TBL 1 - PHARMACY, PHARMACISTS AND THE NHS Flashcards

1
Q

Where has the beginnings of pharmacy traced back to and what types of medicinal plants were used?

A

Pharmacy old profession traced back to 4000bc, where medicinal plants such as liquorice, mustard, myrrh and opium were used.

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2
Q

Who were preparers of medicine and what were their roles in society?

A

Preparer of medicine combined role with priests - high regard in society.

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3
Q

In Egyptian and China records what types of drugs were used? And where in UK were the sales of medicines done?

A

Egyptian records (1500 BC) show over 700 drugs used to make infusions, ointments, lozenges, suppositories, lotions, enemas and pills.

China (2000 BC) records contain descriptions of 365 plant based drugs.

UK (1345) sale of medicines in London.

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4
Q

In the Victorian era what theories did physicians follow?

A

Victorian era - physician followed theories around Hippocrates who believed that illness and disease were caused by an imbalance in the 4 humours (blood, phylum, black bile and yellow bile).

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5
Q

In the 19th century remedies contained a substance which are highly toxic? What is the substance called?

A

19th century remedies contained lead, mercury and antimony which were all highly toxic. - people had low comprehension of what caused disease or understanding of the human body.

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6
Q

Where could you get free medical care during 19th century?

A

Medical care - profit based except free care from some charities/teaching hospitals.

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7
Q

During medieval London who controlled pharmacies?

A

Medieval London pharmacy under control of the Company of Grocers a guild that regulated the selling of spices, meat, food and drink.

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8
Q

How did apothecaries make their money and what year did apothecaries broke away from the company of grocers?

A

Apothecaries made their money by supplying, compounding and selling drugs - can’t charge for home visits, providing medical advice or prescribing meds.
1617 - apothecaries broke away from the company of grocers wanting to ensure the purity of the products they were selling.

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9
Q

As apothecaries broke away from the company of grocer what did it led to?

A

Led to the creation of the worshipful society of the art and mystery of apothecaries and a costly 7 year apprentiship system. Only passing the exam can they can be call themselves apothecary.

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10
Q

What is the worship society of art and mystery of apothecaries responsible for?

A

Society - responsible for regulating sale and production of meds and now has the authority to inspect medicines.
1704 - society won a case against the Royal college of physicians to give them the right to prescribe medicines as well as dispense them.

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11
Q

What were the chemists and druggists role?

A

Apothecaries role of GP now so gap in market which are filled by chemists and druggists.
Unregulated group of individuals who owned premises on high street in which they prepared, compounded, dispensed and sold over the counter medicines. - didn’t pass any exams or have any qualifications

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12
Q

What did the chemist and druggist sell besides medicines? And what would be an example of a product sold by chemist and druggist?

A

Sold tobacco, alcohol, cosmetics and food.
Opened long hrs and can be accessed in an emergency. - caters to population.
Example of product sold is burgess lion ointment and pills which claimed to cure ulcers, abscesses, cancer’s and tumours avoiding the need for amputation and knife.

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13
Q

What is pharmacopeia and what is the role of the British pharmacopeia?

A

Pharmacopeia were main reference source for physicians and apothecaries in the 19th century.
1864 - combined all pharmacopoeia into one containing a range of different cure-all’s.
BP role in protecting public health by providing quality standards for UK pharmaceutical substances and medicinal products.
Used over 100 countries
Provides expert advice to WHO

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14
Q

Why did the apothecaries act 1815 come into place?

A

Apothecaries act 1815 - came about for the need to regulate the medical professional in the UK, making it a requirement that apothecaries undertook an apprenticeship and training.

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15
Q

Why were there tension between the apothecaries and chemist and druggists?

A

Apothecaries made failed attempts to get bills to parliament - aim being to prevent chemist and druggists from dispensing medications and removing the need for a separate pharmacy professional.

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16
Q

What is the pharmacy society 1841 role?

A

Pharmacy society 1841 regulatory body for chemist and druggist which gained its royal charter in 1843.

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17
Q

What year was the school of pharmacy founded and what year did a register for the chemists who passed their exams appear?

A

1842 - school of pharmacy was founded - located at 17 Bloomsbury square in London.
1852 - a register of pharmaceutical chemists for those who had passed the pharmaceutical society exams formed.

1967 - pharmacy student enrol on a degree course

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18
Q

When we women allowed to become full members of the soceity?

A

Women initially banned from joining society despite being able to take the exam and own a business but in 1879 women obtained the right to full membership

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19
Q

What did the pharmacy act 1868 allow?

A

1868 - Pharmacy act allowing those that passed the society’s exams to sell, dispense and compound poisons to the general public.

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20
Q

What are the 2 aims of the society?

A

2 aims of society - to regulate pharmacy education and regulate access to medicines.

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21
Q

Who founded boots chemist?

A
  • Jesse boots, founded boots the chemist had chain of 250 branches by 1800.
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22
Q

What happened in 1953 regarding chemist and druggists titles?

A

1953 - chemist and druggist qualification phased out and given title pharmacist.

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23
Q

What act is the pharmacist title protected under and what should you be registered with to be able to call yourself a pharmacist or pharm tech?

A

Pharmacist must be registered with the GPhC
Pharmacist protected title under medicines act 1968.
Illegal call yourself pharmacist unless you are registered as a pharmacist.
Offence to use title pharmacy technicians unless you’re on the register of pharmacy technicians.
As a pharmacist student don’t represent yourself as a pharmacist.

24
Q

What are the requirements to be a pharmacist?

A

Successful completion of GB/NI accredited 4 year Mpharm course.
Successful completion of 52 week programme of pre-registration training in GB
Pass registration assessment conducted by GPhC.

25
Q

What is miller’s triangle?

A
  • Does
  • shows how
  • knows how
  • knows
26
Q

What is the role of a pharmacy technicians?

A

Prepare, dispense, supply and issue medicines to patients. Registered with GPhC.

27
Q

What is the role of an Accredited checking technician?

A

Take additional training to accurately check of dispensed medicine - do final checks instead of pharmacists.

28
Q

What is the role of an Dispenser/dispensing assistant?

A

Dispense of prescriptions and the management of dispensary stock.

29
Q

What is the role of a Medicines counter assistant (MCA)?

A

First point of contact for patients support the delivery services and retail functions of the pharmacy.

30
Q

What are the pharmacist responsibilities (4 things)?

A

1) Quality of medicines supplied to patients
2) Ensuring that the supply of medicines within the law
3) Ensuring that the medicines prescribed to patients are suitable
4) Advising patients about medicines, including how to take them, what reactions may occur and answering patients questions

31
Q

What other responsibilities do pharmacist have (5 things)?

A

1) supervise the medicines supply chain and ensure pharmacy premises and systems are fit for purpose
2) advise other healthcare professionals about safe and effective medicines use, and safe and secure supply of medicines
3) respond to patients’ symptoms and advise on medicines for sale in pharmacies
4) provide services to patients, such as smoking cessation, blood pressure measurement and cholesterol management.
5) supervise the production and preparation of medicines and assessments of quality of medicines before they are supplied to patients from pharmaceutical manufacturers.

32
Q

What are the roles for a community pharmacists (7 things)?

A
  • dispensing medicines
    • ensuring legal and professional requirements for medicine storage and supply are met
    • ensuring that prescribed medicines are safe, appropriate and effective for patients by:
      1) advising healthcare professionals on how to select, prescribe and administer appropriate treatments for patients including the correct form and dose for specific patients
      2) carrying out medicines use reviews and providing recommendations on how any problems identified can be managed
      3) monitoring patients on certain medications
      4) checking whether newly prescribed medicines are compatible with other prescribed medication (checking for interactions)
      counselling patients on how to use their medicines safely and effectively, including providing advice on managing side effects and interactions
33
Q

What is the role of a hospital pharmacist (11 things)?

A

ensuring that legal and professional requirements for medicine storage and supply are met
- supplying or overseeing the supply of medicines to the wards or directly to inpatients, outpatients or patients being discharged
- ensuring that prescribed medicines are safe, appropriate and effective for patients by:
1) carrying out a medicines reconciliation review
2) advising healthcare professionals on how to select, prescribe and administer appropriate treatments for patients including the correct formulation and dose
3) this will include documenting advice in patient notes, where appropriate
4) counselling patients on how to use their medicines safely and effectively, including providing advice on managing side effects and interactions
5) performing clinical checks when reviewing drug charts; this includes
6) checking that the correct dose and form of medication has been prescribed which is appropriate for the patient’s condition (i.e. prescribed for the correct indication)
7) checking that the patient is not allergic to any medication prescribed
8) carrying out drug specific patient monitoring
9) checking whether newly prescribed medicines are compatible with other prescribed medication (checking for interactions)
10) checking whether the patient requires any additional medication given their diagnosis

34
Q

What does medical reconciliation mean?

A

The process of accurately listing a person’s medicines. Could be when they’re admitted into a service or when their treatment changes.

35
Q

What is a medicines formulary?

A

List of medicines

36
Q

What are aseptic services?

A

NHS providers sterile controlled environments for the preparation of injectable medicines in ready to administer (RtA) formats for patients. Pharmacy aseptic Services make chemotherapy IV feeds.

37
Q

What are radiopharmaceutical products?

A

Are radioisotopes bound to biological molecules able to target specific organs, tissues or cells within the human body. Radioactive drugs used for diagnosis/therapy of disease.

38
Q

What is the role of the royal pharmaceutical society (RPS) - 4 things?

A

1) to safeguard, maintain the honour, and promote the interests of pharmacists in their exercise of the profession of pharmacy;
2) to advance knowledge of, and education in, pharmacy and its application, thereby fostering good science and practice
3) to promote and protect the health and well-being of the public through the professional leadership and development of the pharmacy profession; and
4) to maintain and develop the science and practice of pharmacy in its contribution to the health and well-being of the public.

39
Q

What is the role of the GPhC?

A

Independent regulator for pharmacists, pharmacy technician and pharmacy premises in GB.
Protect, promote and maintain health and safety and wellbeing of members of the public by upholding standards and public trust in pharmacy.

40
Q

What is the role of pharmacy order 2010 - 5 things?

A

1) approve qualifications for pharmacists and pharmacy technicians and accredit education and training providers (i.e. Schools of Pharmacy);
2) maintain a register of pharmacists, pharmacy technicians and pharmacy premises;
3) set standards for conduct, ethics, proficiency, education and training, and continuing professional development (CPD);
4) establish and promote standards for the safe and effective practice of pharmacy at registered pharmacies;
5) establish fitness to practise requirements, monitoring pharmacy professionals’ fitness to practise and dealing fairly and proportionately with complaints and concerns

41
Q

What is involved in the revalidation for GPhC register and what happens when you fail to comply?

A
  • Pharmacists and pharmacy technicians must be registered with the GPhC.
    • Every registrant must revalidate their membership annually and pay a fee.
    • This involves an annual declaration of their fitness to practise and submission of 4 continuing professional development records in addition to a reflective written piece and they must have a discussion about their practice with a professional colleague.
    • Failure to comply with this can lead to removal from the register.
    • Members of the public can check to see if any individual is registered to practise.
42
Q

What are the 3 statutory committees which investigate fitness to practise and appeals?

A

Three are statutory committees, which investigate fitness to practise and appeals:
1) the investigating committee
2) the fitness to practise committee
3)the appeals committee.

43
Q

What is the role of the investigating committee?

A

considers allegations that a registrant’s fitness to practise is impaired and decides whether to refer a case to the fitness to practise committee for a full inquiry.

44
Q

What is the role of the fitness to practise committee?

A

This committee makes decisions in cases where a registrant’s fitness to practise may be impaired, for reasons concerning their conduct, professional performance or health.

45
Q

What is the role of the appeals committee?

A

This committee considers appeals of certain types of decision relating to applications for registration and registration status as listed in article 39 of the Pharmacy Order 2010.

46
Q

What other committees are involved in the GPhC?

A
  • audit and risk committee
    • remuneration committee
    • appointments committee
47
Q

What is the 3 main GPhC standard?

A

1) to promote the safe and effective practice of pharmacy by registrants
2) to set standards and requirements in respect of the education, training, acquisition of experience and continuing professional development that it is necessary for pharmacists and pharmacy technicians to achieve
3) to set and promote standards for the safe and effective practice of pharmacy at registered pharmacies Fitness to Practise

48
Q

Why is fitness to practise important?

A

Ensure public protection and maintain confidence in the profession.

49
Q

What are the 9 GPhC standards for safe and effective care?

A
  • Person -centred care
    • Partnership working
    • Effective communication
    • Professional knowledge and skills.
    • Professional judgements
    • Professional behaviour
    • Confidentially and privacy
    • Speaking up about concerns
      • Effective leadership
50
Q

What is the duty of candor?

A

GPhC states that pharmacist have a professional duty to be open and honest with patients when thing go wrong known as duty of candour.

51
Q

GPhC states that professional duty of candour means healthcare professionals must….(4 things)

A

Tell patient when things go wrong.
Apologise to patient
Offer an appropriate remedy or support to put matters right.
Explain fully to the patient that short and long term effects of what has happened.

52
Q

Why should you be careful if you have social media? (case study: Charles shanks)

A

Social media:
Blurs boundaries between public and private life if not careful can affect relationship with patients.

Case study:
Charles shanks (Scottish pharmacist) reprimanded for the comments on Facebook. He thought not naming patient protected him but patient recognised herself and was upset. After a hearing, Shanks given a warning by the GPhC.

53
Q

What is the NHS?

A

NHS is a government funded medical health and care service and that is accessible to everyone living in the UK and is free.

54
Q

What are the 3 sections that the NHS is divided into and what do they do?

A

Primary care - first point of contact for people requiring care. Provided by GP’s, dentists and pharmacists.
Secondary care - provided by hospital and be planned (elective) or emergency or urgent care.
Tertiary care - highly specified treatment e.g neurosurgery, treatment for severe burns.

55
Q

What does the health and social care act 2022 entail?

A

Came into force on 1st July 2022
Brought into force new legislative measures that aim to make it easier for health and care organisations to deliver joined up care for people who are reliant upon many different services.
Goal to reform delivery of health and care services in England.
Formation of integrated care system (ICS)

56
Q

What is primary care networks (PCN) and what is their aim?

A
  • A primary care network is made up of a group of GP practices to work together and in partnership with community, mental health, social care, pharmacy, hospital and voluntary services in their local area.
    • PCNs aim to offer more personalised joined up health and social care to the local community.
57
Q

What does integrated care systems do?

A

ICSs bring together local organisations to redesign care and improve population health, creating shared leadership and action.
ICSs an even closer collaboration with NHS organisations in partnership with local councils and others.