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The Pharmaceutical Journal Vol 267 No 7155 p3-8
July 7, 2001

News summary


New concept in primary care pharmacy could be model for future practice

A CONCEPT pharmacy that aims to deliver “a complete, community-based pharmaceutical service for patients, commissioners of health care and health professionals” was officially opened by Lord Hunt, parliamentary under-secretary of state for health, on 29 June.

The Primary Care Pharmacy at Tamworth in Staffordshire, owned by Andrew Burr, a member of the Royal Pharmaceutical Society’s Council, will offer primary care trusts access to intervention records and dispensing data. Patients with chronic diseases will be offered services such as medicines management at the redesigned pharmacy.

Mr Burr, who is working as a primary care pharmacist at the Primary Care Pharmacy, told Lord Hunt that he hoped that the services offered at the pharmacy would illustrate how the role of the pharmacist within the community could be developed.

Patients are being invited to register at the pharmacy. This involves agreeing to allow pharmacists to record personal details and dispensing data and to contact the patient as appropriate. When a patient is registered, a record of illnesses, treatments and any monitoring that is required is entered on the pharmacy’s computer record. The system then prompts pharmacy staff about monitoring or when the patient is due for another consultation with a pharmacist. The pharmacist can then ring the patient to arrange a convenient time for them to come into the pharmacy to discuss aspects of their drug treatment or monitoring.

All interventions made by pharmacists at the Primary Care Pharmacy are logged on the pharmacy’s computer system and can be downloaded. Each intervention is date- and time-stamped and can be made available daily to practices for follow-up by general practitioners or primary care pharmacists. “For the first time, we can document what interventions community pharmacists have made,” Mr Burr said. He went on to suggest that this could be a payment model.

In addition to providing lists of interventions made, the system can, for registered patients, supply primary care pharmacists and GPs with a daily record of what has been dispensed at the pharmacy and when. “Primary care trusts are being asked to set budgets using prescribing information that is three months out of date — this information is instantaneous,” Mr Burr explained.

Services offered by the pharmacy

The pharmacy currently runs a telephone help line for patients to use if they have any health- or medicine-related problems. However, Mr Burr said that he hoped that, eventually, all pharmacies in the area would be linked in to the service so that patients would get consistent advice.

The pharmacy will be offering a blood pressure monitoring service for patients with hypertension who have an electronic sphygmomanometer. Mohammed Ibrahim, a primary care pharmacist working at the Primary Care Pharmacy, demonstrated the system.

“After a patient has taken a blood pressure reading, they hold the sphygmomanometer close to their telephone receiver and press a button. The reading is transferred down the telephone line and added to their record on the pharmacy computer system. We can then monitor their readings and take any action necessary,” he said. Patients can also monitor their blood pressure using an electronic sphygmomanometer in the pharmacy.

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