| Neil asks 
                if there are there sufficient numbers to ensure that the new cognitive 
                services being proposed can actually be delivered. This question I cannot answer with any degree of certainty but 
                I have concerns that the truth might be - No there are not enough 
                to fully meet possible demand.
 Why do I fear this?
 Simply because when talking to an accredited pharmacist with one 
                of the divisions of general practice I was asked if I knew of 
                any consultant pharmacists that doctors associated with that division 
                could call on to carry out medication reviews.
 It seems that most of the accredited pharmacists in WA have very 
                little excess time available to take on more work.
 This, if true, is a major worry and has the potential to undermine 
                much of the effort expended over the years to promote pharmacists 
                as the people to be called on for quality use of medicines advice.
 If we offer ourselves as consultants we must be, within a reasonable 
                timeframe, available when the service is needed.
 I am aware that you may have to wait for many weeks before seeing 
                some medical specialists but pharmacy consultancy is still in 
                its infancy and has to be ready to perform on call to built up 
                "street cred" within the medical profession.
 This requires sufficient numbers of accredited consultant pharmacists 
                available to carry out the services.
 Currently there are two bodies accrediting consultant pharmacists, 
                AACP and the Society of Hospital Pharmacists, although I personally 
                know no-one who has gone down the SHPA route.
 AACP has made tremendous strides in its accreditation process 
                since I initially went through it about five years ago.
 However it is very time consuming, a fact that makes many interested 
                pharmacists have second thoughts about seeking accreditation and 
                many be a cause of the shortage of suitably qualified practitioners.
 The Pharmaceutical Council of WA has acknowledged the need to 
                address the problem of inadequate numbers of accredited pharmacists 
                and in its latest newsletter (arriving in yesterday's mail) is 
                calling for expressions of interest from pharmacists wishing to 
                seek accreditation.
 If there is sufficient interest PCWA will then run training courses 
                to assist pharmacists wanting to complete Stages 1 and 2 of the 
                accreditation process.
 I must commend the Council for this initiative and sincerely hope 
                that it is overwhelmed in the rush of interested pharmacists!
 There are a number of highly motivated, usually younger, pharmacists 
                out there who want to improve their skills and become consultants 
                and it is very pleasing to see that those in authority in WA pharmacy 
                are indicating a willingness to help them.
 
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