pharmacists in secure environments - Royal Pharmaceutical Society
pharmacists in secure environments - Royal Pharmaceutical Society
pharmacists in secure environments - Royal Pharmaceutical Society
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n e w s r o u n d u p<br />
m e D I A v i e w<br />
New conference for<br />
new-look <strong>Society</strong><br />
Professional support for memebers<br />
Sam Lister, Health Editor, The Times<br />
Under pressure? - Look at the USA<br />
Obama’s healthcare plan <strong>in</strong> pieces<br />
In step with its chang<strong>in</strong>g face as<br />
a professional body, a brand new<br />
conference is be<strong>in</strong>g launched by the<br />
<strong>Royal</strong> <strong>Pharmaceutical</strong> <strong>Society</strong>, to be held at<br />
Imperial College <strong>in</strong> London on Sunday and<br />
Monday September 5 and 6.<br />
Carry<strong>in</strong>g the theme “Support<strong>in</strong>g Patient<br />
and Professional Decision-Mak<strong>in</strong>g”, the RPS<br />
Conference 2010 is replac<strong>in</strong>g the British<br />
<strong>Pharmaceutical</strong> Conference (BPC) and has a<br />
specialised focus on front l<strong>in</strong>e <strong>pharmacists</strong><br />
and practice.<br />
The RPS Conference 2010 will showcase<br />
how the <strong>Society</strong> as the new professional<br />
leadership body is support<strong>in</strong>g its members<br />
to develop their professional, practice and<br />
leadership skills. It will provide an important<br />
opportunity for <strong>pharmacists</strong> to learn about<br />
the latest practice developments from across<br />
Great Brita<strong>in</strong>, develop their skills and network<br />
with peers and leaders <strong>in</strong> the profession.<br />
It will also explore how <strong>pharmacists</strong><br />
can tackle issues professionally as their<br />
cl<strong>in</strong>ical role <strong>in</strong>creases and will provide an<br />
enlighten<strong>in</strong>g forum for <strong>in</strong>-depth and multiprofessional<br />
discussions that will br<strong>in</strong>g<br />
practical solutions to life.<br />
The science element of BPC will now be<br />
run at a separate conference held by the<br />
Academy of <strong>Pharmaceutical</strong> Sciences (APS)<br />
for pharmaceutical scientists, although the<br />
RPS conference will also ma<strong>in</strong>ta<strong>in</strong> a “science<br />
<strong>in</strong>to practice” element.<br />
“I’m delighted to officially announce our<br />
new conference, which is at an excellent<br />
London venue,” says RPSGB Chief Executive<br />
Jeremy Holmes.<br />
“The two-day programme focuss<strong>in</strong>g on<br />
professionalism and pharmacy practice has<br />
been developed to reflect the major changes<br />
<strong>in</strong> the profession and has a real emphasis on<br />
a pharmacist’s role as a public-fac<strong>in</strong>g health<br />
professional.”<br />
The programme will be led by Conference<br />
Chair, Professor Marjorie Weiss, Professor<br />
of Pharmacy Practice & Medic<strong>in</strong>e Use at the<br />
University of Bath, together with professional<br />
leads from the <strong>Royal</strong> <strong>Pharmaceutical</strong> <strong>Society</strong><br />
and its membership.<br />
Thought-provok<strong>in</strong>g<br />
sessions to empower<br />
your professional<br />
and leadership skills<br />
Marjorie says; “This is a not-to-be-missed<br />
event for <strong>pharmacists</strong> and will showcase<br />
the latest practice research. It will feature<br />
thought-provok<strong>in</strong>g sessions to empower<br />
your professional and leadership skills<br />
through network<strong>in</strong>g and workshops which<br />
will be both <strong>in</strong>spir<strong>in</strong>g and <strong>in</strong>teractive.”<br />
The <strong>Society</strong> is now call<strong>in</strong>g on contributions<br />
<strong>in</strong> any area of pharmacy practice research for<br />
the conference, either as an oral or poster<br />
presentation. Research and development <strong>in</strong><br />
cl<strong>in</strong>ical pharmacy and education will also be<br />
considered.<br />
Submissions should be either for the<br />
‘’practice development and audit’ or<br />
‘practice research’ category. It should<br />
relate to orig<strong>in</strong>al, previously unpublished<br />
work contribut<strong>in</strong>g to the understand<strong>in</strong>g,<br />
development or evaluation of pharmacy<br />
practice.<br />
Meanwhile, nom<strong>in</strong>ations or applications<br />
for the Practice Research Award at the<br />
<strong>Society</strong>’s Conference 2010 are be<strong>in</strong>g <strong>in</strong>vited<br />
for consideration by the conference Practice<br />
Research Panel.<br />
This prestigious award, sponsored by the<br />
Pharmacy Practice Research Trust, recognises<br />
<strong>in</strong>dividuals who have made a significant<br />
contribution to the field of pharmacy<br />
practice research and who have the potential<br />
to become a leader <strong>in</strong> the field.<br />
The 2009 award went to Dr Darren<br />
Ashcroft, Reader <strong>in</strong> Medic<strong>in</strong>es Usage<br />
and Safety, School of Pharmacy and<br />
<strong>Pharmaceutical</strong> Science at the University<br />
of Manchester for his work <strong>in</strong>to medic<strong>in</strong>es<br />
usage and <strong>in</strong> particular quality and safety.<br />
Dr Ashcroft said: “The Practice Research<br />
Award recognised my research and work<br />
over the last 10 years study<strong>in</strong>g drug related<br />
morbidity <strong>in</strong> the UK and its development<br />
<strong>in</strong>to a wider European context. W<strong>in</strong>n<strong>in</strong>g this<br />
award meant a lot to me.”<br />
Typically, applicants should be at the midpo<strong>in</strong>t<br />
of their career (e.g. Senior Lecturer<br />
or Senior Research Fellow). The w<strong>in</strong>ner will<br />
receive a cheque for £1000 and have the<br />
opportunity to deliver a 30-m<strong>in</strong>ute lecture at<br />
the <strong>Society</strong>’s Conference 2010 <strong>in</strong> September,<br />
based primarily on the applicant’s own<br />
research.<br />
Beth Allen, Act<strong>in</strong>g Director of the<br />
Pharmacy Practice Research Trust said: “The<br />
Trust is pleased to cont<strong>in</strong>ue its support for<br />
this award. It complements so well our<br />
objective of develop<strong>in</strong>g and promot<strong>in</strong>g<br />
academic excellence <strong>in</strong> pharmacy practice<br />
research. S<strong>in</strong>ce we started our support of<br />
this award the two recipients, Dr Margaret<br />
Watson and Dr Darren Ashcroft, have<br />
proved to be worthy w<strong>in</strong>ners through their<br />
cont<strong>in</strong>u<strong>in</strong>g significant contributions to<br />
pharmacy practice research.” n<br />
The clos<strong>in</strong>g date for receiv<strong>in</strong>g abstracts for<br />
the conference and/or applications for the<br />
award is 5pm on Tuesday April 13. For full<br />
details visit http://beta.pharmacyplb.com/<br />
events-and-courses/the-royal-pharmaceuticalsociety-conference-2010.asp<br />
The woes and warn<strong>in</strong>gs<br />
associated with<br />
healthcare <strong>in</strong> the UK<br />
may be troubl<strong>in</strong>g, but spare a<br />
thought for the Americans.<br />
The United States, the only<br />
<strong>in</strong>dustrialised nation that does<br />
not guarantee health coverage<br />
for all its citizens, is fast head<strong>in</strong>g<br />
for the critical list with its<br />
health system ailments. Some<br />
47 million people are without<br />
<strong>in</strong>surance, medical costs are<br />
ris<strong>in</strong>g, doctors’ bills cause most<br />
personal bankruptcies and its<br />
federal programme for the<br />
elderly is unsusta<strong>in</strong>able. For<br />
all its cl<strong>in</strong>ical <strong>in</strong>novation, the<br />
world’s most affluent nation can<br />
be a tough place to get ill.<br />
Barack Obama acknowledged<br />
as much <strong>in</strong> mak<strong>in</strong>g healthcare<br />
his top priority on enter<strong>in</strong>g the<br />
White House. He promised<br />
change, mak<strong>in</strong>g healthcare a<br />
fundamental right. Insurance<br />
would be mandatory, either<br />
through a person’s employer or<br />
a government scheme. There<br />
would be tighter regulation<br />
(stopp<strong>in</strong>g <strong>in</strong>surers refus<strong>in</strong>g<br />
to cover people with preexist<strong>in</strong>g<br />
conditions or dropp<strong>in</strong>g<br />
them when they get ill). New<br />
mechanisms would control<br />
treatment and drug prices,<br />
while a voluntary <strong>in</strong>surance<br />
programme would be offered for<br />
long-term care.<br />
Perfect storm<br />
It was a big wish-list, but all<br />
seemed to be go<strong>in</strong>g to plan.<br />
By the start of this year, the<br />
Obama adm<strong>in</strong>istration had<br />
sign-offs from the House of<br />
Representatives and the Senate.<br />
It looked like they could trip<br />
and still stumble over the f<strong>in</strong>ish<br />
l<strong>in</strong>e. And then, <strong>in</strong> a perfect<br />
storm of poor politick<strong>in</strong>g, the<br />
Democrats failed to quell ris<strong>in</strong>g<br />
anger over the cost and structure<br />
of the programme, added <strong>in</strong><br />
some cynical <strong>in</strong>surance caveats<br />
to please their union backers,<br />
and then contrived to lose<br />
Ted Kennedy’s Massachusetts<br />
Senate seat (and with it their<br />
all-important vot<strong>in</strong>g “supermajority”).<br />
A few months on,<br />
and Barack’s grand plan for<br />
healthcare is <strong>in</strong> pieces.<br />
Th<strong>in</strong>k-tanks<br />
argued over<br />
excessive<br />
federal control,<br />
and the<br />
government’s<br />
suitability to<br />
regulate quality<br />
and costs<br />
On a recent trip to<br />
Wash<strong>in</strong>gton DC, I met with<br />
legislators, pollsters and<br />
commentators from across the<br />
political spectrum who threw<br />
light on this extraord<strong>in</strong>ary turn<br />
of events. It also offered ideas<br />
on ways forward – and a lesson<br />
learnt from the country’s recent<br />
pills and pharmacy legislation.<br />
There was broad agreement<br />
that an overhaul of healthcare<br />
is a must. Tom Daschle, the<br />
Democrat former Senate majority<br />
leader, put it simply: the US does<br />
not have a healthcare system; it<br />
is an amalgam of market forces<br />
which do not prioritise quality.<br />
Republican congressman Charles<br />
Boustany, a cardiothoracic<br />
surgeon, po<strong>in</strong>ted to flaws <strong>in</strong> the<br />
way hospitals and doctors were<br />
paid – reward<strong>in</strong>g patient numbers<br />
over best practice. Th<strong>in</strong>k-tanks<br />
argued over excessive federal<br />
control, and the government’s<br />
suitability to regulate quality<br />
and costs, while some even<br />
questioned healthcare as a<br />
fundamental right. There is, as<br />
Newsweek columnist Robert<br />
Samuelson observed, an <strong>in</strong>tr<strong>in</strong>sic<br />
part of the American psyche that<br />
demands autonomy.<br />
An overarch<strong>in</strong>g theme was<br />
the sheer size of Obama’s<br />
legislation: it is too unwieldy,<br />
too all consum<strong>in</strong>g, too divisive<br />
and too poorly unpacked and<br />
expla<strong>in</strong>ed to the public. While<br />
Americans cont<strong>in</strong>ue to lose their<br />
jobs, sweep<strong>in</strong>g trillion-dollar<br />
healthcare reform is the wrong<br />
priority (a po<strong>in</strong>t acknowledged<br />
<strong>in</strong> its B-league position <strong>in</strong> the<br />
State of the Union address).<br />
However close th<strong>in</strong>gs came<br />
to be<strong>in</strong>g passed, those on the<br />
political frontl<strong>in</strong>e now doubt<br />
any great health overhaul will<br />
be signed with a s<strong>in</strong>gle stroke of<br />
the legislative pen.<br />
A lunch with Mark McClellan,<br />
a senior fellow of the Brook<strong>in</strong>gs<br />
Institution, offered clues<br />
as to what next. McClellan<br />
served both Cl<strong>in</strong>ton and Bush<br />
adm<strong>in</strong>istrations, most recently<br />
runn<strong>in</strong>g Medicare and Medicaid,<br />
the federal programmes cover<strong>in</strong>g<br />
the elderly, disabled and the<br />
poor. In this role, he oversaw the<br />
<strong>in</strong>troduction of a new benefits<br />
scheme for prescription drugs,<br />
designed to ensure patients could<br />
afford the treatments they need<br />
at their pharmacies. The scheme<br />
offered <strong>in</strong>itial coverage of up to<br />
$2,250, with extra allowances<br />
where required. Money that<br />
went unused was reabsorbed <strong>in</strong>to<br />
the patient’s benefits package,<br />
encourag<strong>in</strong>g sensible claims and<br />
spend<strong>in</strong>g.<br />
Generic drugs<br />
The legislation was big, but<br />
specific enough to avoid the<br />
reform-stall<strong>in</strong>g divisions that<br />
have scuppered past attempts<br />
to reshape healthcare. It got the<br />
votes needed. McClellan said<br />
that s<strong>in</strong>ce implementation <strong>in</strong><br />
2006, the use of generic drugs<br />
has risen from half to 70%,<br />
while the cost of prescription<br />
claims has dropped by 40%.<br />
Others backed his assertion that<br />
it had improved coverage and<br />
brought some sav<strong>in</strong>gs.<br />
As President Obama and his<br />
team chew over the healthcare<br />
year ahead, they might look to<br />
this lesson: dump plays at vast<br />
reform and go for <strong>in</strong>cremental<br />
shifts – or risk miss<strong>in</strong>g out<br />
entirely on the change so sorely<br />
needed.<br />
Food for thought across the<br />
pond too. For all its monolithic,<br />
multi-layered structures, the<br />
NHS can be a pleasantly simple<br />
place. n<br />
l Sam Lister is Health Editor of<br />
The Times. An award-w<strong>in</strong>n<strong>in</strong>g<br />
former health correspondent<br />
and news editor, he has covered<br />
the NHS and medical workforce<br />
through reformation and revolt<br />
and groundbreak<strong>in</strong>g advances<br />
<strong>in</strong> cl<strong>in</strong>ical practice and disease<br />
control.<br />
10 Pharmacy Professional | March 2010<br />
March 2010 | Pharmacy Professional<br />
11