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Preface | xi | |
About the editor | xiii | |
Contributors | xv | |
Abbreviations | xvii | |
Introduction | xix | |
Hospital pharmacy | xix | |
Documents key in hospital pharmacy's development | xxi | |
Conclusion | xxii | |
References | xxiii | |
Further reading | xxiii | |
1 | Hospital pharmacy within the National Health Service | 1 |
History | 1 | |
The new NHS until 2002 | 3 | |
Evolution of primary care organisations | 5 | |
Scotland | 6 | |
Wales | 6 | |
Northern Ireland | 6 | |
Shifting the Balance of Power | 7 | |
The NHS Plan | 7 | |
NHS hospital trusts | 8 | |
Pharmacy's place in a trust | 10 | |
Pharmacy staff | 13 | |
The future | 14 | |
References | 15 | |
Further reading | 15 | |
2 | Purchasing medicines | 17 |
Background | 17 | |
History | 18 | |
Hospital procurement and the application of EU legislation | 20 | |
The strengths of the contracting process | 22 | |
The organisation of hospital contracts | 22 | |
Systems and processes | 24 | |
Recent changes | 25 | |
Local arrangements | 25 | |
The future | 27 | |
References | 27 | |
Further reading | 28 | |
3 | Medicines supply | 29 |
History | 30 | |
Current practice | 31 | |
The future | 42 | |
References | 44 | |
Further reading | 45 | |
4 | Technical services | 47 |
History | 48 | |
Repackaging (prepacking, assembly) | 51 | |
Non-sterile manufacture | 54 | |
Sterile manufacture | 57 | |
Aseptic preparation | 60 | |
Education and training for hospital technical services | 67 | |
Health and safety and environmental issues | 68 | |
The future | 68 | |
Acknowledgement | 70 | |
References | 70 | |
Further reading | 71 | |
5 | Quality assurance | 73 |
The NHS quality agenda and the role of the QA pharmacist | 74 | |
The aims of NHS pharmaceutical quality assurance services | 76 | |
Development, issue, implementation and monitoring of standards and guidance | 78 | |
Quality assurance and quality control of medicines | 78 | |
Quality assurance of pharmacy services | 79 | |
Quality assurance of aseptic services | 80 | |
Quality audit | 81 | |
Advisory services | 81 | |
Research and development | 82 | |
Testing piped medical gas installations | 82 | |
Training of pharmacy staff | 82 | |
Defective medicines | 83 | |
Laboratory services | 83 | |
Environmental monitoring services | 86 | |
The future | 87 | |
References | 88 | |
Further reading | 90 | |
6 | Medicines information | 91 |
History | 91 | |
Structure and activities | 92 | |
Aims and strategy | 93 | |
Roles and skills | 95 | |
Ethics and legal issues | 95 | |
Clinical governance and risk management | 99 | |
Customers/users | 104 | |
Activities | 105 | |
Specialist information services | 113 | |
Information resources | 114 | |
Information technology | 115 | |
Staffing and training | 116 | |
The future | 118 | |
Conclusion | 118 | |
References | 119 | |
Further reading | 120 | |
7 | Clinical pharmacy services | 121 |
Definition of medicines management | 121 | |
Ward pharmacy | 121 | |
History | 122 | |
Clinical pharmacy | 124 | |
Pharmaceutical care | 125 | |
Activities that are components of the delivery of pharmaceutical care in hospitals | 126 | |
Services linked to clinical specialities | 136 | |
Moving into prescribing | 143 | |
The future | 145 | |
References | 146 | |
Further reading | 150 | |
8 | Strategic medicines management | 151 |
Clinical risk | 151 | |
Financial risk | 151 | |
History | 152 | |
Strategic medicines management in practice | 154 | |
External influences on strategic medicines management in hospitals | 165 | |
Conclusion | 167 | |
References | 168 | |
Further reading | 169 | |
9 | Managing risk | 171 |
Controls assurance | 171 | |
Quality in the NHS | 174 | |
Risk management | 178 | |
Conclusion | 184 | |
References | 184 | |
Further reading | 186 | |
10 | Community services pharmacy | 187 |
History | 187 | |
What are community health services? | 190 | |
Advice | 190 | |
Supply | 192 | |
Information | 195 | |
Education and training | 195 | |
Monitoring safe practices with medicines | 196 | |
Supporting the implementation of public health programmes | 196 | |
School nursing and school vaccination programmes | 196 | |
Residential and nursing home - inspection and training | 197 | |
Supporting intermediate and continuing care services for the elderly | 198 | |
Support for people with learning disabilities | 199 | |
Working with other agencies | 199 | |
The future | 200 | |
References | 201 | |
Further reading | 202 | |
11 | Information technology | 203 |
History | 203 | |
Electronic data interchange | 204 | |
Stock control systems | 205 | |
Electronic patient record | 206 | |
Automation | 208 | |
Conclusion | 209 | |
References | 209 | |
Further reading | 210 | |
12 | Research and development | 211 |
Definitions | 211 | |
History | 212 | |
Project design | 214 | |
The future | 220 | |
References | 221 | |
Further reading | 222 | |
13 | Education and training | 223 |
History | 223 | |
The present day | 225 | |
Management and leadership | 229 | |
The future | 229 | |
References | 230 | |
Further reading | 231 | |
14 | Managing services | 233 |
Pharmacy management | 233 | |
Business planning | 236 | |
Preparing a business case | 237 | |
Budget management | 238 | |
Benchmarking | 240 | |
Staff management | 243 | |
Conclusion | 251 | |
References | 251 | |
Further reading | 251 | |
15 | Support organisations | 253 |
Hospital Pharmacists Group (HPG) | 253 | |
British Pharmaceutical Students Association (BPSA) | 254 | |
The College of Pharmacy Practice (CPP) | 254 | |
United Kingdom Clinical Pharmacy Association (UKCPA) | 258 | |
European Society of Clinical Pharmacy (ESCP) | 259 | |
Centres for Pharmacy Postgraduate Education | 261 | |
Guild of Healthcare Pharmacists (GHP) | 264 | |
References | 265 | |
Further reading | 265 | |
Index | 267 |
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