is contradictory. How can there be more clinical referrals to pharmacies when there is no pharmacist on the premises? It makes no sense. What does make sense is that this is the ideal opportunity for cost cutting at the bottom line and therefore increased profits. I also agree with Umer who has replied to the article. How can patient safety be guaranteed when there is no pharmacist present within the pharmacy? It would be extremely difficult to provide a Standard Operating Procedure (SOP) for every eventuality that may be faced in everyday practise. Pharmacists are well equipped to deal with such situations and do so on a minute to minute basis throughout the working day. By physically removing the pharmacist from a pharmacy, you remove an essential and integral part of the patient safety framework. I also highly doubt that the Superintendent Pharmacist who wrote the main article would accept full professional responsibility if anything went wrong and would most likely find a SOP which would shield them from any responsibility. Rowlands brought us the PPE debacle and now they advocate for remote supervision. In my opinion, both are ill thought, unworkable and frankly dangerous not only to pharmacists but to all those who rely upon the pharmacy network to provide a first-class service.

Umer Ayyaz, Community pharmacist

We've just had the worst possible situation there will ever be and we did not need remote supervision, so I don't see the need for it to be brought up ever again. Please do not disguise this ordeal we have all been through to push forward an agenda to cut costs and increase profits! Remote supervision and hub and spoke will be the final nail in the coffin for pharmacy. We need pharmacists to be physically present at all times to ensure the safety of our patients! That is not up for discussion!!!

Caroline Jones, Locum pharmacist

Perhaps then they might effecively tackle the explosion of FTP cases they are seeing and not addressing due to the failure to recognise the phenomenal workload, high staff turnover/ shortages, lack of breaks, poor working conditions leading to intolerable stress across the whole pharmacy team resulting in soaring sickness levels.... Just a thought from the front line.

Caroline Jones, Locum pharmacist

If the GPhc had any professionalism about it, it would be pushing for double pharmacist cover to ensure good oversight in delivery of dispensing/clinical services as well as the additional extra services that we are expected to provide. Surely this would ensure patient safety more effectively than green lighting the remote supervision that the multiples crave and are so adroit at sidestepping the consequences of..... or have Rudkin et al forgotten what they are there for ?????

sam Simon, Community pharmacist

This what we call mumbo jumbo. She wants more GP referrals to the pharmacy and at the same time she wants pharmacist out of the pharmacy for cost cutting reason under the guise of remote supervision. Interesting 

Axed Locum, Locum pharmacist

...and the flu jabs will be delivered remotely with a dart pen, and MAS digitally?? A wholly nonsensical article from a Suprintendent!!!. No wonder the profession is on its knees.... Any opinion/comments from the editorial, R.P.S. and the N.P.A.??

 

Petar Hitev, Community pharmacist

We can start we superintendent pharmacists assuming the entire responsibility for whatever happens in the branches...

Paul Summerfield, Community pharmacist

Sure there will be a SOP for that in due course

Kevin Western, Community pharmacist

Seriously? so really, cost cutting, stopping any danger of p meds sales restrictions, and a big bonus for the shareholders.... and others presumably.

 

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