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The Company Chemists' Association (CCA)'s analysis on permanent closures of community pharmacies in England showed that there has been a net loss of 670 pharmacies between 2015 and 2022. The analysis highlighted that 37 per cent of permanent closures of pharmacies and GP practices have occurred in the 20 per cent most deprived parts of England. Current trends indicate that primary care 'cold spots' could soon emerge - areas where there is significantly reduced or inadequate access to a pharmacy or a GP. The CCA's analysis shows that some of the most deprived neighbourhoods concentrated in the North West, the West Midlands and Yorkshire have faced the highest losses of local pharmacies and GP practices since 2015. It demonstrates that the trend of permanent closures amongst pharmacies and GP practices is worsening. Moreover, this burden is likely to be felt unevenly with permanent closures occurring disproportionately in areas of high deprivation. Without action, deprived communities, where need is typically greater, may no longer be able to access the GP and pharmacy services they require.

The Royal Pharmaceutical Society (RPS) has backed a new framework from NHS England to reduce inappropriate prescribing of addiction-causing medicines. It believes that the new framework is a positive step towards improving patient care by supporting medicine reviews and shared decision making to help people reduce their use of medicines that are no longer providing much clinical benefit. The society has also welcomed investment in innovative approaches to supporting patients and urged all pharmacists to refer people to such schemes. Director for England at RPS, James Davies said: "Pharmacists are well-placed to help reduce inappropriate prescribing of high strength painkillers such as opioids and other addictive medicines. "Pharmacy teams can also often spot repeat purchases of over the counter medicines by patients so are well placed to intervene and give advice on the management of chronic pain. Whilst opioids can play an important part in helping people with chronic pain there has long been a need for alternative approaches that are safer and more effective for patients.

The Serious Shortage Protocol (SSP), for Estradot 50mcg patches will expire at 23.59pm on Friday 24 February 2023. Department of Health and Social Care (DHSC) has confirmed that sufficient stock of Estradot 50mcg patches are now available to meet normal demand. "After 24th February, any prescriptions for Estradot 50mcg patches must be dispensed in accordance with the prescription, and SSP048 will no longer be valid for use," said DHSC. Top tips for SSP claims by PSNC: Where available, use the claim amend facility on the PMR system to rectify any incorrect EPS claims already submitted this month. For any supplies made in accordance with SSPs, check that the correct number of patient charges are collected and declared on the end of month FP34C submission. NHSBSA advise that contractors must follow the specific endorsement guidance issued with each SSP and endorsements should be clear and unambiguous - NHSBSA processing staff must be able to determine what has been supplied. NHSBSA have published information on common SSP endorsing errors they see when processing claims.

The Pharmaceutical Services Negotiating Committee (PSNC) has urged pharmacy contractors to use Manage Your Service (MYS) portal only for all monthly FP34C submissions. To secure access to earlier advance payments on 11 April 2022, the committee has advised pharmacy contractors to submit their claims for NHS pharmaceutical services delivered in March 2022 no later than 5 April 2022. PSNC said: "The Manage Your Service (MYS) portal is now the ONLY route available to contractors for all monthly FP34C submissions. From March 2022, contractors will no longer receive the paper FP34C submission document through the post. However, the NHSBSA will continue to post out red separators for contractors to submit relevant forms each month.

The NHS England and Improvement has announced the emergency provisions introduced during pandemic to provide flexible opening hours for pharmacy contractors end today. The flexibilities were enacted in March 2020 when changes to the Pharmaceutical Services (Advanced and Enhanced Services and Emergency Declaration) Directions 2020 were made following a declaration of emergency at the height of the Covid-19 pandemic. Since March 2020, the flexibilities have permitted temporary opening hours and closures during a specified period due to a genuine Covid-19 related emergency. NHS England and Improvement has advised pharmacy contractors that the emergency declaration will not be extended further and will expire on 31 March 2022. Pharmacy contractors will therefore no longer have the option to close pharmacies within their agreed contracted hours with the NHS.

Lloyds Pharmacy's closure of all its 1,300 branches will wake-up the ministers and NHS officials to the reality of community pharmacy sector in England has reached crisis point, expressed Nigel Swift Managing Director of Rowlands pharmacy and Deputy Managing Director of PHOENIX UK. On Friday, The SUN reported that the UK's second largest pharmacy provider - is allegedly in the process of selling its entire estate of 1300 branches. Lloyds Pharmacy will no longer be a High Street presence following its decision to put all its pharmacy branches at the risk of closure. In January it has announced to close its 237 Sainsbury-based pharmacies. Nigel highlighted the fact that community pharmacy is struggling due to insufficient government funding and immense pressures on GPs and A&E departments - an ongoing issue which poses a very real threat to the sector. Commenting on the announcement, he said: "It's not just Lloyds - an independent analysis by Ernst & Young estimated that 75% of community pharmacies will be in financial distress in the coming years. £750 million has been taken out of the English contract due to inflation since it began."

Amid media speculations that a large pharmacy multiple was putting all its stores at risk of closure, PSNC supremo Janet Morrison said the sector was in crisis and in danger of a significant collapse. Addressing delegates via a video link at Sigma Pharmaceutical's 13th Annual Community Pharmacy Conference held last week (March 4 -9) in Punta Cana, Dominican Republic, she said while "a lot of consolidation or sales" would continue, a lot of the smaller, independently-owned community pharmacies - which had to work harder and harder to make ends meet - were just "hanging on in there". "But I don't know how much longer people can go on," she said, adding that the risk of actual closure was rendering the remaining pharmacies so fragile that "they may not be able to pick up the slack of many thousands of patients" who would need repeat prescriptions. "The disruption is frightful and awful. We have got 53 per cent of the population on repeat prescriptions, so that matters." Her comment on the opening day of the conference was a sober reminder that the sector - which relies heavily on income from prescriptions - couldn't afford to "carry on with the current format of a contract and the current amount of money" it was paid to deliver numerous tasks which have been heaped on it to share the burden of a crippling NHS.

Generic and over-the-counter drugs company Stada has asked the German government to seek assurances from Ukraine that the company can continue operations there even though it also does business in Russia. In a March 21 letter to German Economy Minister Robert Habeck, Stada CEO Peter Goldschmidt said there was a risk Kyiv might withdraw the company's market authorisation. Stada "still has no longer-term certainty that we will be able to sell our products in Ukraine in the future," the letter said, with the subject line: "Please prevent the exclusion of international pharmaceutical companies from the Ukrainian market." The Economy Ministry did not have an immediate comment on the letter. Habeck promised investment guarantees for German companies during a trip to Ukraine on Tuesday (April 4) as part of his goal to speed up reconstruction in the war-torn country. Goldschmidt said restricting Stada's operations would be bad for Ukraine.

From over-the-counter flu tablets to crucial antibiotics and antidepressants, medicines are running scarce in UK pharmacies this year, causing concerns among patients, the government, and the wider pharma industry. Drug shortages have accelerated over the past year due to a clutch of problems including the after-effects of the pandemic on supply chains, the war in Ukraine, and soaring input costs weighing on manufacturers. More recently, a sudden spike in respiratory infections - another by-product of Covid-19 that neither pharma companies nor the government were able to predict - has deepened the crisis, with 70 commonly taken drugs out of stock in Britain as of February. The problem is not unique to the UK. In a recent survey of groups representing pharmacies in 29 European countries, three quarters said shortages were worse this winter than a year ago, with a quarter reporting more than 600 drugs in short supply. The US is also facing significant shortages of popular prescription drugs like amoxicillin and Adderall, an ADHD medication. To some extent, the current disruption is laying bare wider challenges facing the industry for several years that were only exacerbated by the pandemic. The over-reliance on foreign suppliers for most active pharmaceutical ingredients (APIs) is one of them. This model has left companies more susceptible to supply shocks, which have in turn increased in frequency and severity due to pandemic lockdowns, the war in Ukraine and other issues such as the shortage of shipping containers. Pharma's long and opaque supply chains, alongside regulatory complexities, also mean it is taking longer for drugmakers to reconfigure manufacturing and distribution in times of additional need.

National Health Services (NHS) patients across England are set to experience a significant enhancement in accessing key healthcare services such as community nursing through the expansion of self-referral options that no longer require a GP appointment. The recent announcement is part of the NHS primary care access recovery plan and is set to offer hundreds of thousands more individuals each month the opportunity to refer themselves for essential services such as "incontinence support", "podiatry", or "hearing tests" without GP referrals. This move aims to alleviate the burden on general practitioners through self-referrals for more than 180,000 patients, allowing them to focus their time and resources on patients in need of immediate care and recover the long waiting times. As per the NHS data, approximately 200,000 people per month self-refer themselves which under the new plan will extend to additional critical services tailored to local population needs to "continue modernising GP, expand pharmacy services, and offer patients more choice in how they access care".

In our quest for perfect skin, the landscape of dermatology and skin care has evolved dramatically, offering breakthrough treatments and solutions. The pursuit of a blemish-free, radiant complexion is no longer a distant dream, thanks to advancements in medical aesthetics and skincare technology. From non-invasive procedures to tailor-made skincare regimens, individuals now have access to a plethora of options designed to target specific skin concerns. This article explores the cutting-edge treatments that promise to diminish imperfections and reveal flawless skin, transforming not just how we look but also how we feel about ourselves. Botox Injections Botox, or Botulinum toxin, has gained immense popularity for its ability to smooth out wrinkles and fine lines. It works by temporarily paralyzing the facial muscles responsible for creating these imperfections. The procedure involves injecting small amounts of the neurotoxin into targeted areas, such as the forehead, crow's feet, and frown lines between the brows. The effects of Botox typically last for three to four months, making it a popular choice for those seeking quick and noticeable results. The people at sdbotox.com note that it is also a popular preventative treatment for those looking to delay the formation of wrinkles. With consistent use, Botox can actually prevent fine lines and wrinkles from appearing in the first place, making it an attractive option for individuals in their late 20s and early 30s.

To maximise the benefits of the Pharmacy First service for patients, the NHS, and community pharmacies, Community Pharmacy England (CPE) has advised the community pharmacists to to establish a robust relationship between community pharmacies and local general practices. The news comes after several reports highlighted issues regarding GP referrals for the seven minor ailment conditions under the Pharmacy First services. According to the reports, many pharmacists claimed that "many GPs in England are not sending patients to them to be treated - and that some are refusing to participate at all in the "groundbreaking" Pharmacy First scheme". In response to foster better relationship with the GPs, CPE has said that strong local collaborations will enable general practice teams to confidently refer patients to the Pharmacy First and other community pharmacy services where appropriate. Moreover, the organisation emphasised implementation of long-term changes in practice will take time. The current focus on integrating GP referrals to Pharmacy First will likely require sustained effort over several months or longer.

Get your swimsuit body ready for this summer by getting a perfect tanning treatment in Drogheda. Exposure to the sun can cause our skin to age prematurely but harmful UV rays can result in skin cancers. Also that bottles of self-tanning lotion hastily applied in our bathrooms the day before an important event can lead to untold embarrassments. So, of course, getting your tan done professionally is the safest, most convenient way of getting that healthy sun-kissed glow. Here, at Lanu Medi Spa, we have Top Tips for getting the perfect tan every time and maintaining your sun tan for longer.

Fertility alters with age. Each males and females become fertile in their teens following time of life. For girls, the start of their generative years is marked by the onset of organic process and flow. It's normally understood that when climacteric ladies aren't any longer ready to become pregnant.

Standard Wheelchair are the most frequently used wheelchair. Standard wheelchair weigh over 35 pounds. without the front riggings, have a seat width and depth between 16 and 20 inches, and have fixed or detachable armrests. Almost all standard wheelchairs can support up to 250 pounds.This very functionally designed, folding, stainless steel wheelchair is fitted with removable armrests and swingaway detachable footrests.They also can be bought with various wheelchair accessories such as attendant brakes. Hip Width: Use this to figure seat width if it is the widest point. Chest Width: Measure the widest point of the thorax just below the arm pit. This measurement may influence system width or back width. Heel to Knee: Use this for legrest extensions and seat height. Shoulder Height: This will determine the height and the style of the back panel or the start for a custom back. Head Height: This will help determine the proper headrest height. Features- Supplied with swingaway removable legrests, calf strap and removable armrests Folding frame for easy storage and transportation Breathable padded nylon upholstery (vinyl upholstery option available) Rear backrest upholstery storage pocket

Standard Manual Wheelchairs are the most commonly used type of wheelchair, if searching for a standard wheelchair with a durable frame and long-lasting support, take a look at standard wheelchairs. The Standard Wheelchair usually weighs over 35 lbs, have a seat width between 16 and 20 inches, and feature fixed or detachable armrests. Most are made with steel frames and can be an economical and consistent mobility choice. Almost all standard wheelchairs can support up to 250 lb. A standard wheelchair is designed to support longer trips, and to allow for self propulsion. These chairs almost always feature two, large, rear-mounted wheels that the user can set in motion by hand, so if need to be able to operate chair without aid from a loved one or caregiver, a standard wheelchair is an ideal option. Storage is a breeze with these units as well and every model we carry is foldable, allowing the user to fit his/her chair into a tighter spaces. Standard Wheelchairs, also known as Power Operated Vehicles (POVs), are a good choice if need assistance getting around home or apartment and don't have advanced seating or positioning needs. The right Standard Wheelchair will allow to get around home with ease and without getting tired. A Standard Wheelchair allows to go where it need, when it need, with little to no assistance. Numotion will work with it and clinicians to see if a Standard Wheelchair is the right choice. Features: Good for travel and in large outdoor spaces. Designed for mobility on the go. Easy control. Adjust for speed and comfort. Conveniently charged by simply plugging in.

If you're looking for a Basic wheelchair, you've come to the right place. We take pride in our expansive selection, which includes Basic Wheelchair like Karma Child Wheelchair, Karma Fighter Small Wheel Wheelchair, Karma Briz 1F 24 Big Wheel Wheelchair, Karma Econ 800 Wheelchair.



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Manual wheelchairs are wheelchairs that do not include a power source and are self or caregiver propelled. Wheelchair specialists identify exactly what frame and accessories will provide the best fit and the right combination of seating and positioning options. A wide variety of options are available on manual wheelchairs to assist with support, pressure relief and enhanced self-propulsion. Manual wheelchairs do their job, and they do it admirably. It have sufficient upper-body strength, it can propel itself quite easily. Manual chairs are available in a variety of models, from standard to sport. Lightweight models are specially with performance, strength and durability in mind. They're easily folded and stored away. Manual wheelchairs come in a variety of designs. A basic manual wheelchair may be appropriate if have difficulty walking and need assistance getting from room to room in home or accessing community for things like shopping and appointments. If have difficulty self-propelling a basic wheelchair there are options for lower height and lighter weight frames. Extra-wide and heavy duty manual wheelchairs are also available and seat and back cushions can be added. Manual wheelchair users often experience upper extremity injury and pain. Estimates are that upwards individuals will experience upper extremity pain using their wheelchair at some point in their lives. These consequences become more likely the longer one uses a wheelchair. The effects occur in three main locations: Wrist and carpal tunnel Elbow Shoulder A lightweight basic wheelchair, offers a combination of safety anddurability with convenient features such as flip-back armrests and footrests for easier transfers, and height-adjustable rear wheels. It is available in self-propelled and attendant-assisted versions, and can be quickly demounted for easier transportation. The safe use of a manual wheelchair and will be a valuable resource for carers, both formal and informal, as well a

Commode Wheelchair And Travel Wheelchair We are an acclaimed name engaged in offering our precious clients a superior quality Wheel Chair Folding. Our offered chair is designed using high grade raw material and modern technology in synchronization with industry standards. In order to ensure its strength and functionality, the provided chair is passes through various parameters by our quality professionals. Keeping in mind the various requirements of our patrons, we offer this chair in numerous sizes and specifications and at affordable price. It's based on two categories- Commode Wheelchair Travel Wheelchair Commode Wheelchair Wheelchairs are patient transportation vehicles and come with many features. Traditional fixed wheel chairs made of iron or other unfinished metals used to be inconvenient and inflexible. JSB range of Folding Wheelchairs are flexible and come with a smooth steel finish. In addition, the removable commode attachment can be used as a commode chair. We are one of the leading manufacturers of Commode Wheelchair in Chennai, Hyderabad,Banglore and Kerala. Offered by us are high quality Commode Wheelchair to the esteemed customers at highly competitive prices. These commode wheelchairs are manufactured in compliance with the international quality standards. In addition to this, these wheelchairs are designed as per the details provided by the clients to attain their maximum level of satisfaction. It can be used for toilet purpose of senior citizens and physically challenged people. Features: Light in weight Durable standards Perfect shape & design Travel Wheelchair Travel Wheelchairs are lightweight wheelchairs ideally used for travelling purpose. Easy to fold, store and fits anywhere come with brakes for greater control. Lighter and reliable, transport wheelchairs commonly used in hospitals and other medical institutes. Brands include Breezy, Convaid, Invacare, Drive Medical and many more. Travel by its very natur

Commode chairs are portable toilets, designed to be placed at the bedside of a disabled individual whose activity is very limited. They typically consist of a frame and a waste receptacle that can be easily removed and emptied. Having such a device close at hand is especially helpful for those too debilitated to make the trip to the bathroom. So, if someone close to needs the support and convenience that commodes can offer, in the right place. A commode chair can increase bathroom safety or serve as a portable toilet for aging seniors and individuals with disabilities or injuries. Types of Commode Chairs: Stand-alone commode chair (standard size, extra wide / heavy duty, and drop arm styles). Over-the-toilet commode chair (for added height and safety). Elevated toilet seat (locks onto a regular toilet). Combination shower/toilet/wheelchair commode. Wheels / no wheels. Commode Chair Features: Wheels or no wheels. Plastic or padded covering (padded is more comfortable, but plastic is easier to clean). Frame materials and durability (stainless steel lasts longer). Fold-down or removable arms. Swing away, removable footrests. Back support. Adjustable height. Weight capacity. With age and the inevitable onset of ailments, the body has to face various kinds of limitations, especially in matters of mobility. The old and the infirm often face debilitating disorders that make them weak and immobile. This is compounded by the embarrassing problem of incontinence or bowel/bladder control problems. To restore dignity and peace to such a suffering elderly member, the karma rainbow wheelchair will come in extremely handy. Designed chair with an attached toilet bowl, height-adjustable, and can be easily cleaned and re-used as many times as wish. This chair is very useful for patients who need to relieve themselves on the move but do not have the desired mobility to make it to the nearest washroom on their own. Features: Economy folding self propel

Pediatric wheelchairs enable child or teen to participate in all types of daily activities. Pediatric wheelchairs are lightweight, portable, and convenient for use at school, day programs, doctor visits, and recreation with family and friends. Pediatric wheelchairs comes in wide range of sizes and vibrant colors for every lightweight wheelchair. A variety of positioning options are also available. Pediatric wheelchairs are manufactured with unsurpassed quality and style, specializing in compact-folding, lightweight wheelchairs for children of all ages - from toddlers to teens! Custom built to child's specific needs, mobility aids offer rehabilitative benefits for physical disabilities from Cerebral Palsy to Autism. Pediatric, or child wheelchairs, are mobile aids designed for and used by children. Children require the use of a wheelchair for many different reasons, some may have suffered head injuries, some have muscular dystrophy or cerebral palsy, some are amputees, and others only have an occasional use of their wheelchairs in lieu of a walking device or crutches. Certain types of pediatric wheelchairs are built to expand in size to accommodate increased bulk and weight by altering a cross balance on the bottom of the chair. The front frames for the legs can be lengthened as child's legs grow longer. For a pediatrician seeking to prescribe a Pediatric Wheelchair, must be sure that the patient has the proper upper body strength to use one. If the patient is too weak for self movement, the practitioner would be better to consider a powered wheelchair for mobility. While Pediatric Wheelchairs are smaller and can be just as manuverable as scooters, that depends upon the patient's own abilities in steering the chair. These are factors that the doctor must think about before recommending what type of wheelchair a patient should get. Pediatric Wheelchair with a body contouring S-Shaped seat frame and contoured armrests provides the user with all day comfort an

Consumers hearing that some U.S. communities are no longer adding flouride to their drinking water, such as Florida's Pinellas County, may wonder whether this cavity fighter is safe.

Steve Jobs has battled a rare form of pancreatic cancer for years, undergoing a series of aggressive treatments, including a liver transplant, and surviving longer than many others with the disease.