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The Pharmaceutical Journal
Vol 271 No 7270 p481
11 October 2003

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New report supports expanded pharmacist roles

Pharmacy priorities

Respondents to the Health Which? survey identified the following priorities for pharmacy:

More important
• Home delivery of medicines
• Longer opening hours
• A need for all pharmacies to have private consultation areas
• More point-of-care tests

Less important
• Telephone or e-mail advice from pharmacists
• Opening of new pharmacies
• Improving the quality of advice
• More lifestyle advice

The public should “reap the benefits” of pharmacists redefining their roles, a Health Which? report has concluded.

A special investigation, including a survey of over 1,500 people, gauged public opionion on the changing role of pharmacists. The findings are published in the October issue of Health Which?.

Obtaining repeat prescriptions from pharmacists rather than doctors was described as “a clear winner” with 78 per cent of people thinking it is a good idea. Most people — 87 per cent — also thought that medicines management was a good idea. Nearly 60 per cent liked the idea of supplementary prescribing by pharmacists but people who take medicines regularly were most resistant to this change.

The introduction of more e-pharmacy services split public opinion. Only 46 per cent were in favour of being able to buy medicines via mail order or over the internet, but 59 per cent supported the idea of on-line advice from pharmacists. Better information about pharmacy opening hours and provision of support for smoking cessation were viewed favourably.

Altogether, 74 per cent of people thought that pharmacists are a trustworthy source of advice about medicines. But fewer people sought general health advice from pharmacists. Only 11 per cent had asked for such advice or for an opinion on whether or not they needed to see a doctor and just 2 per cent had sought advice on point of care tests available at pharmacies or for lifestyle advice. The report says that although people think pharmacists are qualified to give health advice, certain barriers exist. Chief of all is privacy. “A big factor that deters some people from seeking a pharmacist’s advice is concern about being overheard by other customers — a third of people told us that this put them off,” the report notes.

Better access to pharmacy services was of high priority to many people. A third of people surveyed wanted their medicines delivered to their homes. Longer opening hours were wanted by 32 per cent of people. “If pharmacists are to become an integral part of the primary care team then their opening hours need to better reflect modern lifestyles,” the report concludes.

In a second part of the investigation, a team of 20 researchers across the UK searched for an open pharmacy at 7.30pm on a weekday and at 2pm on a Sunday. They were successful in two-thirds of their attempts. Of the 28 times that an open pharmacy was found, 12 of the pharmacies were in supermarkets, nine were part of multiple chains and seven were independent pharmacies. Researchers were more likely to find an open pharmacy in urban than rural areas.

The researchers identified a particular problem with finding out which pharmacies are open. Few pharmacies displayed information about the nearest out of hours pharmacy, information was not always available in local newspapers and the advice from NHS Direct was inconsistent.

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