1. Practitioner Pharmacist (Pharmacist GP)
Rob Harvey
Practitioner Pharmacist (Pharmacist GP)

2. 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

3. 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.

4. 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.

5. 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

6. Recent Pharmacists in GP pilot