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Vol 273 No 7324 p670
6 November 2004

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Wanless calls for evidence to back self-care agenda

Primary care providers should be encouraged to test whether, given access to more information, people want to have a greater input in managing their own health, according to Derek Wanless, a former chief executive of NatWest bank and health service adviser.

Writing in a new report on self-care published by the Proprietary Association of Great Britain, Mr Wanless says: “It seems highly likely that many people with more information about their health, and their specific disease risks, due to both genetic and lifestyle factors, will want to manage their risks — but we should seek evidence to back this assumption.”

He comments that electronic patient records would be important for mapping out local prevalence of disease and should allow better targeting of disease management. “Providing access for pharmacists to aspects of patient records might help,” he adds.

In the same report, David Colin-Thomé, national clinical director for primary care, Department of Health, suggests that pharmacists are key to the shift in thinking towards self-care. “I’m pleased to note that [pharmacists] have taken up the challenges offered by self-care with gusto, as the general thrust of the community pharmacy contract has been met with good support.”

Ashok Soni, chairman of the National Pharmaceutical Association, writes: “Community pharmacy’s contribution to the successful integration of self-care can only be achieved when the wide range of UK self-care initiatives become truly ‘joined up’. For example, one of the major obstacles in the way of maximising the potential of community pharmacy to free up capacity in the NHS comes from the fact that we are currently denied routine access to medical records.” He comments that this can lead pharmacists to err on the side of caution when recommending treatments for conditions that might benefit from more radical solutions.

Self-care was the subject of a recent conference hosted by the Proprietary Association of Great Britain.


Meetings, p695

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