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Vol 278 No 7433 p21-24
6 January 2007

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Continuing professional development

Clinical developments in 2006

More than 20 new medicines were launched in the UK in 2006. In our first CPD article of the year, Harriet Adcock, news editor of The Pharmaceutical Journal, looks back at them and considers some of the more significant clinical developments of the past year

Continuing professional development articles


SUMMARY

Having seen the foundations for change firmly laid in previous years, pharmacists across Britain were charged with getting on with the job in 2006.

In England and Wales, medicines use reviews allowed community pharmacists to make a greater contribution to the clinical management of their patients, and the publication of template specifications for enhanced services helped ease negotiations with commissioners, leading to almost 18,000 locally agreed enhanced services being delivered under the contract before the year was out.

A significant step in the delivery of clinical services through pharmacies came when Scotland’s new community pharmacy contract began on 1 July 2006 and pharmacists were able to offer consultations through the minor ailment service. From June, customers wanting to make use of the service were able to register with the pharmacy of their choice — the first time the public had had to register with a pharmacy to receive a national NHS service.

In Wales, there were moves to develop clinical practice when independent prescribing by pharmacists was given the go-ahead. Meanwhile, pharmacist supplementary prescribers across Britain were getting on with the task in hand and, by the end of the year, were able to start their transition to independent prescriber status when the first two conversion courses were approved by the Royal Pharmaceutical Society.

Pharmacists wanting to specialise in a particular clinical area were given another boost in September with the launch of a national framework for pharmacists with special interests.

Although not directly related to the provision of clinical services, the reorganisation of primary care trusts across England caused some concern for the profession with fears that clinical engagement could be lost if PCTs relied too heavily on practice-based commissioning for clinical involvement. The launch of a review of professional executive committees followed later in the year and gave pharmacy the opportunity to put its case forward on how PECs should be shaped in the future.

In terms of new medicines, more than 20 were launched in 2006, with some genuine innovations among the batch. The first preventive therapy for cervical cancer was delivered by Sanofi Pasteur MSD and Pfizer brought an inhaled insulin product to the market.

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