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The Pharmaceutical Journal
Vol 271 No 7267 p361
20 September 2003

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Boots launches new coronary heart disease service

Pharmacists will set and agree goals for patients with CHD to achieve

A new service that aims to improve concordance and patient care for people with coronary heart disease was launched this week by Boots The Chemists.

Speaking to The Journal at the BPC, Stephen Pemberton, regional professional development manager for Boots in north west England, said that initially the service will be provided as a pilot in three branches of Boots in Middleton, Rochdale and Stockport. “The service is called ‘Know your heart’ and it is aimed at people with an existing diagnosis of CHD,” he explained.

Pharmacists will gather information about the patient’s medical history through a consultation with the patient. They will ask about any problems patients have had with their medicines, find out about compliance and also ask about lifestyle factors such as smoking, diet and exercise. The pharmacist will then carry out a number of point-of-care tests — blood pressure, cholesterol level, blood glucose level and body mass index. The patient and pharmacist then identify and agree some goals for the patient to achieve over the next six to nine months. The patient’s general practitioner will be informed of the test results and will also be asked for input in relation to the goals. If any problems with the patient’s medicines are identified then the pharmacist would suggest appropriate changes to the doctor at this stage. “Medicines are at the heart of this project,” added Mr Pemberton. Once the goals have been set, the pharmacist will contact patients on a monthly basis to review their progress and remind them to request repeat prescriptions. The service is available all the time, not on an appointment basis. “This open access is a strength of community pharmacy,” said Mr Pemberton.

The project has the backing of the local primary care trust. Although the pilot service is available to patients free of charge, Boots has not ruled out charging patients, or approaching PCTs for funding, if it is expanded to other locations in the future.

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