Some of you may know that in addition to running PL-UK I also locum 1-2 days a week, usually in one of Her Majesty’s Prisons. In prison service pharmacy you have access to patients medical records and can therefore fully support other members of the healthcare team and give patients effective advice.
It came as a shock then when on Wednesday, I volunteered to help out in a busy community pharmacy whose pharmacy manager was ill. The pharmacy is very busy dispensing around 10,000 items a month with lots of walk in business. To suddenly not have access to patients records felt like someone had cut off my right arm. All questions about dosages and queries on prescribing had to be made via the doctors receptionist on one occasion via a patients mother who called her daughter to confirm a dose change! What century are we living in in community pharmacy? Pharmacists will never realise their full clinical potential until they have access to patients records. In addition, the NHS will never benefit from the savings pharmacists could generate without this access.
Doctors and nurses in the NHS and prison service are happy for pharmacists to have access to this information as they see them as fellow clinicians. So what’s the problem for community pharmacy?
It’s quite clear that GP’s don’t community pharmacists in the same way as their secondary care colleagues and I fear the continued expansion of the multiples means they never will. I’m pretty sure that if the pharmacy market in the UK had remained dominated by independent contractors we would have had patient record access by now.
Whether we like it or not, and this is not meant to be disrespectful to individual pharmacists, doctors will never agree to allow access to confidential medical information to large, as they see it, commercial organisations like the big supermarkets. Traditionally pharmacy chains, maybe, but the thought of a persons medical history being stored on loyalty card looms large in the thoughts of medics.
However they may be a way around this that would allow patients to benefit from better pharmaceutical care and pharmacists to support patients and other clinicians much more effectively – an NHS contract for pharmacists.
Just think of it, the NHS could benefit from the business expertise of the multiples and the pharmacist would have complete professional freedom without worrying about commercial priorities or making this Christmas the best Christmas ever! Oh, I can still hear it now from my Boots days!
So in this time of unprecedented change for the NHS, we need our leaders to start thinking outside the box. I know that the PDA are pushing for individual contracts for pharmacists, maybe not in quite the style I envisage, but it’s a start.
What are your thoughts?
Shaun
Focus on pharmacists not pharmacies.