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Vol 276 No 7390 p263
4 March 2006

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Letters

· Methadone mixture
· Brand prescribing
· Oxygen services
· BuTrans and the SMC
· The profession (4)
· The Society
· Reciprocity
· CPD


Letters to the Editor

Oxygen services

We must learn from what has gone wrong

From Mr M. Beaman, MRPharmS

There has been considerable coverage of the recent changes to the home oxygen service and the letters from Beryl Bevan and Paul Breame (PJ, 25 February, p229 and p230) provide an accurate and comprehensive overview of the issues involved.

In the midst of all the negative points expressed in the media we should not lose sight of the fact that the place of oxygen in respiratory medicine has changed considerably in recent years and modernisation of the service was inevitable. This is no criticism of community pharmacists, who have provided an excellent service over the years within the constraints provided.

In my own area of Eastern England, there has been detailed planning in place for over a year consisting of a network of local implementation groups co-ordinated and ably led by the regional reference group.The fact that implementation has been problematic is in no small way due to the fact that the key players involved in primary care, both users and commissioners, have been operating against a background of unprecedented change in the NHS, coupled with financial and management cuts this year with an uncertain future for a number of us in 2007. Small wonder that events have not gone smoothly. A number of us in primary care trusts have worked hard to resolve local problems of supply for our patients, yet none of this has been reported in the press — but then why should one be so surprised by that?

We must now learn from what has gone wrong and renew our focus on improving patient care in this area of medicine.

The challenge to the NHS is to continue to modernise this area of patient care engaging the best elements of community pharmacy with the advantages of the national provider companies.

Mike Beaman
Chief Pharmacist
North Hertfordshire and Stevenage Primary Care Trust

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