Community pharmacists were known in the past as chemists. Like GPs, community pharmacists are part of the NHS family. Every day about 1.6 million people visit a pharmacy in England. Community pharmacies are situated in high street locations, in neighbourhood centres, in supermarkets and in the heart of the most deprived communities. Many are open long hours when other health care professionals are unavailable. There are several different types and sizes of community pharmacies, ranging from the large chains with shops on every High Street or in edge of town supermarkets, to small individually owned pharmacies in small communities, in the suburbs and often in deprived areas or rural settings. The traditional role of the community pharmacist as the healthcare professional who dispenses prescriptions written by doctors has changed. In recent years community pharmacists have been developing clinical services in addition to the traditional dispensing role to allow better integration and team working with the rest of the NHS.
- 30 April 2015
- Yorkshire and Humber
- Health, Pharmaceutical
- Local Alliances:
- Leeds Dementia Action Alliance
1. Action Plan
1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?
We can promote that we are a dementia friendly business and encourage people with dementia and their carers to speak to us about their needs.
We need to be aware of people who are vulnerable and communicate within our team and with local HCPs to support these people if we become aware they are having memory problems.
We can promote local charities e.g. Dementia Café in Ilkley & Singing for the Brain in Otley.
Have links to district nurse/community matron and communicate regularly 2 way communication so we know what people do with their medicines at home.
Provide simple information and write things down.
Raise money for local charities – speak to local church groups.
Local patient group – healthy living group – raise awareness
Proactively promote our services when appropriate – MUR, NMS, delivery service
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
Making dementia patients a priority and making time for them, in a busy pharmacy
Environment may appear non-dementia friendly as very busy & noisy
The information available as PILs is not readily available in easy read format/dementia friendly format
Premises not designed to be most appropriate – old building with steps
We have a lack of understanding of what people with dementia would find helpful
We need to have more understanding of what carers would find helpful
We need to improve relationships with local groups
We need to have a greater appreciation of what small changes in our behaviour can do to change the experience of someone with dementia
Ask staff, carers and people with dementia what they would like to see change to improve the service we provide
Display notices to show we are dementia friendly
Staff and team development
- Staff training to increase awareness – watch training videos at dementiafriends.org.uk
- Wear dementia pins to demonstrate our dementia friendly status
- Complete PSNC training – carers support
- Keep a dementia file with information on local activities
- Raise money to organise transport to Ilkley to dementia café once a month
- Involve all staff including pharmacist, dispensers, counter staff and delivery drivers and make sure everyone knows the valuable role they can play in their community to help those with memory problems.
Optimising medicines and patient support
Be proactive in engaging patients and carers with the NHS services available such as NMS and MUR, adapt communication to suit the needs of the individual in the service.
Provide MAR sheets and weekly dossette boxes, but be aware of their limitation.
Advise on possible use of timed dossettes, we will not fill them but could speak to carers about their advantage and disadvantages, to try to reduce risks.
Instigate conversations about medicines management and be part of multidisciplinary team, including GPs, district nurses, care workers.
Be involved in managing discharge of people with dementia from secondary care, as they are more vulnerable to poor communication as they will not be able to remember any changes to their regular medication.
We can promote the use of MAR sheets to support people with dementia to take their medicines safely.
Linking to local communities
We are planning to do something with the local GPs patient group, they have regular open meetings, so would be a good opportunity to raise the issue of how everyone in our community can help to improve the daily lives of people with dementia