letters society news Baby boomers risky vintage Pharmacists honoured Peninsula Health’s Older Wiser Lifestyles (OWL) program is Australia’s first older adult specific alcohol and other drug service. We applaud Peter Waterman’s article in the April issue of Australian Pharmacist since it raises awareness of the under reported issue of alcohol‑related harms among older Australians. As Mr Waterman notes, lack of adequate screening is a key barrier to identification. However, a useful screening tool that was not addressed by Mr Waterman is the Alcohol-Related Problems Survey (ARPS). PSA Lifetime Achievement Award recipient, Gerard Stevens, was further honoured in the Queen’s birthday honours list last month when he was made a Member (AM) in the General Division of the Order of Australia for significant service to the pharmaceutical industry and to community health. Developed at UCLA especially for older adults, the ARPS is a computerised screening tool that identifies hazardous and harmful alcohol consumption using 176 algorithms. These algorithms consider alcohol consumption within the context of various categories of prescription and over‑the-counter medication use, in addition to medical history and functionality. It provides the older adult with an individualised report and information about how they might reduce their risk factors. The OWL program has recalibrated the ARPS for Australian standard drinks and also updated the medications for the Australian context. The new Australian ARPS software has been beta tested and piloted in local GP clinics and wards in hospital settings. We are currently assessing the psychometric properties of the Australian ARPS. The Australian ARPS can be freely accessed by contacting Katherine Walsh from the OWL program on (03) 9784 8109. We think that it is a valuable tool and hope to see it utilised widely. Stephen Bright & Katherine Walsh Stephen Bright is Senior Clinician within Peninsula Health’s Drug and Alcohol Program, Frankston, Victoria. Katherine Walsh is Team Leader of Peninsula Health’s Older Wiser Lifestyles (OWL) program, Frankston, Victoria. Letters to the Editor Letters are invited from anyone wishing to comment on articles or issues relevant to pharmacy. However, any letters judged by the Editor to be potentially defamatory will not be published. Letters should be no more than 300 words long. They can be emailed to the Editor at [email protected] 6 Mr Stevens introduced the Webster system that reduces nursing home medication administration errors, allows collaboration with allied health professionals, reduces medication wastage and government costs, and encourages better use of pharmacists’ clinical and educative skills. He has been managing director of Webstercare Medication Management Systems since the 1980s, Chair of the Dean’s Community Pharmacy Reference Group, University of Sydney, since 2009 and a technical adviser to the Department of Health and Ageing for several years. Mr Stevens has also addressed compliance in Aboriginal communities. An example of the success of the Webster system Clamshell is compliance in the Tiwi Islands where medication collection alone has increased to more than 60%. Better business results Better customer service Better staff training Better be part of Self Care! Self Care P: 1300 369restructured, 772 » www.psa.org.au/selfcare relaunched PSA’s Self Care program has been reinvigorated and restructured and relaunched. After extensive consultation with Self Care members and staff the new Self Care was launched at CPExpo last month. PSA National President Grant Kardachi said the relaunch involved major improvements to the program, as well as new features and initiatives. Pharmacist, Dr Lynn Weekes, CEO of NPS Medicinewise, since 1998 has also been made a Member (AM) in the General Division of the Order of Australia for significant service to community health through the promotion of quality use of medicines. He said that Self Care has evolved because the pharmacy sector is always evolving and the profession needs to keep pace with these changes. PSA National President, Grant Kardachi, congratulated Dr Weekes and Mr Stevens on their recognition in the Queen’s Birthday Honours List. ‘Self Care has evolved because the pharmacy sector is always evolving – and we as a profession need to keep pace with these changes. We have also listened to Self Care pharmacies about what they want from the program and so we have moved to make sure that as many of these improvements are incorporated into the new-look Self Care as possible,’ Mr Kardachi said. ‘Both Dr Weekes and Mr Stevens are most deserving of this award and both epitomise the high standards, dedication and commitment that is a feature of the profession in Australia. They are both great examples of the very high standards that consistently make the profession one of the most trusted professions in Australia and their example is one which provides inspiration to all other pharmacists.’ Mr Kardachi said. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. ‘Self Care feels like an old friend to many of us so rest assured you are not losing that old friend. That old friend is still there but revitalised, reinvigorated and refocussed for you. ‘We are listening to what you, our members, want. And we have improved the program because we want all of our members to have access to society news these resources to improve their pharmacy business.’ Mr Kardachi said features of the new Self Care included that the full program and its components would only be available to PSA members and that components of the program could now be purchased individually. ‘In addition, we have introduced the Self Care eFactCards. ‘Self Care’s already popular Fact Cards are now online and accessible in-store from any desktop, laptop or tablet device. The eFactCards are designed to save space in your pharmacy and provide choice in how to access these to fit your pharmacy’s workflow. ‘A new feature is that you can now email information to customers – taking your pharmacy’s service beyond the pharmacy doors. You can also brand the eFactCards with your own pharmacy details, effectively making them ‘your’ eFactCards. ‘We have also introduced a major new resource into the Self Care family – our ACTION kits. These are topic-based resources designed to support in-store health promotions and implementation of new professional services, enabling access to new income streams. ‘They are an all-in-one pharmacy toolkit with promotional materials such as posters (available in a variety of sizes) and appointment cards branded to your pharmacy.’ Mr Kardachi said. Details of Self Care are available at the PSA website at psa.org.au/selfcare Removal from list welcomed The list facilitates Australian migration for people covered by occupations included in the list. PSA National President Grant Kardachi said that removing pharmacists from the list would help to consolidate the current pharmacy workforce in Australia. ‘PSA has been advocating for better opportunities for the pharmacy workforce. In a submission for the 2013 list we stated that the pharmacy workforce was already in oversupply in metropolitan areas,’ he said. ‘These views are informed in particular by the rapid increase in the number of pharmacy schools and the resultant increase in their output of graduates that has occurred since 1997.’ Mr Kardachi said PSA would continue to seek solutions to the mal-distribution of pharmacists. ‘It is apparent that the rural programs funded through successive Community Pharmacy Agreements are yet to succeed in ensuring a sustainable supply of pharmacists in rural Australia. Consumers living in rural areas deserve better,’ he said. NSW vaccination moves welcomed Moves by the NSW Government to ensure children are vaccinated have been welcomed by the Society. The NSW move will see unvaccinated children face exclusion from the state’s childcare facilities under new laws to be introduced by the NSW Government. The announcement that pharmacists have been removed from the Skills Occupation List has been welcomed by the Pharmaceutical Society of Australia. PSA President Grant Kardachi said the decision by the Government to introduce legislation to maximise the number of children being vaccinated was good health policy. The Australian Department of Immigration and Citizenship, announced a revised Skills Occupations List for the purposes of migrating to Australia under the skilled migration program last month. ‘Despite some opinions to the contrary, the overwhelming clinical and scientific evidence is that vaccinations are both safe and effective,’ Mr Kardachi said. The revised is effective from 1 July. Both hospital pharmacists and community pharmacists have been removed from the list. ‘This move sends a clear message to parents that their children must be vaccinated to attend a childcare facility or they’ll need to get an approved exemption.’ Mr Kardachi said the PSA had issued guidelines for providing immunisation services with a view to promoting best practice and the delivery of high-quality immunisation services in pharmacies and ensure that no gaps exist in this public health program. The PSA’s Practice guidelines for the provision of immunisation services within pharmacy provide guidance to pharmacists on professional issues and obligations related to hosting immunisation services within the pharmacy setting. ‘These guidelines are very relevant in the context of the current situation,’ Mr Kardachi said. ‘These new guidelines promote specific policies and protocols designed to ensure safe and effective channels of communication between healthcare providers. PSA supports immunisation as both a public health program and as a means of managing an individual’s and in particular a child’s, health’. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. 7 society news Kardachi re-elected Grant Kardachi has been re-elected as PSA National President for a third one year term. The PSA Board also re-elected Vice‑Presidents Dr Claire O’Reilly and Joe Demarte. Mr Kardachi, from South Australia, Dr O’Reilly from NSW and Joe Demarte from Victoria enter their third year on the executive. The appointments were confirmed during the PSA national Board meeting held in Canberra in mid-June. A patient perspective with humour There is nothing funny about Crohn’s disease but when comedian Luke Escombe combines humour with first‑hand anecdotes and experiences, he presents a compelling narrative of what life is like as a Crohn’s disease sufferer. This year you can hear Luke’s story at PAC 13 where he will speak during a session dealing with gastrointestinal issues. Luke is a musician, comedian and chronic illness ambassador who spent most of 2009 at home on the couch recovering from serious illness. He returned to the music scene with a fresh attitude and two innovative live EPs in 2010: Chronic Illness and Live in the Studio. His comedy began to attract attention for its candid discussion of Crohn’s disease and he will build on this during his PAC13 presentation. Luke’s story of living with Crohn’s disease is riveting and he explains what people living with inflammatory bowel disease need from pharmacy to help manage their condition. Pharmacists will leave the session with more of an understanding of what it is like for people living with inflammatory bowel disease and how they can help consumers when they present to pharmacy. Luke Escombe is one of a wide range of expert speakers at PAC13 which this 8 year has moved to Brisbane. The theme for PAC13 is ONE profession, ONE focus, ONE voice which will focus on unity in the profession, in the delivery of services and in the goal of better health outcomes. These are the keys to the profession growing in the future and remaining viable and sustainable while continuing to improve the health and wellbeing of the population. ‘Luke’s story of living with Crohn’s disease is riveting and he explains what people living with inflammatory bowel disease need from pharmacy to help manage their condition.’ In addition to a great CPD program and leading speaker list, PAC13 will coincide with the 4th Global Drug Safety Conference and Exposition being held at Brisbane Convention & Exhibition Centre from 14-16 October 2013 and which will look at Revitalising Drug Safety – The Decade of the Patient. PAC13 will be held at the Brisbane Convention & Exhibition Centre from 10‑13 October. To register visit psa.org. au/pac Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. Mr Kardachi said he was honoured to be re-elected and looked forward to leading PSA during a challenging period for the profession. ‘We have already faced a tough year during which we encountered many serious challenges, and at times obstacles, to the growth of the profession. As we enter the phase when we must negotiate the next Community Pharmacy Agreement, I expect that we will continue to faces challenges, but in those challenges will be opportunities. ‘I also look forward to a new era of cooperation and collaboration between all the representative groups of the pharmacy profession so that we can work together for the good of the profession as a whole.’ Mr Kardachi thanked his two Vice‑Presidents for their work and support over the past year. ‘Dr O’Reilly and Mr Demarte have been instrumental in ensuring PSA has continued to grow and meet the needs of its members. In fact we are now at historically high membership numbers and while this gives us strength, it also gives us responsibilities and as an Executive we are focused on this and on meeting the business and professional needs of our members,’ he said. NEWs Vale Jim Beovich By Andrew Daniels Australian pharmacy lost a true gentleman and respected innovator in April when Jim Beovich died after a brief illness in Melbourne. He was 79 years old. Pharmacy to Pacific people A young Rockhampton pharmacist is working beyond his normal career scope and delivering much needed medicines to the sick on remote Pacific islands and villages as part of an international humanitarian project. ship as well so that alone has been a new experience,’ John added. John Parr is a 25-year-old Lieutenant deployed on board Royal Australian Navy ship HMAS Tobruk to render humanitarian aid to remote townships in Papua New Guinea and islands as a part of Pacific Partnership 2013. The international humanitarian mission comprises Defence personnel and volunteers from Australia, the Unites States, Canada, France, Japan, Malaysia and New Zealand Pacific Partnership 2013 is an annual US-sponsored humanitarian and civic assistance mission aimed at strengthening international relationships with partner and host nations in the Asia-Pacific. John is posted to 11 Close Health Company at Gallipoli Barracks in Brisbane and has joined the international mission as a pharmacist and part of the medical contingent providing medical, dental and veterinary aid in the townships of Wewak and Vanimo. After finishing his schooling at Frenchville State School and North Rockhampton High School, John joined the army in 2007 and received undergraduate university sponsorship to study at the University of Queensland. ‘I joined the army to work outside of the normal day to day conditions and an overseas deployment represents exactly that opportunity’, he said. ‘I deployed to Nauru last year as a part of Operation Resolute which was a good learning experience so another chance to work in the field for Pacific Partnership was fantastic. It’s my first time on a Navy 10 In addition to becoming a fully qualified pharmacist, John has also received qualifications in combat first aid and adventurous training. In addition to HMAS Tobruk’s deployment to Papua New Guinea, USS Pearl Harbor of the United States Navy will deploy to Samoa, Tonga and the Marshall Islands while HMNZS Canterbury provides aid to Kiribati and the Solomon Islands. While in Wewak and Vanimo Australian Defence Force medical personnel will work with their counterparts from the United States Army and United States Navy to provide aid as well as run clinics and health fairs for locals, and update medical training for local medical practitioners. A proud pharmacist, Mr Beovich was also a qualified chiropractor, acupuncturist and a successful businessman. He first made his mark in pharmacy in the 1950s as a board member of Amcal. After becoming Board Chairman in 1957 he set about changing some of Amcal’s less efficient practices. He will be remembered by many pharmacists as an active mentor of interns and newly registered pharmacists. He even wrote his own handbook to use for training. In an interview in 2007 he told Australian Pharmacist1 that he ran each of his professions separately not in parallel. While keeping up to date with continuing education for pharmacy, chiropractics and acupuncture to maintain registration was quite a task in itself, pharmacy always remained his passion. ‘My interest has always been in pharmacy and in the advancement of pharmacy,’ he said in the 2007 interview. Over the years he owned and sold more than 15 pharmacies and still owned one in 2007. He retired five years ago but according to his wife Marion always kept up to date with his continuing education and never relinquished his registration as a pharmacist. An Australian Army engineering team will work with members of the United States Navy’s Amphibious Construction Battalion to conduct maintenance, repairs and refurbishment to schools, used by nearly 5,000 children in Vanimo and Wewak. Volunteers from HMAS Tobruk’s crew will also refurbish sports facilities and public buildings for the two remote townships which have a combined population of approximately 40,000 people. HMAS Tobruk will return from its Pacific Partnership deployment in late July. Reference See Medicines in camouflage page 22. 1. Caulfied J. A Jim of all trades. Australian Pharmacist Nov 2007;26(11):860–1. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. He also had a keen eye on the future of pharmacy. He told Australian Pharmacist in 2007 that there was a standard saying that pharmacy is at the crossroads. ‘It’s been at the crossroads ever since I’ve been in pharmacy. But the only way I can see it progressing now is by the provision of professional service.’ Jim Beovich will be missed by the many pharmacists and friends in the profession he made over his long and distinguished career. News News Briefs APF23 Editorial Board announced GDS abstract call Emeritus Professor Lloyd Sansom AO will again head the editorial board of the Australian Pharmaceutical Formulary and Handbook for the 23rd edition (APF23) which is due out in 2015. The final date for submission of abstracts for presentation at the Global Drug Safety Conference (GDS) has been extended to 31 July to enable a wider range of work to be submitted for presentation. Abstracts on the following topics are invited for consideration as oral or poster presentations: The Safe Drug: Discovery and Distribution; Medication Safety: Systems and Practice; Safe Medicine: Safe Patient. Submissions will be accepted on the basis that at least one presenter must register and attend the conference. All papers accepted for presentation both oral and poster will be included in the conference proceedings. To submit your abstract visit www.gds2013.org. APC appoinments The Australian Pharmacy Council (APC) has confirmed the reappointment of John Low and John Jackson to the APC Council. New members of the Accreditation and Examining Committees were also announced. They are Professor Rhonda Clifford, Professor of Pharmacy at the University of Western Australia and Dr Rohan Rasiah, Associate Professor in Pharmacy at the University of Newcastle. PAs lowest paid Pharmacy sales assistants earn an average of $39,369 per year and are among the country’s lowest paid workers according to Australian Bureau of Statistics data on the average gross earnings of full-time non‑managerial adult employees. They are the lowest paid sales assistants in Australia, earning less than motor vehicle sales assistants ($68,260), IT and computer sales assistants ($52,780), service station attendants ($52,348), street vendors ($51,423), checkout operators ($47,850) and general retail sales assistants ($42,962). 12 Announcing the editorial board members, PSA National President, Grant Kardachi, said the board included pharmacists from pharmacy academia, hospital pharmacy, consultant pharmacy and community pharmacy. ‘This is an exceptionally high-quality editorial board and its members have a diverse range and duration of experience which will help further enhance the outstanding reputation of this important reference work. APF23 will build on the content of the previous editions and continue to evolve and develop to meet the changing needs and dynamics of the profession. ‘The three new members of the Editorial Board are Lisa Nissen, Michael Ward and Elise Taylor,’ Mr Kardachi said. He thanked David Cosh and Marlene Cutajar, members of the APF22 board, who are not returning to the APF23 board, for their valuable contribution to the present edition. • Professor Ross McKinnon, Director and Professor in Cancer Research at Flinders University • Adam Phillips, Good health choices pharmacist for Chemplus, member of TGA Advisory Committee on the Safety of Medicines and previously specialist pharmacist at SA Health Women’s and Children’s Hospital • Grant Martin, CEO of the Australian Association of Consultant Pharmacy and a community pharmacist • Michelle Lynch, pharmacist consultant for PharmConsult and PSA Victorian Branch President • Professor Lisa Nissen, Head of School, Clinical Sciences at the Queensland University of Technology • Dr Michael Ward, senior lecturer at the University of SA and previously pharmacist at Royal Adelaide Hospital • Elise Taylor, pharmacist manager at Capital Chemist Wanniassa, ACT. Deirdre’s dedication recognised By Andrew Daniels Western Australian accredited pharmacist Deirdre Criddle was named as the winner of the 2013 AACP Pfizer Consultant Pharmacist of the Year Award. The Chair, Emeritus Professor Lloyd Sansom AO, was head of the School of Pharmacy and Medical Sciences at the University of SA from 1995–2000 and is a representative on a wide range of government and industry advisory groups. Other members of the board are: She was presented with her award during the conference dinner at the Australian Association of Consultant Pharmacy (AACP) annual seminar ConPharm ‘13, held in Adelaide last month. • Associate Professor Louis Roller, Associate Professor at Monash University ‘I am just doing my job like so many of my colleagues who do so much without reward. I will just have to make sure that I am worthy of all this. • Professor Jeffrey Hughes, Head of School of Pharmacy Curtin University, co-owner of a community pharmacy, practising accredited pharmacist • Professor Andrew McLachlan, Professor of Pharmacy (Aged Care) in the Faculty of Pharmacy at the University of Sydney Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. She told Australian Pharmacist that the award was totally unexpected. ‘I love what I do, and I am so proud to be a part of this profession in a complex system which is evolving and hopefully becoming more and more important in the patient landscape every day,’ she said. News ‘I believe HMRs are worth fighting for, and that is what we must do. They don’t belong to us. They belong to the patients. We have to keep our heads high, and if we continue to act in the best interests of our patients, I know we can prevail. These [HMRs] are the best kept secret in health and we have a duty to get [knowledge of] them out there for all the right reasons,’ she said. The award recognises an outstanding contribution by an accredited pharmacist to the practice of consultant pharmacy. It includes a medallion and certificate, plus a travel grant to the value of $10,000 to attend an international pharmacy conference of relevance to the practice of consultant pharmacy. The award was presented by AACP Chair Paul Sinclair and Nick Goodwin, Commercial Portfolio Manager, Global Brands, Established Products Business Unit of Pfizer Australia. They said that Deirdre was recognised as an outstanding and unique consultant pharmacist who as clinician, researcher, mentor and educator has promoted the profession and contributed extensively to improve the quality of care for patients. She was commended for her passion, optimism, enthusiasm, professionalism and sensitivity to the circumstances of patients. Deidre Criddle is also the 2012 PSA Pharmacist of the Year. Australian Pharmacist on top of the world It’s official Australian Pharmacist is read as far afield as Nepal. PSA member Tamara Filmer (pictured) lives in Surkhet, 600 km west of Katmandu. She works at the local hospital and faces some amazing challenges every day when dispensing and counselling hospital patients and the people in her community. As you can see even finding a quiet place to read uninterrupted can be a challenge. You can read about Tamara’s life in Surkhet in next month’s issue of Australian Pharmacist. Three keys to better health To get his message across about what is needed to obtain better health outcomes Professor Kamal Midha, immediate past president of the International Pharmacy Federation (FIP), used an image of a small red tricycle when he delivered the annual Barry L Reed Lecture at Monash University’s Parkville Campus last month. The tricycle’s back two wheels, he designated as science and practice which can be adjusted to move the front wheel, education, to deliver a whole system’s patient-centred approach to health care. It was an image that resonated with the capacity audience of pharmacy professionals, academic staff and students who attended the presentation. Professor Midha identified one of the challenges for the science component of his trilogy for improving health outcomes as the need to change the emphasis of the healthcare spend. ‘Currently more than 30% of the global health care spend is expended on just three diseases, while some 30 other neglected diseases kill more than 11,000,000 people worldwide every year,’ he said. The challenge for practice, according to Professor Midha is to improve access to essential medicines and to adhere to clinical guidelines when treating common diseases. ‘Less than two-thirds of children suffering from diarrhoea are provided with oral rehydration therapy, while more than 40% are treated with antibiotics, often unnecessarily,’ he said. On the access front, Professor Midha cited World Health Organization statistics that show more than 30% of the world’s population lacks regular access to medicines, with this figure rising to more than 50% in parts of Africa and Asia despite the increasing availability of low cost generic medicines. ‘While essential medicines are only one element in the continuum of health care provision, they are a vital element,’ Professor Midha said. When it comes to education as a means of boosting health outcomes, Professor Midha expressed his concern about the capacity of countries where there is limited local education to deliver research into local solutions because of the lack of pharmacists to support the implementation. While Australia is in the fortunate position of having 12 pharmacists for every 10,000 people, there is in fact a worldwide shortage of pharmacists. ‘There are two pharmacists per 1,000,000 population in Somalia for example and 250 per 1,000,000 in South Africa,’ he said. The 2012 Global Pharmacy Workforce Report commissioned by FIP shows that in the 82 countries surveyed there are just 2,500,000 pharmacists servicing over 1.3 billion people. Professor Midha’s message for professional associations, global health organisations and higher education bodies around the world was to take a focused and collaborative approach to improving pharmacy practice and science to enable better discovery and development. Governments must also act to provide better access to cost effective quality medicines while simultaneously improving the use of existing medicines to provide the best possible health care for patients. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. 13 profile The government option By Peter Waterman Many young pharmacists emerging from university may be somewhat disenchanted with what is happening in the retail sector of the profession, and this is prompting them to look for alternative career avenues. This is the view of Huy Nguyen, a young Canberra-based pharmacist who has chosen to pursue a pharmacy career path in government rather than the more traditional areas of community pharmacy and hospital pharmacy. Huy moved into the Federal Government area after studying a double degree in pharmacy and commerce at Monash University and whilst completing a Graduate Diploma in Health Economics and Policy. Huy sees the current retail pharmacy work environment as being a potential source of low job satisfaction for some young pharmacists. ‘I was completing a Grad Dip in Health Economics at Monash University and I thought I should do something relevant to that,’ he explains. Retail dissatisfaction ‘So now I work at the Department of Health and Ageing in the Pharmaceutical Benefits Advisory Committee (PBAC) Secretariat and get to have a lot of hands‑on experience dealing with submissions from pharmaceutical companies seeking to have their new and wonderful drug listed on the PBS.’ ‘I see a lot of graduate pharmacists coming through who simply are not satisfied with retail pharmacy. The reasons are varied, but seem to concentrate around low wages, long work hours, difficulties in entering into ownership, provision of non-health related services, and a lack of job satisfaction arising from high-volume dispensing if one finds themselves in such a pharmacy. The emergence of large discount pharmacies is not helping the job satisfaction side of things for non-owner pharmacists,’ Huy says. 14 The PBAC is an independent expert body appointed by the Australian Government. Members include doctors, health professionals, health economists and consumer representatives. Its primary role is to recommend new medicines for listing on the Pharmaceutical Benefits Scheme Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. (PBS). No new medicine can be listed unless the committee makes a positive recommendation. The PBAC meets three times a year, usually in March, July and November. When recommending a medicine for listing, the PBAC takes into account the medical conditions for which the medicine was registered for use in Australia, its clinical effectiveness, safety and cost-effectiveness (‘value for money’) compared with other treatments. ‘The emergence of large discount pharmacies is not helping the job satisfaction side of things for non-owner pharmacists.’ ‘My current role is quite varied and may include anything from meeting with pharmaceutical companies to providing advice on their PBS-listing submissions,’ Huy explains. ‘It also includes evaluating and providing advice to the PBAC on proposed PBS‑restrictions in terms of relevance to clinical practice, trial evidence and risk to Government in terms of unexpected costs, meeting minute-taking and publication of PBAC Public Summary Documents, to the preparation of correspondence to Ministers, members of parliament, doctors, and the general public on why or why not certain drugs are listed on the PBS. profile ‘You really have to stand out from the crowd. Your university pharmacy degree will hold you in good stead if you are happy to work as a community pharmacist or a hospital pharmacist and they can be good and satisfying careers for some, but in the non-traditional roles you need post-graduate qualifications to ‘A challenge for government in recruiting good pharmacists is that the Federal Government is based in Canberra, so sometimes the right people may have to relocate and that can be a real, practical problem. ‘A pharmacist could try their hand at the state government level but the scope for relevant pharmacy positions seems to be much less than compared to the federal level,’ he says. JULY 2013 CPD: The nervous system Insomnia relief naturally Balancing the dream-weaving with evidence ‘If a young pharmacist came to me seeking advice on how to get into government or industry I would advise them to further add to their skills and this might mean taking up post-graduate courses that are particularly relevant to the areas they are seeking to get into,’ he says. ‘‘I get to see a lot of the new drugs coming through before the general public or healthcare professionals get to see them, so it is quite exciting.’ AUSTRALIA’S MOST CLOSELY READ PHARMACY JOURNAL Ethical dilemmas The nervous system Huy believes post-graduate study is a key to success and a path to non-traditional pharmacy roles, as it enables young pharmacists to differentiate themselves from other pharmacy graduates. He says his particular course gave him specialist knowledge and specific understanding for the area he now works in. He concedes, however, that there is always a hurdle for the Federal Government in attracting the right calibre of pharmacists to work in the department. July 2013 Stand out from the crowd stand out from other BPharm holders and even BScience or related degree holders.’ AUSTRALIAN PHARMACIST ‘I get to see a lot of the new drugs coming through before the general public or healthcare professionals get to see them, so it is quite exciting. Working with a lot of other pharmacists in the Department and distinguished health professionals such as the current PBAC Chair, Dr Suzanne Hill, and the former Chair, Emeritus Professor Lloyd Sansom, have been a motivational source. Being in Government, profit maximisation is not a driving business objective and not having to focus on or worry about this aspect of operations is also an advantage of working in government,’ Huy says. Jenny and the tourist Balancing the dream-weaving with evidence V32#7 J U L 2013 PRINT POST APPROVED PP 299436/00147 Australian Pharmacist welcomes all PSWA members Australian Pharmacist has achieved a milestone in its history this month. Starting with this issue Australian Pharmacist will be distributed to all members of the Pharmaceutical Society of Western Australia (PSWA). In the past PSWA members had to subscribe to Australian Pharmacist. This means an extra 1,500 pharmacists in WA will join PSA members in being able to access the award winning CPD section of the journal and everything else it has to offer. Even more exciting for Australian Pharmacist is the fact that it will increase its circulation to mirror the full PSA membership of 18,000 plus. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. 15 News Interim Guild president seek to improve healthcare access in a cost‑efficient way.’ Victorian community pharmacist George Tambassis has been appointed as Interim Council Nominee for Pharmacy Guild (PGA) National President which becomes vacant in October He said that the recent Federal Government Budget acknowledged that PBS cost-saving measures would deliver billions of dollars more than expected. However, he didn’t believe the community pharmacy network could stand-up to the massive resources being drawn from it and had asked the Pharmacy Guild to renegotiate some of it back from government. He was appointed at the June meeting of the Pharmacy Guild National Council after the current National President, Kos Sclavos, announced in April that he will step down in October. Mr Tambassis has been the President of the Guild’s Victorian Branch since 2011. He is a working pharmacist with 25 years’ experience, who owns pharmacies in rural and suburban Victoria. According to a PGA statement the appointment of an Interim Council Nominee was to provide a smooth transition. It is intended that the nominee will spend considerable time between now and October visiting the Branches, meeting pharmacy, political and other stakeholders around Australia, and building a strong relationship with the National Secretariat. Mr Tambassis said he was humbled by the responsibility that National Council has given him. ‘I am looking forward to receiving Members’ input, and to hearing any concerns they have, wherever they may be’. Mr Sclavos congratulated Mr Tamabassis on his appointment. ‘As National President I have seen George’s collaborative approach at first hand. He has a passion for the ongoing viability of community pharmacy and the role of pharmacists’. PSA National President, Grant Kardachi, also congratulated Mr Tambassis on his appointment. ‘I have met George on several occasions and we have had very good discussions about pharmacy and the future of the profession. George has a great passion for community pharmacy as well as a pragmatic and realistic approach as to what we as a profession need to do to work towards securing a sustainable and viable future. 16 An age of bewilderment By Andrew Daniels Pharmacy appears to be in an age of bewilderment with all the structural changes besetting the professional and commercial sides of pharmacy according to NSW Branch President, John Bronger. Speaking at the opening of the PSA CPExpo in Sydney last month he said many pharmacists were worried about their personal future and that of their chosen profession. ‘They fear that their professional capabilities, developed over years of study and clinical experience, are no longer valued, and this is reinforced by the flat pay rates. They fear that the pharmacies they work in are so financially challenged that they are unable to meet their pay expectations and in danger of joining the increasing number of failed pharmacies.’ Mr Bronger said he shared these concerns and feared for the health of Australia’s internationally renowned national network of community pharmacies. ‘I think that in the government’s zeal to cut costs and, in part, pharmacy’s defensive responses, we’ve somewhat lost sight of the strategic importance of this network. ‘It in the interests of every Australian that their network of community pharmacies remains healthy – more so than just viable – but it’s also in the interests of those controlling government budgets. We know that, backed by a trusted, quality-assured network of community pharmacies, we pharmacists can provide many of the answers governments Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. ‘Call it a dividend on efficiency or productivity, call it reinvesting in crucial health and social infrastructure, call it whatever you want – just get it done for the sake of healthcare in this country,’ he said. Mr Bronger went on to say that many pharmacists were bewildered at the apparent lack of cooperation, and even enmity between the professional bodies with this apparent lack of cooperation and mutual support adding to the bewilderment afflicting pharmacy. The recent debacle over HMRs was a perfect case in point. ‘Had the PSA been viewed as collaborators when the HMR rules were developed, I suspect much of the pain and frustration experienced by so many pharmacists would not have happened.’ He said that under the watch of new Guild executive director David Quilty the Guild seemed to have had a change of heart about the value they placed on external relationships. ‘I congratulate him for this emerging attitude of new collaboration with the PSA. I know that he and PSA CEO Liesel Wett have begun working through points of collaboration and I hope their efforts will be actively supported by the members of both groups. ‘Your professional bodies need your active and interested engagement, not only to keep your representatives like me at their word, but also to help us fine‑tune our priorities. We need your own pressures of expectation because we’re only as good as the representation you seek,’ Mr Bronger said. news Collaborative advocacy Through the uncertainty and disquiet of the past 12 months PSA has been guiding members and laying the foundations for the profession’s future PSA National President Grant Kardachi told delegates at the opening of the PSA CPExpo in Sydney last month. To illustrate what he was saying he spoke about the recent problems over the delivery of HMRs and PS’s response. He said that while HMRs were an area of specialisation, the implications of this issue spread throughout the whole profession. The problem emerged when the Government announced an over spend in this area of the CPA budget and moratorium on HMR services was suggested as a way to address the problem. However, this was rejected out of hand by the PSA. ‘In fact, late last year PSA became aware of problems in the HMR delivery area and we initiated strategic moves to investigate ways to improve the rules surrounding the delivery of HMRs. We took this action because we see improvements to HMR rules as being the road to ensuring the program remains sustainable. consumers and as a profession we had to ensure it continues. ‘At PSA we identified some areas which we felt could be improved in the HMR program and contacted the Department of Health to initiate talks on implementing such reforms. We are now in talks on how to implement some of these suggestions,’ he said. ‘PSA met behind the scenes with politicians, bureaucrats and stakeholders to try to stop the moratorium and in this we were successful when the Minister for Health, Tanya Plibersek, announced that there would be no moratorium. In our advocacy to put to rest any notion of a moratorium, we engaged a wide range of our collaborative allies – and we engaged them to very good effect. Mr Kardachi said that the HMR budget was negotiated by the Pharmacy Guild as part of the Fifth Community Pharmacy Agreement and from the outset PSA was concerned at the very limited budgets allocated. ‘PSA is not allowed to be involved in the negotiating process and we were not consulted on the modelling around the real cost and benefits of this program. Perhaps including the profession in discussions prior to the negotiations could have prevented the problem from occurring and this is a lesson for the future. ‘To put the whole program on hold for an indefinite period was risky at best, and foolish at worst. This is a program that is demonstrably delivering benefits for ‘If the old adage that no man is an island stands true, then it is equally applicable to pharmacy – no profession is an island. We need the support and help of our colleagues in the health sector, and in other sectors. We have been steadily building partnerships and after the HMR moratorium issue the momentum has gained pace. Recently we signed a memorandum of understanding with the RACGP and we are continuing to develop new collaborative arrangements to strengthen our advocacy and position the pharmacy profession for the future.’ Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. 17 be our guest Collaborative ties between GPs and pharmacists go far to help Close the Gap By Dr Liz Marles, President of the RACGP Australia’s ageing population is testament to the availability and advances in medical innovations across the spectrum. From life-saving pharmaceuticals, cutting edge technologies and early detection programs, the vast majority of Australians enjoy a high standard of healthcare right across the lifespan. Or do they? For years the evidence has clearly highlighted the significant life expectancy gaps and poorer health outcomes experienced by Indigenous Australians compared to non-Indigenous Australians; shocking and shaming our national pride. In 2009, the Australian Bureau of Statistics estimated life expectancy gaps were as wide as 11.5 years for males and 9.7 years for females.1 Overall, in 2008–09, the potentially preventable hospitalisation rate for Aboriginal and Torres Strait Islander people was 4.9 times the rate for other Australians.2 Potentially preventable chronic diseases and injury are conditions causing the greatest proportion of excess deaths for Aboriginal and Torres Strait Islander people.3 Despite the overall health needs being higher for Aboriginal and Torres Strait Islander people, in 2008–09, average Medicare Benefits Schedule (MBS) expenditure per person was $363 for Aboriginal and Torres Strait Islander people and $621 for non-Indigenous Australians, a ratio of 0.58.4 The average Pharmaceutical Benefits Schedule (PBS) expenditure per person was $250 for Aboriginal and Torres Strait Islander people and $338 for non-Indigenous Australians, a ratio of 0.74.4 So what can we do to help close the gap? Pharmacists and GPs have long held strong professional relationships to ensure optimal health outcomes for our patients. Recently the PSA and the RACGP reaffirmed the strong collaborative ties between the two professions, signing a 18 second Memorandum of Understanding (MoU). Together the two bodies, representing 37,000 primary healthcare professionals, have committed to further exploring the benefits of team-based care with a united front. With this strong alliance in place between the two professions, one clear example of how we can contribute to the Close the Gap (CTG) efforts is via the Government’s Closing the Gap PBS Co-payment Measure.5 The Measure, introduced in November 2008, allows GPs who are participating in the Indigenous Health Practice Incentive Program (PIP) to prescribe medications for eligible Aboriginal and Torres Strait Islander patients at a reduced cost or free to the patient, particularly those medications used to treat chronic pain. GPs can annotate eligible patients’ prescriptions with ‘CTG’ to indicate that it is to be dispensed with co-payment relief. The cost of medications has been identified as a key factor that prevents many Aboriginal and Torres Strait Islander people from obtaining optimum health care. Medical specialists in any practice location are also able to participate, provided the patient is eligible in the PBS Co-payment Measure, and has been referred by a medical practitioner working in a practice that is participating in the Indigenous Health Incentive/PBS Co‑Payment Measure under the PIP. Medical practitioners working in Indigenous Health Services in urban and rural settings can also provide eligible patients with a ‘CTG’ annotated prescription. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. In August 2012, Australian Doctor6 reported that, alarmingly, thousands of doctors were unaware of the existence of the scheme. The RACGP has continued to work hard to promote this important initiative to our members, as well as many other Government initiatives to support the Close the Gap efforts. PSA members are also encouraged to familiarise themselves with the Closing the Gap PBS Co-payment Measure if they have not already. Good communication between the pharmacist and the GP will enhance uptake of this measure and improve adherence for Aboriginal and Torres Strait Islander patients. Further supporting the value of this initiative, the College recently called upon Government in its pre-Budget submission to continue to expand on proven strategies that address cost barriers for patients including the ongoing delivery of the Closing the Gap PBS Co-payment scheme. Renewed commitment will enable gains to continue to be made in prevention and chronic disease management. As we continue to work in close partnership with one another, I look forward to identifying, promoting and bringing to life practical examples of best practice in general practice and pharmacy settings, to produce improved health outcomes for our patients. References 1. At: www.fahcsia.gov.au/our-responsibilities/indigenousaustralians/programs-services/closing-the-gap/closing-the-gapthe-need-to-act 2. Cunningham J, Rumbold AR, Zhang X, Condon JR. Incidence, aetiology, and outcomes of cancer in Indigenous peoples in Australia. Lancet Oncology 2008;9(6):585–95. 3. Australian Bureau of Statistics & Australian Institute of Health and Welfare. The health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples 2008, ABS cat no. 4704.0. Canberra: ABS, 2008. Cited Oct 2011. At: www.aihw.gov.au/publications/index. cfm/title/10583. 4. Vos T, Barker B, Stanley L, Lopez AD. The burden of disease and injury in Aboriginal and Torres Strait Islander peoples 2003. 5. Brisbane: School of Population Health, The University of Queensland, 2007. 6. Medicare Australia – Closing the Gap PBS Co-payment Measure. At: www.medicareaustralia.gov.au/provider/pbs/prescriber/ closing-the-gap.jsp 7. www.australiandoctor.com.au/news/latest-news/gps-unawareof-free-meds-scheme state News The pharmacists were kept busy handling and responding to medicine and health information enquiries, referring people on to other health professionals present on the day (e.g. doctors, nurses and podiatrists), providing information on access to medicines and on drug interactions (both possible/theoretical as well as symptom‑based ADR enquiries), and discussing how to manage adverse reactions. Holly Vogt and Joyce McSwan. Hung Tran and Marea Patounas. Joyce joins the Qld committee Pharmacists connect New PSA Queensland Branch committee member, Joyce McSwan, was quick to take on her official duties on 30 May when she represented PSA at the Griffith University pharmacy awards evening at Southport. Pharmacist academics at the Qld University of Technology (QUT) Health Clinic have been connecting with the community. Joyce joined the Branch Committee in May to fill the vacancy created when Julie Stokes resigned. PSA provided prizes for the best performance in Years 1–3 and in the Master of Pharmacy. The winners were presented with their $500 prize and a framed certificate by Joyce. The winners were: First Year, Daniel Bedding; Year 2, Rebecca Pryce; Year 3, Polly Witts; and in the Master of Pharmacy, Holly Vogt. A first for UNE in NSW Pharmacy Student of the Year By Andrew Daniels The University of New England achieved a milestone last month when Callan Beesley its first entrant in the NSW Pharmacy Student of the Year competition won the title. Callan was named the NSW Pharmacy Student of the Year at a reception held as part of the PSA CPExpo. He beat strong competition from Rachelle Cutler from the University of Technology Sydney, Andrew Allchin from the University of Sydney, Gemma Courtney from the University of Newcastle and Seray Goktekin from Charles Sturt University. This year was the first time that UNE and UTS had participated in the PSOTY competition, with its first cohort of pharmacy students graduating this year. 20 Along with representatives from other health professions the pharmacist academics, recently participated in ‘widening participation’ events for the community at Gympie – a widening participation event for the Aboriginal and Torres Strait Islander community – and in Brisbane – a widening participation event for Homeless Connect. Almost 1,500 people attended the Brisbane event, including homeless people, those at risk of homelessness and people without permanent accommodation. At each event signs were erected to draw attention to the pharmacists available on the day including: Ask a Pharmacist and Ask about your Medicines. Branch committee elections Professor Greg Kyle has been elected unopposed as the new ACT Branch President. He replaces Professor Gabrielle Cooper. However Professor Cooper was re‑elected as PSA National Board Director from the ACT. A new face on the ACT Branch executive is Kylie Woolcock who was elected as a vice president. She replaces Professor Kyle. Bill Kelly was re-elected as the other Vice President. All were elected unopposed. The Tasmanian Branch has a new Vice President following its annual office bearer elections. Dr Ella Van Tienen replaced Dr Luke Bereznicki as a Branch Vice President. Office bearers are: Branch President Dr Shane Jackson; Joint Vice-Presidents Anne Todd and Dr Ella Van Tienen; and National Board Director Dr Luke Bereznicki. All were elected unopposed. Callan said it was a ‘massive shock’ to be named as the NSW winner. Manager at the Hydration Pharmaceuticals Trust Sarah Curulli. ‘I saw the girls [compete] and thought I was done for, dead in the water! This is a huge honour for me and I will try to do everyone proud,’ he said. Mr Kardachi said that once again judges had a hard time choosing the winner because of the very high standard of entrants. Professor Ieva Stupans, Head of Pharmacy, University of New England said: ‘The pharmacy team congratulates Callan, he is an excellent representative of the University of New England’s pharmacy degree. To have one of our students in our first final year cohort recognised by the PSA’s judges is a great endorsement for our program’. Judges were PSA National President Grant Kardachi, PSA NSW Branch President John Bronger, Elizabeth Heiner, a drug counsellor at Mothersafe who has previously worked in community and hospital pharmacy and other information services such as Poisons Information Line, and Clinical Education Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. ‘These young pharmacists are quite outstanding and their ability to engage with consumers, gather appropriate information and formulate a response is remarkable at their age. Callan displayed all these attributes and characteristics to take out the title.’ Mr Bronger said the standards displayed by the entrants showed that pharmacy in the future was in good hands. ‘These young pharmacists are confident, articulate and very knowledgeable. They really are testament to the fact that our profession is well equipped to meet the challenges of the future, and emerge stronger and better than ever.’ state News PharmacyLIVE 2013 Bringing professional services to LIFE 14–15 September 2013 Novotel, Sydney Olympic Park NSW Bringing professional services to LIFE Practice enhanced patient outcomes and professional satisfaction is the focus of PharmacyLIVE 2013. Learn how to identify, recruit and assess consumers for professional services at PharmacyLIVE 2013 from 14–15 September at The Novotel, Sydney Olympic Park. Join industry leaders who will outline the key stages of professional service development and delivery over a two day program that will include clinical and practice-orientated interactive workshops and seminars. As professional service delivery becomes increasingly more important in community practice, PharmacyLIVE 2013 will give those who attend the tools to enhance their practical ability for effective and integrated professional service provision. Gain an edge in an increasingly competitive marketplace by planning, delivering and evaluating your pharmacy’s professional services offering by adopting a new pharmacy practice model. Future-proof your business by taking advantage of government and privately funded financial incentives and rewards available to diversify pharmacy income streams. On Saturday, key pharmacist business owners and academics will show how to formulate a business plan for professional service provision, develop staff training tools to identify training needs and critically evaluate business performance. You will also learn to utilise in-house data to screen patients for appropriate professional service provision. Sunday’s program will focus on service delivery (each aligned to a specific clinical area) outlining effective communication skills for patient liaison and motivational interviewing techniques to improve health outcomes. An overview of disease risk assessment tools will give you confidence in both assessing and recruiting patients for professional service provision. Learn to also develop better collaborative networks with allied healthcare professionals and detail resources for effective health promotions. An outline of data recording processes will also ensure the effective delivery and administration of professional services. PharmacyLIVE 2013 is on from 14–15 September at The Novotel, Sydney Olympic Park. Earn up to 22 Group 2 CPD credits. For more information contact PSA NSW Branch on (02) 9431 1100 or visit www.psa.org.au/education/conferences. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. 21 state News ‘The ADF’s ability to provide tailored levels of healthcare across global settings in short time frames requires robust pharmaceutical and medical logistic support strategies that support the spectrum of healthcare from basic primary health through to secondary surgery and rehabilitation. Medicines in camouflage Global Drug Safety Conference (GDS) has attracted some excellent local presenters. One of them is Major David Bullock. In a career spanning 25 years of service predominantly with the British Army and more recently with the Australian Defence Force (ADF), he has managed the expeditionary healthcare support to military conflict and humanitarian assistance responses across four continents. ‘The ADF health services are required by legislation, and professionally committed to ensuring that regardless of locality, infrastructure availability and demographics of the population at risk, pharmaceutical safety, security and legitimacy is held paramount throughout mission planning and execution’. GDS, with the theme of Revitalising Drug Safety – The Decade of the Patient, is being held in Brisbane from 14-16 October. Further information is available at www.gds.org. He will provide an insight into how the Australian Army manages Medication Safety and risk involved with the supply of medicines within the military expeditionary setting, while ensuring the safety of its staff, legitimacy of pharmaceuticals and maintaining a suitable cold chain. Major Bullock will outline the role and structure of the ADF health services team, their training and how they work together to ensure medication safety and mitigate risk, as well as discussing issues and barriers to pharmacy support in providing expeditionary healthcare in foreign countries. 22 Prof Frazer was selected as Queenslander and Australian of the Year in 2006. He was also awarded the 2008 Prime Minister’s Prize for Science, the 2008 Balzan Prize for Preventive Medicine, the 2009 Honda Prize and was recently elected as a Fellow of the esteemed Royal Society of London. In 2012, Professor Frazer was appointed a Companion of the Order of Australia (AC) in the Queen’s Birthday Honours. Professor Frazer will also speak at the Global Drug Safety Conference 2013 (GDS2013). His topic is: The global drug safety continuum – From bench to bedside. With the theme of Revitalising drug safety – The decade of the patient, GDS13 will be held at the Brisbane Convention & Exhibition Centre from 14–16 October immediately following the Pharmacy Australia Congress which runs from 10–13 October also at the Brisbane Convention & Exhibition Centre. PSA is offering joint packages for GDS13 and PAC13 with packages for both conferences. Further information is available at www.psa.org.au/pac or www.gds13.org. One of his most challenging tasks and greatest accomplishments is the co‑writing and co-execution of a health support plan for the British support to Operation Iraqi Freedom, within which drug and pharmaceutical integrity played a challenging role. Major Bullock will present on Medicines in Camouflage – Risks in Expeditionary Healthcare. prevent cervical cancer. He has recently been appointed as CEO and Director of Research of the newly created Translational Research Institute in Brisbane, Australia. Ian Frazer to give the Alan Russell oration at PAC13 pac13 Professor Ian Frazer, the 2006 Australian of the Year, will present the 2013 Alan Russell oration at the Pharmacy Australia Congress in Brisbane in October. In his presentation Prof Frazer will describe the journey he went through to develop cervical cancer vaccine technology. Prof Frazer is a clinical immunologist. His research group studies the immunology of papillomavirus associated cancers. In 1991, along with Chinese colleague, Dr Jian Zhou, he developed the virus-like particle technology which has become the basis of vaccines to Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. Call for abstracts now open! Click here to submit your abstract. state News Re-think education expenses urgently The Pharmaceutical Society of Australia (PSA) and the Pharmacy Guild of Australia (PGA) and have joined forces to express serious concerns over the impact proposed changes to the tax deductibility of education expenses will have on professional standards. The Federal Treasury recently released a discussion paper on the Federal Budget announcement of a $2,000 cap on taxation deductions for work-related education expenses. This measure will apply to all work‑related education expenses, including formal education courses, CPD activities, conferences, seminars, and any related travel, accommodation and home‑office depreciation. quarters as a fait accompli, with little scope for significant changes to reduce the impact on professional learning. ‘It seems somewhat strange that a Government which is espousing the importance of education reforms is now moving to make lifelong learning less attractive to hard-working pharmacists who must spend a great deal of time and money to maintain their education and stay abreast of the latest developments in health and medicine. ‘Pharmacists are required to undertake education activities by law, not only to ensure the best health outcomes for the community but also to be eligible to continue to practise as pharmacists. The Government’s decision will potentially affect all pharmacists and will have a particularly negative impact on accredited pharmacists, rural pharmacists and early-career pharmacists,’ Mr Kardachi said. In announcing the move the Government said it would welcome submissions on the issue. However, PSAdodo_Layout National President, eRx Aus Pharmacist 210x137d 1 31/05/13 11:17 AM Page 1 Grant Kardachi, said he was concerned that the move may be seen in some PGA National President, Kos Sclavos said the Budget measure as it stood would have an adverse impact on the continuing professional development requirements of the pharmacy profession. ‘In our sector, where travel and related costs to attend major industry events alone can exceed the proposed cap, it shows a clear misunderstanding of how pharmacy operates. With the ever-changing health system and new advances in drug technology, government policy should be encouraging education opportunities for the benefit of our patients’. Mr Sclavos and Mr Kardachi said the Pharmacy Guild and PSA would seek amendments to the proposal on behalf of the profession and in the interests of healthcare consumers. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. 23 News Diabetes MedsCheck research A six-month pilot implementation program exploring better health outcomes for people with diabetes has started at 14 NSW community pharmacies. The program is a joint initiative between Roche Diabetes Care and the University of Technology Sydney (UTS). Senator Dean Smith and AWMA committee representative, Ann Marie Dunk. Chronic wound care gaining support The campaign for government subsidised wound care moved a step closer in the 2013 Federal Budget. Hot on the heels of its national petition for subsidised wound care being tabled in the Senate on Budget day, the Australian Wound Management Association (AWMA) welcomed the budget decision to provide $0.3M to fund a study on improving chronic wound management for Senior Australians. AWMA – whose membership comprises mostly of nurses and other health professionals – saw its 1,160-signature petition tabled by Senator Dean Smith (Liberal, WA), a member of the Senate Standing Committee on Community Affairs. The petition noted that with prompt best-practice care most wounds, including difficult venous leg ulcers (VLU), can be healed within 12 weeks. It sought Senate support for full subsidisation of best‑practice wound management, a case that AWMA had been advocating for some time. AWMA national president Dr Bill McGuiness said: ‘Without the early use of dressings and specifically compression bandages and stockings, healing is delayed, causing avoidable pain and suffering and creating unnecessary pressure on public hospitals and other services.’ Dr McGuiness, Head of La Trobe University’s School of Nursing & Midwifery, said: ‘At present, the barrier to wider use of 42 compression items for VLUs is their high cost, which most Australian patients must pay for personally. Many of these patients are elderly pensioners who either make sacrifices to afford the consumables, or simply miss out on best-practice care.’ AWMA estimates that as many as 300,000 Australians currently experience chronic wounds requiring management, with around 42,600 people aged over 60 years having at least one VLU at any time. A recent KPMG report, An Economic Evaluation of Compression Therapy for Venous Leg Ulcers, said wider access to appropriate compression therapy could deliver substantial savings to both government and individual patients. The is available from: www.awma.com.au The $0.3M budget funding is earmarked for a scoping study and cost benefit analysis of options to better address chronic wound management for Senior Australians and is part of the Supporting Senior Australians package. ‘AWMA is delighted that the Government has recognised the need to further improve chronic wound management for Seniors. AWMA sees this as a positive stepping stone on the path to ensuring best-practice management for every Australian experiencing a chronic wound. We look forward to assisting the coordinators of the study in any way they feel could be useful,’ Dr McGuiness, said. Australian Pharmacist July 2013 I © Pharmaceutical Society of Australia Ltd. The program aims to evaluate the implementation of the Australian Government’s Diabetes MedsCheck service and will investigate the impact of Diabetes MedsCheck on health outcomes for people with diabetes. It aims to produce a sustainable MedsCheck model that ensures evidence-based best practice and the provision of quality services to patients and pharmacies. The program is being led by UTS Professor Charlie Benrimoj, Head, Graduate School of Health & Professor of Pharmacy Practice, and will develop, implement and evaluate the Diabetes MedsCheck program in selected participating community pharmacies across NSW, Victoria and Queensland. The 14 pharmacies in NSW will be joined by a further 15. The pilot will incorporate existing professional services tools from Roche Diagnostics, designed to aid pharmacy employees to assist patients to improve the management of their diabetes. It will measure uptake of the Diabetes MedsCheck service and the psychosocial impact on people with diabetes, ensuring that reiterations of the program improve the quality of life and self-empowerment of people living with diabetes and help to alleviate diabetes-related depression. From a pharmacy perspective, the program will assess the benefits of implementing professional services to their business.
© Copyright 2024