Pharmacists have mixed reaction to Notts minor ailments scheme
Around half of pharmacists asked about their participation in Nottingham’s “Pharmacy
first minor ailments scheme” were positive about the programme,
a newly published study reveals (International Journal of Pharmacy
Practice 2008;16:73).
Problems encountered
Issues highlighted by pharmacists include:
• Increased quantity of
paperwork
• No consultation room in a third of pharmacies
• Restrictive nature of scheme protocols (also identified as
a positive aspect)
• Poor GP understanding/inappropriate referrals
• Insufficient publicity of the scheme
• Possible abuse of the scheme by customers |
Semi-structured interviews with 26 pharmacists
(conducted between November 2004 and March 2005) identified a range of
issues that could be barriers
to running a minor ailments scheme (see Panel right).
According to the
authors, most pharmacists thought that enhancing the image of the profession
was
the most important incentive for them to participate in the scheme. “However,
around one-third of pharmacists expected the scheme to be more popular
and have a larger formulary than it did.”
Most of the pharmacists said they had few interactions with GPs and reported
that the scheme had not affected these relationships. Nonetheless, the
authors say: “A number of pharmacists felt that the scheme had
had a positive impact on patient care in three main ways: improving access
to medicines; providing them with more choice; and often being more convenient
than visiting their GP.”
The study’s findings have generated recommendations for improving
the service, say the authors. “Nottingham City PCT has already
taken steps to resolve many of the issues raised, in that they have extended
the formulary, revised the administration process and paperwork, raised
the consultation fee and increased the publicity. However, there are
still some outstanding issues that need to be addressed, particularly
the lack of privacy in some pharmacies.” |