AWARDS
INDEPENDENT PRESCRIBER OF THE YEAR
supported by
SALLY ARNISON AND LEANNE CAREY, BARNTON PHARMACY, EDINBURGH
Sally Arnison and Leanne Carey from Barnton Pharmacy in the Scottish capital are the more-than- deserving winners of this year’s Independent Prescribing Pharmacist of the Year Award – mainly because they have consistently demonstrated that it is possible to embed independent prescribing into the core role of community pharmacy.
Their independent prescribing (IP) qualifications enable them to deliver real patient benefits to the community they serve, whether that is in public health and health protection, the management of common clinical conditions, or the management of long-term conditions and polypharmacy.
‘I think,’ Leanne told SP, ‘that we have demonstrated through our work that private prescribing services can show sustained growth in a time when NHS margins are pressed. Through establishing collaborative relationships with other health care professionals we have shown that community pharmacy is an equal partner in the delivery of primary care, and can offer solutions to the GP workload problems.
‘The publication of Achieving Excellence through Pharmaceutical Care commits to extending the role of pharmacist in community. Both Sally and I are already doing all of this and we totally believe that the range of the services that we provide should be used as an example to others of what can be achieved.’
Over the last few years, Sally and Leanne have applied their independent prescribing skills to three areas of day-to-day
community pharmacy practice:
*Influenza vaccinations, which are provided both on a drop-in basis and by visiting local businesses. In 2017, the girls administered around 400 vaccines.
*Private travel clinic – this service is designed to offer a ‘one-stop shop’ for travellers, in which, in addition to all travel vaccines and antimalarials, the pharmacy stocks a range of travel-related products to help boost sales.
‘We offer the service six days a week,’ says Sally, ‘with both pharmacy owners trained in travel medicines, and we are often able to offer same-day appointments. We promote our service using all platforms including Twitter and Facebook and have also had great success offering a bespoke service to schools offering trips, whereby we attend the school and give an information evening for parents to help them navigate the complex area of travel health with tailored advice on their child’s trip.
*Pharmacy surgery – this involves the girls working in partnership with Cramond Medical Practice to deliver an extended minor ailments service to offer more rapid access to advice and treatment for a range of common clinical conditions.
A retrospective study identified that approximately 40 per cent of the duty doctor workload could be handled by Sally and Leanne. Indeed, during the first six months of the clinic, the girls saw 253 patients, who were seeking an on- the-day appointment with a GP. All bar seven were dealt with in the ‘pharmacy surgery’ and two of those referred on were admitted to hospital with pneumonia.
Leanne Carey, Sally Arnison, Barnton Pharmacy & Travel Clinic alongisde Jame Slade, Key Account Manager, Clinigen
The GP practice team now considers both Sally and Leanne to be ‘members of the extended surgery team’, with Sally often attending multidisciplinary clinical meetings to help ensure the integration of the teams and the sharing of pertinent information. The surgery has allowed the GPs to free up doctor time so that they have been able to concentrate on the more complex cases, and the pharmacy surgery has also been welcomed by patients, who are signposted by our receptionist or go directly to the pharmacy for advice and treatment.
In a recent GPhC inspection report, Barnton Pharmacy was rated excellent, with the following comments being highlighted in relation to the services offered.
‘The pharmacy performs consistently well across all standards covering governance, staffing, services, premises, facilities and equipment,’ said the report, ‘and displays typical characteristics of excellence making it a role model for other pharmacies.
‘In addition, a travel clinic continues to develop in light of more people
in the community travelling to areas requiring vaccination and malaria prophylaxis. This reflected how the pharmacy services are designed and delivered with patients at their core, with strong evidence of partnership working with local GPs to ensure people were able to receive vaccinations when they needed them, even at short notice.
‘Staff undertake training and development beyond their existing roles, with technicians encouraged to develop greater clinical roles. The development of dementia services resulted from research undertaken by the pharmacist with a commitment to sharing their learning and good practice with other pharmacies and professional bodies.’
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