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PJ Online homeThe Pharmaceutical Journal
Vol 277 No 7423 p471
21 October 2006

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Pharmacy represented in pilot site for DoH project

Rod Tucker

Rod Tucker: photographed when he won a Pharmaceutical Care Award in 2003

Pharmacist supplementary prescriber Rod Tucker works as part of a community dermatology service that has been selected by the Department of Health as one of 30 pilot sites for the Care Closer to Home Demonstration Project, announced this week. The project aims to identify examples of where a service has successfully moved from secondary to primary care in six specialty areas: dermatology; urology; ear, nose and throat; orthopaedics; gynaecology; and general surgery.

Dr Tucker is a pharmacist at HMP Hull and spends one session a week working as part of the Hull and East Riding Dermatology Service, which also includes a consultant dermatologist, two GPs with special interests (GPwSIs) and a nurse practitioner. The service is provided from two GP health centres.

“I undertake ongoing prescribing for people with skin conditions, such as acne, eczema and psoriasis. I am also trained to use cryotherapy to treat warts,” Dr Tucker told The Journal. He explained that fewer patients need to see the consultant or GPwSIs for their follow-up appointments since their ongoing care can be managed by him. “This allows for the service to increase the number of patients seen, hence reducing the waiting time for new patients,” said Dr Tucker.

The consultant dermatologist, Shernaz Walton, has been seeing dermatology patients in the community for the past 15 years but more recently has been joined by the other members of the team.

She explained that, previously, all patients would have been referred by their GP to the hospital, but that now the patients can be seen by the most suitable health professional for their particular complaint. “What makes the service in Hull unique is the inclusion of a pharmacist practitioner in the team and it is this aspect that the Department of Health is particularly interested in,” Dr Walton added.

Dr Tucker’s work setting up a pharmacist-led dermatology clinic in HMP Moorlands in Doncaster has previously won him a Pharmaceutical Care Award for innovation in primary care (PJ, 5 July 2003, p17).

The pilot sites will be evaluated and a steering group, together with patient representatives, will make recommendations to the DoH in early 2007 about which models are appropriate to be rolled out across the NHS. Other pilot sites chosen include a nurse-led home chemotherapy service, consultant-led clinics provided in the community, and minor and intermediate surgical procedures led by GPwSIs.

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