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Prescribing & Medicines Management
Issue no 4, p8-9
July/August 2003


Features


What you can do for the week

See also "Ask about medicines" week links

Members of the primary care team wishing to take part in Ask About Medicines Week in October, should be planning now. Gabby Clezy explains what is happening in Surrey


Gabby Clezy, is pharmaceutical adviser, East Elmbridge and Mid Surrey PCT
Gabrielle.Clezy@eeandms-pct.nhs.uk

The first Ask About Medicines Week in this country aims to encourage the public to take a more active role in their health care by discussing the management and safety of their medicines with a range of health care professionals. The Ask About Medicines initiative aims to contribute to people’s ability to manage their own health by encouraging better understanding of what medicines do and how to make the most appropriate use of them. It also aims to encourage health professionals to support patients in asking questions about their medicines. This is a great opportunity to make the public aware of the easily accessible, high quality advice of community and hospital pharmacists.

AAMW hopes to influence expectations so that asking questions about medicines becomes the norm for patients and carers. Nurses, doctors, dentists and pharmacists are all professionals that patients could request information from.

Working in collaboration with Sally Greensmith, community pharmacy facilitator in West Surrey and member of Council of the Royal Pharmaceutical Society, we intend to give the AAMW local ownership. Together we have designed a campaign, driven by a multi-professional team and led by pharmacists. Sally and I provide the ideas and support materials and have gathered a willing band of volunteers to make the week fun as well as useful. There will be coverage in the local press and radio to help deliver the important messages of AAMW. This week will enable people to make better use of their medicines by:

• Increasing understanding of medicines
• Creating more opportunities to ask questions and raise concerns about medicines
• Encouraging health professionals to help medicine users ask questions about their medicines
• Helping medicine users to get involved in decisions about medicine taking
• Improving access to further sources of helpful, reliable medicines advice and information

The five primary care trusts in Surrey were created in April 2002, when East and West Surrey Health Authorities were disbanded. Although there has previously been a close working relationship between the two health authorities on community pharmacy issues, this will be the first joint project for pharmacy across the Surrey area. The campaign is designed to be low key and cost effective — each PCT will contribute £150. Teams will distribute leaflets in shopping centres and stations and posters will be displayed that support the campaign. Our leaflet gives examples of questions patients can ask their health professional eg:

• What does this medicine do?
• How long will I need to use it?
• How and when should it be taken?
• Should I avoid any other medicines, drinks, foods or activities when I am taking this medicine?
• What are the possible side effects?

One of the first things we did was to commission a cartoonist to create a suitable image to feature dentists, nurses and doctors as well as pharmacists. An A5 leaflet was developed which featured the image and questions along with good advice on the safe use of medicines. T-shirts worn by the volunteers will support the leaflet distribution.

The campaign was launched at a Surrey-wide RPSGB branch meeting where the pharmacists present displayed an enthusiastic response. The joint branches offered to fund travelling expenses, which are expected to be minimal, since most volunteers will campaign in their immediate area of work. The two local pharmaceutical committees were asked to give ideas and support, and letters and e-mails were sent to pharmacists and PCT staff explaining the AAMW agenda and asking for volunteers. This has been followed up with a newsletter giving details of the scheme. Each PCT will have one allocated day to hand out material and is responsible for collating and running their small team.

The national campaign will also be used to raise the profile of chronic and acute health issues and this year’s focus will be epilepsy and ’flu. Surrey is planning to hold two evening workshops for pharmacy staff and volunteers on communication skills around epilepsy. We intend to invite patients who have this condition to explain the problems they experience and how health care professionals could support them and improve their well-being. A quiz is being developed for distribution in PCT newsletters aimed at practice staff. This will cover medicine and medicine taking and highlight the issues of AAMW.

Ideas for the week

Posters in the pharmacy window- perhaps designed by the local primary school.

T-shirts for staff with “Ask me about Medicines”. Total cost of shirt and design transfer is about £10 each.

Ring up local radio stations (RPSGB branch press officers can help) suggesting a short slot on how the pharmacist can help patients in their medicine taking. The AAMW team have useful information on their website.

Contact your PCT and ask for support. Posters and leaflets (which can be placed in bags) can be printed in a week and are reasonably cheap to print in black and white.

Nurses are very keen to get involved so approach the local practice and see what the team can come up with over a cup of coffee.

Offer brown bag clinics to patients or provide space for local support groups such as Diabetes UK to display information and provide advice.

Ask hospital pharmacy staff to distribute posters and leaflets during ward visits.

Provide staff training on medicine-related issues, using the AAMW prompt card as the focus of the session.

The response to our initial request for volunteers to spend an hour or so handing out leaflets has been something of a surprise. Not only are PCT, community and hospital pharmacists willing to give up their time but non-clinical trust managers, administration staff, district nurses and health visitors as well as a Patient Advice and Liaison Service (PALS) manager have offered to help.

They all understand the need to give patients permission to ask questions and to make the professionals aware that these questions often go unraised due to fear, concern not to bother a busy health professional or a lack of understanding about medicines and medicine taking.

The national campaign will provide a credit card sized prompt card for patients with tips on how medicine users can make the most of their dialogue with a health professional and key questions to ask about medicines. This will be sent to all pharmacies before October. The Surrey campaign will supplement the resources provided by the AAMW team. Details can be found on their website.

Our local campaign involves partnership working with a multi disciplinary team and has been achieved on a tight budget. We are looking forward to the event and anticipate some fun along the way.

Pharmacists are good communicators and with a bit of initiative all pharmacists can get involved in a local campaign during October. It makes good business sense to ensure that more customers come through the door and if a particular pharmacy is seen as providing a value added service then patients will flock to that store.

All pharmacists have time constraints but much of the campaign could be placed in the hands of the health care assistants and other pharmacy staff. Involve the entire pharmacy team and be prepared to be bombarded with innovative and wacky ideas. Anything that gets the message across (and is in reasonably good taste) must be worth a shot. More ideas and helpful hints are available on the medicines-partnership website.

The only resource most local campaigns require is enthusasism. Pharmacists are approachable, knowledgeable people only too willing to impart information to patients. Ask About Medicines Week is all about highlighting these features and making the patients aware of how we can help them.

When patients realise the benefits of using the pharmacist and other health care professionals as a source of advice about medicines they become better informed and their medicines are used more successfully.

This campaign can only have positive benefits or in 1990s management speak: a win-win situation. I think it is a wonderful chance to get out there and show that our profession really believes in concordance and most importantly, we are prepared to reach out to the public — even if it means wearing a loud T-Shirt. Good luck and do not wait to be asked.

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