Journal of Pharmacy Management - July 2019

Journal of Pharmacy Management • Volume 35 • Issue 3 • July 2019 70 Summary Care Record (SCR): Impact on medicines reconciliation and patient care in a private healthcare hospital providing NHS services; a small-scale proof of concept study. A Summary Care Record (SCR) is an electronic record that details a patient’s medications, allergies and sensitivities. The article notes that these have proven particularly beneficial when delivering medicines reconciliations and reviews. It details the results of a study that involved offering access to the SCRs of NHS patients treated within a private hospital. A comparison was made between 50 medicines reconciliations conducted without access to SCRs and 50 with access to SCRs. An average of 9.2 minutes per patient was saved in medicines reconciliations conducted using SCRs compared to those without. There was also an increase in the number of discrepancies identified per patient from medicines reconciliations conducted using SCRs. Medicines Optimisation in Care Homes (MOCH): the role of pharmacy technicians This article outlines early success as a result of employing pharmacy technicians to work in care homes. The pharmacy technicians championed medication waste reduction and conducted medication system and process reviews. It is estimated that each technician will save approximately £70k per annum by reducing avoidable medication waste. A further benefit realised was the release of pharmacist time to focus on medication reviews and other clinical interventions. This is an important piece of work at a time when many are reviewing skill mix and developing the pharmacy technician role. SPONSORED ARTICLE Assessment of the Impact of Schizophrenia on Healthcare Resource Use Among Patients with Cardiometabolic Conditions in England: Insights from Big Data Analysis This paper notes that having schizophrenia increases the risk of developing cardiometabolic conditions. The study aimed to determine the impact of comorbid schizophrenia on primary and secondary healthcare use and the costs of non-elective inpatient admissions. It concludes that, among patients with cardiometabolic conditions, comorbid schizophrenia is associated with higher primary and secondary healthcare resource use and cost. FACE2FACE Psychiatric Liaison Team Pharmacist This outlines the role of a pharmacist within a Psychiatric Liaison Team, which includes the provision of advice on medication-based issues such as initiation, switching or ceasing psychotropic medications. The role also involves counselling individuals and providing advice on appropriate monitoring (both physical and mental) where needed. It is noted that a key challenge was establishing an understanding of areas in which the skills and experience of a pharmacist could be deployed most effectively to relieve the workload of others. MANAGEMENT CONUNDRUM The Workforce Challenge – Will Pharmacy Get it Sorted? The fact that there are challenges regarding the pharmacy workforce is not new. The rapid growth towards locating pharmacists in GP practices is, however, putting an additional factor into the mix. Where will these pharmacists come from? How will they network together? Will it deplete other sectors and, if so, what can be done to mitigate the effect? Does it pose a threat to Community Pharmacy? Our commentators give some thought to these issues and suggest helpful ways forward e.g. ensuring that ‘pharmacists only do what pharmacists can do and ensuring that ‘the public become fully aware about what pharmacists do, their clinical abilities and their role in keeping them safe when taking medicines.’ LEADERSHIP The Upside to Conflict Conflict can arise at any time in a working relationship. There can be a tendency to avoid it or, when it does arise, hope that it will just go away. As the title suggests, however, there can be a benefit from engaging with a conflict situation. Using the acronym ‘THINK’ or learning when to say ‘No’ are just two examples given to enable a more positive approach to be taken when a conflict situation next arises. EDITORIAL READERS’ FEEDBACK If the JoPM is to continue to publish material that you would find interesting and helpful in your practice, it is clearly important that readers feedback their views. There are various ways in which feedback is currently obtained but a short SurveyMonkey questionnaire that will take just a couple of minutes to complete is available for each edition by the hyperlink opposite. Your feedback is always welcome. Please click here to complete our Reader Survey for this issue.