How pharmacists can support older people with mental health issues: a personal view

By Dr Amanda Thompsell, Chair of the Faculty of Old Age Psychiatry of the Royal College of Psychiatrists

Having met with members of the Royal Pharmaceutical Society to talk about their mental health campaign it made me reflect on the many ways that pharmacists support older people with mental health issues.

Not only do pharmacists give helpful advice around reducing unnecessary medications, on side effects and potential drug interactions and ways to improve adherence, but pharmacists help in so many other ways that can go unnoticed. Read more How pharmacists can support older people with mental health issues: a personal view

Improving mental and physical health – parkrun

By Chrissie Wellington, Global Head of Health and Wellbeing, parkrun

We all know that exercise is one way to improve physical and mental health, but it can be very hard to get started and motivate yourself to continue exercising.

I work for a brilliant organisation called parkrun which provides a fantastic way for anyone to improve their physical and mental health in a fun and supportive environment.

As a non-profit organisation, parkrun organises free 5k runs which take place every Saturday at 9am (9:30am in Scotland and Northern Ireland). There are currently over 770 parkrun events across the UK with approximately 140,000 weekly participants supported by around 14,000 volunteers.  Read more Improving mental and physical health – parkrun

Mental Health – awareness counts, action matters.

by Sarah Steel MRPharmS, RPS Wales Policy and Practice Co-ordinator

Sarah Steel MRPharmS, Policy and Practice Coordinator

Over recent years, mental health has become something of a global conversation, a buzzword, a hashtag. Remove the stigma. Break the silence. Be open, talk, share.

Awareness is fantastic, conversation is progressive but how we act is what matters. An episode of mental illness is frightening, frustrating and isolating. As a pharmacist and a patient I have seen mental ill health from both sides and both are scary. People involved on both sides are often scared about the same things. What is ok to say? How do I act? How do I not make this worse? Awkwardness can be destructive.

Admitted to hospital, as a patient in crisis it was exhausting being asked again and again by different people what medication I was taking. No, I didn’t bring with me the third lot of meds that my doctor has prescribed that right now aren’t helping me feel better. I desperately wanted to get better, but I especially wanted and needed to be treated as a person, recognised as a person at a time when I felt so much less than that.

Read more Mental Health – awareness counts, action matters.

It’s time to make the most of pharmacy in mental health

By Sandra Gidley, Chair of RPS England

People with a serious mental illness die 15-20 years earlier than on average.

They are three times as likely to lose all their teeth.

More than 16 million people in England are diagnosed with a long-term physical health condition, and more than five million of them will experience a mental health problem.

These are just some of the shocking figures that underline just how much further we have to go on the issue of mental health and the reason I was delighted to join with members, patient groups and the other health professions to mark the launch of the Royal Pharmaceutical Society’s new campaign on mental health in Parliament last week. Read more It’s time to make the most of pharmacy in mental health

Care homes: pharmacists and technicians working together

By Wasim Baqir, Medicines optimisation lead for care homes, NHS England

At NHS England I’m responsible for making sure the recently announced new roles in care homes – 180 for pharmacists and 60 for pharmacy technicians – get up and running and the necessary training is in place. But why work in a care home in the first place?

I’ve spent many years working in care homes in Northumbria. Pharmacists and technicians working together in care homes is a fantastic opportunity to drive up standards of safe, high quality care.  In addition, the job satisfaction is enormous.  You get a personal sense of achievement when you stop medicines which are unnecessary and harmful, when you stop waste that’s costly to the system, and work together across boundaries with your community, hospital and general practice colleagues to offer more to residents. Read more Care homes: pharmacists and technicians working together

What are the benefits of having a pharmacist in a care home?

By Sandra Gidley, Chair of RPS England

I’m delighted that NHS England, through the Pharmacy Integration Fund, have invested in creating 180 new jobs for pharmacists and 60 for technicians in care homes across the country.  There are huge benefits for residents in having a pharmacist involved in reviewing their medicines.

The average age of residents in care homes for the elderly is now 85 and they are prescribed an average of 7 or 8 medicines a day, though there are many are on more than that.  Those medicines can bring side-effects which in turn lead to loss of quality of life, so by rationalising those medicines, very often reducing the number taken, people feel better and the NHS saves money too.

Team work

Integration is a new buzzword which is the direction of travel for NHS delivery of health services. Pharmacists and technicians are a key part of the multidisciplinary team of GPs, nurses, geriatricians, and care home staff that look after residents. We need to all work together to provide residents with specialist clinical medication reviews to keep them from harm and keep them out of hospital. Here’s a great example of a care home pharmacist who is part of these reviews in the E & N Hertfordshire vanguard programme.

Residents’ relatives are also vital to such reviews and a very positive consequence is that their relationships with their loved ones often improve as a result of medication changes as the resident feels better and can be more communicative. The overall results in E&N Herts are astounding.  Since December 2015, their care home pharmacy team reviewed 1,426 residents and 13,786 medicines, stopped 2,238 unnecessary medicines including 681 with a falls risk, saved £354,498 in drug costs and an estimated £650,000 in hospital admission costs. They’ve also made a video about the way the vanguard programme was set up and the impact it had.

Challenging ourselves

By investing in pharmacists, commissioners are investing in their older, vulnerable populations and in better outcomes for patients.  By challenging ourselves to work in different ways and across traditional boundaries, we can grow as professionals, be part of a new way of working that enables us to demonstrate the benefits pharmacy can bring and deliver a better standard of care than ever before. It’s not always easy to do this, but it’s essential. Provision of services by pharmacists across settings is the game changer that NHS organisations are working towards.

Our Regional Liaison Pharmacists

RPS England has just appointed four Regional Liaison Pharmacists, who will be approaching local Sustainability and Transformation Partnerships amongst others to ensure they understand the contribution that pharmacists can make to the health needs of their local populations and so provide services that fit local needs. They will also discuss new integrated ways of working and ensure that pharmacists are part of this, including these new opportunities in care homes.

New jobs

I’ve received many requests for information about the new roles in care homes and these are still being worked on by NHS England.  I suggest keeping an eye on www.jobs.nhs.uk and of course the RPS will keep you up to date on developments.

 

Working at system level on care homes

by Wasim Baqir, National pharmacy lead on care homes, NHS England

NHS England has announced 180 new jobs for pharmacists and 60 for pharmacy technicians as part of the drive to improve patient care and the use of medicines in care homes.  At a system level, here’s how it will work – and I promise, it’s not as hard as it sounds!

STPs/ICS

The NHS and local councils came together in 2016 to form 44 Sustainability and Transformation Partnerships (STPs) with a vision to improve health and care for local people across whole areas rather than individual organisations. Following on from the Vanguard programme, the NHS announced 10 Integrated Care Systems (ICS) that have been given greater operational and financial autonomy to manage their services. Read more Working at system level on care homes

No you don’t need a PhD to pursue a career in the Pharmaceutical Industry!

Professor Luigi G Martini FRPharmS, FEIPG, Chief Pharmaceutical Scientist for the Royal Pharmaceutical Society.

Nor do you need to have done an Industrial pre-registration programme either! These are the two most commonly cited questions, or should I say myths, which are often directed at me.

So I have taken the opportunity in this blog to dispel a few myths as follows:

1) You do not need to have a PhD to work in industry, but it does help if you want to work in Research and Drug Discovery. However, there are many roles in Product Development, Manufacturing and Commercial which exist for pharmacists.

2) You do not need to undertake a pre-registration year in industry, and with only 11 such programmes in the UK, they are highly competitive and thus restricted with respect to demand. In fact, pharmacists who have trained and worked in community and hospital are highly regarded by the industry.

3) There has never been a better time to join the industry with pharmacists being highly desired for career paths in Medical Affairs, Regulatory Affairs, Pharmacovigilance and Quality Assurance.

Read more No you don’t need a PhD to pursue a career in the Pharmaceutical Industry!

Creating a profession where you feel comfortable to be yourselves

by Robbie Turner, RPS Director for England

Recently I wrote a blog about  LGBTQ Pride celebrations describing how upset I was that LGBTQ young people were still suffering high levels of abuse, discrimination and mental health issues as a result of their identity. I promised to reflect on what more the RPS could do to support pharmacists to help young LGBTQ people and we are exploring how our future RPS campaigns can deliver this. Read more Creating a profession where you feel comfortable to be yourselves

How pharmacists can help people with learning disabilities

by Robbie Turner, RPS Director for England

Pharmacy teams in community, primary care and acute hospital settings see many people with learning disabilities.

You may not have attached that label to an individual, but you know that you need to use easy words and short sentences for this person, or take longer to show them how to take their medicines. You will know the people who have complex repeat prescriptions – or you will recognise the family member or support worker who hurries in to collect their medicines.

Pharmacists and their teams need to consider how to best communicate with this diverse group and make what are known as ‘reasonable adjustments’ under the Equality Act 2010 to ensure equality of access to pharmacy services.

to help them feel confident in engaging with this diverse group and gives examples of reasonable adjustments. Read more How pharmacists can help people with learning disabilities