Increased cooperation between countries is needed to ensure better regulation of online pharmacies, said authors of a new report - 'Online pharmacy operations and distribution of medicines', published by the International Pharmaceutical Federation's (FIP) Community Pharmacy Section.
The report presents findings of a global survey of pharmacy organisations covering various aspects, such as type of medicines supplied by these pharmacies in different countries, how the authenticity of online pharmacies can be verified, and the usage of e-prescriptions and shared patient health records.
Of the 79 countries responding to the survey, 51 per cent acknowledged that no regulation of online pharmacies exists.
A quarter of the respondents reported cases of irresponsible self-medication by consumers who had purchased medicines through online pharmacies.
A lack of regulation creates "an avenue for illegal pharmacies and may impact the overall quality of medicines and services offered to consumers," authors of
the report said.
Lars-Åke Söderlund, immediate past president of FIP's Community Pharmacy Section and co-editor of the report, said that the pandemic has increased preference for online services, including in the pharmacy sector.
EMIS Pinnacle, the leading Pharmacy First IT supplier, has begun implementing the GP Connect Update Record feature to all community pharmacies in England that
use PharmOutcomes.
Starting June 28, this new feature was made available for use with the Hypertension case-finding service and the Pharmacy contraception service, as announced by
the Community Pharmacy England (CPE).
The GP Connect Update Record will enable community pharmacies to securely share "structured" information with GP practices regarding consultations conducted under
the Pharmacy First programme, which includes minor illness and clinical pathways, along with Hypertension Case Finding and Pharmacy Contraception services
Live testing is underway with EMIS Pinnacle for Pharmacy First minor illness and clinical pathways.
There are plans to expand the system in the future to include updates for urgent supply of medicines under the Pharmacy First service.
EMIS Pinnacle is the third CPCF IT system supplier to offer this functionality, following Cegedim's Pharmacy Services system and Positive Solutions' HXConsult
system.
Community Pharmacy England (CPE) to host a Parliamentary drop-in event in July to brief MPs and Peers about the ongoing medicines supply chain issues that
are negatively affecting pharmacies and their patients across the country.
CPE's Pressures Survey earlier this year highlighted the extent of both the operational and financial impacts of medicines supply issues on pharmacy businesses,
therefore it has continued to hear from both pharmacy owners and others about the problems.
The event aims to ensure that MPs understand the problems and their impact on pharmacies.
Peter Dowd MP is hosting the event, joined by representatives from Community Pharmacy England, the Nuffield Trust, patient groups and more.
The event will also be another opportunity to talk to MPs from across the political spectrum about the very serious situation that community pharmacies still find
themselves in and the need for further investment in the sector.
Janet Morrison OBE, Chief executive of Community Pharmacy England said: "The results of our Pressures Survey earlier this year showed just how much supply issues
are continuing to negatively impact pharmacy businesses and all those who work in them. The survey found that almost all pharmacy owners (97%) are facing
significant increases in wholesaler and medicine supply issues, with 71% saying this was leading to delays in prescriptions being issued.
Two dozen parliamentarians from across the political spectrum have called on the prime minister to act as a wave of pharmacy closures in recent years has
threatened to spiral out of control.
A letter to the prime minister signed by 24 MPs and peers has warned that worse could be yet to come after "spiralling business costs" and "year after year of real
terms funding cuts" have led to hundreds of pharmacy closures.
New data from the PSNC shows that over 639 local pharmacies have been lost in England since 2016.
"This is the equivalent to just short of one pharmacy closure per constituency", the cross-party group warned.
The letter comes as MPs came together at a parliamentary summit to call for pharmacies to be embraced as a "game-changer" for tackling healthcare backlogs and taking
pressure off other areas of the NHS. A 'Future of Pharmacy' event was attended by 53 parliamentarians on July 5 in the Palace of Westminster.
At the event parliamentarians heard directly from frontline pharmacists and representatives of pharmacy bodies where a map of constituency-specific pharmacy numbers
was also unveiled, with details of the number of pharmacy closures in MPs' local area.
A group of 21 community pharmacies in the Midlands and Yorkshire will have a new name - Pickfords Pharmacy.
The group has been created by combining three independent pharmacy businesses which traded as Mr Pickford's, McGills Pharmacy and D&R Sharp.
All pharmacies in the new group will be rebranded over the coming months, with a series of launch events planned by local teams.
Speaking after the unveiling of the first branch to receive new signage in Hexthorpe Doncaster, Mimi Lau, Pickfords Pharmacy's chief operating officer, said:
"This is a turning point for the group, with all our pharmacies operating under one name with a consistent, contemporary brand.
"Initial reaction has been fantastic and very soon the name Pickfords Pharmacy will be widely recognised for the great service we deliver to customers and patients
every day."
Speaking of the consolidation, Nick Yarrow, the newly appointed group chief executive officer, commented: "Since the enlarged group came together last year, we have
been striving to ensure that the best elements of each business have been retained for the benefit of our customers and team members.
"This is part of our journey to be more than just a pharmacy - we want to be a trusted source of healthcare services at the heart of each one of the communities we
serve".
The Royal Pharmaceutical Society (RPS) has launched a partnership with the charity Marie Curie to develop professional standards in end of life care for community pharmacy.
Available for pharmacy teams across the UK, the standards will provide a free, evidence-based framework to help community pharmacies self-assess and continuously improve their end of life and bereavement care for patients and carers.
They will enable community pharmacy teams to work together to develop their own practice.
RPS is setting up a professional standard steering group which will have community pharmacy experts, experts within the field of palliative and end of life care,
lay members, and healthcare professionals who interact with community pharmacy.
Elen Jones, director lead for palliative care work at RPS, said: "RPS has a long-term commitment, striving to ensure that people living with life-limiting conditions
who are approaching the end of life have timely access to medicines and clinical support from a skilled pharmacy team.
"The development of these standards, in partnership with Marie Curie, is a crucial step to support community pharmacy teams to undertake simple quality improvement
measures and build upon the care they already provide to this group of patients and carers."
The Company Chemists Association (CCA)'s 'Prospectus for community pharmacy' has revealed that community pharmacies can release over 42 million appointments
from general practice every year.
In its prospect, the association calculated that community pharmacies could reduce hospital readmissions by 65,000 and administer an additional 10m routine vaccines
annually.
The prospectus sets out bold ideas and proposals regarding the future of community pharmacy. The association said: "Community pharmacies already work collaboratively
with the NHS to ensure that patients can access care easily and safely. Whilst the sector has evolved considerably in recent years, the CCA proposes that pharmacies
could do even more to directly tackle key problems for patients."
CCA is concerned that without immediate action pharmacy closures will become increasingly common. "Fewer pharmacies will considerably diminish access to vital
medicines and services, with the greatest impact on those in deprived communities."
The Pharmaceutical Services Negotiating Committee (PSNC) has raised concerns over the NHS ad campaign highlighting how community pharmacies can support patients
with non-health advice amidst the growing pressure on pharmacies.
It believes the campaign will only 'worsen' the pressure on pharmacies.
"It is always deeply concerning to see campaigns directing people to pharmacies without any regard for the pressures they are under: it is irresponsible and extremely
unhelpful," said PSNC Chief Executive Janet Morrison.
She called the campaign 'particularly irritating' just weeks after the committee rejected a series of proposals from NHS England and DHSC on relief measures to ease
pressure on pharmacies as being totally inadequate.
"NHS England Board Members have noted the pressure on pharmacies - so why are their teams so often acting to make these pressures worse? We need to see a radical
change in how NHS England treats pharmacies and we're continuing to press for that via our influencing and campaigning work," she added.
The NHS launched the new campaign on Monday (27 February) to highlight how high-street pharmacies can support patients with non-urgent health advice for minor
conditions including coughs, aches and colds.
Kent based N.B. Pharmacy has been sold to first-time buyers, Venkat and Preeti Adama, from Essex for an undisclosed price.
N.B. Pharmacy is a standard hours community pharmacy that dispenses an average of 6,393 items per month.
The business has been owned by Nirmal Bajaria for 39 years and was recently brought to market to allow him to pursue a well-earned retirement. Following a
confidential sales process with Christie & Co, it has been purchased by first-time buyers, Venkat and Preeti Adama, from Essex.
Nirmal Bajaria, former owner of N.B. Pharmacy, comments, "Having run the pharmacy for around 39 years, it was a difficult decision to put the business up for sale.
I was very pleased with the high number of viewers and feel delighted that a young family bought my pharmacy."
Join us for the prestigious Pharmacy Business Awards 2023, celebrating excellence in community pharmacy. Attend the glittering ceremony in London
and witness industry leaders, officials, and ministers. Submit your entry now and showcase the unique services of community pharmacy.
Nomination deadline: July 7th, 2023.
Balmedie Pharmacy based in Aberdeenshire, Scotland has been purchased by local expanding multiple operator JMF Healthcare.
Balmedie Pharmacy is a well-performing community pharmacy that dispenses an average of 5,255 items per month. It lies completely unopposed in the large Aberdeenshire
village of Balmedie, which is circa eight miles north of Aberdeen City Centre.
The pharmacy has been owned by Brian Arris since 2004 and was recently brought to market to allow him to pursue other pharmacy business opportunities.
Following a confidential sales process with Christie & Co, JMF Healthcare to benefit from new housing developments in this area of Aberdeenshire such as 300 new
homes planned in Balmedie, approved plans for up to 500 new homes in Trump Menie Estate, and 284 new homes planned in Blackdog Village.
Brian Arris, previous owner of Balmedie Pharmacy, comments, "I'm sad to see the business go as the excellent staff have helped grow the pharmacy from scratch since
2004 and we've all put our hearts and souls into providing good pharmaceutical care for the village and surrounding area. I'm confident everyone is left in safe
hands with John at the helm now."
The Health and Social Care Committee (HSCC) has announced the appointment of six specialists to scrutinise the government's progress made on its commitments
to pharmacy services in England on Wednesday (26 April).
"They will work alongside the core members of the Expert Panel to produce a report evaluating Government progress across nine of the Government's own commitments
across the four areas. A CQC-style rating from "inadequate" to "outstanding" will be awarded against each specific pledge with a final overall rating given," said
DHSC.
Professor Dame Jane Dacre, Chair of the Expert Panel, said: "The role of pharmacy in delivering care whether in hospital, the community or primary care has never
been more important.
"The Government has made a number of commitments aimed at improving pharmacy services and we'll be looking at the progress to achieve these targets.
"In the process of our evaluation we'll be hearing from stakeholders from across the industry, including the pharmacy workforce and NHS and independent providers
of pharmacy services. We'll be considering pledges covering frontline services as well as the education and training of the workforce."
National Pharmacy Association (NPA) chief executive, Mark Lyonette, is one of six panel members with specialist expertise in pharmacy. They will work alongside five
standing members who are all renowned healthcare policy experts and professionals. Professor Dame Jane Dacre will chair.
In response to concerns raised by pharmacy owners, the government has decided to adjust the August threshold for the Pharmacy First service from 20 to 15
clinical pathways.
The ability of pharmacy owners to achieve the thresholds for the monthly Pharmacy First payments has been a topic of great concern.
Community Pharmacy England (CPE) has been actively discussing this issue over the last few weeks with the Department of Health and Social Care and NHS England.
Ministers have now decided to adjust the August threshold for the Pharmacy First service to 15, CPE announced today (July 31).
Commenting on this decision, Janet Morrison, CEO of Community Pharmacy England said: "We are pleased that Ministers have listened to our concerns and acted quickly
to make an adjustment so soon after coming into office."
The full version of the Community Pharmacy Assurance Framework (CPAF) questionnaire is now available for selected pharmacies to complete.
This follows a screening questionnaire in July, which all community pharmacies in England were asked to complete as part of the CPAF process.
Pharmacies may be selected for the full, comprehensive CPAF questionnaire if, for example, they did not complete a screening questionnaire or if there are concerns about the pharmacy relating to patient safety. Some pharmacies may also be selected to validate their screening questionnaire answers.
The NHS Business Services Authority (NHSBSA) said selected pharmacies have been contacted. It's mandatory to complete the survey which can be used as a training tool and for continuous monitoring of compliance against the community pharmacy contract.
Nuffield Trust and The King's Fund are seeking feedback from community pharmacy on their proposals for the future of community pharmacy and they are seeking
feedback from community pharmacy stakeholders.
The online survey is the latest opportunity for pharmacy owners, LPCs and others in the sector to engage with the project to develop a Vision for Community Pharmacy.
Nuffield Trust and The King's Fund want to hear their views on their proposals, ahead of the publication of the final report later this year. The vision is
critically important, as it will be used to develop the future strategy for the sector and lay the groundwork for the next Community Pharmacy Contractual
Framework (CPCF) negotiations.
The survey is asking for thoughts on key aspects of the vision and its recommendations. The vision has been developed by Nuffield Trust and The King's Fund
following an extensive programme of research, interviews and meetings of the vision Steering Group, Advisory Panel, and Working Groups, all of which have
contractors, LPCs and other representatives of the sector at their heart.
The vision project team are looking forward to hearing views from across the sector on their proposals and what will need to happen to make them a reality.
The National Pharmacy Association (NPA) has raised its concerns over rising cost of rent for its members.
The association highlighted that pharmacy spending is shrinking, and therefore, the NHS Property Services must ensure viability of health centre pharmacies.
In May, the NPA wrote to NHS Property Services to voice its concerns over the rising cost of rent after some of its members reported demands for a three-fold increase in rent.
Many pharmacies operate in premises of which NHS Property Services is the landlord.
In a letter last month to chief executive Martin Steele, NPA said: "The past years have seen far fewer patients in health centres and therefore using the on-site pharmacy - whilst the situation will change somewhat as we move out of the pandemic we expect a permanent impact on workload as practices handle more of their interactions virtually.
"The NPA encourages NHS Property Services to review lease agreements involving community pharmacies and consider favourable changes to terms that are in line with
current financial realities affecting the sector. This could avoid the loss of a pharmacy service to communities and the resulting loss of rental income to NHS Property Services."
The voter turnout for the Royal Pharmaceutical Society (RPS) England this year has dropped to 7.3 per cent.
Out of a total 18,333 eligible voter only 1,336 voter elected Danny Bartlett to the vacancy on the English Pharmacy Board.
This year, four nominations were received for one substantive place on the English Pharmacy Board.
One nomination was received for a single vacancy on the Welsh Pharmacy Board. Richard Evans has been elected unopposed to the vacancy on the Welsh Pharmacy Board.
There were no vacancies this year on the Scottish Pharmacy Board. Therefore, no election was required for the Welsh Pharmacy Board nor the Scottish Pharmacy Board.
Sarwat (Sorbi) Khattak has been elected for a period of one year to fill the casual vacancy.
Preet Kaur Gill, Shadow Minister for Primary Care and Public Health, has paid a recent visit to a community pharmacy in Staffordshire to personally experience
the services it provides to patients, while staying updated on the latest sector developments.
Her visit to Eason's Pharmacy in Tamworth on September 22nd marked her first since assuming new responsibilities for pharmacy policy matters within Labour's health
team. Gill was also joined by a member of the National Pharmacy Association staff.
The Minister received a comprehensive briefing on Eason's Pharmacy from its third-generation owner, Kieran Eason (R). He outlined the NHS services, which include
the New Medicines Service and blood pressure monitoring, and showcased two consultation rooms and an operational dispensary.
"It's great that Preet came to learn firsthand about the challenges we face and the substantial potential of community pharmacies nationwide," Eason said. "As an
independent prescriber, I have the expertise to provide even more convenient care, but the current funding levels severely limit our contribution."
A pharmacy in Derby is to reopen a year after its closure sparked more than 600 worried residents to sign a petition demanding it stayed open.
An old LloydsPharmacy store on Main Drive in Chaddesden is to be the new home for Vision Pharmacy which currently has a branch at nearby Nottingham Road.
Vision Pharmacy, which has been based in Chaddesden for nine years, is to move to Main Drive from the beginning of December.
It means that Chaddesden will once again have a pharmacy right next to The Park Medical Practice - one of the main GP surgeries in the area - making it ideal for patients as they will simply have to just visit next door to collect prescriptions and medicines.
Huge banner signs can be seen on both the existing Vision Pharmacy store and its new Main Drive premises saying the move will take place from December 1.
The full-time equivalent community pharmacy workforce saw a 6 per cent decline in a year, while the overall number of pharmacists remains nearly constant,
according to NHS England's Community Pharmacy Workforce Survey 2022.
However, vacancy rates among pharmacists rose 16 percent, suggesting an increased reliance on locum pharmacists who, on average, work fewer hours, the data revealed.
According to NHSE, the mandated survey released (Aug. 3) achieved a 95 per cent completion rate among pharmacy contractors, marking a substantial increase compared
to only 47 per cent in the previous year.
The survey results indicate a shift in working patterns within community pharmacy, with locum pharmacists being utilised more frequently as part of the staffing model.
The survey revealed a 6 per cent decrease in the community pharmacy workforce across all roles combined. The number of full-time equivalent pharmacists working in
community pharmacy decreased by 2,411, from 20,255 in 2021 to 17,844 in 2022, the survey found.
The employed pharmacists decreased by 16 per cent from 12,774 in 2021 to 10,943 in 2022, while locum pharmacists increased by 26 per cent from 4,297 in 2021 to
5,477 in 2022, NHSE said.