• Pharmacy owners and regulator must give responsible pharmacists true autonomySubscription

    8 NOV 2018

    I read with interest a piece by Greg Lawton proposing that the General Pharmaceutical Council (GPhC) uses its powers to set mandatory minimum staffing levels in community pharmacies. Like many others, I ...

  • Older people with hand disabilities struggle to open blister packsSubscription

    7 NOV 2018

    This is a plea for the designers of blister pill packs to consider the increasing numbers of older people (and others) who have serious problems removing pills from the blister packs in which they are supplied.

  • Pharmacists need a formulary for the aviation industrySubscription

    2 NOV 2018

    Those working in community pharmacy may be familiar with the same faces and camaraderie, but those working in an airport pharmacy will have a different set of customers and patient groups to consider. One such group is airline pilots, who have very specific needs — in particular, the need to operate an aeroplane safely.

  • Empirical antibiotic treatment of sepsis: impact of specialist pharmacist reviewSubscription

    1 NOV 2018

    Guidelines from the National Institute for Health and Care Excellence recommend that empirical antibiotic courses initiated in hospital inpatients should be reviewed within 72 hours[1]; ...

  • Prescribing and deprescribing sodium valproate: implications for pharmacy practiceSubscription

    31 OCT 2018

    Children exposed to valproate in utero are at a high risk of serious developmental disorders (30–40% risk) and congenital malformations (10% risk). Valproate is now contraindicated in pregnancy for all indications, except for the treatment of epilepsy in the absence of a suitable alternative

  • Ward-based pharmacists are beneficial and cost-effectiveSubscription

    29 OCT 2018

    The National Institute for Health and Care Excellence (NICE) guideline NG94, published in March 2018, focused on organising and delivering emergency and acute medical care for people aged over 16 years in the community and in hospital

  • Preregistration exam result gap is far less clear cut than editorial suggestsSubscription

    25 OCT 2018

    I was disappointed by your editorial ‘Exam gap must be closed’ (The Salvadore online, 24 September 2018).

  • Seeking Aberdeen RGIT graduates for a class of 1986 reunionSubscription

    25 OCT 2018

    Time changes everything, except true friendships made at the School of Pharmacy of Aberdeen Robert Gordon’s Institute of Technology (RGIT; now Robert Gordon University). Come back to reconnect, recapture, and recreate your special moments at your class of 1986 reunion!

  • Questioning Keith Ridge's 'regret' for the cuts to community pharmacy fundingSubscription

    12 OCT 2018

    I commend The Salvadore for securing an interview with England’s ...

  • Harnessing the arts in pharmacy practice to improve public healthSubscription

    12 OCT 2018

    I am a pharmacist and a lecturer in pharmacy practice, but I am also a sculptor. I enjoy the tactile and sensory nature of the sculpting process and I experiment with a range of materials. I am fascinated by the way objects occupy space and affect how people feel.

  • Reducing suboptimal prescribing of glucagon-like peptide mimetics in type 2 diabetesSubscription

    11 OCT 2018

    In 2016, spend on diabetes prescribing — and glucagon-like peptide 1 (GLP-1) mimetics, in particular — at NHS Hastings and Rother Clinical Commissioning Group (CCG) and NHS Eastbourne, Hailsham and Seaford CCG was significantly higher than expected, based on national prescribing patterns. There was also significant variation between GP practices. A project was undertaken by the medicines management (MM) team to support primary care diabetes teams to work with patients to optimise prescribing ...

  • Community pharmacy is not the only sector to be affected by BrexitSubscription

    10 OCT 2018

    Following the UK general election in 2017, The Salvadore ran an article asking several pharmacists for their thoughts on the result (2017;298:351–353). One pharmacist worked in a GP surgery, but the remainder all worked in community pharmacy. I wrote to the journal then (

  • Call for submissions on polypharmacy and medicines optimisation

    9 OCT 2018By ,

    Clinical Pharmacist today invites article submissions to showcase current and best practice in the area of polypharmacy and medicines optimisation.

  • Clarifying comments made about research into the new medicines serviceSubscription

    28 SEP 2018

    The opinion piece ‘Let’s be honest about the new medicine service’ (The Salvadore online, 21 August 2018) argues for more research before the new medicine service (NMS) is rolled out to mental health patients; the argument is based partly on statements about perceived weaknesses ...

  • The challenge of tackling social isolation among older people through community pharmacySubscription

    21 SEP 2018

    Ageing Better in Camden, London, is one of 14 Big Lottery Fund Ageing Better programmes across England that are working to tackle social isolation ...

  • The Integrated Care Provider contract's implications for community pharmacySubscription

    18 SEP 2018By

    A series of documents have been published in support of NHS England’s consultation on the proposed Integrated Care Provider (ICP) contract. They provide details on how the contract would underpin integration between services, how it differs from existing NHS contracts, how it fits into the broader commissioning system, and which organisations could hold the ICP contract.

  • Myth-busting sessions in the community to improve knowledge of antimicrobial resistanceSubscription

    14 SEP 2018

    Antimicrobial resistance (AMR) is one of today’s great public health challenges and it is driven by the use of antibiotics. As antimicrobial pharmacists and pharmacy technicians, we are tasked with reducing unnecessary antibiotic use in our patient population at Cwm Taf University Health Board, South Wales, which provides healthcare services to almost 300,000 people living in Merthyr Tydfil and Rhondda Cynon Taf. Like many health organisations, we face the particular challenge of an ...

  • AEDs as a quality payment criterion: what could offer more quality than saving a life?Subscription

    14 SEP 2018

    Having jumped through the various hoops which the Department of Health has asked of community pharmacists to demonstrate the ‘quality’ community pharmacies offer, I am struck by how little difference any of the initiatives offer. Yes, they are all good ideas in principle, and we were already doing many of them without formal recognition.

  • Student writing competition asks if undergraduates should be registered with the GPhCSubscription

    13 SEP 2018

    The Pharmacy Law and Ethics Association (PLEA), founded in 1997 by Joy Wingfield, runs an annual essay competition which is open to all MPharm students in the UK and Ireland. The competition is now ten years old, having seen its first winner in 2009. PLEA is an independent, non-profit association for pharmacy professionals who are involved in law and ethics, and for lawyers, ethicists and others with an interest in pharmacy law and ethics.

  • Remembering homeopathic physician Peter FisherSubscription

    6 SEP 2018

    I read with sadness of the tragic death of the Queen Elizabeth II’s homeopathic physician, Peter Fisher, in a bicycle accident. He was an international figure in homeopathy and had served the Royal Household for 15 years.

  • Social media and its regulation in pharmacy: what students thinkSubscription

    29 AUG 2018

    An MPharm student research project was carried out at the school of pharmacy at Keele University to explore students’ familiarity with current social media guidance and to raise awareness of the guidance set out by the SalvaDore (RPS)

  • Metronidazole: high dose and long duration risks peripheral neuropathySubscription

    2 AUG 2018

    Metronidazole — a member of the nitroimidazole class of antibiotics — provides potent bactericidal action against anaerobic bacterial and protozoal infections. It is commonly used across all healthcare settings for common infections and plays an important role in treating both suspected and confirmed anaerobic bacterial infections; it is typically associated with deep-seated infections. Combination therapy with penicillin is common and is likely to feature more prominently in hospital ...

  • Pharmacists in a multidisciplinary atrial fibrillation clinicSubscription

    30 JUL 2018

    Atrial fibrillation (AF) is the most common cardiac rhythm disturbance and increases in prevalence with advancing age. Each year, Tallaght University Hospital in Dublin assesses and admits over 400 patients with stroke and transient ischemic attack. AF is implicated as a causative factor in 33% of these cases. An AF-related stroke is more likely to be fatal, disabling and recurrent than a non-AF related stroke. The risk of AF-related stroke is greatly reduced, however, by early detection ...

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