I’d like to see the clinical pharmacist


I feel that I know more about my medicines
and through my interaction with the pharmacist I know exactly why I take each item and what
it does and what the side effects are. I was very impressed to get 40 minutes with
a professional, sorting out medication which a doctor doesn’t have time to do. I thought
it was fantastic. And uh he was very good and tested my chest and all sorts of things
as well as sorting out the medication even had a look at my feet as I am type 2 diabetic
and or am very, very impressed. Things get started in really good faith and
this is not about saying that you know the decision that was made maybe five years or
ten years ago is now wrong, the point is that the patient is now 10 years older, they’ve
now got other conditions and they’ve got other medicines and therefore that decision
is therefore perhaps not the right one anymore. Most of the medication reviews I do are for
people that are taking more than eight or ten medicines, so my job is to look at the
patient as a whole again holistically look at all the conditions all the medicines and
usually we find there are opportunities where we can either stop things or change things
that we providing the same benefits and potentially causing less risk of harm as well. The Royal College of GP’s made a recommendation
that patients with a lot of long term conditions on a lot of medicines should ideally have
face to face reviews with a medicines expert because it gets very complicated and what
we’ve done I think, which is really beneficial is we can start clinics which are face-to-face
consultations so patients can discuss on an individual basis what they’re taking if
it’s appropriate. I saw a chap yesterday very sort of complicated
these other sort of bone marrow transplant so he’s on lots of prophylactic antibiotics
and things but he’s had a potential reaction to one of them, and the specialist at the
hospital had changed him to one of them but actually this guy has also got quite complicated
heart disease and therefore the change of antibiotic meant that that was potentially
not a good idea because of his heart medication, so I was able to intercept that and then speak
to the GP and we agreed that actually we weren’t gonna carry on with that and we would let
the specialist know that actually we were concerned about that. So I’m convinced pharmacists do have a role
in helping reduce hospital admissions and improving the experience from discharge from
hospital and I think one of the main things we’re seeing is patients on complex polypharmacy
or lots of medicines as they get older the body just doesn’t tolerate the medicines
very well and I think there’s good evidence that patients on high numbers of medicines
are more likely to end up as unplanned admissions to hospital. Living in a retirement home I moved in a year
ago this little group that I am in were very impressed very jealous they want it. A lot
of them have said they’re worried about their medication they’ve been on it a long
time and uh would like it sorted out. I used to work in hospital for 27 years so
the difference between working in the hospital and working here is so different because in
the hospital I may interact with and deal with a patient but may never see them again
whereas here I feel like I am part of the team that’s looking after these patients
every day and changes that I make with the team can affect that patients life for the
rest of their life.