the pharmacy show newspaper, july issue
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The Pharmacy Show newspaper, July IssueTRANSCRIPT
To find out the answer to these fundamental questions for the profession’s future, visit this year’s Pharmacy Show, scheduled to take place on Sunday 29th - Monday 30th September, 2013, at the National Exhibition Centre (NEC), Birmingham.
Seismic challengesThe latest changes to the NHS in England are seismic in comparison to all previous re-modellings of the health system. The most important change is the emergence of a new breed of commissioner with attitudes that are as rich in electoral accountability as they are poor in knowledge, understanding and sympathy with any previous perceptions of professional healthcare boundaries.
In a service-driven era where outcomes and competitive tendering lie at its heart, the gloves are effectively off, and through the Any Qualified Provider model, pharmacy must stand up and be counted, and compared, with the very best providers healthcare services in the market today.
So, is it any wonder that when pharmacies are exposed by the likes of consumer watchdog Which? for substandard service, that their critics – and competitors - start asking questions about the apparent ‘disconnect’ between the level of service pharmacy tells the NHS it can provide to patients, and the levels of service it actually provides?
When people question whether medicines optimisation is a fad, and the sceptics carp that medicines optimisation is just medicines management ‘rebadged’, should pharmacy really
be shouting about the provisional findings of the New Medicine Service, which show that over eight in ten NMS medicines attracting an NMS service fee were already being taken as prescribed? If, as the dispensing doctors say, around 17 NMS patient consultations need to be done for one medicine to become adherent - at a cost of between £350.80- £491.12 to a cash-strapped NHS - why shouldn’t pharmacy be asked to stand up and defend its value for money service proposition?
Equally, debatable are the recent findings of the Healthy
www.thepharmacyshow.co.uk @pharmacyshow July 2013
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Launching Pharmacy Show Chat & Community Sites
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2013 Exhibition Floor Plan
Latest Exhibitor News
Improving public health and reducing medicines waste are themes that are set to dominate conversations about the NHS during 2013 and beyond, but as the NHS struggles to pay for any new services, questions will be asked whether pharmacy represents the cost effective solution that NHS commissioners need?
IS PHARMACY FIT FOR A FUTURE IN THE NEW NHS?
Recently, I needed to go and buy some medicines. So, on my way into work, I popped into the nearest pharmacy to my route into work: a branch of a very large chain of chemists. I bought Piriton and Co-codamol.This turned out to be a particularly disappointing example of a very lackadaisical, dangerous attitude to OTC sales. And this comes merely a few weeks after publication of the latest Which? report into pharmacy, and about a week after pharmacy was referred to, by Ben Goldacre and Andy Lewis no less, as a “quack profession”.
Now, I’m demonstrably not a parent, but you know when a child is told off for doing something naughty? The usual response is it stops doing the naughty thing, and is extra well-behaved for a while until the original offending behaviour is forgotten about. Then it starts being naughty again.
On second thoughts, I know some adults to whom the same applies. The pharmacy profession as a whole should be in that well-behaved phase right now. We should be pulling together, and ensuring that everyone involved - including counter staff- pulls up their collective socks, shakes off bad habits, and works to the highest quality – not simply to prove a point, but because this is how we should operate all the time.
So back to the pharmacy, I shuffled in and asked for “Some Piriton and some co-codamol”. The lady who served me appeared to be an experienced member of the pharmacy counter-staff. Here’s how the conversation went:Counter assistant: “Do you want a pack of 30 or 60 Piriton?Me: 30Her: And you wanted paracetamol?Me: No, co-codamol.Her: Soluble?
Bad Pharmacy: An example
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The Pharmacy Show: For WinnersThe Pharmacy Show was recently shortlisted by Exhibition News Magazine for Best Trade Show 2013, and with over 200 nominations received, this alone demonstrated how the show is held in high regard by exhibition peers as well as the pharmaceutical industry.
We are absolutely delighted to announce on the night of the awards ceremony (10th April 2013), a panel of judges announced The Pharmacy Show as WINNERS. This is a huge achievement and testament to all the hard work and effort put in by the team to ensure The Pharmacy Show remains the UK’s most attended and important education and sourcing event in the community pharmacy industry.
The judges commented “The Best Trade Show category was the most hotly contested of all categories at this year’s Exhibition News Awards.”
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We all know family and friends whose lives have been saved or transformed by the care and treatment of NHS staff. As a mother, I know where the local hospital, doctor and pharmacist are located so that I can access them when I or my family need them. As a new mum, I used NHS Direct to reassure myself about the baby’s latest ailment, secure in the knowledge that it was a trained nurse answering my questions, referring me to A and E when they shared my worries.
But that security and comfort is being undermined. Over the last few weeks we have heard countless stories in the national media about pressures on the NHS. The introduction of NHS 111 has been fraught with difficulties as it has replaced trained medical staff at NHS direct with call centre staff relying upon scripts and algorithms. Already deaths have been blamed on administrative errors as the system struggled to cope with calls and trying to get ambulances out to those who needed emergency care.
At the same time, health commentators are predicting that we are a matter of months from a meltdown in A and E as hospitals struggle to cope with demand. Too often they see patients who frankly should not be there, but simply do not know where else to go during weekends or out of hours. Coupled with this, many of the NHS walk-in centres have been closed as funding is reduced and the new clinical commissioning groups re-evaluate their budgets and what they can do with them.
As the stories grow about the poor response and service being given to some through NHS 111, it creates more insecurity and people will not rely on them turning automatically to their local A and E, adding a further burden on an already over-stretched service.
So the perfect storm is brewing in healthcare, undermining all our instincts that tell us we can rely on the NHS.
Where is community pharmacy in all of this? Sadly, not where it should be.
Community pharmacy should be the answer to the question being posed by commissioners up and down the country - ‘what are we going to do to reduce pressures on A and E?’
There are too many patients needing EHC who still attend A and E when instead they should be going to their local pharmacy. There are still too many patients that run out of medicines and think they can get them at the hospital, when they should be seeing their pharmacist. Too many have minor ailments but when out of hours and the GP surgery is closed, believe their only choice is to go to A and E, when they should be seeing their pharmacist.
This is just the tip of the iceberg. Yet, they are the type of cases where pharmacy should be the first port of call.
We need policy makers and commissioners to understand the role that pharmacy can play and to start thinking about the re design of services and care which integrates pharmacy at the front end. Why did ministers not consider a national network of pharmacies to deliver the minor ailments service? Why are commissioners not pushing more ‘flu vaccinations to pharmacy, rather than patients attending GP surgeries?
We know that secondary care, which takes more than half of local health economies’ spend, needs to adjust its focus. Acute trusts are reviewing how they get more value by using primary care and social services to prevent people coming into hospital or staying there.
At the other end of the health spectrum, we know that trusts are looking at how they can provide some the tertiary or specialist
services at local hospitals, rather than expecting patients to travel. It is also a better financial model for trusts who want to prevent more of the funds heading to the door of the specialist centre.
In all of these cases the solution to the problems should start with pharmacy and primary care. More people need should and could be treated in the community.
So pharmacy needs to step up its game. It needs a national campaign to promote community pharmacy to the public. This is not about individual commercial advantage. It should not be about Boots’, Lloyds or any independent pharmacy. It is more important than that. It is about the re-education of the public to understand the right place to access help. When they have coughs or colds and other minor ailments, or simply need advice, they should start with the pharmacy. If the pharmacist can’t help then he or she will be able to signpost to other options in the sector that can. Because if we can’t or won’t deliver that message right, then we will all face a bleak future. Our NHS is struggling in an environment where our demands are growing while our funding is reducing. This is surely untenable.
I want the security and peace of mind in knowing that if I, or my family, have a genuine emergency we can access the advice and care we need easily and quickly. All of these stories above chip away at that peace of mind. There are millions of people like me. The only way we can help is if we make a genuine, decisive and collectively committed effort to improve the quality and offering of community pharmacy. Next we have to ensure policy makers, commissioners and, above all, the public understand the value and role of community pharmacy.
The Pharmacy Show is organised by CloserStill Media Healthcare LimitedGeorge House, Coventry Business Park, Herald Avenue, Coventry CV5 6UB. Tel: 02476 717151
Matthew Butler, Group Event Director [email protected]
Esther Beal, Show Manager [email protected]
Garry Tyson, Senior Sales Executive [email protected]
Lucy Pitt, Group Marketing Manager [email protected]
Mike Hulse, Marketing Executive [email protected]
Julia Danmeri, Head of Operations [email protected]
Kate Jackson, Conference & Speaker Manager [email protected]
Laura Shapiro, Clinical Programme Manager [email protected]
Debbie Wilson, Credit Controller [email protected]
Alex Slater, Event Administrator [email protected]
Michael Westcott, Managing Director [email protected]
Pharmacy and commissioning – we MUST win the argument
OPINION
Most of us have grown up in the security of the NHS. From birth in an NHS hospital through childhood illnesses, broken bones and operations, we have been comforted by the institution that is free at the point of use and does not discriminate.
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Me: No.Her: have you got a loyalty card? Me: NoHer: that’ll be £5.34Me: [pays and leaves]
Here is how the conversation should have gone, at a bare minimum:Counter assistant: Do you want a pack of 30 or 60 Piriton?Me: 30Her: We’ve got a cheaper generic version, if you want that?Me: Lovely, yes pleaseHer: These can cause drowsiness, mind, so make sure you don’t drive or anything when you’ve taken themMe: Okay, I won’t.Her: And you said you wanted co-codamol?Me: Yes.Her: Soluble or tablets?Me: Just tablets is fineHer: Have you used these before? Do you take them regularly?Me: No, just when I have a headache now and again.Her: Because of the codeine content, they should be used for no more than 3 days at a time. If you feel you still need to use them after that, see your doctor. They also contain paracetamol, so make sure you don’t take any other paracetamol products with them - and no more than 8 tablets in a day.Me: OkayHer: Do you take any other medication at all?Me: No, just the contraceptive pillHer: Have you got a loyalty card? Me: NoHer: That’ll be £5.34Me: [Pays and leaves]
That extra counselling would have taken an extra 20 seconds, which might have seemed like a minor inconvenience to me. But let’s have a look at the theoretical consequences of this conversation not taking place:
Piriton: Causes drowsiness. I take one, get in my car, fall asleep at the wheel, and have an accident.
Co-codamol: I don’t realise it contains paracetamol and take 2 co-codamol tablets and 2 paracetamol tablets four times a day for a while. I get liver failure, and die a slow, painful, unpleasant death because a suitable liver isn’t available for transplant.
Also: I take co-codamol regularly for a week. I then try to stop taking co-codamol, and start getting headaches, and generally feeling awful, so I restart taking it. I am now dependent on the codeine.
Yes, I am a pharmacist, so I already know the potential risks and consequences of taking these drugs. But I wasn’t wearing an “I’m a pharmacist” T-shirt that morning, so it’s not like the counter assistant knew this.
Simply because I asked for the products by name does not necessarily mean that I know all about them and do not require full counselling on how to use them appropriately. And yes, I do also know that there is no good evidence that co-codamol is more effective than paracetamol alone, and I know I’m daft to be buying them, before anyone starts with the “aren’t you supposed to be a skeptical pharmacist?” Sometimes even skeptical pharmacists like to utilise the placebo effect that the promise of a tiny opioid hit provides.
Irresponsible and dangerous
Any of these theoretical problems can- and do - happen to people. We simply cannot go on providing such poor service over the counter and yet at the same time expect our profession to be taken seriously. This is not safe selling of medicines - this is irresponsible and dangerous, and unacceptable. It makes me pretty angry because it not only gives me a bad name, and all the other great, conscientious pharmacists I know, but more importantly because it endangers patients on a minute-by-minute basis.
A Health Dose of Skepticism – a sceptical pharamcist’s blog (http://healthydoseofskepticism.blogspot.co.uk/)
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Living Pharmacy pathfinder programme. When HLPs in some service areas are found to deliver worse outcomes than their non-HLP equivalents(from the recent evaluation report), and where the implementation of the HLP in an area is shown to reduce the area’s service outcome, does this really prove the case for pharmacy and the HLP model as the best mechanism for delivering public health services and meeting the escalating public health challenges facing the NHS today?
Pharmacy Show debates to signpost the futureThere are no easy answers to these questions, but solutions lie in networking and practice-sharing, and taking the best of the advice and help that are on offer. And, this year’s Pharmacy Show gives the pharmacy community the opportunity to do just this.
With most key speakers already signed up to present at the show and over 6,500 delegates expected to attend, the Pharmacy Show offers the very best networking venue for
pharmacists available today.
Improving clinical knowledge will be a key component of this year’s Pharmacy Show and the show organisers have announced that the highly successful sister-event, the Clinical Pharmacy Congress, will present a new, two-stream clinical conference. The clinical education programmes, chaired by Jonathan Mason, will allow community pharmacists to engage and collaborate with their secondary care colleagues on medicines optimisation,
transfer of care. Community pharmacists will also be able to attend a series of refresher seminars on key therapeutic areas.
Interactive patient case reviews In a Pharmacy Show first, community pharmacists, and their hospital colleagues, will be able to attend interactive patient case series reviews in special sessions moderated by clinical leaders covering respiratory, cardiovascular diseases and diabetes.
With so many key issues confronting the pharmacy profession, there will plenty of opportunities for delegates to tackle the profession’s leadership and its leading entrepreneurs in a ‘Question Time’-style debate panel to address all of the big issues, such as contract funding, medicines supplies and service commissioning, confronting community pharmacy
businesses across the country. Pharmacy owners and managers will be able to quiz entrepreneurs including: Kirit Patel MBE of the Day Lewis group; Graham Phillips of the Manor Pharmacy Group; Ash Soni, Cope Pharmacy; Sultan ‘Sid’ Dajani of Wainwrights Chemists and Vijay Patel, CEO of Waymade. The panel will participate in a no-holds barred discussion on a range of topics which will allow delegates to gain a unique perspective on how the most successful pharmacy businesses are tackling
the myriad of challenges and the very exciting opportunities that the changes in the healthcare landscape have presented.
Following last year’s popular and lively panel debate all the leading pharmacy organisations such as the RPS, the NPA, the PSNC, the PDA, the GPhC and the IPF will be present to debate the current live issues.
Pharmacy represents one of the largest retail channels in the UK for suppliers of medicines and healthcare products. Research shows that 84% of all UK adults visited a pharmacy in the last 12 months – with the average number of visits in a year being 14 times.
The award-winning (see story below) Pharmacy Show will this year see the biggest ever exhibition showcasing more than 400 suppliers (see page xx for the 2013 exhibitor list) – all keen to tap into the multi-billion pound pharmacy market.
“There seems to be a tangible sense of excitement and anticipation about this year’s show. We are expecting our biggest ever attendance. This is an incredibly important time for pharmacy to define its future and to stand up and be counted,” said Pharmacy Group Show Director Matthew Butler.
“We’re working hard – with all our partners and stakeholders in the profession – to ensure we deliver a show in September which will be
able to signpost many of the answers the profession is seeking to ensure it retains its critical role in the frontline of delivering world-class patient care and is equipped to play its part in tackling the looming public health crisis,” Butler added.
i) Comment by DDA vice-chairman Dr Allan Tennant [online] at http://www.dispensingdoctor.org/comments.php?id=2523ii) Healthy Living Pharmacy pathfinder programme evaluation report, p33-35 [online] at: http://www.psnc.org.uk/news.php/1568/hlp_evaluation_adds_to_evidence_for_developed_pharmacy_role
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By Claire Ward, Chief Executive, The Independent Pharmacy Federation
Jonathan Mason
Sultan ‘Sid’ Dajani
Matthew Butler
“The judges awarded CloserStill Media for its superb efforts on The Pharmacy Show. CloserStill is doing great things with its innovative exhibition model in several industries, and in the short time since its establishment, has earned itself a reputation
for identifying emerging trends and successfully turning these into events. The organiser was recognised by the judges for achieving significant growth in a targeted and potentially difficult market. CloserStill was also complimented on its hard-working Pharmacy Show team and in-depth knowledge of the pharmacy industry, which shone through its seminars and content programmes.”
In October 2012, UK pharmacists gathered in record numbers for The Pharmacy Show - cementing its status as the UK’s most attended and important education and sourcing event, with 6,208 hospital and community pharmacy, healthcare and industry professionals attending the show has seen consistent growth year on year with unique attendance increasing by +46% in last three years.
The show featured more than 55 hours of business and clinical education delivered by an impressive line-up of speakers in six conference streams making it the UK’s largest source of live CPD.
A record of 364 UK and international suppliers showcased the latest equipment, technologies and retail solutions at the event creating the largest ever Pharmacy Show exhibition. Exhibitors ranged from large, multi-national organisations to independent suppliers providing an exciting range of goods and services to meet the needs and aspirations of pharmacists.
To be part of a show that is highly recognised by both the events and pharmaceutical industry, book your stand now by calling Esther Beal on +44 (0)2476 719684 or Garry Tyson on +44 (0)207 348 4903, alternatively, you can email [email protected] or [email protected] and be a WINNER today!
The Pharmacy Show, which takes place on September 29th and 30th 2013 at the NEC (halls 6 & 7), already has over 320 exhibitors confirmed. 85% of stand space has already been booked – so don’t miss out on this massive opportunity – book your space today!
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Pharmacy Solutions
www.willach.com
Bring your pharmacy into the 21st century with cutting-edge storage and robotic dispensing solutions from Willach.
The right prescription for every pharmacy.
Optimise your workflow and increase customer satisfaction – with Willach Pharmacy Solutions you can achieve both. Because the perfect organisation of your pharmacy according to the Willach Triangle Principle saves valuable working time – time you can then dedicate to your customers. Find out how you can increase turnover and profit. Visit us from 29 to 30 September 13 at the Pharmacy Show in Birmingham, booth C21.
“The Willach Triangle Principle – modern and efficient pharmacy workflow management!”
Andrew and Sally Porter used our advice to come up with a new concept which transformed their pharmacy in 2012. The results were dramatic. In this workshop Andrew shares the story of their success. Our promise: you will gain brand-new insights on how to increase your efficiency and delight your customers.
Your keynote speaker: Andrew Porter, pharmacist and co-owner of Abbey Pharmacy, Rotherham
Visit our exhibition workshop on Sunday, 29 September 2013 at 4:45pm
Abbey Pharmacy, Rotherham (UK)
Part of the Moorfields Eye Hospital NHS Foundation Trust
This year sees the 10th year anniversary since our business
moved from the Trust premises into our state-of-the-art
manufacturing facility near to the hospital in Old Street, London.
Moorfields Pharmaceuticals is now one of the leading specials
manufacturers offering the widest portfolio of ophthalmic
specials in the U.K.
We look forward to seeing you in September. In the meantime
please contact our customer service team for any direct
enquiries or orders.
Providing eye care solutions you can trust
Celebrating our 10th year of Ophthalmic Specials
Our friendly Customer Services team are only a phone call away
Tel: +44(0)20 7684 9090 (option 1)www.moorfieldspharmaceuticals.co.uk
Unique formulations Widest choice Colour coded packaging Next day delivery*
Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Moorfields Pharmaceuticals on 020 7684 9090 (option 2).
*On UK mainland orders before 3.30pm MP415
MOR301_Quarter page Specials Ad AW.indd 1 24/05/2013 15:38
A hospital pharmacist’s story
When patients with unmet medical needs run out of options, they rely on companies like Idis to secure the drug they need. Whether it’s still in development, unlicensed in their country, discontinued, or experiencing supply disruptions, with the right
knowledge and experience access can usually be created for that patient.
Many unlicensed medicines are routinely procured in the UK, but it was a supply problem that hospital pharmacist Dee was facing in the United States. Although America spends more on healthcare than any other nation and is at the forefront of medical innovation, drug shortages are more common there than you might think.
Dee has to do everything she can to resolve these sorts of problems for her patients. After going through the trauma of being diagnosed, the last thing you want to hear is that you may have to stop your treatment because of a supply problem. Patients rely on the hospital pharmacy to help them continue their fight, so it’s imperative that it has the drugs it needs.
When an oncology drug for acute myeloid-like leukemia was recalled, Dee turned to Idis for help. They’re experts in navigating country-specific regulations needed to safely create access to drugs on a named patient basis. In Dee’s case, they not only tracked down a source of the drug she needed in Switzerland (where there were no supply issues), but efficiently worked through the legal requirements to bring it through the border system and into the US.
It’s that level of expertise that can literally make the difference between life and death, helping pharmacists like Dee provide her patients with the medicine they need to carry on.
See more stories and other scenarios in which Idis brings hope to patients across the globe at ididthis.idispharma.com
VISIT US AT STAND F74
Improve health by changing eating habits
Novartis Consumer Health Exhibiting at The Pharmacy Show 2013
Kellogg’s can trace its origins to a philosophy that urged people to improve their health by changing their eating habits. Today, a staggering 8 out of 10 adults
and children in the UK don’t eat enough fibre, making it a common nutritional deficiency
Low fibre intakes are associated with slow digestive transit and low stool weight which is often accompanied by bloating and pain in the digestive system and ultimately constipation. A recent survey found that 44% of the UK population suffers from bloating, 37% from flatulence, 29% from sluggish digestive transit and/or constipation and 22% from cramps. Very often, these symptoms can be addressed with lifestyle advice, such as increasing fibre content in the diet.
Wheat bran in the Kellogg’s All-Bran range is a superior fibre that can reverse the consequences of poor intakes by:•increasingstoolweight,•reducingintestinaltransittime,•reducingsymptomsofdigestivediscomfortassociated with irregularity,
thereby helping to provide natural relief from digestive discomfort within as little as 5 days.
Join us for a seminar at the OTC Academy on Sunday 29th September at 11:00, to gain access to a free CPD-accredited online training module for you and your colleagues.
Key learning points from the seminar: •Fibredeficiency&digestivehealthsymptomsarevery common - how are they related?•Wheatbran:themosteffectivefibresourceforreducing transit time and increasing stool bulk•Kellogg’sAll-Branrange:anaturalandcosteffective alternative to laxatives for alleviating and preventing the symptoms of constipation and digestive discomfort – the clinical evidence
Please join the Kellogg’s Nutrition Health Care Professional Community at www.kelloggsnutrition.com, where you’ll be able to access: •Kellogg’sNutritionresources•Newresearchfindings•Nutritionnewsandinsights•Educationalmaterialsandmore…
VISIT US AT STAND B43
Novartis Consumer Health is proud to announce that it is exhibiting at the 2013 Pharmacy Show, which
will mark the first appearance for the company at the annual event. Attendees can visit our booth (stand number B40), where we will be running activities and will have specialists on hand to discuss the causes, impact and treatment of body pain, such as backache, neck ache, and muscle and joint pains. Visitors to the booth will also be able to find out about a new topical formulation from Voltarol®.
Pain affects everyone at some point in their life and so is an area of huge importance to our patients and customers.
The UK has an ageing population1, and this group is more likely to experience increased occurrences of episodic pain2. Pain can significantly impact quality of life and can disrupt a number of activities, including: work; concentration; sleep; hobbies; and sports and recreation2.
Novartis Consumer Health representatives will be happy to answer any questions attendees may have regarding pain and our range of available pain relief treatments. References1. ONS. Population ageing: Statistics, 20122. Novartis Consumer Health. OnePoll Pain Survey 2008
VISIT US AT STAND B40
Sunday 29th September 20139:45 – 10:30 Chronic kidney disease refresher
Paul Kendrew, MRPharmS, Principal Pharmacist Renal Services, Department of Pharmacy, Hull and East Yorkshire Hospitals NHS Trust
10:45 – 11:30 Coronary heart disease updateHelen Williams, MRPharmS, PGDip(Cardiol), Ipresc, Consultant Pharmacist for Cardiovascular Disease, NHS Southwark Clinical Commissioning Group
12:00 – 12:45 Unmet need in depression: opportunities for community pharmacy John Donoghue, BSc FCMHP, Consultant Pharmacist, Medicines in Mental Health Ltd
13:15 – 14:00 Palliative care updateGwen Klepping, MRPharmS DipClinPharm MSc, Palliative Care Pharmacist, Katharine House and Sobell House Hospices Oxford Radcliffe Hospitals NHS Trust
14:30 – 15:15 Dermatology refresher Aini Alcock, MRPharmS, DipClinPharm (Comm.), Lead Clinical Pharmacist in Dermatology and Rheumatology, Sheffield Teaching Hospitals Foundation Trust
15:45 – 16:30 Hypertension refresherHelen Williams, MRPharmS, PGDip(Cardiol), IPresc, Consultant Pharmacist for Cardiovascular Disease, NHS Southwark Clinical Commissioning Group
16:45 – 17:30 Oncology refresherRachel Patel, MRPharmS, ClinDip, Oncology Pharmacist, Guy’s and St. Thomas’ NHS Foundation Trust
Monday 30th September 20139:45 – 10:30 Dementia – what it means for pharmacy
Dave Branford, PhD FRPharmS, FCMHP, Chief Pharmacist, Derbyshire Healthcare NHS Foundation NHS Trust
10:45 – 11:30Sponsored by:
Alcohol dependence: are pharmacists missing a trick?Steve Bazire, BPharm(Hons), FRPharmS, DipPsychPharm, FCMHP, MBE, Consultant Pharmacist in Medicines Management, Norfolk and Suffolk NHS Foundation Trust
12:15 – 13:00 COPD update Anna Murphy, BSc. MSc. DPharm. MRPharmS(IP), Consultant Respiratory Pharmacist, Cardio-respiratory Directorate, University Hospitals of Leicester NHS Trust
13:15 – 14:00 Anti-coagulation refresher Sotiris Antoniou, RPS, MSc, DipMgt, Consultant Pharmacist for Cardiovascular Medicine, Barts Health NHS Trust
14:30 – 15:15 Diabetes refresherSally James, MSc. MRPharmS, Diabetes and Divisional Pharmacist for Medicine, Royal Liverpool University Hospital
15:45 – 16:30 Epilepsy updateBen Dorward, BSc DipClinPharm MRPharmS, Neuroscience Pharmacist, Sheffield Teaching Hospitals NHS Foundation Trust
16:45 – 17:30 Asthma updateAnna Murphy, BSc. MSc. DPharm. MRPharmS(IP), Consultant Respiratory Pharmacist, Cardio-respiratory Directorate, University Hospitals of Leicester NHS Trust
Clinical TheatreThe streamlined Clinical Theatre programmed by The Clinical Pharmacy Congress team will this year provide a comprehensive clinical refresher programme covering therapy areas such oncology, coronary heart disease, hypertension, depression, alcohol dependency, asthma, COPD, dermatology and renal medicine, to name a few.
It’s not like me to criticise those in power about their solutions to the waste of medicines in the NHS. It is not like me to suggest that they don’t fully understand the reasons. And it’s not like me to suggest that if they came to the coal face and spoke to people then they might know some of theanswers.But….
There is no doubt that there is significant waste of medicines in the NHS. £300million, if you
believe the York and School of Pharmacy report, but we all know that this is the tip of the iceberg and it is a little more complex than that.
I know that sometimes a prescribed medicine just doesn’t work or it has side effects that lead to discontinuation and this is the acceptable face of waste.
But sometimes medicines are prescribed too quickly before the patient is ready and there is too little support during the early phase of the patient medication experience. See my blogs on the patient medication experience and the art of prescribing (saying no quickly and yes slowly). Some patients don’t even collect their prescriptions; others do with no intention of taking the medicines in the first place. Some instinctively know that the prescriber hasn’t listened and this little pill is not the solution to their real problem.
And then there is the awful prescribing dispensing cycle that leads to the largest component of waste in the NHS. Of course a part of this is stockpiling – or the excess capital investment in medicines. When in hospital we worked to a turnover of 12 – ie we had to turnaround the total stock within the pharmacy twelve times a year. It was a struggle (and we almost reached 12 in the pharmacy), but when we looked to include all medicines throughout the hospital to reduce our
capital investment we fought hard to reach 10.
The grandees of the profession say – talk to the patients – encourage them to comply with their medicines. But I have done that and you have missed the point – yet again.
Patients tell me that they are not in charge of their medicines – they are in charge of their prescriptions – and this is not the same. Medicines come altogether, in a group, like busses – did you not know that.
Here is an example of a conversation:
“I tick all the boxes and I get all the medicines”.
“But you don’t have to; you could pick and select the ones that you need”
“It’s not as easy as that, don’t you understand the system – the game we play”
Well here is my lesson that I am sharing. There is a prescription with six items on it. They are all intended to be prescribed for a month. But two are flexible through direction (one upwards and one downwards from the prescribed quantity), two are flexible because the patient says so and two are just right (the patient’s definition because he wants to take them ‘just right’. They all have 6 repeats on the basis that the patient will visit the GP in six months’ time for a formal check-up.
“So some months, when I am less well I have to order the prescription a little early – I can do that without too much hassle”. “If I just order the one that I am short, then it’s a separate triple round trip for me (doctor, doctor, pharmacy) and I am out of sequence and they call me in for my check early”. OK so what happens if you don’t order the one that you don’t need? “That is also OK, but if I forget and don’t order it twice I think that they might cross it off my repeat (actually this did happen about three years ago)”.
“So I tend to order them all about every 20 days”.
So how many boxes do you have in your cupboard at home? “Oh probably thirty to forty or so – for some I am about four or five months ahead, some I am bang on time and there are some that I will never use”. “I have about 10 boxes of stuff that was stopped at my last review that I should bring back to you.”
So I have asked the patient, found the answer and I hold my head in my hands – how can I sort this out with the system that
we have? All that I have been told is perfectly reasonable and reflected by the next patient and the next and the next.
So there you are, by my very rough calculations, the NHS has about one billion pounds of capital invested in medicines in the bathroom cupboards around the country. And some of this will be needlessly wasted.
It is so ridiculous that I don’t know whether to laugh or cry. It’s like ordering the same monthly grocery delivery without ever changing it. It’s like a supermarket ordering so much stock in that its shelves are bursting until they put it all in the bin, because nobody is buying it.
We must put the patients in charge of their medicines and not their prescriptions. We must build the system around their needs and change the archaic system that we have. Don’t expect the humble pharmacist to reduce waste when, in the main, it is the system that is to blame.
Why can’t we all sit around a table – GPs, Pharmacists, IT experts, leaders and just talk this through with a whole load of real patients – and sort the thing out the way that they want it.
Will the electronic transfer of prescriptions project be part of the solution – well perhaps – in my opinion it is currently part of the problem, but the solution is there (often over-ridden) if it develops and pushes through with much greater speed (they do know this – they are clever people – they could save the NHS £1b).
The waste of medicines in the NHSBy Mark Robinson, Medicines Management Partnership
Helen Williams John Donoghue
Dave Branford Steve Bazire
Gwen KleppingBen Dorward
Mark is a pharmacist with extensive experience within the NHS. Mark has worked within the hospital sector, through clinical pharmacist up to chief pharmacist and spent some time as a business manager. Mark has also worked within general practice, a commissioning pilot and across 3 PCGs which merged to form a single PCT. Mark currently works on a consultancy basis delivering services for the NHS and healthcare sectors.
www.thepharmacyshow.co.uk www.thepharmacyshow.co.uk6 7
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St. Paul’s Chambers, 6-9 Hatherton Road, Walsall, WS1 1XSwww.enochevans.co.uk
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SANTE VERTE-ALOE VERA - PUB WISDOM - 062013.indd 2 03/06/2013 16:16
1: Patients walks in and leaves the door open on a cold day
2: assistant puts down her Take-a-Break mag and looks up
3: patient hands assistant the prescription
4: assistant makes small talk and complains she has no money
5: asks if patients pays or is exempt
6: takes a charge off the patient
7: assistant tells patient all about her last holiday which was a cruise
8: assistant brings script into dispensary
9: script falls on the floor
10: dispenser can’t pick it up due to her nails
11: pharmacist picks it up
12: places it in basket or clip to indicate waiting
13: tech scans the prescription
14: ETP not working
15: labels it manually
16: checks if its NCSO
17: broken bulk
18: eligible for NMS
19: due for MUR
20: proscript flags up that it is eligible for NMS
21: try to print out consent form
22: no paper in printer
23: paper reloaded
24: labels generated
25: labels run out half way
26: labels replaced
27: endorser not working
28: product dispensed
29: hand to pharmacist
30: checks for signature
31: in date
32: clinically appropriate
33: not blacklisted
34: wrong formulation dispensed
35: sent back for amending
36: re-dispensed
37: pharmacist loses his pen
38: the whole pharmacy team looks for the pen
39: pen is found in pharmacists trouser pocket
40: near miss log filled out
41: pharmacist hand endorses script
42: patient has a hard to pronounce name
43: pharmacist ponders whether the forename or surname is easiest to pronounce
44: pharmacist turns over script and sees that patient has paid for the prescription
45: shouts out patients name
46: patient comes to counter
47: pharmacist tells patient that their 28 disp aspirin 75mg is cheaper to buy
48: patient is refunded and buys 100 x aspirin 75mg disp
49: pharmacist secretly upset at losing NMS
50: patient leaves
Why does it take so long to slap a label on a box?By mrdispenser
The Pharmacy Show has recently launched The Pharmacy Show Community which aims to give everyone involved in pharmacy, whether operating in a community, secondary or primary care environment, a place to access a variety of independent news sources, to share ideas, discuss pressing issues, debate hot topics or simply collaborate with each other for the good of pharmacy, 365 days of the year. For
further details, visit The Pharmacy Show Community website - www.pharmacyshowcommunity.co.uk.
Alongside The Pharmacy Show Community, The Pharmacy Show has announced a partnership with Pharmacy Forum, a platform enabling discussions of all things regarding pharmacy. Pharmacy Forum will host The Pharmacy Show Chat (#PSchat) Channel with a mission to of connecting people who are working in, studying for, or are simply interested in the field of pharmacy. Pharmacy Forum membership is completely free, as long as members keep on topic and choose the relevant sections of the forum to make posts.
The Pharmacy Show Chat Channel allows participants to continue on-going debate and information sharing. #PSchat hosts bi-weekly live Twitter chats led by a panel of industry experts and covers current issues in pharmacy including Commissioning Services, Self-selection of P Medicines and Medicines Shortages. Each chat is focussed around one particular subject and allows everyone involved in pharmacy
to raise questions, respond and debate key issues in real-time, before moving on to Pharmacy Forum where a more lengthy debate can take place.
Lucy Pitt, Event Marketing Manager, said: “We are very pleased to have partnered with Pharmacy Forum. As the UK’s largest online gathering of community pharmacists, we are always looking for ways to enable collaboration in the pharmaceutical industry and partnering with Pharmacy Forum was a natural progression.”
The Pharmacy Show launches Pharmacy Show Community and #PSchat
To take part in the next live Twitter chat, log on to twitter and follow @pharmacyshow or go to the Pharmacy Show Chat website www.pharmacyshowchat.co.ukWhere you will be kept up to date with when, what time and which industry expert and recognised champions of pharmacy will be on hand to host relevant sessions and answer pre-submitted questions as well as join in with the comments from the night.
Lucy Pitt
A team from the Clinic of Rheumatology and Internal Medicine in Poland found that the oil, called PCSO-524, reduced arthritis-related
pain by 89%, with 91% of participants reporting an improved quality of life. The oil is the active ingredient in Lyprinol.
The study also found that traditional fish oil supplements were less effective, with patients reporting higher pain levels throughout the trial.
Professor Jacek Szechiński, who led the study, said:
“These are remarkable findings, which show that the mussel oil PCSO-524 is significantly more effective than traditional fish oils in treating the pain associated with osteoarthritis. As there are no side effects due to the lower dosages than are needed compared to traditional fish oils, Lyprinol could offer an effective alternative treatment to those people whose life is blighted by the pain of osteoarthritis.
“With the results of this study, and previous work which has shown the benefits of PCSO-524, it’s starting to look like we’ve only scratched the surface of what this oil has to offer to those suffering from not just osteoarthritis but a range of conditions. It’s a very exciting time.”
The study is published in the Special Issue ‘Marine Compounds and Inflammation’ of the Marine Drugs journal (Zawadzki et al 2013; Mar. Drugs 2013, 11 (6), 1920-1935; doi: 10 3390/md11061920)
New hope in osteoarthritis pain battle. Study finds mussel oil can reduce symptoms by 89%.An oil found in New Zealand mussels could free millions of osteoarthritis sufferers from the constant, sometimes crippling pain of their condition, according to new research.
There seemed to be a consensus that some innovators and adopters have already made some progress, but the greatest challenge might be in bringing the majority on board. Several comments seem to agree that community pharmacy was a diverse group and in some ways an isolated group with a real need to work closer together. There seemed to be a hope that the LPN might fill some of this role.
I was particularly interested in the comments about paperwork, which was followed up by comments on bureaucracy and red tape. There was a feeling that this might get worse, with localisation that the Area Teams should work to improve.
I was concerned about the comments about workload, stress and exhaustion, but delighted about the passion for patients that was expressed. There was a fascinating question posed by Dr Chris Green – would a move away from being paid for the number of dispensed items be enabling or a nail in the coffin?
There were several comments about the current pharmacy contract and the lack of alignment with the GP contract and I would say that somewhat mixed views on the delivery of joint working between GPs and community pharmacists. Jonathan did, however, remind us that NHS England have the ability to make these contracts interdependent and that some of the representative bodies like the NAPC recognise the role of pharmacy and ‘get’ the benefits of joint working.
What do patients want? Some felt that patients wanted a McDonalds type pharmacy – fast and anonymous. Public awareness seems to be a significant problem, particularly when we felt that community pharmacy USPs were position within communities and patient relationships.
I think that Fin’s summary was particularly pertinent – lots of engagement and discussion and not enough time. Pharmacists are all really passionate for the future that we all need to harness. For me – I just hope that we are not here in 5 years’ time discussing the same problems and the same aspiration.
There was a general view that Community Pharmacy lacked political clout. I am not sure that I agree that it is ‘lost’, but would agree with many that suggest it needs to formulate a more coherent position, be more connected and get its voice heard. There was the usual discussion about rates, but an interesting question from the main man as to how we put more value in patient outcomes (pharmacy delivered) and drive the market value back up? An interesting addition from James was that pharmacy should stop whinging and leaders should start leading and that it will change with effort.
The First Pharmacy Show ChatJune 19th 2013 saw the First Pharmacy Show Chat take place, ably facilitated by Fin McCaul, Chairman of the Independent Pharmacy Federation (IPF). The chat followed a number of questions posed to the eager participants:
By Mark Robinson
Q1. How does community pharmacy overcome the challenge to prepare and deliver a local agenda
To take part in the next live Twitter chat, log on to twitter and follow @pharmacyshow or go to www.pharmacyshowchat.co.uk
Q3. What are the challenges for community pharmacy in relation to spending time with patients to enable the safe use of medicines
Q2. How does pharmacy become a proactive profession? Can it, is it, what is needed?
Fin McCaul
www.thepharmacyshow.co.uk www.thepharmacyshow.co.uk8 9
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Ethigen Ltd D16Fleming Medical C99Fortuna Healthcare D102Funky Pumpers F53G R Lane Health Products B98aGalderma Ltd. G93Giddins Guard E63aGlobal Factories and Tooho G52Go-Lites E108aGood Night Anti-Snoring Ring D95Goodlookers G81GP Supplies E107aGreen Angel C93aGrosvenor Consumer Product B103GSK Consumer Healthcare E40Guy's & St. Thomas NHS Foundation Trust
B81
Hager & Werken D101Happy Feet Merseyside C97Harper Adams University B96Hazlewoods E73HD Medi C20Health Connection D91bHealth Enterprises, Inc E71Healthaid F12Healthcare at Home C83Healthpoint Technologies Ltd. E12Helix Health F20HPG Business Sales & Locumlink C104Hutchings Consultants Ltd F51Idis Ltd F74Igennus Healthcare Nutrition G10Ikon Sales Ltd. E93IPM G21IPS SPecials C70ISTA Technologies D30J&K Henderson B104JAK Marketing D97Jaytec Glass A62Job Skin Ltd B42aKeep it Kind Deodorants E91Keito Europe Ltd D109Kellogg's B43Kent Pharmaceuticals F50aKestrel Ophthalmics Ltd G34Kinetic F92KLS Netherlands C73K-Med C94Knapp UK Ltd E112Kora Healthcare Ltd G31aLabcold A80LEC Medical F110Lexon F100Lightsign Ireland F10Lipotrim F61Litejoy Ltd C44Lloyds Pharmacy B82Lloyds TSB Healthcare C109Logixx Pharma Solutions Ltd C108Lucimed C46bLyprinol G21aM & A Pharmachem Ltd F82M Cubed D110Mack's Earplugs B110Manakedi Skincare B97aMane 'n Tail F101Martindale Pharma B83MASTA Ltd G40MCS Wholesale Ltd C10Meda Pharmaceuticals Ltd G91Medequip G101MediEstates F84Medilogic E94Mesmereyez C100Methameasure C85MHRA E99ModiPlus D106MooGoo Skin Care C43Moorfields Pharmaceuticals C110Morrisons A94MTS Medication Technologies B35MultiCIG G45Mundays D99
Natural By Nature Oil G80Natural Pharmacy Magazine G31Natures Aid B40aNature's Dream E90Nature's Plus UK A60NAWP C44aNDC G108NeatCigs E70Neilmed E88aNekem D96Nelsons Spatone A74Neo Cigarette G60Neo G Ltd D112Nestlé Healthcare Nutrition B70aNetwork Packaging A30New Era Packaging E103Nicolites F44No More Sweat D46Norseman Trolleys E97NoteMachine UK Ltd D42Nova Laboratories D65Novartis Consumer Health B40NPA B60NRS Healthcare E82nSpire Health Ltd A102Nualtra B41Nucig (Electronic Cigarette) Ltd E62Numark D20NuPharm Laboratories Ltd C84Nurishment Active E21Nutricia B92aNutrivital Health G24O’Keeffes Company C91OH White Teeth Whitening E76OK Smokey G82Omron Healthcare (UK) Ltd E63Orthosole D91aOsmosis Promotional Products Ltd
E105
Our Internet Pharmacy/ Pharmacy PGD
B73
Oxford Pharmacy F54Pak Cosmetics Wholesale C33Parkinsons UK B101aPasante Healthcare D41Patterson Medical G105PDT Solicitors C102Personal Diagnostics G30Personal Products Ltd C50Perspi Guard Antiperspirants B94bPfizer E30PG Mutual A10Pharmacist Support D109aPharmaClinix C51Pharmacy Equipment Direct B64Pharmacy Medical B95Pharmacy Partners D10PharmaDoctor D45Pharma-Mobility E42Pharmanord UK B97Pharmarama D60PharmaTill E100Pharmaweb E92Physicool E95Phytomed Medicinal Herbs Ltd G22Pilbox C99aPillManager F102Pivotell Ltd. C103Planet Earth Wholesale E106Planet Health D12Pluggerz B106Pocket Heroes D43Polar Speed Distribution Ltd F103Positive Solutions E81Pound International Ltd F104Premier Healthcare Products Ltd. A62aPremier Vanguard Limited C40Prim Pharma E62aPrima Home Test D98Professional Pharmacy Services Group
C114
Profoot B10Prospect Health B100
Protect iT Socks C41Proto-Col C101aProtomed Ltd. E51Pure Aid Healthcare Ltd A20Quantum Pharmaceutical Ltd E50Quest Vitamins D48QuickMar Ltd B102aR.I.S Products Ltd A57R.O.C.S. C98aRA Accountants LLP B16RBS Corporate Banking B107Readyspex F62Reckitt Benckiser D70redmed gmbh E96Regal Healthcare D86Revitacell UK Ltd D49Rio Trading Company D47Robotik Technology F30Roche Diagnostics C71Rocks Off Ltd B94aRokshaw Pharmaceuticals C91aRoskerr Ltd. B102Royal Pharmaceutical Society G100Sainsburys F40Salus UK Ltd G94Santander G61Santé Verte B30Scanlite Visual Communications A35ScanMed QR B100aScientia Skills D90Shoreline (UK) Ltd A55Sinclair IS Pharma C80Skinny Group C40aSkins Healthcare B71Solgar Vitamin & Herb C32Special Products B101Spilly Spoon D92Sterling Pharmaceuticals B88Superdragon TCM UK Ltd B21Surgichem Ltd D31Swimseal International C46Symprove Probiotics D116Teal Patents Ltd A110TEMAG Pharma B106bThe Body Doctor B94The Collagen Company Ireland B93The General Pharmaceutical Council
E102
The Konjac Sponge Company Ltd G75The Pharmacy Consultancy G33The Specials Laboratory F80Thermoskin G65Ultralife Healthcare Ltd F116University of Surrey C98V2Cigs UK D94Vapelux C106Vapestick B70Vapouriz Premium Electronic Cigaretts
F52
Varga-Med E88Veterinary Medicines Directorate B92Viator E41Viminset D93Virginia Medical Supplies B40bVitry C34Vocalzone Throat Pastilles G51VVS Ltd C96Water - Jel Technologies G73WaymadePlc B20Weleda (UK) Ltd C46aWholesale Health Supplements B96aWillach Pharmacy Solutions GmbH
C21
Yakira Eyewear Ltd B44Zita West Products Ltd B106c
ONLY STANDS IN WHITE ARE AVAILABLE
www.thepharmacyshow.co.uk www.thepharmacyshow.co.uk10 11
Exceptional POR
RechargeableStarter Kit£6.49 RRP
USB Charger£6.49 RRP
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Medicine Optimisation ForumNew for 2013 the Medicine Optimisation Forum will provide delegates with a number of extremely topical subjects such as practical application of medicines optimisation, medicines safety, clinical effectiveness, prescribing and dispensing errors, outcome based prescribing, transfer of care, shared care services, basic health economics & value based pricing. Speakers will share their expertise with delegates, then the host, Jonathan Mason – Clinical Advisor (Medicines) at NHS England (London Region), will in a highly interactive format question the speaker in a ‘chat show’ format enabling a high level of audience participation. On Monday morning three clinical experts (respiratory, diabetes and cardiovascular) will provide a set of Case Series reviews with audience participation the patient will get the right treatment…
Sunday 29th September 2013
10:00 - 12:00 Optimising Clinical Effectiveness at all levels
• Medicinessafety Jane Nicholls, MSc. MRPharmS, Acting Director, Medicines Use & Safety Division
• Outcomebasedprescribing TBC
• QuicksnapshotintoHealthEconomics& Value Based Pricing Omar Ali, BSc(Hons)Pharm DipClinPharm MRPharmS ACPP, Formulary Development Pharmacist, Surrey & Sussex NHS Trust
14:00 - 16:00 Practical aspects of Medicines Optimisation
• Anti-microbialreviews TBC
• ProactiveandpositiveapproachtoMUR’sandNMS Dr Doreen Cochrane PhD MRPharmS, Independent Clinical Pharmacist, Prescribing Support Services
• Prescribinganddispensingerrors TBC
Monday 30th September 2013
10:00 - 12:00 Case Series Reviews session
• Respiratorypatient Anna Murphy, BSc. MSc. DPharm. MRPharmS(IP), Consultant Respiratory Pharmacist, Cardio-respiratory Directorate, University Hospitals of Leicester NHS Trust
• Diabetespatient Sally James, MSc. MRPharmS, Diabetes and Divisional Pharmacist for Medicine, Royal Liverpool University Hospital
• Cardiovascularpatient Sotiris Antoniou, RPS, MSc, DipMgt, Consultant Pharmacist for Cardiovascular Medicine, Barts Health NHS Trust
14:00 - 16:00 Principles behind Medicines Optimisation
• MedicinesOptimisationandhowitcanwork in practice Heidi Wright, MRPharmS, English Practice and Policy Lead, Royal Pharmaceutical Society
• SharedCareServices–who’sresponsible Jas Khambh, MPharm, MGPhC, IP, Dip Presc Sci, B.Pharm, Pharmacy & Medicines Use & Procurement Operational Lead & Lead for Primary Care, London Procurement Partnership
• Interfaceandtransferofcareinolderpeople Lelly Oboh, MRPharmS, Consultant Pharmacist, Care of Older People, Guys & St Thomas Community Health Services and East and South East NHS Specialist Pharmacy Services
Omar Ali Heidi Wright
Anna Murphy Sotiris Antoniou
Jonathan MasonJas Khambh
NEWFOR 2013
I was stimulated to write this blog for a number of reasons:
•asmallchainofcommunitypharmaciesgoinginto administration
•ageneralfeelingincommunitypharmacythat‘things are tough’ – when many seem to be facing quite severe financial and cash flow pressures.
•theLocumratesfallingtoapointwhereyoucan comfortably earn more as a tube train driver
•aseriesofworryingstoriesofpharmaciesenteringinto ‘sharp practices’, often I would suggest at the instigation of businesses under severe economic pressure.
Community pharmacy has always been the most effective procurement arm of the NHS, but with the introduction of category M, the NHS earns large amounts of money through community pharmacy procurement. And with ever increasing
prescription numbers, prescription complexity and current out of stock problems, the workload is increasing with a fall in total income.
But who cares? Everyone in the NHS is facing the same problem. GPs are always telling us this. Well I care and we need to talk about this openly. We also need to ask the question about what we now want from community pharmacy going forward.
I have spoken recently, some might say frequently about the rich community based asset that community pharmacy is. Usually located in the places where people live or shop – a cornerstone of our communities at a time when communities and high streets are under tremendous pressure. We want community pharmacy to play a bigger role in public health, out of hours and providing advice and treatment to patients relieving the pressure on general practice and in turn hospitals. The accountants say its tough, but community pharmacy will pull through – but that does depend on an improving economy and additional money diverted into community pharmacy based services. I wish I shared their optimism – but then they are accountants and a business closed is a client lost – so they shout ‘hold on in their and keep paying the accountancy bills – it will get better’.’
But the community pharmacy contract is not helpful and does not shift the focus from procurement profit to service delivery yet. England is miles behind Scotland and many of the locally enhanced services have moved ownership. These services are fragmented and localised. I know that localisation is good, but administration is increased and duplicated when I thought that we were going to sort out innovation and spread of good practice following Innovation, Health and Wealth? I know that the Chief Pharmacist is looking at ways of relaxing supervision requirements, but that is tinkering with airspace rather then a solid solution.
So where might we end up? Well smaller community pharmacies will become unviable. They don’t have purchasing
power and without the additional service contracts, they might close. Don’t think that the multiple chains will take over – they will ‘divest’ their least profitable pharmacies. It’s business! So you might not find a community pharmacy near your home, within your community, on your high street. You may have to travel further to get your medicines dispensed, your questions answered, the support you value. I hate the thought, but your medicines may plop through your letterbox in the ubiquitous Jiffy bag. You may need to spend more time in your GP practice.
But it doesn’t have to be like this.
A View From the Frontline I was going to use the standard term – at the crossroads – but community pharmacy has been at the crossroads too long and I wonder whether things have gone too far and we should really think the unthinkable.
By Mark Robinson
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James reminded us within his blog that 298 pharmacists responded to the whole consultation. It would appear that the consultations and notices were quite difficult to find and very few of us saw it. Lindsey felt that it was not a clear question and it was hidden. I have learnt that throughout Europe a P class of medicines doesn’t always exist – so why do we have it in the UK and is it all about standardisation – removing the quirky Brutishness? But the GPhC says it will happen – it’s good for us – it fits their light touch approach to regulation.
diclofenac. We also face the reality that a counter assistant waving a product in the air or a faint shout in the din of a busy pharmacy is quite a weak form of supervision. This is despite us knowing how to offer P medicines properly – now what was that pneumonic – ahh WHAMM? Are the GPhC arguments for fragile?
There are many concerns around patient safety. Cathy felt that P items are not adequately supervised at the moment and Anthony Cox reminded us how easy it was to obtain
I loved Amanda’s point that when you pick up an item it becomes ‘yours’ and paying is just a formality. I liked the thought of rugby tackling a patient who has slipped an inappropriate SS into their basket, wrestling a packet of co-codamol from an addict and the need for ‘negotiation skills’, but we were reminded that probably the most dangerous patient is the one that doesn’t ask.
In conclusion it seems that there are many worries about self-selection undermining our patient facing role, commoditising medicines, reinforcing the pharmacy as a shop. We all seem worried about implementation, the variation and the conflict between responsible pharmacist and owner, independent and multiple.
The biggest task, however, seeing that it will happen, is to turn this into a positive to improve the professional image and professional environment of pharmacists and pharmacies. How are we going to do it – well I just don’t know. But I don’t want this to be another slide on the slippery slope.
As a footnote I must add James’s comment which reflects some of my recent blogs including ‘the vital role syndrome’. “I’d rather my RPS fees weren’t spent on propping up piss-poor activity by the GPhC”. I have to agree – we need the RPS to change the outlook for the profession and not get embroiled in the detail and noise.
There were several comments about the input of the responsible pharmacist and a clear understanding that the positioning of P medicines in the pharmacy will be largely directed by the owners. This may cause conflict. Mr Dispenser quite rightly asked where we would stand if we refused to sell a SS medicine and the patient complained to the GPhC – and what would they do if inundated with complaints.There appeared to be no consensus on how it would be
implemented. SparkleWildfire felt that it would be easier in smaller pharmacies and HLPs and more difficult in larger pharmacies. Ryan noted that some medicines would never be put to self-selection and we were reminded of the recent communication from Public Health England about addiction to prescribed and otc medicines (which I assume includes P medicines).
Self-selection: #PSchatThe Second Pharmacy Show Chat, ably facilitated by Mr Dispenser, Community Pharmacist, Blogger and author of funny pharmacy book “Pills, Spills & Methadone Thrills: A day in the life of a community pharmacist” took place on Wednesday 3rd July. The chat followed a number of questions posed to the eager participants on the subject of self-selection of P medicines:
By Mark Robinson
It is going to happen
Safety
Additional training
Pharmacist Safety
The implementation will be variable
To take part next time, log on to twitter and follow @pharmacyshow or go to www.pharmacyshowchat.co.uk
I am not sure there was much evidence of what our customers actually want and whether there is much public support for this move. Mohammed gave us a timely reminder that the internet is changing our sector, just like others and we need to figure this in.
Customer View
Source: The King’s Fund
www.thepharmacyshow.co.uk12 13EXHIBITOR NEWS
Daily Living Aids represent a major new sales and profit opportunityfor retail pharmacists, increasing foot flow and repeat visits toyour Pharmacy and helping older people in the community live
more independently, comfortablyand safely.
NRS Healthcare is amarket leadingmanufacturer anddistributor of dailyliving aids andassistive technology
equipment.
HaveYouConsideredOfferingDailyLivingAids?
www.nrs-uk.co.ukTel: 0845 120 4522 Email: [email protected]
See us at The Pharmacy Show,Stand E82, NEC Birmingham29th - 30th September 2013
NRS Healthcare, Sherwood House, Cartwright Way, Forest Business Park,Bardon Hill, Coalville, Leicestershire LE67 1UB.
PHARMACYOR HOMEDELIVERYOPTION
We offer:
• 2,500 Daily Living Aids designed to supportindependent living
• 48 Hour Delivery (Stocked Lines)
• FREE! Delivery (orders over £100 net) toPharmacy or Direct Home Delivery Option
• FREE! A5 Consumer Catalogues & Point of Sale
• High Awareness & Endorsement amongstHealthcare Professionals
• Retail Packaging & Regular Promotional Offers
• TCES National Catalogue Product Range
• Award Winning Customer Service & ProductDevelopment
• Helpful Product Advisory Information Service(managed by in-house Occupational Therapist)
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Introducing a new category
Naturally better for you and the EarthA proven well merchandised range of bamboo fabric eco wear for today’s health conscious and environmentally aware consumer.
To profit from this high margin opportunity visit us at stand E105
Contact usBoody Eco Wear152-154 Coles Green RoadLondon NW2 7HD, UKTel: + 44 (0) 20 8452 0296Fax: +44 (0) 20 8438 6400Email: [email protected]
It’s here! A multi-symptom treatment for IBS…
How Symprove can help•Anyonewithconstipation,diarrhoea, bloating or gut pain•Afterantibioticstorestoregut balance•Clinicalresearchshowssignificant improvement in IBS symptoms*
What is Symprove?•Alive,activated,multi-strain beneficial bacteria supplement
•Deliveredasarefreshingdrinkonanemptystomach•10billioncolonyformingunits(CFUs)perdose•Onlyneedsrefrigerationonceopened
To find out why Symprove’s Unique Delivery System (UDSTM) enables the multi-strain live activated bacteria to live up to their true potential, visit:www.symprovebioscience.com Tel: 01252 413600 Email: [email protected]
*NHS King’s College Hospital, Prof. Ingvar Bjarnason, Professor of Digestive Diseases. (Gut: PMO-076)
VISIT US AT STAND D116
High quality nutritional supplements
Ultralife Healthcare Ltd has been a manufacturer and provider of high quality nutritional
supplements for the past decade. We strive to deliver the highest quality lifestyle and performance products to help our customers get optimum results in weight management, wellbeing, strength and fitness.
One of the newest products available from Ultralife is NutriPlan; a delicious meal in a drink suitable for all ages. It allows families or individuals to save time and money on making meals while providing the key nutrients, vitamins and minerals their bodies need to function during the day.
PWB Health is a subsidiary company and the provider of the Breastlight, a Class 1 medical device designed to assist women in their regular self-check routine. Through this part of the business we work with a number of international distributors and support cancer related charities and organisations in highlighting the importance of breast cancer awareness.
VISIT US AT STAND F116
Pharmacy business sales and valuations agents
Do you know what your pharmacy business is worth?
Come to Stand E93a and find out. We are Pharmacy Business Sales and Valuations
Agents specialising in just Pharmacy, with expertise built over 30 years, so we really know the market and have confidence in our valuations. Our advice is always honest and aimed at providing guidance for decision-making and not just for securing your business for sale. We pride ourselves in the service we provide and our fees are very competitive.
Our teamwork with specialist solicitors, accountants and mortgage consultants ensures that we take the stress out of the business selling and buying process.
As well as our business sales, our valuation service encompasses a wide variety of work.
We believe our service and expertise is our strength and most of our business comes from recommendations. We aim to build long-term relationships with all our Clients.
For our Buyers, we keep a database so please do come around and register with us.
VISIT US AT STAND E93a
Democratisation of hearing technology!
Claratone was founded with the aim of giving unrestricted access to the latest advances in hearing technology - we
call it democratisation of hearing technology!
Claratone enables people across the UK and Europe to enjoy an unrestricted hearing experience and improved communication. For all those who do not yet require a hearing aid, Claratone offers pre-configured, non-medical Personal Sound Amplifier products which meet the highest quality standards, at an unbeatable price.
A large portion of the more than 60 million people in Europe are suffering with the initial stages of hearing difficulties, which are initially noticeable in conversations in noisy environments. A large portion of this group does not have any assistive listening devices.
Our main product range includes:•PersonalSoundAmplifiers–FocusEar,RCASymphonix, Acoustic Research and Soundà•Hearingprotection–Alpine,ComplyandEARaser•Batteries–RayovacandSoundà
www.claratone.co.uk
VISIT US AT STAND G70
PharmaTill - Epos system for pharmacy
Are you looking for EPOS for your pharmacy?
You’ll be surprised by the simplicity and features of PharmaTill Epos, exclusively developed for pharmacy.
•AllinOneTouchScreenSystem•Excellenteposdesign–Easytouse•Effectivestockcontrol-Nomoreoverstocking,under stocking or wastage•Intelligentordersystem-Orderprojectionfacility,via internet or modem•ChemistandDruggistUpdates-Keeppricesup-to-date by automatic regular updates•Integratedcardpayment-Processdebit/creditcard payment via internet within Epos•Loyaltypoints-Rewardcustomers,increasesales•StaffTimeInTimeOut–Recordsstaffworkinghours•Shelfedgelabel-Savestafftime,noneedforitem price tags•HeadOfficeSystem-Completecontrolofallyour pharmacy branches•ExcellentCustomerSupport-Telephone,onlineand onsite support
Website: www.pharmatill.co.uk Telephone: 01254 679675 Email: [email protected]
VISIT US AT STAND E100
Health screening services The Keito platform eHealth which is incorporated in our latest generation K8 healthcare monitor is an ideal tool to assist pharmacies in providing health screening services.
These monitors are coin operated multifunction machines providing a printed receipt for
(a) 50p showing height, weight, BMI, & body fat
(b) £1 showing height, weight, BMI, heart rate analysis, blood pressure & body fat.
The monitors have a voice prompt making it easy for customers to use and it is not necessary for pharmacy staff to assist.
The K8 connects to the internet allowing appropriate customers to register and to view a history of their readings on our Keito eHealth website. This unique system provides pharmacies with a tool to interact with customers thereby improving customer loyalty and for development in the area of patient consultation. The registration process is simple and customers can do this themselves on the machine via a swipe card. The machine will continue to work as normal with coins for non registered customers.
Main benefits:•developcustomerloyalty•attractnewcustomers•generateadditionalrevenue
VISIT US AT STAND D109
Wholesale Health Supplements
•HealthSupplements •SlimmingSupplements •Vitamins •HealthPatches
Fantastic Health Supplements Supplied to Pharmacies throughout the UK. Take a look at our fantastic range of best selling health and Slimming supplements that return great profit margins. We Supply our supplements in highly attractive point of sale boxes that can fit neatly on any sales counter that will enhance any store and attract positive reactions from your customer’s. Our Best Selling Health Supplements are supplied in visually eye catching boxes which will increase your sales by up to an extra 70%.
New in for 2013 – See Our Space Saving Rotating Stand stocked with 36 of the best selling Supplements that will appeal to customers of all ages. This smart stand will look impressive in any store and can be easily restocked. Excellent profit margin return from a very small floor area, this is a stand packed full of great health supplements that every store should have.
Health Patches Our excellent range of health patches come supplied in a very eye catching point of sale box that sits on your sales counter. Eight different patches ranging from slimming to Energy and Well Being, Anti wrinkle and lots more...
Quality Products Made in the UK. Proudly Backing Britain’s Economy
Trade Sales & Enquiries: 0845 463 1321
VISIT US AT STAND B96a
Contact lens care preparations
Abatron is a wholly owned British company with over 30 years experience specialising in the research, development,
manufacture and sale of Contact Lens Care Preparations.
Our core range of products include Quattro®, an outstanding multipurpose solution for both SOFT and RGP lenses which incorporates a unique dual surfactant system, Amiclair® protein remover tablets, and Ami-dose®, a sterile saline for rinsing eyes and soft contact lenses that has been designed to be more controlled than tears.
Abatron products are prescribed by leading practitioners both at home and overseas.
Visit: www.abatronltd.com
VISIT US AT STAND C95a
Nationwide refurbishment and construction services
NDC Ltd offer refurbishment and construction services Nationwide. We are the market leaders in the health care market offering a total construction service.
At NDC Ltd we ensure the client is given best value for money solutions to exceed their expectations. We listen, advise, plan and deliver with skill and dedication.
As part of our scope of works we can provide a “free” project management service from inception through to completion of the projects.
Our services include full building works, supply and installation of cabinetry, etc, all flooring, decorating, electrics, air conditioning - the full Turnkey solution.
We are always happy to visit your premises and discuss your requirements and offer a “free” no obligation site survey and fully itemised estimate for works.
Tel No: 01254 351511, Mobile: 07970 009512 Email: [email protected], Website: www.ndc-ltd.com
VISIT US AT STAND G108
Leaders in the supply of mass market perfumery Coscentra UK, Market leaders in the supply of mass market perfumery. Already supplying hundreds of successful fragrances to pharmacy’s in England and Wales.
New outlets wanted!!! Distributors and reps for Ireland and Scotland wanted!!!
Please visit our stand D40 at the UK’s best pharmacy show.
VISIT US AT STAND D40
14 15
Food for special medical purposes provider
Nualtra is a new Food for Special Medical Purposes Provider specialising in formulating and bringing to
market a range of Oral Nutritional Supplements (ONS) for the treatment of disease related malnutrition.
All products are ACBS approved and were designed and formulated by Company Founder Paul Gough who trained and worked as a Dietitian in the NHS and HSE. The company was founded to make oral nutritional supplements more affordable both for the patient and for relevant health authorities by reducing the cost of reimbursement. Nualtra recognises the key role that taste plays if patients are to comply with their prescribed dose of ONS.
In sensory analysis, compliance and palatability studies, our products namely Nutriplen, Nutriplen Protein and Nutricrem have compliance rates of 90-96% over a 1 month prescription period compared to an industry average of 77% of leading 200ml brands.
Our aim is to be the best tasting, most cost effective oral nutritional supplement available. Please come and find out more at stand B41.
WEBSITE: www.nualtra.ie
VISIT US AT STAND B41
Caring for your joints Why look after your joints?
Joints are vital for physical mobility – they support the body and are involved in every movement you make. Wear and tear of the joints occurs naturally throughout life and so it is important to do all that you can to maximise joint health, especially as you get older.
Caring For Your Joints with GOPO® Joint Health
•NewName,OriginalFormula•Helpsmaintainhealthyandflexiblejoints.•RichinVitaminCwhichisessentialfornormalcollagen formation, needed by the body for healthy bones and cartilage. •Uniquepatentedfoodsupplementmadefromspecially cultivated rose-hip.•Supportedbynumerouspeer-reviewedclinicalstudies.
For more information about our brands please visit www.laneshealth.com
VISIT US AT STAND B98a
New teething remedy in the UK!
Camilia® Oral Solution by Boiron is a homeopathic medicinal product for teething babies and toddlers. Composed of three active substances - Chamomilla vulgaris 9c, Phytolacca decandra 5c and Rheum 5c - Camilia® Oral Solution treats a variety of symptoms associated with teething such as painful and swollen gums, irritability, digestive disturbances and ENT disorders.
This product is a perfect opportunity for pharmacists to advise parents in distress! Camilia® is very hygienic and easy to use with sterile single-dose containers, each containing 1mL of oral solution. Packaged in boxes of 10 single-dose containers, Camilia® is free from preservatives, sugar, lactose and ethanol, and safe to use on babies over 1 month old. Camilia® is an international brand already launched in 10 countries and a leader on many markets.
Available from Alliance Healthcare, order line 08458736166, PIP code 379-3643.
VISIT US AT STAND C105
Advance your career with a top ten UK university
The University of Surrey – a top ten UK university
Are you looking to advance your career through further study or professional training?
The University of Surrey offers a wide range of undergraduate, postgraduate and flexible Continuing Professional Development programmes in biosciences and nutritional sciences, delivered by leading experts at the cutting edge of research and practice.
We are proud to have risen to 8th position in the Guardian University League table 2014, and to 13th place in this year’s Complete University Guide. Our biomedical research — including nutrition — was ranked in the top 5% in the country in the last Research Assessment Exercise (2008).
Our programmes include MSc Clinical Pharmacology and MSc Nutritional Medicine — the first university-level, evidence-based Masters degree course in this subject in the UK.
To discover what the University of Surrey can offer you, log on to www.surrey.ac.uk or visit us at the Pharmacy Show.
VISIT US AT STAND C98
100% natural pure vegetable fibre face and body sponges
The Konjac Sponge Company 100% natural pure vegetable fibre face and body sponges offer a completely unique cleansing experience.
A premium range of top quality, moisture rich, skincare products offer amazing deep cleansing and gentle exfoliation
without damage. The sponges sooth even the most delicate and sensitive skin types, with great results even for problem skin conditions such as eczema.
An easy add on additional sale to current cleansing products and are featured regularly by the national press. Currently supplied internationally to many beauty departments of high end stores, now offered to the Pharmacy market.
Great prices with great margins on a product that simply sells itself! Becoming a stockist ensures great support and marketing from ourselves, so our ever growing customer base knows just where to find their favourite skin care product.
Come and see us to experience our sponges at the Pharmacy Show stand G75.
Or call 01296 662383 for more details
www.konjacspongecompany.com
VISIT US AT STAND G75
Items that enhance male sexual pleasure
Planet Earth is a wholesale company specialising in sexual health, particularly focussing on items that enhance male sexual pleasure.
At this year’s Pharmacy Show, Planet Earth will be primarily focussed on two brands, Überlube and the Ultimate range: Überlube is a silicone based sexual lubricant that provides long-lasting lubrication and has also been successful in the US as an anti-chaffing sports aid and an anti-frizz hair care product; the Ultimate range is a comprehensive range of natural male enhancement products that tackle problematic areas such as poor erection quality, erectile dysfunction and premature ejaculation.
Both of these products are exclusive to Planet Earth and thanks to their premium branding attract both mainstream consumers and those who are used to buying adult products.
In total, Planet Earth offers more than 20 exclusive brands and provides marketing support, drop shipping and white label opportunities to all of its customers.
VISIT US AT STAND E106
Specials and unlicensed medicines provider that you can trust
Rokshaw Pharmaceuticals – Patient safety, service excellence and peace of mind.
Primum non nocere
Rokshaw, the specials and unlicensed medicines provider that you can trust.
We always put patient safety first and pride ourselves on delivering a rapid service while giving you peace of mind.
Product quality is assured and pricing is very competitive but sustainable.
We provide a full range of Batch Specials, Bespoke Specials, Special Obtains and Imports.
Rokshaw supplies hospitals, wholesalers, retail pharmacies and Doctors throughout the UK.
All of our batch and bespoke specials are available on a next morning delivery service if the order is placed before 5.00pm.
Please come and see us on stand C91a or contact us on:
Telephone: 0191 5493547 Fax: 0191 5491985 Email: [email protected] Web: www.rokshaw.co.uk
VISIT US AT STAND C91a
Quality vitamins, supplements and herbal remedies
Since 1981 Natures Aid has become one of the leading suppliers to pharmacies for quality vitamins, supplements and herbal remedies.
All our products are manufactured in our state-of-the-art manufacturing facility in the UK to GMP and Pharmaceutical Standards. Our award winning product range consists of over 200 innovative products which include the UK’s leading range of Traditional Herbal Remedies for Echinacea, Devils Claw, Milk Thistle, Valerian, St John’s Wort and Rhodiola.
For further information on the Natures Aid range including the Traditional Herbal Remedies come and see us at the show.
VISIT US AT STAND B40a
The microwavable eye compress
The Eye Doctor® is a microwavable eye compress, your ideal partner for easing various eye conditions and
irritations...naturally.
Relax away the symptoms of:•MGD&Blepharitis•Grittiness&Irritation•DryEyeSyndrome•Inflammation•Styes&Cysts
The Eye Doctor® features:•Aremovable,washablecovertoensurehygiene•Anadjustablecomfortstrapforpersonalcomfort•Apouchforsafe,clean,drystoragetopreservethelife of your product.
Our special blend filling consists of a unique mixture of different shapes & sizes of natural grains ensuring maximum contact with the affected areas. This combination gives the best heat retention which is necessary for an effective treatment. The Eye Doctor® is your ideal partner for easing various eye conditions and irritations. The Eye Doctor® compress is registered as a Class 1 medical device with the MHRA (the Medicines & Healthcare Products Regulatory Agency).
VISIT US AT STAND B94
The revolutionary natural anti-inflammatory
With growing scientific evidence highlighting its remarkable health-giving properties, Lyprinol is rapidly becoming the must-
have natural health supplement.
The key to Lyprinol’s success is its patented stabilised natural marine lipid extract, comprising of a rare combination of lipid groups and unique Omega-3 polyunsaturated fatty acids. The oil, PCSO-524, was discovered by British scientists studying arthritis in the 1980s.
Today, it has been scientifically proven to reduce asthmatics’ need for inhalers, improve lung function and radically reduce the crippling pain associated with arthritis.
Natural Pain Remedy
Lyprinol acts by normalising inflammation in swelling joints and the body’s airways, making moving and breathing easier.
Helping Arthritis sufferers
Studies have shown Lyprinol can relieve arthritic conditions by modulating the lipoxygenase pathway, which governs the inflammatory system.
Lyprinol is also incredibly powerful, being•morethan100timesmorepotentthanfishoil•200timesmorepotentthanflaxoil.
www.lyprinol.co.uk
VISIT US AT STAND G21a
Washable continence care products
Capatex Medical are the owners and manufacturers of Kylie®, Kanga® and DRYtex®, the leading brands in washable continence care bed protection and washable continence care underwear.
Kylie® & Kanga® are the leading retail and pharmacy brands of washable continence care products and the expanded range from Capatex Medical includes disposable products. All products are retail packed including bar codes and POS materials are available to help merchandise and promote the brands.
Capatex Medical are also home to Keep U-Dri® waterproof leg and arm cast protectors. As well as continence care products Capatex Medical manufacture and supply the Breeze® range of tracheostomy airway management products. This range includes tracheostomy tube holders and the San Marino Safety Net.
Visit stand E107 to see more of what we can offer you.
www.capatexmedical.com
VISIT US AT STAND E107
EXHIBITOR NEWSEXHIBITOR NEWS
Unique range of Bio-activated organic silicium products
Vitasil is a unique range of Bio-activated Organic Silicium products produced by Dexsil Laboratories in Belgium.
Silicium (Latin for silicon) is often referred to as the forgotten trace element and the human body is now deficient in this important constituent. Silicium is particularly effective in helping the body to produce its own collagen with consequent benefits in anti-ageing, reduced inflammation associated with arthritis, rheumatism or any joint pain. The product range comprises two oral liquids, Bio-activated Organic Silicium to increase the body’s silicium levels and a second liquid, again silicium, but with added MSM, Glucosamine and Chondroitin.
These liquid products are complemented by a range of silicium gels, applied externally, used to treat the ailments mentioned above together with any general inflammation, muscular strain, broken veins and capillaries, pigmentation, oily skin spots, post-operative stitches, wrinkles and signs of premature ageing.
Come and see us at the Dexsil - Vitasil Stand C88 and sample these innovative products.
VISIT US AT STAND C88
Vapouriz electronic cigarettes
Further to a successful exhibition at the National Convenience Show in Birmingham and securing new business in retail/wholesale and distribution, Vapouriz are proud to announce they will be exhibiting at the Pharmacy Show In September.
Since the show we’ve seen great interest in our product range not only from retailers but also from general consumers. Our new retailers are reporting a high level of sales, especially in our Vapouriz Tank range and E Liquids.
In addition to this we offer a traditional 2 piece rechargeable electronic cigarette, cartomizers refills, disposables together with various accessories.
Vapouriz can offer a range of POS displays to meet individual requirements, these can be seen at our stand on the day.
Vapouriz Electronic Cigarettes are experiencing huge growth with some exciting opportunities for partners to join with us on our journey.
Please feel free to come and discuss your requirements and try our products for yourselves.
www.vapouriz.co.uk
VISIT US AT STAND F52
Generic pharmaceuticals Kent’s position as Britain’s largest independent generic pharmaceuticals manufacturer and wholesaler has been significantly enhanced following
our merger with Fannin Pharma resulting from the acquisition of our business by DCC Vital in February 2013
Between Kent and Fannin portfolios, we are able to offer a full selection of competitively priced, quality Generic, Brand, PI and OTC products that include over 120 own label Generic manufactured products.
This offer is closely supported by a team of informed and pro active Primary, Secondary and Wholesale managers who work closely with their customers advising them on our product, pricing and market information. Orders are delivered next morning across the UK.
This year we will be promoting our extended portfolio of new products and packaging along with unique offers and bespoke services for the independent pharmacist.
Visit Kent on stand F50a to find out more about our quality products, services, opportunities and a chance to win an iPad!
VISIT US AT STAND F50a
Specialist custom made compression garments
Jobskin® is a company that has built its reputation by producing outstanding quality medical products for over 40 years, manufactured in Nottingham, UK.
Leading the way in rehabilitation therapy, we are the largest UK manufacturer of specialist custom made compression garments for therapy and orthotic professionals.
We offer the highest quality made to measure products, silicone gel and stock orthotic products to meet your needs. We are dedicated to providing the ultimate in therapy management, with the focus on improving patient quality of life.
Our long standing reputation, commitment to the customer and product innovation is unmatched in the market today. We supply all major pharmaceutical wholesalers and our Silicone Gel and Lymphoedema products are FP10 listed,
For more information please visit our stand B42a where our sales product specialists will be happy to discuss your requirements and show you our product range.
www.jobskin.co.uk
VISIT US AT STAND B42a
The forefront of the sexual health revolution
STUD 100® Desensitizing Spray for Men - Lidocaine 9.6% w/w.
Among those at the forefront of the sexual health revolution, the Pound International Group of Companies pioneered the development and sale in pharmacies of STUD 100® Desensitizing Spray for Men,
formulated to help relieve the symptoms of over-rapid and premature ejaculation. For more than 25 years, men have been using STUD 100® to help enhance their relationships.
A worldwide bestseller, STUD 100® is approved by leading health authorities around the world for sale Over-The-Counter without a prescription. In the UK, STUD 100® is licensed for sale as a ‘P’ product. STUD 100® meets all FDA requirements in the US and has been sold in more than 60 countries.
VISIT US AT STAND F104
Making a positive difference in nutritional health
Nestlé Health Science, through its Nestlé HealthCare Nutrition business, makes
a positive difference in the nutritional health, well-being and quality of life of patients through the development and delivery of innovative, medically recognized branded nutritional solutions.
Our range of solutions helps to optimize the nutritional intake of individuals whether their goal is to combat disease and/or recover better and faster or to stay healthy.
Our range addresses normal and disease-specific nutritional needs and related services including patient and healthcare professional education and training. Nestlé Health Science has worldwide headquarters in Lutry (Switzerland).
Nestlé Health Science Nestlé HealthCare Nutrition Suite 1.11 South Harrington Building 182 Sefton Street Liverpool L3 4BQ
VISIT US AT STAND B70a
The experts in true aromatherapy
Natural by Nature Oils is a family run business, specialising in all aspects of aromatherapy.
Established in 1974 we were one of the first companies to
introduce aromatherapy into the UK.
Natural by Nature Oils has been producing Pure and Organic essential oils for over 35 years.
We are one of the biggest suppliers of essential oils to the Independent Health Food Industry and are recognised for our high quality of products and customer service.
Our aim is to give all our customers complete confidence in all our products; we offer a full range of guaranteed pure and organic essential oils, base oils, creams, facial oils and aromatherapy products
We source all our oils ourselves from around the world to ensure the highest of quality; our products are all manufactured in our own factory, which allows us to control the whole process to ensure all goods leave us in perfect condition.
We believe in being a responsible supplier by offering all our customers an advice line Mon-Fri 9-5pm for any questions regarding essential oils and their uses. We have over 1000 tried and tested recipes for every day common conditions, so allowing for a natural and pure approach to health and wellbeing.
Tel: 01582 840848, www.naturalbynature.co.uk
VISIT US AT STAND G80
READ THE LATEST SHOW NEWS AT WWW.THEPHARMACYSHOW.CO.UK
Over 100 New Exhibitors of exciting new products and services
at the 2013 Pharmacy Show!
Supported by
IS PHARMACY FIT FOR PURPOSE..?
NEW FOR 2013:
•The Clinical Theatreisthisyearprogrammed inassociationwithThePharmacyShow’ssister event,TheClinicalPharmacyCongress,offering yourefreshersessionssoyoucanenhanceyour knowledgeonkeytherapeuticareas.
•TheMedicines Optimisation Theatrewillhost sessionscoveringprescribinganddispensing errors,sharedcareservices,counterfeiting/ falsifyingmedicinesandadherence
•FourKeynote Theatrepanelsessionsacross thetwodayscovering‘IsPharmacyfitfor purpose?’–Haveyoursay!
•NewsignpostingforPharmacy Technicians
•EnhancedprogrammeforCounter Assistantslookingattheirroleaspartofthe pharmacyteam
•Notforgettingalargenumberofsuppliers showcasingthelatestmedicines,products, servicesandtechnologiesincludingover 100 new for 2013.
ThePharmacyShowisFREEtoattendforpharmacyprofessionals,pharmacytechnicians,counteranddispensingstaff,medicinesmanagementteams,wholesaler&distributors,andpre-regpharmacists.
Don’t miss out on the largest gathering for community pharmacy and book your place TODAY!
Never has there been a more important time for pharmacy professionals to get together, debate the future and have a voice for the future of community pharmacy in the new NHS Landscape, and The Pharmacy Show is the place to do it! The UK’s largest networking, CPD education and sourcing event for community pharmacists and pharmacy technicians, takes place once again at the NEC, Birmingham on 29th & 30th September.
To register yourself and your team for free go to www.thepharmacyshow.co.uk/newspaper1
REGISTER NOW!