Future healthcare journalPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1016/j.fhj.2024.100206
Philip Wiffen, Nicola Stoner
{"title":"A retrospective view of hospital pharmacy in the UK over the last 20 years.","authors":"Philip Wiffen, Nicola Stoner","doi":"10.1016/j.fhj.2024.100206","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100206","url":null,"abstract":"<p><p>In this article, we describe how the landscape of hospital pharmacy has changed over the last 20 years. As well as commenting on the impact of COVID-19 on services, we describe five major advancements namely: clinical pharmacy services, the development of multi-professional teams, policy changes, attitudes to using and producing evidence, advances in technology and workforce development. Finally, there is brief comment around the future challenges for hospital pharmacy in the UK.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100206"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1016/j.fhj.2024.100212
Christina Wilson
{"title":"Delivering national immunisation programmes - a blanket opportunity for the pharmacy profession or a case of horses for courses?","authors":"Christina Wilson","doi":"10.1016/j.fhj.2024.100212","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100212","url":null,"abstract":"<p><p>This opinion piece explores the opportunities and challenges from increased utilisation of pharmacists and pharmacy technicians in delivery of the UK immunisation programme, within the recent legislative change enabling pharmacy technicians to administer Prescription Only Medicines (POMs) under Patient Group Directions (PGDs).</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100212"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1016/j.fhj.2024.100163
Eugene Catangui
{"title":"How will independent prescribing affect wellbeing and career progression for the pharmacists of tomorrow?","authors":"Eugene Catangui","doi":"10.1016/j.fhj.2024.100163","DOIUrl":"10.1016/j.fhj.2024.100163","url":null,"abstract":"<p><p>Pharmacist independent prescriber numbers continue to increase. In 2025/2026, independent prescribing will be integrated into the foundation year of pharmacy training, which will see a surge of pharmacists with the independent prescribing annotation on the General Pharmaceutical Council register. With increased responsibility and expectation from early careers pharmacists, the risk of burnout may be higher, and we could potentially see an increase in the number of individuals leaving the profession. In contrast, for those who remain in the pharmacy profession, there needs to be a fair evaluation of career progression, to ensure that they understand their skills are valued, and give them a reason to stay in the profession that they devoted years of their life to. As pharmacists are being upskilled, the lines between a pharmacist and physician may start to blur, but it should be noted that both professions have distinct roles in the treatment of a patient, and they are key members of the multidisciplinary team.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100163"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1016/j.fhj.2024.100193
Steven David Williams, Imran Rafi
{"title":"The FHJ debate: Pharmacists should lead prescribing in primary care.","authors":"Steven David Williams, Imran Rafi","doi":"10.1016/j.fhj.2024.100193","DOIUrl":"10.1016/j.fhj.2024.100193","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100193"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1016/j.fhj.2024.100205
Andrew Rochford
{"title":"Why is it so hard to reduce harm from medicines?","authors":"Andrew Rochford","doi":"10.1016/j.fhj.2024.100205","DOIUrl":"10.1016/j.fhj.2024.100205","url":null,"abstract":"<p><p>Pharmacotherapy is the most common therapeutic intervention in healthcare, but more than 200 million medication errors occur every year in England alone. This may in part reflect greater awareness and better reporting; however, the incidence of patient harm from medication has remained broadly unchanged for decades, despite concerted national campaigns and global safety initiatives. Rapid technological and therapeutic advances together with the complexity of modern healthcare make reducing harm from medicines more challenging than ever. This opinion piece will provide a perspective on some of those challenges, as well as highlighting areas of best practice and emerging work. While system and process improvements are required, individual clinicians need to remain vigilant and reflect on medications at each patient interaction.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100205"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1016/j.fhj.2024.100191
Marlene Winfield
{"title":"The future pharmacy is key to better health for me and the NHS: a patient's personal view.","authors":"Marlene Winfield","doi":"10.1016/j.fhj.2024.100191","DOIUrl":"10.1016/j.fhj.2024.100191","url":null,"abstract":"<p><p>This article is a patient view of how the future pharmacy could play a key role in devolving routine care for minor ailments and management of long-term conditions. As someone with three long-term conditions, I see an expanded role for pharmacies in supporting me to manage them effectively, filling a major gap: someone to see me and my medications regimen as a whole. A comprehensive national future pharmacies transformation programme is key to NHS sustainability. It must be fully funded, well planned and well executed.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100191"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1016/j.fhj.2024.100213
William Price, Tanya Bleiker, Caroline Owen
{"title":"Specialist pharmacist prescribing in dermatology.","authors":"William Price, Tanya Bleiker, Caroline Owen","doi":"10.1016/j.fhj.2024.100213","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100213","url":null,"abstract":"<p><p>Across the country, pharmacists are developing their professional competencies to move outside the dispensary and directly integrate with specialist teams. Within dermatology, the widespread use of high-cost and high-risk pharmacological interventions presents a range of opportunities for a pharmacist to contribute to safer, more cost-effective use of medicines. As well as using prescribing qualifications to take on clinical workloads, pharmacists can enact cost-saving changes to routine prescribing; improve clinical governance and use their expertise in medicines to effectively advocate for access to new or alternative treatment options, as well as demystify complex funding pathways.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100213"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2024-12-12eCollection Date: 2024-12-01DOI: 10.1016/j.fhj.2024.100201
Roshan Tasgaonkar
{"title":"Stars, stripes and scripts: Innovations and challenges in US pharmacy.","authors":"Roshan Tasgaonkar","doi":"10.1016/j.fhj.2024.100201","DOIUrl":"10.1016/j.fhj.2024.100201","url":null,"abstract":"<p><p>Pharmacy practice in the United States has evolved, transitioning from simple dispensing to complex compounding and medication management. Pharmacists play important roles across many sectors, including clinical care, pharmaceutical industry, insurance companies, and public health. Pharmacists optimize therapy, improve patient outcomes, and reduce healthcare costs. However, the profession faces challenges such as burnout, understaffing and declining insurance reimbursements, particularly in independent pharmacies. Pharmacy Benefit Managers (PBMs) have exacerbated these issues, controlling drug prices and reducing pharmacy profitability through opaque pricing and monopolistic practices. Recent legislative efforts in states like New York have aimed to curb PBM influence, however issues persist, and nationwide legislation is lacking. The future of pharmacy depends on addressing these challenges through unified lobbying and proactive reform. Despite these hurdles, scope of practice and innovation within the field continues to grow, offering hope for a revitalized pharmacy landscape.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100201"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}