Ich bin ein großer Befürworter der Änderung, die es Apothekern ermöglicht, Medikamente für häufige Erkrankungen zu verschreiben (z. B. den Common Conditions Service).
Hier ist die offizielle Seite, auf der die Bedingungen aufgeführt sind:
https://www2.hse.ie/services/common-conditions-service/
Der NHS im Vereinigten Königreich tut dies in einem weitaus umfassenderen und tieferen Spektrum von Bedingungen.
Es wird nun erwartet, dass ich zum Hausarzt zurückkehre, um meine SSRIs nochmals kurz und knapp wiederholen zu lassen. Es ist eine Wiederholung, die wirklich keiner weiteren Analyse bedarf, und als großer Junge kann ich selbst beurteilen, ob ich die Dinge noch weiter besprechen muss. Aber nein, ich muss mich anstrengen und einen Termin beim Chockablock-Hausarzt in der Stadt vereinbaren. Die Unannehmlichkeiten für mich allein sind eine Dosis. Für andere, die die Aufmerksamkeit eines Hausarztes benötigen, ist es eine größere Dosis.
Wie auch immer, es ist nur eine weitere Anekdote, die dafür spricht, dass Apotheker eine breitere und umfassendere Palette von Behandlungen verschreiben dürfen. Vor allem, wenn es sich um ein Medikament handelt, das ohnehin wiederholt verabreicht wird.
Melatonin ist ein weiteres Mittel, bei dem ich den bürokratischen Aufwand unbedingt reduzieren würde. Es ist hierzulande schwieriger zu bekommen als Haschisch.
Auch Medikamente zur Raucherentwöhnung wie Champix.
Radiointerviews mit Pharmazeuten im letzten Jahr schienen diese umfassendere Nutzung der Qualifikationen und Fähigkeiten von Apothekern überwiegend zu unterstützen. Win-win-win?
GP clogging: Should we quickly expand the new Common Conditions Service at pharmacies?
byu/AgentSufficient1047 inireland
Von AgentSufficient1047
13 Kommentare
The first thing I’d want is a significant increase in what medications are OTC, and what OTC medications become General Sales in return for that.
It wasn’t too long ago that Asda in NI was selling stuff that was prescription here; and they still sell shelves worth of pharmacy OTC stuff – proton pump inhibitors, IBS meds, painkillers, antihistamines
A pharmacist can do one 6 month repeat of a 6 month script at their discretion now, but I don’t know how effective that is in the real world
My sabutomol please.
so how do people get hash in this country?
Joking aside, great news
Pharmacists have no training in medical assessment or diagnosis. They do not have access to the full medical history of a patient. The pharmacy first model has been rolled out in the UK already and there are issues with people being misdiagnosed or being given the incorrect medications. This is going to put people at risk while giving them the false assurance they are getting seen quicker. My experience of getting a BP checked in the pharmacy was incredibly poor and they did not follow most of the best practice in taking the blood pressure reading.
The solution is to change the OTC status of some meds, increase the length of prescription for other medications, increase the number of GPs, make sure you get continuous care from your GP, and change the admin side of GP so they can see more patients without getting burned out.
For what it’s worth, my GP is happy enough to prescribe repeat medication over the phone or even email. No need to actually make an appointment with the GP for it. It’s still kinda inefficient I suppose.
But for other smaller ailments, I definitely agree that we shouldn’t need to see GP in the first place.
Pharmacist here. It’s a great new service and only the beginning, hopefully in time to come more conditions will come on the common conditions scheme and we will be able to treat a lot more straightforward conditions.
I still agree however your GP is the preferred route for diagnosis of all diseases. However realistically we are in an aging population, and there just physically isn’t the capacity for everyone to now see a GP. And no matter what they seem to do, they just cannot incentivize people to become GPs.
I also noticed quite a few posters asking about melatonin. There is very (and I really do have to stress this) very very little evidence out there that it has any benefit other than placebo.
Many SSRIs cause various adverse side effects, some very serious such as suicidal ideation, stomach issues, dry mouth, genital numbing. Not everyone experiences all of these symptoms. But, doctors have a duty of care.
Psyhotropic, mind altering medication ought to be prescribed by a GP.
OP, ask the GP if they are comfortable sending a 3 morn month or a 6 month script to the chemist.
Yes, but if there is a 1 in 100 million chance someone might abuse this, we can’t let it happen. We’ve become very much a nanny-state, you only realise it when you go abroad and see how leeway is given to adults to do stupid stuff. Maybe it’s our claims culture?
Sometimes it’s stupid.
Our son has spina bifida and needs medication 3x a day.
Once the Long Term prescription is over we need an appointment to get it confirmed that nothing has changed.
The only circumstance what would change not needing medication is if our son would die. He will need that for the rest of his life
As a doc whose partner is a pharmacist, I have a different perspective on how we go about this.
Pharmacists aren’t diagnosticians and aren’t trained to be such, which is no slight on them as they are outstanding in their field and have enormous levels of detail regarding medications that I don’t. It isn’t fair, in my opinion, to land them with diagnostic expectations as well, or certainly not for any medications that realistically could cause harm. Take the list of conditions they can prescribe for already. I don’t take much issue with it, until we arrive at shingles. Treatment for shingles will be an oral antiviral like valaciclovir, a medication that needs dosing adjustment if your renal function is impaired. Guess who doesn’t necessarily have that information? The pharmacists.
There are lots of ways to improve this, including increasing the length of time repeat scripts can legally be given for, having more GPs, and maybe even something like an advanced prescriber system for pharmacists to enroll in where they’re actually trained to diagnose set conditions. I don’t think rapid expansion, especially not for more involved medications like SSRIs and Champix, which absolutely has considerable side effects, to fall onto Pharmacists to take that responsibility for is remotely fair on them. Some of the most vocal supporters of this are pharmacy owners, because it’ll get more people through the door.
I’m all for more community support and expanding services sensibly, but it has to be sensible in terms of safety and governance. Otherwise, in a year or two, there’ll be a new post on r/Ireland asking why a pharmacist misdiagnosed someone’s hypertension and it’s a disgrace and GPs should be doing it etc etc
Also, not a GP, work purely publicly so my income has nothing to do with how frequently someone comes back in for repeat scripts in case there’s a question about my motives. Have also tried, with the legislation change, to give chronic patients on long term meds year long scripts that are, almost invariably, rejected by pharmacies who tell them to contact us for a repeat after 6 months.
IF I get a 6 month prescription just give me all 6 months.
And if I want Ibuprofen or something let me buy a bottle of 100 for 5 euro or whatever it costs in other countries
My GP increased their fees 30% last week.
If I could go to a pharmacist instead, I think it would help.
I happened upon this service by accident. It’s been terribly advertised.