Since the
introduction of the Medication Review option for GPs, patients
and the pharmacist I have heard much from doctors on their local
pharmacies.
Usually they get along well and now that HMR is on the joint agenda
perhaps there is more dialogue but here are also some interesting
insights.
Initially I was hearing some scepticism as to whether their local
pharmacy could or would provide this service.
I am pleased to report that since then most of the pharmacies
did register to do HMRs, most have processed some, up to 20-30
and the GPs are pleased with the results.
But recently the solutions I have been after have been around
the fact that some pharmacists, those servicing customers of two
large surgeries I visit have been too busy to process the 15-20
HMR referrals that have been written for patients and delivered
to the pharmacy.
One pharmacy sent them all back to the GP; the other is sitting
on them until he is accredited!
One referral is six months overdue and the GP says it is now obsolete
for her to pursue.
This not only is a disappointment for the patient but an annoyance
to the GP who I might add has spent 15 -20 minutes briefing the
patient and collating and writing up a referral for NO payment
(yet).
All it would take is for the pharmacist to make a phone call!
So with this kind of experience, rather than not write the referral
in the future (now what they are thinking of doing) they may be
better off sending it to Woolworths.
There is an adequate supply of accredited pharmacists in this
area at least who are only too willing to visit patients and complete
the review for any pharmacy that like to engage them.
And the pharmacy knows that I can supply names and contacts -
a choice of 3-4 - if they call me.
So where is the problem?
Do they not want to pay an accredited pharmacist for a couple
of hour's work?
Perhaps the Woolworths pharmacist will not hesitate to contact
me for an accredited pharmacist contact and get the medication
review done in a timely manner.
After all that is what is done with film processing - send them
out to the experts and the task is done for you and the customer.
So if the service was better in this regard why would not the
GP be pleased with the Woolworths pharmacy?
And most patients go to Woolworths so it would not be a problem
for them.
Woolworths could also have an accredited pharmacist(s) working
for them to handle all the referrals from several stores.
What I am saying is that with a consciencous pharmacist committed
to providing a professional service, free from pressing business
duties what is the difference.
It could be better.
Of course they would need an HIC approval to do this and that
may be a difficulty preventing this happening but I bet they are
committed to service.
I have seen pharmacies in the USA in supermarkets and they only
have the pharmacy goods there to sell.
Even toiletries and unscheduled goods are in the main area of
the supermarket and they concentrate in the pharmacy on pure professional
duties - counselling patients, dispensing scripts and offering
health services.
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article in Woolworths series------->
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