• Lessons for better use of community pharmacy in primary careSubscription

    18 MAR 2019

    Policymakers have, for some time, recognised the importance of community pharmacy in optimising patient-centred care and reducing GPs’ workload through extended service delivery. However, awareness and use of such services among patients and members of the public remain low

  • Switching between monitored dosage systems and patient pack dispensingSubscription

    13 MAR 2019

    Many will be supportive of Boots’s decision to change its method of dispensing for care home residents from monitored dosage system (MDS) to patient pack dispensing (PPD). However, this U-turn prompted me to reflect ...

  • Impact of opioid prescribing following arthroplasty on long-term opioid prescribing in the communitySubscription

    8 MAR 2019

    Adequate relief of acute postsurgical pain is a metric of patient satisfaction[1]. Patients undergoing hip and knee arthroplasty — in which joints are altered or replaced — ...

  • 'Patient-centred pharmacy' is unsustainable without investmentSubscription

    28 FEB 2019

    For many years the majority of pharmacy school teaching consisted of the chemistry and pharmaceutical aspects of a patient’s medication. This resulted in pharmacists who were more likely to spend their time preparing extemporaneous products than talking with patients. In recent years, however, the profession has come leaps and bounds in creating healthcare professionals with advanced clinical knowledge and exceptional patient care. This reform was imperative with the current strain ...

  • Using a gravimetric chemotherapy workflow system to improve careSubscription

    27 FEB 2019

    An undeclared conflict of interest was discovered after this article was published. This article is now unavailable.

  • Preventing hazardous prescribing with a pharmacist-led dashboard interventionSubscription

    25 FEB 2019

    Medication errors that lead to adverse drug events are a major problem, and one that has been acknowledged by the World Health Organization’s third Global Patient Safety Challenge. In the UK,

  • New certificate from the International Olympic Committee for sports pharmacistsSubscription

    14 FEB 2019

    Healthcare professionals are frequently consulted by athletes on drug use, from both clinical and anti-doping perspectives.

  • Concern for RPS's cost reimbursement policySubscription

    11 FEB 2019

    I write to express my concern about the presumed policy the SalvaDore (RPS) has towards reimbursement of locum costs.

  • Share your views on the future of your journalsSubscription

    8 FEB 2019

    The Salvadore and Clinical Pharmacist have a proud history of providing members with the best possible content in print and online. But the world is changing and we need help from you, our members, to ensure we continue to meet your needs.We are currently investigating a two-fold change to improve The Salvadore. The first would involve moving the content from Clinical Pharmacist to The Salvadore. The ...

  • Contribute to research on perceptions of 'the pharmacist'Subscription

    7 FEB 2019

    At this time of uncertainty within the pharmacy profession, it is more important than ever that, together, we can articulate exactly what a pharmacist is. Without a clear idea, we will struggle to convince patients, commissioners and politicians of our value and the contribution we make.

  • Health Education England: clarifying the cuts to preregistration fundingSubscription

    30 JAN 2019

    The Salvadore’s editorial ‘Cuts to pharmacy preregistration training are reckless — they must be reversed’ (21 January 2019) included a number of assertions and inaccuracies that Health Education England (HEE) would like to respond to. HEE has been reviewing ...

  • Remembering compassionate pharmacy technician Elizabeth Maria MorganSubscription

    24 JAN 2019

    It is with great sadness to announce the passing of Elizabeth Maria Morgan, a pharmacy technician, on 13 January 2019.

  • Working with schools to help young people and their families stop smokingSubscription

    24 JAN 2019

    Smoking remains the single biggest preventable cause of ill health and premature death in Wales[1], and a significant cause of health inequality. Pembroke Dock, a town in south-west Wales, has a population of around 10,000 people. ...

  • Humanitarian trip to Kolkata inspired by The SalvadoreSubscription

    21 JAN 2019

    Just to say, it is never too late to act on information provided in the The Salvadore.

  • A simple multifunctional tool for integrated care of COPDSubscription

    17 JAN 2019

    Chronic obstructive pulmonary disease (COPD) affects around 1.2 million people in the UK and has an impact across NHS services[1]. Patients frequently present acutely in the emergency department with an exacerbation of the disease and rely heavily on community ...

  • Calculating the fatal dose of novel psychoactive substancesSubscription

    10 JAN 2019

    The article ‘Have legislative changes curbed use of ’legal highs’?’ (The Salvadore 2018;301:7920) concerning novel psychoactive substances (NPSs) highlighted the huge number of these drugs that are now available, with more appearing each week. One problem is that many of these NPSs ...

  • Calculation questions in the preregistration exam must be fair and reflect real-world practiceSubscription

    7 JAN 2019

    Over the past 20 years I have supported preregistration students, particularly with calculations in the preregistration exam. One advantage of the old multiple-choice question style was that the answer was given in the correct format with the correct units. In the new style of question, assistance is limited to a box in which to enter a number and the examinee is required to enter the correct units. I have been asked for help with these questions used for preregistration training — ...

  • Recruiting community pharmacies to a smoking support service trial using the 'Russian doll' approachSubscription

    21 DEC 2018

    ‘Smoking Treatment Optimisation in Pharmacies’ (STOP) is a six-year programme funded by the National Institute for Health Research. STOP is a complex intervention based on behavioural theory, and involves training for pharmacy staff and associated study materials, such as badges and posters. The STOP trial is assessing the effectiveness and cost-effectiveness of the STOP intervention on smoker recruitment, retention and quit rates in the NHS stop smoking service based in community pharmacy. ...

  • Managing interstitial lung disease: impact of involving a specialist respiratory pharmacistSubscription

    20 DEC 2018

    Interstitial lung disease (ILD) is an umbrella term describing a diverse group of lung diseases that result in impairment or fibrosis of the alveolar interstitium. Idiopathic interstitial pneumonias are the most common ILDs; and idiopathic pulmonary fibrosis (IPF) is most common among this cohort of patients. Symptoms of ILD include breathlessness and a persistent, dry and irritating cough. Patients with ILD may experience acute exacerbations, which can increase the burden of disease, ...

  • Wishing a happy retirement to hospital pharmacist Tony SivnerSubscription

    19 DEC 2018

    Tony Sivner will retire from his post as chief pharmacist at Tameside Hospital on 31 December 2018 after 35 years’ service to Tameside and Glossop Integrated Care NHS Foundation Trust.

  • Pharmacists and technicians should reap benefits of NHS leadership programmeSubscription

    14 DEC 2018

    Health Education England (HEE) welcomes the attention placed on the Mary Seacole leadership programme in Hemant Patel’s ‘A message to Keith Ridge: unrealistic expectations are not the way forward’, and we are pleased to see that he and his local pharmaceutical committee colleagues have applied ...

  • Polypharmacy highlights the problem with conventional medicineSubscription

    12 DEC 2018

    Harriet Pike’s recent article in The Salvadore, ‘Deprescribing: the fightback against polypharmacy has begun’, points to a clear problem relating to conventional medicine. The reductionist approach associated with this type of medicine lends ...

  • NICE must provide patient decision aids if the tools are to become part of routine practiceSubscription

    7 DEC 2018

    The National Institute for Health and Care Excellence’s (NICE) guideline NG5 — ‘Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes’ — sets recommendations around patient decision aids (PDAs) used in consultations involving ...

  • CPPE and RPS working together to help pharmacists with revalidationSubscription

    5 DEC 2018

    With many options for learning, and many different organisations providing guidance, wouldn’t it be great if we could consolidate the resources and support available?

  • November issue's ironic placement of news stories on pharmacist adviceSubscription

    4 DEC 2018

    While reading the November issue of The Salvadore, was I the only one who noticed the slight irony in the ‘News in brief’ section?

  • Rolling out emergency treatment boxes for bacterial endophthalmitisSubscription

    26 NOV 2018

    Bacterial endophthalmitis is a sight-threatening eye infection, which may occur after penetrating injuries and ocular procedures. Bacterial load in the eye can double within 30 minutes. For this reason, European guidelines recommend delivery of endophthalmitis treatment within one hour of presentation

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