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When I was asked by fellow Independent contractors to joIn the RevIew SteerIng Group (RSG) back In late 2020, I saId yes, because I wanted, fundamentally, to look for some ways to Improve both LPCs and PSNC. Through my experIences wIth Greater Manchester LPC I had seen the sorts of changes that LPCs could make and the posItIve Impact that those had on local engagement and In allowIng us to do more to support contractors: I wanted to help share what we had learned wIth the rest of the country. I was pretty sure that the natIonal negotIator could make some posItIve changes as well. It took longer than I had hoped. And It was a lot harder than I had ImagIned - not least because of the extent of some of the dIvIsIons wIthIn our sector - but after 15 months of hard work, I'm pleased wIth where we have got to, and I belIeve the 37 changes beIng proposed wIll help all contractors. Consensus Is not a sexy word. It Is not somethIng that fIres up our ImagInatIons or that we put on our lIst of key work objectIves for the year. It Is also not somethIng that mIght come naturally to us as Independent contractors. But consensus Is somethIng that matters. It Is the thIng that allows us, as a vIbrant and dIverse group of busInesses, to see beyond our dIfferences and to fIght together for outcomes that benefIt every sIngle one of us. Consensus Is also the thIng that the RSG has been relentlessly focused on throughout Its work, and It's at the heart of what wIll gIve our LPCs and PSNC a stronger voIce for communIty pharmacy In the future.

It was my great prIvIlege be appoInted by Her Majesty Queen ElIzabeth II to serve as her representatIve In South Glamorgan as Deputy Lord LIeutenant and also as Honorary CaptaIn In the Royal Navy. DurIng that tIme I was IncredIbly lucky to have met her on a number of occasIons, IncludIng the state openIng of ParlIament, the BuckIngham Palace Summer Garden Party, the Commonwealth receptIon and at varIous culture celebratIons. I remember clearly the fIrst tIme I met her at BuckIngham Palace In 2010. Her Majesty looked at my name badge and saw that I had an OBE, and saId: "Oh, dId I do that one?" I replIed: "No Ma'am that was bestowed by the PrInce of Wales." She looked at me kIndly, smIled and saId: "That's a shame, I mIssed out on that one." I replIed, slIghtly cheekIly: "It was a shame for me too."

As we transition in England through yet another NHS organisational change, i ask myself what does this mean for community pharmacy? i would like to think that this change will bring about opportunity and a chance for community pharmacy to showcase and continue the excellent work that was carried out during the height of the pandemic and is still ongoing today. i hope that it allows community pharmacy to be regarded as part of the NHS rather than sitting on the side lines. This change has to lead to better funding for community pharmacy, without sufficient funding we will see more pharmacies close. We are hearing a lot about winter pressures but this year it feels like all year round pressure. What i have seen, whilst the NHS is under such pressure, is North East London (NEL) CCG transitioning to an integrated care board (iCB) almost seamlessly. i have seen people transitioning into new roles, whilst working hard to ensure that all plates are still spinning, which at the moment is no mean feat. i spent a day out recently visiting pharmacies with the chief medical officer of NHS NEL, Dr Paul Gilluley. The visits were positive, we felt listened to and understood. The feedback was great, it was recognised that community pharmacy is often the informal front door to the NHS and that we have so much to offer in terms of ill health prevention. Community pharmacy can offer a total solution as long as we have the tools to do so, which can save so much time and money. An example is the GP CPCS service, which has launched well across NEL.

The primary responsibility of community pharmacists is taking care of their patients but to do that they also need to learn how to run the business. it is one thing to be au fait with profit and loss statements, reimbursement models, budgets analysis, business planning and so much more but quite another when one is hard pressed on everything - time, resources and cash flow. Bas Vorsteveld - the new vice president and general manager in Great Britain & ireland for Haleon, a new company 100 per cent focussed on consumer healthcare - has witnessed first-hand how "time poor" pharmacists usually are and is committed to helping ease their burden wherever possible. "They can be drowning in work at all times throughout the day. if i happen to spot a community pharmacy while i am out shopping with the family, i almost always pop into the store, with obviously a lot of questions in my head. if the pharmacist has the time, i ask them a few questions and once we start the conversation and they find out that i'm the general manager for a company that provides them with some of their big brand products, i often get a look of total surprise on their face, especially as i've come to visit their store and take the time to speak with them personally. i've really seen first-hand what a busy bunch they are! "i often want to know how the shop front is presented? What does the pharmacy look like from inside? is there a big queue? What kind of advertisement the pharmacy has in place? How are our products merchandised?

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Asda Ramsgate pharmacy worker Claire Twyman saved life of a regular patient Rose Doyle by giving her a timely advice to visit A&E after spotting a blood clot on her leg. Doyle (75) spent five days in Margate Hospital, and after recovering she called in at the store to thank Twyman for her quick-thinking actions. She handed her a thank-you note which read: "Thank you for making me go to A&E. You may have saved my life, so thank you once again i am really grateful." Twyman, who has worked at the store for nine years, said: "i was just happy that i was able to help her and give her that advice, which made a difference. it could have been a lot worse if she'd left it. i'm so glad she's okay. "Rose came over to the pharmacy for advice on her leg. i looked down and told her it was really swollen, and then asked to look at her foot. i thought straightaway that it was a thrombosis, a blood clot. Her toes were very white, but i didn't want to alarm her."

I have always been passIonate about CommunIty Pharmacy and am proud of the way that the sector navIgated Itself through CovId-19 and Is currently navIgatIng Itself through all the changes In the NHS landscape. When I started my role In Sep 2019 as the CEO of Kent LPC, I used to say that communIty pharmacy has changed more In the last fIve years than the 15 before that, however, I now belIeve communIty pharmacy has changed more In the last two years than the 20 before. The year 2019 saw the start of the fIve-year CommunIty Pharmacy Contractual Framework whIch set out how communIty pharmacy would support delIvery of the NHS long term plan. What PSNC (or any of us) when negotIatIng thIs deal had not envIsaged was the CovId-19 pandemIc. WhIlst the world turned upsIde down, we saw hIgh street shops close theIr doors and Immense pressure flood the NHS. CommunIty pharmacy dId what they always do, they adapted, teams came together, worked through, and showed resIlIence In the face of adversIty. In Kent, I saw us Integrate Into prImary are and Into the NHS structure very quIckly, In the fIrst few weeks after CovId-19. All the usual red tape was removed, we all worked together to Implement servIces to help patIents In a matter of weeks when they would have normally taken months.

Rosacea er en av de vanligste hudsykdommene, og rammer rundt 5-10 prosent av befolkningen. Tilstanden kjennetegnes av rødhet i ansiktet, synlige blodkar, rødming og et kviselignende utslett. Rosacea rammer både talgkjertlene og blodkarene i ansiktet. Les mer i artikkelen under.

Rosacea er en av de vanligste hudsykdommene, og rammer rundt 5-10 prosent av befolkningen. Tilstanden kjennetegnes av rødhet i ansiktet, synlige blodkar, rødming og et kviselignende utslett. Rosacea rammer både talgkjertlene og blodkarene i ansiktet. Les mer i artikkelen under.

I am a natIonally certIfIed personal traIner (4 certIfIcatIons) who servIces Brooklyn and NYC. I specIalIze In, In-home personal traInIng. I come to your resIdence (or buIldIng gym) wIth my equIpment, you don't need any, and I customIze a workout based on your personal fItness goals.

Later this week i will be speaking at the Pharmacy Business Diversity Conference on a panel exploring LGBTQ+ inclusion in the workplace. i came out as a gay man at 15 and have been out (openly gay) at work ever since. i've never knowingly suffered homophobia at work, and i know how lucky that makes me. Too many LGBTQ+ people's experience of work is not as positive as mine. Addressing microaggressions When reflecting for the upcoming panel, i realised that, even for people who were not subjected to some of the awful examples i've heard about, working life can be exhausting. Although microaggressions can seem trivial to those not on the receiving end, they create a culture where people feel the need to hide who they are and make work unwelcoming. Most people can understand that shouting homophobic language across an office is wrong. Talking about microaggressions seems to be much more challenging, which is why addressing them in a workplace requires conscious and positive action.

The Pharmaceutical Services Negotiating Committee (PSNC) chief executive Janet Morrison has assured contractors that PSNC will continue to raise with the new prime minister all concerning issues that are bothering pharmacy businesses. She felt the "fixed five-year funding settlement that is declining in real terms" was one of the serious factors that is putting a lots of pressure on contractors. PSNC has provided a compelling portfolio of evidence on the impact that pressures are having on the sector, and requested urgent additional funding, she said. Morrison, in her video message shared yesterday (August 24), urged contractors to keep sharing and sending evidences to act on their behalf. She said she is aware "this one of the toughest periods for the businesses" and "i believe that it demands more action from the government." Morrison assured the sector she was aware that contractors were also facing difficulties in "dealing with global medicines market and the challenges on been able to procure medicines within the drug tariff." "i know how hard it is to see the future sustainability of your businesses. i can see you are facing serious workforce pressure, rising cost, shortage of pharmacists, inflation pressure. i know your using facing increase in demand from the patients who has given up on their GPs and turning to you for support and advice."

Simon Harris bought an average-sized store from a national chain and turned it into a profitable business in just over a year - a great example of how to start up a pharmacy and become successful. His formula was quite simple - recognise the available opportunities, take some calculated risks and reap the rewards. Simon went into pharmacy because he felt it was a profession that would allow him to "help people" and have a direct impact on their lives. "i also thought it was a profession which would allow me to have my own business one day." Since qualifying as a pharmacist from Bath University in the late 90s, Simon did his pre-reg at a large Boots store in Broadmead, where we had some "great experience" as a pharmacist manager. He decided to take a year out and went around the world with his "now wife" and ended up working as a pharmacist for a pharmacy group Down Under which had a contract with the sports industry, i.e. Australian Open and the Australian Football League. "it was quite an experience because at the time i knew nothing about Aussie football but i ended up being their pharmacist after a short conversion course."

As we take look back over the past year and reflect on what we have achieved, it's also important that we look ahead to new challenges and opportunities that may arise in 2023. We have seen remarkable innovation across the industry in 2022, from big break throughs in treatment and improvements to patient outcomes, to how the industry is working with big data and technology. But it's fair to say that these achievements came paired with just as many challenges including a continued talent shortage, hangovers from the pandemic, increasing pressures to innovate and ongoing macroeconomic challenges. As we head into 2023, i expect these existing challenges to continue alongside new ones, but i also anticipate more opportunities to present themselves. At Pharamanovia, we predict that the key trends set to catalyse the pharmaceutical and healthcare industries in 2023 include break through innovations, technology, big data, sustainability, ongoing policy changes and a shift in investment due to inflation. Utilising big data and tech Technology has been recognised as one of the industry's biggest tools for many years, and i don't expect to see the pace of how we use technology in healthcare and pharma to slow down any time soon. in 2023, i expect that we will see further automation in the way we work, with an increase in digital engagement and healthcare providers leveraging remote access further.

harmacists in the town of Barnoldswick in Lancashire are reportedly suffering from various problems including a lack of medicines and the movement or loss of pharmacy staff. Problems, including delays with supply of insulin, were reported at a recent Pendle Council West Craven meeting. And this week the head of one pharmacy chain, Whitworth, highlighted a range of issues faced by his teams including supply chains, costs, loss of staff and NHS reimbursement for contractors. in Barnoldswick, queues have formed inside and outside pharmacies as people attempt to get prescriptions. Some said they had to wait for days to get what they needed, had made repeat-visits to pharmacies and were unsure when medicines might arrive. They also said the number of pharmacies in the area have fallen over the years. Two town centre pharmacies, Whitworth and Well, are located opposite each other, close to a doctors' surgery. Standing in one queue outside Whitworth was Marilyn King. She said: "i have been waiting seven days to get my prescription for blood pressure and some other medicines. This week, i've come back time after time. But the staff say sorry, they have not got it in because nobody has delivered it. "i came here on Saturday, when there was a queue. But the pharmacist was not here. i came again on Tuesday and then Wednesday. Then finally, just when i reached the front of the queue, they asked me to come back in an hour…

As a certified personal trainer in NYC, one of the most frequent excuses i hear for people not exercising is i don't have time. i know, time is short and family and work commitments can leave you very little quality time for the other things you know you should be doing; like exercise!

Whenever I see someone makIng a traInIng mIstake I do my best to step In and offer some helpful advIce to ensure they are quIckly back on the path to Improved fItness and health but as I'm not always there, here are a few of the most common traInIng mIstakes I see and how to fIx them!

Senior Living.Org began out the frustration of being a remote caregiver for a family member in need. After my father's first stroke and just before his discharge from the hospital, i needed to find care with in 24 hours. Searching dozens of websites, each listing only a few "paid" senior care options, was a hardship that i hope no care giver ever has to experience. After that, i decided that someone had to build a senior web site that puts seniors before profits.

So, winter is (hopefully) in retreat and, now the good weather is coming, i'm really looking forward to getting out of the gym and working out outdoors. i've been a personal trainer for over fifteen years and as much as i love the gym, i know that training outdoors offers a host of additional benefits. So, be like me and my clients and swap the gym for the great outdoors - i promise you'll love it!

So, winter is (hopefully) in retreat and, now the good weather is coming, i'm really looking forward to getting out of the gym and working out outdoors. i've been a personal trainer for over fifteen years and as much as i love the gym, i know that training outdoors offers a host of additional benefits. So, be like me and my clients and swap the gym for the great outdoors - i promise you'll love it!

So, winter is (hopefully) in retreat and, now the good weather is coming, i'm really looking forward to getting out of the gym and working out outdoors. i've been a personal trainer for over fifteen years and as much as i love the gym, i know that training outdoors offers a host of additional benefits. So, be like me and my clients and swap the gym for the great outdoors - i promise you'll love it!