Practitioner Pharmacist (Pharmacist GP) Rob Harvey Practitioner Pharmacist (Pharmacist GP)

Bit about Pharmacists 4 years Masters a University 1year Pre-registration training before fully qualified and registered with General Pharmaceutical Council Then different aspects of work: Community Pharmacists Hospital Pharmacists Industrial Pharmacists Primary Care Pharmacists Pharmacists in GP surgeries Support staff: registered Pharmacy Technicians, Dispensers, Pharmacy Assistants

How did I get to where I am 4 yrs MPharm at Brighton University 1yr Pre-registration Training at Dorset County Hospital 2yrs as Rotational Pharmacist: Surgery, Medicine, Elderly Care, Oncology, Paediatrics, Women’s Health During this time completed post-graduate clinical diploma: Cardiology, Respiratory, Gastroenterology, Oncology, Special Groups (Critical Care, Paediatrics), Palliative Care, Medicines Information 5yrs as a Specialist Medical Pharmacist – Mainly Acute Medicine and Nephrology During which time did some advanced practice modules: Research, E&T, leadership and management plus more clinical modules. Prescribing course, first cohort of Pharmacist IPs. 6yrs as a Critical Care Pharmacist and into Management! Clinical Pharmacy manager and then Deputy Chief Pharmacist Other things I do: Lecturer Practitioner at Bournemouth University teaching advanced practice mainly on the prescribing course. Tutor to pre-registration Pharmacists. Mentor to Pharmacists undertaking post-graduate studies at Bath University. Out-of-hours practitioner with Southwestern Ambulance Service.

Please lose the thought of this: A lot of people think of Pharmacists based in a dispensary putting medicines into boxes. When I first started 30% of my time was dispensary based with the remaining 70% clinical based on the wards working with the wider clinical team. Medication chart review, counselling patients on medication, ward rounds with Consultants. Later in my career I did one hour a week in the dispensary, the majority of my clinical time was on the wards prescribing. The new area of Pharmacy practice Now my time is 100% patient facing, seeing patients, managing their prescriptions, treating minor ailments, managing long term conditions. Old traditional roles of Pharmacists are now undertaken by support staff. Accredited Checking Technicians do the majority of the checking of prescriptions which are dispensed by Dispensers and Pharmacy Assistants. Often only one Pharmacist in a Dispensary for clinical oversight.

What do I do??? Morning – triage (1hr) then have appointments for see and treat, some medication review appointments. Afternoon – medicines management time (sorting out prescription queries, signing prescriptions), more appointments for ‘acutes’ or medication reviews. Types of things I will see: rashes and skin complaints, acute infections, pain management, some GI conditions, chronic disease reviews cardiac, respiratory, try my hardest not to but will do some MSK problems. Things I will and can do: review bloods, review discharge letters/clinic letters, phlebotomy, medicines information queries, liaising with nursing/residential homes

Recent Pharmacists in GP pilot