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Vol 278 No 7438 p155
10 February 2007

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England's chief pharmacist calls for strong leaders

Damian Prestidge

Keith Ridge

Keith Ridge: collaboration needed

Chief pharmacists in NHS trusts need to become stronger leaders to ensure that clinical pharmacy continues to develop, Keith Ridge, chief pharmaceutical officer for England, told attendees at a conference in London last week.

Speaking at the Hospital Pharmacist medicines management conference, Dr Ridge used a football analogy to describe the current situation in the NHS. “Hospital chief pharmacists are currently playing in defence, having to balance service delivery with service development in an atmosphere of financial constraint,” he said. “This ‘defender mode’ is understandable at present, but they need to move back up to midfield quickly, supporting their clinical strike force and dictating the pattern of play.”

He added that it is not just local leadership that needs to be strengthened to support the enhanced clinical role of pharmacy, but leadership at a national level.

Dr Ridge called for a more collaborative approach between pharmacists working in different sectors of the profession. “Irrespective of where you practise, there will be a significant shift of services into the community,” he said. Acute hospitals are going to become a lot more specialised and hospital and community pharmacists will need to work closer together, particularly with more community pharmacists specialising in clinical areas.

“It seems inevitable that there could be a net export of skilled pharmacy staff to primary care. This alone will need much closer working between the sectors,” he said.

Turning to mental health services, Dr Ridge said that, despite concerns about the methodology used in the Healthcare Commission’s report on medicines management in mental health (PJ, 20 January 2007, p65), mental health pharmacy is ahead of the game in many ways. However, it has been the “Cinderella service” for too long. “Within the Department of Health we are thinking about how best to help you and other professionals involved in medicines management in mental health tackle this problem,” he said.

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