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Vol 280 No 7488 p142
9 February 2008

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Community pharmacists should be able to call on hospital pharmacists for support

Norman Lannigan

Norman Lannigan: hospital specialist pharmacist role needs to be extended

Pharmacists working in the community should have access to hospital pharmacists for help with dealing with patients with complex treatment regimens, according to Norman Lannigan, lead pharmacist for acute care, mental health and innovation at NHS Greater Glasgow and Clyde.

Speaking at the annual Hospital Pharmacist conference in London last week, Mr Lannigan discussed the challenge of improving the transfer of information between primary and secondary care.

He told participants that this challenge is being met in Scotland through the implementation of Scotland’s community pharmacy contract — a contract that he described as “the most exciting development during my 25 years in hospital pharmacy”.

“In Scotland, we are moving away from paying community pharmacists for dispensing medicines, and paying them instead for caring for patients,” said Mr Lannigan. “Therefore, [community pharmacists] are beginning to talk the same language [as hospital pharmacists].”

With the increasing shift towards keeping patients out of hospital, community pharmacists can expect increased contact with patients who have complex health problems.

Mr Lannigan added: “The role of the specialist pharmacist in a hospital will need to be extended, allowing them to become a point of reference for community pharmacies for managing complex patients.”

The registration of patients at community pharmacies and a shift from remuneration based on dispensing volume is essential for improving the transfer of information across the interface, said Mr Lannigan. He believes that other home nations will have to implement similar systems if they are to be successfull in improving communication between primary and secondary care.

A culture change will be required from hospital pharmacists in order to ensure that the necessary information is transferred to the community pharmacist, said Mr Lannigan. The responsibility of the hospital pharmacist will no longer end when the patient leaves the hospital.

A full report of the conference will appear in the March edition of Hospital Pharmacist.

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