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Greg Lawton
@thisislawton
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Pharmacist specializing in patient & medicines safety, staffing, data protection, privacy and healthcare policy. Personal account.
Halifax UK
Joined July 2011
RT @MrHunnybun: @thisislawton I’ve worked in pharmacies that measure the same patient’s blood pressures way more often than-sometimes weekl…
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The NHS Blood Pressure Check Service (“Hypertension Case-Finding Service”) in community pharmacies was commissioned as an Advanced service in October 2021. Following a set-up fee and additional incentive fees, pharmacies receive £15 for each blood pressure check, and £45 for each ambulatory monitoring test. NICE guidelines recommend a follow-up BP check at least every 5 years for patients with normal BP, and more frequently where BP is close to 140/90 mmHg. In communication to ASDA pharmacies in January 2025, stating that colleagues should be given “targets to reach every week” and that this is “one of the easiest services to deliver”, an ASDA Area Manager shared correspondence he had received from ASDA Head Office about service delivery. The ASDA Area Manager had highlighted more frequent checking, saying to ASDA’s Head Office: “Ahh. lol I think people are being checked way more frequent than 12 months, especially with the incentive”. ASDA’s Healthcare Services Manager - responsible for managing and overseeing the implementation of such services nationally - responded, “yeah, realistically, i’m not worried. It’s all very grey so if the patients it checked [sic], then it’s their decision to do so… so we can crack on”. Then further “as long as they are asking every week or so. For me, i would question if a customer asks more than every few months…” Pharmacy’s behaviour has been in the spotlight in the past for the abuse of target-driven “Medicines Use Reviews” (MURs) in some chain pharmacies, the encouragement to engage in “link selling” following Pharmacy First consultations, and more broadly for “McDonaldisation”, which could be described as a sweetshop-like consumer/retailer attitude to healthcare. Is there a risk that this could be heading the same way?
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A maximum of 8 weeks until the intended Q1 vote as to whether the RPS should cease being the professional representative body operated in the interests of pharmacists, to become an organisation run for the public benefit. Yet, the RPS still has not provided pharmacists with the proposed royal charter or charity constitution documents. Nor has it explained to pharmacists the consequences and risks to them of this fundamental change.
The RPS plans a Q1 vote on becoming a royal college. A maximum of 11 weeks to go and it still has not published a draft charter or charity constitution document - let alone invited comments from #pharmacists. The @rpharms claims to want to “inform and inspire” members to vote. To how many pharmacists has it explained that as a royal college and charity it would be acting solely for the public benefit, and not in the interests of pharmacists as at present? Perhaps the RPS is aware that if it explained this to pharmacists, it would be akin to asking turkeys to vote for Christmas? —- Remember the findings from the independent review - commissioned by the RPS in 2022 - about the RPS’s member participation? It described the RPS as an “opaque organisation” and recommended it “be more open and transparent”. Has anything changed? —- Less than 18 months ago, the RPS - ironically - was calling out others on their lack of transparency, writing: “Its deliberations are opaque as well as slow.” “All in all, we have real concerns that this is not being managed with sufficient transparency, speed or care for it to be successful and provide what the profession and the public would expect, rather than what agents of government might prefer.”
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“It will be the most robust piece of legislation in the world” And yet it doesn’t provide a mechanism to get the drug to the doctor meant to be giving it to the patient - an issue which is apparently being ignored, but is heading for the bill like a freight train @danny__kruger
Great montage of proponents of the Bill saying the High Court will be the ultimate safeguard And now they are going to drop it Shameful
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RT @charliekirk11: BREAKING: Trump signs order to declassify JFK, RFK, and MLK Jr. files: “A lot of people have been waiting for this for…
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RT @ggreenwald: Everything Democrats and corporate media falsely claimed Trump would do with the pardon power to destroy democracy and the…
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RT @kesleeman: Just out - call for evidence for committee stage of Terminally Ill Adults (End of Life) Bill. Submissions requested “as soon…
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“…the [General Pharmaceutical] Council was wholly to blame for the grossly incompetent errors made in closing his case prematurely, and then not re-opening it or notifying him that it had been re-opened, within a reasonable time... In other respects, the Council handled R2's case with gross incompetence and unfairness, to such an extent that I have felt compelled to order it to undertake the whole process again.” #ChristmasMovies
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RT @DrRebeccaTidy: 🧵 Today, the Boots pharmacist refused to sell me an over-the-counter item because my child was with me. The product isn’…
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This has (unfortunately) aged well so far. GMC regulation was announced ~1 month later, on 11 Dec 2023. The term “medical professionals” has been adopted by the GMC in Good Medical Practice. “Medical professionals” is used to suggest equivalence between doctors and physician associates/anaesthesia associates, facilitating role substitution and cost-cutting. You might think that’s not the role of a regulator, and you’d be right. @Doc_IonaCollins
Pharmacists should be able to help any medical colleagues wondering how this will play out. We’ve seen similar in pharmacy over the past 20 years, driven by money/cost-cutting. The meaning of words will be strained beyond what is credible, such that the point being made no longer holds true. The GMC will start to regulate PAs, calling PAs and doctors collectively, “medical professionals”. The use of the terminology will become commonplace, including among those with academic titles. They’ll teach it in universities. People will start to regard it as in their self-interest to adopt the term, lest they be chastised or “cancelled” for failing to do so. Students will not be taught to question it. Training will no longer be designed specifically for doctors, but “medical professionals”, thereby reducing the complexity, depth or specialised nature of that training and its suitability for doctors. Standards will be set for “medical professionals” which are but a shadow of those which exist now - dropping more complex provisions in favour of concepts such as politeness and servility. Those at your professional body will eventually adopt the term “medical professionals”, and will regard it as in their interests to seek to represent doctors and PAs collectively, despite the evident conflict of interests. They will perceive that there is money to be made from doing so, for example through the sale of indemnity insurance or increased revenue from membership fees. They’ll use terms such as “inclusivity” and “collaboration” to try to persuade you to act against your own interests, and stifle any challenge from you. You’ll find yourselves without any effective representation of your professional interests. Their membership numbers will drop, and they’ll pretend that they don’t understand why. The above will be cheered on by high-profile individuals within the profession. They’ll act as if they are on the side of the profession, whilst simultaneously causing it harm. You may wonder if they’re ignorant of politics, but that’s not it. They’re simply hoping to raise their own profile, and they’ll be applauded by a number of PAs who revel in the false-flattery of being grouped with doctors as “the medical profession”. @Doc_IonaCollins
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@abierkhatib Wasn’t the pretend jurisdictional dispute cited as being on the basis that Israel is not a signatory to the Rome Statute of the International Criminal Court? A statute to which Syria is also not a signatory?
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Labelling debate as “toxic” is often simply an attempt to silence it by those who have a self interest in doing so, and no decent arguments to make in response. If you think it’s unlawful or untrue, then explain why. But debate sometimes needs to be robust in pursuit of truth.
I remain opposed to the PA role in its’ current form. Many excellent arguments expressing concern over the PA role are cynically discredited by self interested national organisations playing the “toxicity” card. And it is effective. Please don’t gift wrap the “toxicity” card for those who will certainly play it. Cool heads are needed here.
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