Exploring the supply of non-prescription medicines from community pharmacies in Scotland
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Objective The objectives of this study were to: (1) explore pharmacy support staff (PSS) opinions of and attitudes towards the supply of non-prescription medicines (NPMs); (2) assess whether NPM supply is compliant with professional and good practice guidelines. Methods This exploratory study was conducted in community pharmacies in Grampian, Scotland, and comprised non-participant observation of NPM consultations, semi-structured interviews with, and a questionnaire of, PSS. Guideline compliance was assessed by a consensus group of practising community pharmacists. Main outcome measures The percentage of consultations which achieved compliance with professional guidelines was calculated. A total score was also calculated for each consultation to assess compliance with good practice guidelines. Results Fifty-seven support staff from 21 pharmacies participated in at least one component of the study. In total, 195 observed consultations were evaluable. Fifty-four participants completed a questionnaire and 95 post-consultation interviews were completed. Most consultations involved product requests and were for self-treatment. Overall, interviewees were satisfied or very satisfied with 78 (83.0%) and 14 (14.9%) of all consultations, respectively. Participants’ self-reported scores for the quality of consultation were high indicating that they perceived their consultations to be appropriate. Most PSS were aware of good practice guidelines and thought their use was important/very important, yet few consultations were fully guideline compliant. Non-product consultations were more guideline compliant than product consultations. Just over one third (35.6%) of consultations established whether other medication was being used by the intended recipient of the NPM. Few PSS (21.2%) had read the professional guidelines and as such, compliance with these guidelines was extremely low. The percentage of guideline compliant consultations were 6.6% (n = 5) (sufficient information gathered), 13.2% (n = 10) (adequate advice/information provision), 46.1% (n = 35) (personal involvement of pharmacist), 21.1% (n = 16) (particular care of specific patient groups) and 28.9% (n = 22) (pharmacist involvement with specific NPMs). Conclusion Few consultations for NPMs in this study were fully guideline compliant. The reasons for non-compliance with good practice and professional guidelines need to be explored. Although failure to comply with professional guidelines could be due to PSS’s lack of awareness, this does not explain non-compliance with good practice guidelines.
KeywordsGuideline adherence Pharmacies Professional practice Questionnaires Interview Observation Self care Non-prescription medication OTC Scotland
We thank all the PSS who participated in this study. We are particularly grateful to Ms S. Campbell, Co-ordinator for the Northern Node for the Scottish Professionals and Practices Involved in Research (SPPIRe), who assisted in the recruitment of pharmacies for this study.
MW was funded by a Medical Research Council (UK) Special Training Fellowship in Health Services Research.
Conflicts of interest
- 1.Blenkinsopp A, Bond CM. Over-the-counter medication. London: BMA; 2005.Google Scholar
- 2.Royal Pharmaceutical Society of Great Britain. Bibliography: prescription only medicines reclassified to pharmacy only medicines. London: RPSGB; 2004 October.Google Scholar
- 3.Flint J. Training requirements for medicines counter assistants. Pharm J 1996;256:858–9.Google Scholar
- 4.NPA launches training with a W-WHAM. Pharm J 1989;243(July 8th):40.Google Scholar
- 5.Royal Pharmaceutical Society of Great Britain. Medicines, Ethics and Practice. London: RPSGB; 2005. Report No: 29 (ISBN:0-85369-630-6).Google Scholar
- 6.Department of Health. Self care—a real choice. London: Department of Health; 2005. Report No: 266322.Google Scholar
- 12.Watson MC, McCloughan L. How the Scottish School of Primary Care can help pharmacists. Pharm J 2004;272(7282):63–4.Google Scholar
- 13.Altman D. Practical statistics for medical research. London: Chapman & Hall; 1991 (ISBN: 0-412-27630-5).Google Scholar
- 16.Watson MC, Bond CM. The evidence based supply of non-prescription medicines: barriers and beliefs. IJPP 2004;12(June):65–72.Google Scholar
- 17.Last JM. A dictionary of epidemiology. Oxford: Oxford University Press; 1995. p. 81.Google Scholar
- 20.Benrimoj SI, Gilbert AL. A program to develop and test a mechanism to raise national standards of practice for the provision of pharmacist only and pharmacy medicines in Australian community pharmacy. Sydney: University of Sydney; 2002 April.Google Scholar
- 21.Pharmaceutical Society of Australia. Standards for the provision of pharmacist only and pharmacy medicines in community pharmacy. Australia; 1999.Google Scholar
- 22.Royal Pharmaceutical Society of Great Britain. Developing and implementing standard operating procedures for dispensing (SOPs). London: RPSGB; 2001. (www.rpsgb.org.uk/pdfs/sops.pdf).
- 29.Emmerton L, Shaw J. The influence of pharmacy staff in non-prescription medicine sales. Int J Pharm Pract 2002;10:101–6.Google Scholar
- 32.Banks J, Shaw A, Weiss MC. Walking a line between health care and sales: the role of the medicines counter assistant. Pharm J 2005;274(7349):586–9.Google Scholar