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Pharmacy

 

About the Department

The Pharmacy department at St Peter's Hospital provides a fully comprehensive pharmacy service, which includes a full dispensing, distribution and clinical service to all Trust wards.

The Pharmacy also has service level agreements to provide services to the Runnymede private hospital, Sam Beare and the Woking Hospices, and selected wards and departments of Surrey PCT and Surrey and Borders Partnership Trust.

 

Location

The department is situation on Level 2 of the departmental / outpatient block at St Peter's Hospital. We are behind the main escalators in the reception area, adjacent to the lifts and shop.

 

Patient Information Leaflets

 

Our Staff

We employ over 77 staff full time & part time. This figure is made up (approximately) of:

  • 23 pharmacists
  • 23 technicians
  • 24 support staff
  • 5 students
  • 5 administrative and clerical staff

 

Dispensary and Distribution

The Dispensary and Distribution services are managed by Pharmacy technicians. We are aiming to reduce the presence of pharmacists in the dispensary and make full use of accredited checking technicians.

The installation of an automated dispensing machine (robotic dispenser) has complemented the one stop dispensing scheme and has aided a quicker turn around time for discharge prescriptions. The robotic dispenser has also cut down on repetitive box picking in distribution which will allow technician staff to take part in the accredited checking scheme, to support the dispensary and augment their skills.

The dispensary services include dispensing for Clinical trials and HIV patients as well as dispensing for in-patients and discharge prescriptions.

All Trust wards have the benefit of a ‘top up’ distribution service. Wards in PCT areas have a regular box services. Community based clinics and local Walk in Centres are also supplied with medicines.

 

Trust Formulary

The formulary comprises a list of medicines which have been approved by the Drugs and Therapeutics Committee (DTC) for prescribing within the Trust.

The purpose of the formulary is to ensure evidence-based and cost-effective prescribing and provide information relating to drug use. All prescribing from within the Trust (i.e. in-patient, out-patient and FP10 prescribing) must comply with the formulary. Advice given to GPs with regard to drug treatment options must also be in line with Trust formulary recommendations. This will be monitored on an ongoing basis.

 

NICE Guidance at Ashford and St Peter’s

NICE (National Institute for Health and Clinical Excellence, www.nice.org.uk) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health. NICE guidance is based on the best available evidence of the most effective care, looking at clinical and cost effectiveness, and aims to ensure treatment is available equally across different regions (i.e. avoids so called ‘postcode prescribing’).

The Foundation Trust has a responsibility to implement NICE guidance to ensure patients receive the best and most appropriate treatment and that NHS resources are not wasted by inappropriate treatment ... read more

 

Clinical services / Medicines management

The clinical pharmacy service is based on the Trust’s Directorate Structure. Each Directorate or sub speciality has a lead Senior clinical pharmacist who provides evaluated information on drug expenditure, usage, prescribing trends, risk reduction etc. This information is reported to the relevant Clinical Directors and General Managers on a monthly basis.

 

Current specialties include –

  • General medicine
  • Care of the elderly,
  • Medical admissions
  • Oncology and haematology
  • Surgery,
  • Orthopaedics,
  • Critical care,
  • Family services and paediatrics

Junior pharmacists take part in a rotation of all specialities

High standards of clinical pharmacy are upheld. Ongoing assessment aims to continuously improve and develop on these by a process of peer review. Risks are minimised by scrutiny of the in-house intervention database, using this to assist in teaching of medical and pharmacy staff.

We also have a team of medicines management technicians working with our clinical pharmacists at ward level to operate our One Stop Dispensing/ Use of Patients Own Drugs scheme.

 

Education and Training

All pharmacy staff are encouraged to take part in further education. Pharmacists and technicians are also expected to keep CPD records.

Pharmacists attend lunch time training sessions including the Learning @ Lunch programme from the CPPE

Rotational pharmacists undertake the Diploma in General Pharmacy Practice [University of London] a 3-year course or other accredited centre.

Student technicians undertake NVQ level 3 and a B.Tec. in Pharmaceutical science.

Pharmacy assistants work towards NVQ level 2 in line with the Royal Pharmaceutical Society’s guidelines for Pharmacy support staff

 

Interface issues

We have an interface/prescribing pharmacist position which is jointly funded by the Acute Trust and the Primary Care Trusts that fall within our catchment area. The pharmacist is responsible for addressing pharmaceutical issues across primary / secondary care and helps create a good working relationship between the two.

Currently work is being done on finalising a ‘traffic light system’ which highlights drugs that are hospital only drugs (red) and drugs that require a shared care protocol (amber) in order to clarify the responsibilities of the clinicians across the interface.

Work has taken place to ensure that the hospital formulary takes into consideration the PCTs. This is carried out by ensuring managed entry of drugs onto the hospital formulary that will have a large impact on primary care. These submissions are required to go via the interface group before being submitted to the drugs and therapeutics committee.

 

Aseptic preparation unit

The unlicensed Aseptic Preparative Services (APS) Unit [Section 10 exemption of the Medicines Act (1968)], aseptically-prepares a wide range of patient-specific medicinal products, including cytotoxic chemotherapies, monoclonal antibodies, and other aseptic products.

 

Teaching

Pharmacists also participate in the provision of training and for junior doctors, the Trust staff induction programme, the nurse education programme and contribute to training for other healthcare staff.

Pharmacists are also involved in patient education programmes such as the Cardiac Rehabilitation Programme.

 

Pharmacy Medicines Information Service

Contact details for Frimley Medicines Information Department are as follows:

  • Telephone number: 01276 604744 (direct line)
  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

This service is available Monday to Friday 9am to 5pm, urgent enquiries out of hours should, as before be directed to the on-call Pharmacist.

 

Contacts for further information

Olatokunbo Ogunbanjo - Chief Pharmacist
Tel: 01932 723619

Pharmacy general inquiries Tel: 01932 723207