labelled, let the assistants write the persons name on it and wave it in front of my face before handing out. I am not aware of any near misses, because I insisted on doing things properly even if people had to wait, but that created a very adverse relationship with the business manager and my employers. I was also in trouble with them because I refused to substitute generics that were not flagged as equivalent. In most community pharmacy roles, the workload at peak times in
21 unmanageable in terms of being able to provide the counselling and associated advice, with a line up of people waiting for scripts. In terms of a proprietor’s adherence to the pharmacists’ code of ethics, have you ever witnessed a near miss, or an event of concern? In several community pharmacy positions, I have been subjected to adverse wrath from owners for declining to supply S3's when they were inappropriate, or insisting patients visit the doctor. In some cases patients complained directly to the owners. Being told I was losing business, upsetting customers, and driving them to competitors or to online suppliers for things like questioning multiple supplies of ventolin in short spaces of time when not on preventers, multiple supplies of OTC codeine, declining to supply repeats for excessive quantities of drugs with potential for abuse, when pts continually presented them too early according to prescribed dosage and maximum doses. It was apparent the owners were driven by the desire for profit/ business and were not interested in the inappropriateness of the medicine use and potential harm for the patient. One employer suggested I should look for another job, and moved to replace me before I had even resigned. Is the Community Pharmacy Agreement the best way to organise medicine distribution and remuneration? What could replace it? No - because it is driven by the Pharmacy Guild which only represents owners of pharmacies. All avenues of efficient distribution of medicines needs to be considered - eg. some hospitals could provide better outreach services by supplying some of the very specialised medicines with expert counselling and patient support by specialised pharmacists. How do you think Medication Reviews could be extended so that more patients can access this service? In terms of the professional services, medication reviews etc, I do not believe they should be remunerated under the Community Pharmacy agreement, they should be funded separately as they have nothing to do with the supply of medicines. All other health professionals have a fee structure for consultations - so should pharmacists undertaking professional services not associated with supply of medicines. Medication Reviews should be considered an essential service. Almost every patient I see in my current role in a private hospital has a number of medication management issues. However I am only capable of seeing a small number of patients, as I have a lot of other administrative duties - policy & procedure, medication safety, nurse education etc.