Journal of Pharmacy Management • Volume 35 • Issue 4 • October 2019 122 Implementation of pharmacist-led falls-related medication reviews: a quality improvement project (QIP) Pharmacists have an important role to play in minimising the risk of falls in patients who are taking medicines known to contribute to that risk. This paper outlines a service to implement medication reviews for patients at high risk of falls on a gastroenterology ward, which was the one with the highest number of reported falls in the Trust concerned. The time previously taken in conducting a medication review on a patient at high risk of falls was 2 hours and 40 minutes. The introduction of a structured tool for reviews (STOPIT) and targeting medicines at high risk of being implicated in a fall resulted in decreased time of 45 minutes per review. A total of twelve new patients were reviewed, sixteen recommendations were made and seven were accepted. These are relatively small numbers but they do form a baseline to further develop use of the tool and the approach. It is hoped that further work will confirm the benefit of the approach and the effect on fall rates. How GP clinical pharmacists are developing respiratory medicines optimisation The introduction of pharmacists into GP surgeries is a current and high profile topic. Pharmacists will have a general awareness of the potential contribution that can be made to patient care generally as a result of this initiative. The article will, however, be of specific interest to those who seek to develop a service for patients with respiratory disease. It will serve as a useful support document to support proposals for such a development as well as being a helpful baseline to be adapted for other therapeutic areas. Advanced Pharmacist Practitioner, Northumberland Older Adult Community Treatment Teams There has been much focus recently on the need to improve mental health services. It is, therefore, encouraging to include a Face2Face on the above role, which sets out the part being played by a pharmacist. The role was initially funded as a pilot but its success in demonstrating the value to an Older Adult Community Treatment Team has led to it being introduced on a permanent basis. The role involves undertaking all activities from medication review through to prescribing cognitive enhancing medication and acting as a single point of contact for patients who have difficulties during their treatment journey. This will be of immense interest and help to those who wish to introduce a similar service locally. Trouble at the mill! It can be disruptive when conflict arises between staff and it is not always easy to resolve but our commentators give some superb, practical advice that will most certainly help! Leadership dialogue – creative approaches to negotiation ‘Negotiating should develop a 'partnership' approach - not an adversarial one.’ That is the key message in the Leadership section, which outlines some ‘must do’ approaches to help. 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.