Think Pharmacy! – Workshop
Eastern Cheshire Community HealthVoice
22nd January 2014
Exercise ONE
What services do you think that Community pharmacy can provide NOW?
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Dispensing prescriptions
Advice on prescription drugs
Advice on minor ailments
Advice on non-prescription drugs
Minor ailments scheme
Receive and dispense repeat prescription form GP via email and delivery
“Triage” for concerned patients
Prescription medicines
Over the counter medicines
Advice
Non - prescription health aids
Minor ailment treatments
Unsolicited help from a pharmacist
Immediate advice / no appointment needed
Morning after pill
Contraception
Some can prescribe?
Collection and Delivery services
Prescriptions
Eye tests
Flu jabs
Consultations
Pregnancy test
Advice
Retail
Dispensing
Screening for diabetes and general health
Medicines advice without appointment
Privacy of advice and referral to GP
Prescription collection and delivery service
Page | 1
Think Pharmacy! – Workshop
Eastern Cheshire Community HealthVoice
22nd January 2014
What services do you think that they could provide but don’t?
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Hearing aid batteries (some are commissioned)
Blood Pressure Checks (some do)
We don’t know what they can do, so don’t know what else they could do
Prescribing
Minor injured ailments e.g. wound dressing
Out of hours nurse service
Family planning
First aid training
Anti-smoking education
Blood pressure monitor calibration
Independent active living advice
What would encourage you to use community pharmacies more?
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No need for appointments
Knowing what they could do
Electronic prescribing services
Accessibility – hours, geography, disability access
Reward points
If they could do more
Clear range of services available
Publicity
Knowledge of services they provide
Medicines Reviews of prescription items
What would stop you using Community Pharmacy services?
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Inflexible opening hours
Confidentiality – being asked things in front of other patients
Opening hours perhaps
Your nearest is shut
Language difficulties – no interpreter services
Conflict of interest private vs. NHS
Confidentiality – not clear rules on confidentiality of patient information
Can disadvantage the less wealthy. E.g. need to pay in pharmacy but have free
prescription
FREE prescriptions – not available if on benefits, or pensioner
Page | 2
Think Pharmacy! – Workshop
Eastern Cheshire Community HealthVoice
22nd January 2014
Exercise TWO
Conditions currently
included in Minor Ailments
Scheme
Do you think that a community
pharmacy is suitable place to seek
advice / treatment for this
condition
Sore Throat
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Superficial eye infection
Earache / temperature
Hayfever
Headlice
Thrush
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Yes
We think all of these can be
dealt with in a community
pharmacy – but we are all
confident people!
Yes
Yes
Yes
We think all of these can be
dealt with in a community
pharmacy – but we are all
confident people!
Yes
Yes
Yes in an adult
We think all of these can be
dealt with in a community
pharmacy – but we are all
confident people!
Earache: No, Temp: Yes
Yes
Yes
We think all of these can be
dealt with in a community
pharmacy – but we are all
confident people!
Yes
Yes
Yes
We think all of these can be
dealt with in a community
pharmacy – but we are all
confident people!
Yes
Yes
We think all of these can be
dealt with in a community
Where would you go
for help / advice /
treatment if you or
your child had this
condition?
 GP if long term
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GP if long term
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If a child – then
should go to GP
GP – earache and
temperature if
cannot control it or
don’t know the
cause
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GP if long term
Page | 3
Think Pharmacy! – Workshop
Eastern Cheshire Community HealthVoice
22nd January 2014
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Urinary Tract Infection
(women 18-65)
Impetigo
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pharmacy – but we are all
confident people!
Yes
Yes
We think all of these can be
dealt with in a community
pharmacy – but we are all
confident people!
Yes
Yes – some cases mood swings
Yes
We think all of these can be
dealt with in a community
pharmacy – but we are all
confident people!
Yes
Yes
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GP – if recurrent
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GP – If extensive /
infected
Questions Raised:
1. Does the pharmacist keep records of patient history?
2. What’s the line between GP and pharmacy – what can pharmacist do and where
does it stop?
3. How does record keeping fir with data policies overall?
Comments Made:
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Need to educate people on severity of conditions that they can be treated by
pharmacy and they don’t need to panic and go to A+E
Pharmacists should be more proactive to tell the community about what they can do
Staffing levels are a problem which need to be addressed
Page | 4
Think Pharmacy! – Workshop
Eastern Cheshire Community HealthVoice
22nd January 2014
Exercise TWO
Conditions currently
included in Minor Ailments
Scheme
Do you think that a community
pharmacy is a suitable place to
seek advice / treatment for this
condition
Acne
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Constipation
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Diarrhoea
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Indigestion
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Athletes Foot
Yes – with reservations, may
need more advice
Yes
No
No
Yes
Yes
Yes
Yes
May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
never see same pharmacist
again!
Yes
Yes
If alone maybe borderline
May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
never see same pharmacist
again!
Yes
Yes
With great care
May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
Where would you go
for help / advice /
treatment if you or
your child had this
condition?
 GP initially
 Go to Dr
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GP
Page | 5
Think Pharmacy! – Workshop
Eastern Cheshire Community HealthVoice
22nd January 2014
Threadworm
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Eczema / Dermatitis
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Haemorrhoids
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Scabies
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never see same pharmacist
again!
No
Yes
Yes
May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
never see same pharmacist
again!
Age? / Diagnosis?
No
Yes
May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
never see same pharmacist
again!
Yes
Yes
May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
never see same pharmacist
again!
Yes
No – dangerous!
May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
never see same pharmacist
again!
Yes
Yes
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GP
GP initially
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GP initially
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GP initially
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GP initially
Page | 6
Think Pharmacy! – Workshop
Eastern Cheshire Community HealthVoice
22nd January 2014
Gout
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Migraine
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May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
never see same pharmacist
again!
Yes
No
May be indication of more
serious problems. If patient /
pharmacist have good
relationship then fine, but in a
larger pharmacy e.g Boots,
Sainsburys etc, patient may
never see same pharmacist
again!
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Yes
No – too extensive and not
appropriate
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GP initially
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GP first time
Page | 7