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There is no doubt that the pandemic has changed the way healthcare professionals work within the primary care setting. The advent of Covid-19 meant that we all had to rapidly modify the way we supported and met the needs of patients, some of whom saw the services they usually took for granted, virtually cease overnight. There are around 15 million people in England living with long-term health conditions including asthma. These people have the greatest healthcare needs of the whole population with 50 per cent of all GP appointments and 70 per cent of all bed days taken by this cohort of patients, and their treatment and care absorbing 70 per cent of acute and primary care budgets in England. This situation isn't going to improve any time soon. In the past, most people had a single condition, today multi-morbidity is becoming the norm. At the start of the pandemic, the Royal College of General Practice and British Medical Association issued guidance to practices on prioritising workload. This included the importance of maintaining long-term condition reviews in asthma, COPD and diabetes, along with appropriate transition of at-risk warfarin patients. These reviews were deemed as essential workstreams for patients considered to be at high risk. Traditionally, the unique skills set of a pharmacist has meant that we have played a major role in supporting these patients. I work with a team of over 90 clinical pharmacists who, in partnership with individual practices, PCNs, CCGs and STPs, help with the long-term management of people with chronic conditions. But the onset of Covid-19 meant that we now had to plug a potential gap in service provision, and quickly.

There are several benefits to losing weight, including higher self-esteem, better mood, improved sleep pattern, and better health in general. In addition, you can prevent various health concerns associated with obesity, such as heart problems and diabetes. There are different ways to help reduce weight, including lifestyle changes. It requires discipline, perseverance, and commitment to reach your goal and maintain it. The first step to making these changes can be challenging, but you must push yourself and keep moving forward to achieve your objective. If you are a beginner, the weight loss tips can be overwhelming, and some may be too hard to do that it could demotivate you or make you give up. So, we listed some tips for losing weight that are ideal for beginners. Set your goal Although you may want to lose weight immediately, the truth is that it will not happen overnight. Remember that it did not take one day to gain all those extra pounds, so you cannot lose them instantly. Setting your expectations straight is essential, so you won't be disappointed if you do not see an immediate result. You need consistency to be where you want to be, so make sure you have a clear objective. You can set smaller goals that you can achieve within a shorter period, then set another goal after that until you reach your ideal weight. You will feel motivated by these small wins, making you want to keep going.

"Discussions must involve the government on behalf of NHS Scotland, CPS on behalf of the owners, and the PDA as the pharmacists' representative," it said. The association believes that there is a need for discussion and decision-making that listens to and balances the rights and responsibilities of both employers and workers, to generate benefits for individuals, organisations, and society. It added: "Even though Scotland provides the most generous community pharmacy settlement in the UK, recent reports suggest it is not enough for pharmacy owners with CPS's rejection of the latest funding proposal in May. Though the Scottish government found an extra £20M to ease pressures related to medicines price increases, an overall agreement has still not been reached." "The UK-wide chains may be doing less well in the parts of their networks covered by the Westminster government's contract, but the taxpayers and government of Scotland need to be given reassurance that they are in no way subsidising funding shortfalls in England's pharmacy contract." Recently, when LloydsPharmacy's Scotland branches recently came on the market, they appear to have been sold exclusively to existing contractors, including the UK-wide multiple, Rowlands Pharmacy, who have acquired 30 of them. Other small and medium-sized Scottish pharmacy chains have apparently been able to double in size overnight by acquiring branches.

Honey lemon ginger tea is a simple and delicious beverage that anyone can make. It has scientifically proven potential health benefits, including giving you an immune boost if you're sick and providing soothing relief if you're not. And it's easy to make! With these simple adjustments, anyone can make Honey Lemon Ginger Tea their own! 1. Start with fresh ingredients. To ensure the best-tasting tea, start with fresh ingredients. Find a bunch of organic lemons at your local grocery store and grab some fresh mint if you have it (if not, don't worry; it will still taste great). You can use regular honey or even raw honey if you'd like to slow down the aging process of honey in your body due to the high amount of antioxidants found in raw honey. If you have time to let this sit overnight before drinking it, I recommend doing so! That way, all those wonderful flavors come together perfectly while they soak into each other's pores. 2. Honey, lemon, and ginger ratios don't have to be exact. The recipe calls for a specific amount of honey, lemon, and ginger, but it's okay if you have a different measurement. The ratio of ingredients can be adjusted up or down according to your personal taste preferences. If you like more lemon than ginger, add more juice and less grated root in the same proportions as you would with the honey and tea leaves. The same goes for the other two ingredients-if you want more sweetness, increase the amount of honey (but keep an eye on how much liquid has been added). To make a large batch at once, I double all my ingredients except for hot water, which I triple before adding it to my teapot, along with loose-leaf green tea. 3. Consider using a large teapot or a pitcher. If you have the space to do so, use a larger teapot or pitcher for brewing and serving. This will help strain out the ginger and make it easier for you to pour it into mugs for multiple guests. You can also make a large batch at once and then store it in the fri

Recently, the English Health Secretary has talked about introducing a 'Pharmacy First' model similar to that which exists in Scotland. This would be a win-win outcome providing people with better access to essential healthcare support, advice and treatment whilst relieving strain on other parts of the NHS, not least GPs and A&E. It is a no-brainer and yet despite a few media headlines there are still no firm proposals on the table to make this a reality. It surely cannot be right that you can receive a broad range of patient care services in Scotland which are not available in England. It works well in Scotland, Wales is keen to develop more pharmacy-based services and Northern Ireland, leaving aside the current funding dispute, has had a minor ailments service for many years. If the English Health Secretary is sincere in his interest in adopting an English version of the Scottish model, then there are critical aspects he needs to consider. Firstly, start with the patient journey through the healthcare ecosystem from illness prevention through to long-term condition management. What is the role of community pharmacy and how do we guide people to seek support from the most appropriate healthcare professional? What is the vision for community pharmacy delivering patient care in the next decade? The lesson from Scotland is that the government needs to sit down with the sector and map that out together. There are no quick fix overnight solutions. This needs to be a long-term commitment backed by adequate funding. Supervision regulations need to change and there needs to be a thought through workforce strategy which avoids community pharmacy shortages as that does nothing to deliver improved patient outcomes.