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Vol 277 No 7483 p731
22/29 December 2007

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Christmas miscellany 2007

Pharmacy — come rain, hail or shine

Some UK pharmacists had more to contend with this year than meeting medicines use review targets or getting new pharmacy services commissioned. Matthew Wright, news and features writer at The Journal, reports

Christmas miscellany 2007 index


Michael Hewitson

Sandbags

Sandbags helped … sort of

No one envisaged a drought coming at the same time as a flood. But that is exactly what happened in parts of the UK last summer when rivers broke their banks and supplies of drinking water were severely disrupted.

Chaos reigned as thousands of people were evacuated from their homes. Many houses and businesses were without power and water, and emergency services were overrun.

Saintbridge Pharmacy in Gloucester is connected to the road and town by a small bridge over a brook. There the water rose so quickly that there were only 20 minutes between the brook bursting its banks and the pharmacy and adjoining medical centre being a foot deep in water.

Pharmacy manager Michael Hewitson, remembers that Friday evening: “The surgery staff started to get a bit worried about the rising waters and ordered some sandbags, which arrived soon after. I was drafted by the surgery to build a sandbag redoubt to help prevent the building from being flooded. This was never part of my pharmacy training.”

People had been collecting prescriptions in the pharmacy at the time. One customer, a young mother, was aided by pharmacy staff — who passed the baby to her across the water — so that she could drive out before the waters rose too high.

The staff shut the pharmacy and tried as best they could to barricade the doors with sand bags, but to no avail — the water streamed through the front door, under the shutters and sandbags. When it became clear that it was no longer safe to take people across the bridge without the help of the emergency services, Mr Hewitson moved everyone to higher ground, into the surgery’s upstairs meeting room.

“It was a case of all hands on deck to try to save some of the surgery’s paper notes,” he recalls. One of the patients, a woman with chronic obstructive pulmonary disease, was having difficulty breathing as she became more anxious. It was a tense moment. Because there was no electricity, there would have been no way to provide nebulisation had she needed it. So Mr Hewitson splashed his way back to the pharmacy, which was in darkness, to retrieve spacers and metered-dose inhalers, just in case.

There was also a young baby who was ill with an infection and in need of antibiotics. Again Mr Hewitson waded back to the pharmacy through the water, which by this time was two feet high — boxes floating everywhere — to grab what was needed.

To Mr Hewitson and his team’s credit, Saintbridge Pharmacy was back up and running the following Monday morning. On the down side, however, the pharmacy lost its refrigerator, the entire contents of its Controlled Drugs cupboard, and between £12,000 and £15,000 worth of stock. Then they had the drought to contend with.

Álvaro Germán /Dreamstime.com

Duck

“There was no water in this part of Gloucestershire or any of our homes, which only complicated matters as we were trying to obtain suitable supplies of bottled water (with low sodium content to avoid harming young children when reconstituting antibiotic suspensions).

“It was a real team effort but I think the patients ultimately appreciated the fact that we kept going, even if conditions weren’t exactly ideal for us or for them,” he added.

Mr Hewitson and his staff are also having to go through the whole rigmarole of a refit. “The aftermath of the flood was probably more stressful than the flood itself,” he says. “At the moment we are still in a Portakabin awaiting the completion of our refit.”

Elsewhere in the UK, fellow pharmacists, their staff and patients are also having to deal with the after effects of the flooding. Although the flood waters did not reach his pharmacy, David Sharp of Colosseum Pharmacy in Bentley, near Doncaster, has felt their effects — the most significant being the evacuation of a community.

“We lost a whole village,” he says. Mr Sharp describes neighbouring Toll Bar, which the pharmacy serves, as a ghost town even six months on and he predicts that customers will not be back in their homes until well after Christmas.

Because these patients have been displaced, his pharmacy is delivering prescriptions to them all over Doncaster. “We are still not back to normal,” he told The Journal. “We are well down on prescription figures because we still have 700 to 1,000 people missing from the community, and quite a lot of those are elderly.”

Despite such hardship, Mr Sharp has nothing but praise for his local primary care trust. A representative of the PCT visited the town’s two pharmacies to see how they were coping and made arrangements to ensure people got their medicines. “People were rushed out with 20 minutes’ notice with nothing on them — not even a change of clothes,” Mr Sharp recalls.

Pharmacists’ place within the communities they serve is well known and this is never more apparent than when disaster strikes. UK pharmacists are to be commended for their continued work in making sure that people have their medicines, come rain, hail or shine.

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