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Vol 277 No 7417 p299
9 September 2006

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Support for closer working with GPs to manage long-term conditions

Support for pharmacists wishing to contribute to the care of patients with long-term conditions comes in a document launched at the British Pharmaceutical Conference in Manchester this week.

Presented by David Colin-Thomé, national clinical director for primary care in England, “Long-term conditions: integrating community pharmacy’s contribution” is designed to give practical advice to pharmacists and commissioners of care on how pharmacists might work more closely with GPs.

The document, which was commissioned by the Royal Pharmaceutical Society from Alison Blenkinsopp, of Keele University, and Gianpiero Celino, director of Webstar Health, concentrates on the management of patients with asthma, diabetes and coronary heart disease, although it acknowledges that the lessons probably apply to other long-term conditions.

They examined the evidence, both in the UK and abroad, that has demonstrated the impact pharmacists can make on patient care. Dr Colin-Thomé said: “Successful management of long-term conditions is a key focus for the NHS, and the Department of Health is keen to give pharmacists a role in this.”

Dr Colin-Thomé also described the five steps that need to be taken to bring about full engagement of pharmacy services. Step 1 involves the finding of cases, through monitoring, education, clinical medication review to step 5, the management of therapy and prescribing. According to Dr Colin-Thomé, although there are examples of good practice, few services have been commissioned so far and spreading the word about good practice is poor. He reported that only 1 per cent of community pharmacies are commissioned to provide disease-specific medicines management.

However, Dr Colin-Thomé emphasised that much can be done to improve the involvement of pharmacy at a local level in discussions on practice-based commissioning. Pharmacists also have to learn to market themselves to raise awareness of what they can do based on the evidence. “Community pharmacists are even more popular with the general public than GPs — and you should build on that,” he said.

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