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The Pharmaceutical Journal
Vol 271 No 7274 p645
8 November 2003

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Letters

  Modernisation
  The Register
  Ramipril
  Needle exchange


Letters to the Editor

Needle exchange

Kept it going for as long as possible

Was there adequate remuneration?

Kept it going for as long as possible

From Mr R. Gartside, FRPharmS

Terry Maguire believes that the decision of the last two pharmacies in Colwyn Bay and Rhos on Sea to withdraw from needle exchange was wrong (PJ, 1 November, p612) but he has not approached the local representative organisation for the facts of the case. Had he done so he would have encountered a different story.

Because of the original and continuing efforts of Goronwy Bennett-Williams, north-west Wales had the first pharmacy needle exchange service in Wales. We are proud of the fact that there is still not one case of drug misuse-related HIV among the indigenous population. The service in Colwyn Bay and Rhos on Sea was kept going by L Rowland & Co long after any reasonable organisation would have abandoned it, and at considerable cost to the pharmacies concerned, whose loss of turnover would have closed many independent pharmacies.

There has been a concerted campaign against needle exchange in Colwyn Bay and Rhos on Sea, perhaps because this symptom of social decline is mistaken for the underlying reality. There have been petitions, anonymous hate mail, abuse of pharmacy staff, protests of all kinds and effective boycotts of the pharmacies. There has been no public support for the pharmacies from either the local borough council, the local drug action teams, or from the various NHS bodies, despite strenuous efforts by my committee. Indeed, the press release which Mr Maguire quotes was written by the local drug abuse and NHS teams and distributed by the local borough council without reference to either Rowlands or my committee and presented an extremely unbalanced view.

We all feel a personal sense of failure over this sorry episode, but the pharmacists concerned have done all that can be humanly done to keep the service going until well past the time that business sense would have demanded that it end.

Bob Gartside
Northern Executive
Community Pharmacy Wales

 

The press release to which Mr Gartside refers was included as a web reference by The Journal as background information since we had not covered the story.
EDITOR


Was there adequate remuneration?

From Mr K. A. T. Ramsden, MRPharmS

I read Terry Maguire’s letter (PJ, 1 November, p612) with interest. I wonder if the level of remuneration was a factor that encouraged the affected contractors to withdraw? In my experience it is barely adequate, and in our area effectively unfunded, despite repeated protestation.

This is an essential public health service in my view, so I agree with Mr Maguire on this point. However, before I passed judgement on those concerned, I would be keen to know if those who held the purse strings were aware of the true value of the service and if they were prepared to reimburse accordingly. Suffice to say, a business decision need not conflict with a public health decision — unrosy jobs often require rosy rewards.

Kurt Ramsden
Community Pharmacist
Guisborough, Cleveland

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