Table Of Content

CHEMIST& DRIMST The newsweekly for pharmacy August 1, 1992 Pfymouth • FARLEYS RUSKS • LUNCHTIMERS • FARLEY SJUNIORMILK • COMPLAN • TEATIMERS • SWEETEX swop sharps parley'sJunior<{Milk Parley'sTiusk success' 'a <Sweete->x PSNC DoH face in High Court Hc 4J FHSA Welsh tStrepsils W smokers targets pharmacy T\arvol via Farley's drink under over fire sugar content OTC Advising on cystitis and shingles Pharmacy audit in practice It's our innovation that's created 2 so many brand leaders. Muted success Wellcome Crookes are the number one supplier of healthcare for products to the pharmacy trade with 13 brand leaders. That's why when it comes to developing share sale new products, we've always got our nose Economy in front. still DEQUACAINE • DEQUADIN • NYLAX MYCIL • SEA-LEGS • EYE DEW • ACRIFLEX • ANETHAINE gloomy: CBI END THE PERFECT WEEK TO AN IRRITATING When a customer suffers from contact do followyourdirections faithfully1 dermatitis or reactions to insect bites, you Proper use, as you know, includes two can't recommend a quicker reliefthan Hc45. applications adayfor7days orless.Between In fact, speed of action and efficacy are thoseapplications,CreamE45canbeusedfor the main reasons why90%ofcustomers are evengreaterreliefThisisyetanotherexample perfectly happy using it for irritated and of how different members of the E45 family inflamed skin conditions.And that's whyyou complement one another. and your colleagues recommend Hc45 twice So do continue to recommend Hc45- as often as any other hydrocortisone brand.1 accompanied, when needed, by Cream E45. Also, when used properly under your Yourcustomers will thankyou afterwards. sadfier.eAcntidona,s1we%'vheydfrooucnodrtoiusto,nceusitsoqmueirtse TRehfe1PuMracrhtaisninHgamobflOiTnCReHysderaorccohrtisone,January 1990 As gentle as it's effective CHEMKT& Thisweek DRUGGIST INCORPORATING RETAILCHEMIST VOLUME 237 NO 5841 132nd YEAR OF PUBLICATION ISSN 0009-3033 &PHARMACYUPDATE EditorJohnSkelton,MRPharmS DeputyEditorPatrickGrice,MRPharmS ContributingEditorAdriennedeMont, MRPharmS BusinessEditor:ZacharyGoldring,MSc NewsEditorJaneFeely,PhD,MRPharmS BeautyEditorSarahPurcell,BA TechnicalEditorJacquiBrommell, Pharmacy-based needle exchange scheme proves successful in Plymouth 172 MRPharmS Five pharmacies attract drug users to new service ArtEditorTonyLamb APdrivceertLiisstemCeonnttrMoalnleargeCrolinSimpson PSNC faces Department ofHealth in High Court 172 FrancesShortland Judicial review ofpharmacy review panel role underway judgment on July 31 AssistantAdvertisementManager DougMytton West Glamorgan FHSA health campaign leads with no-smoking push 173 AdvertisementExecutives: JuliandeBruxelles LPC secretary praises FHSA for its co-operation in pharmacy initiatives PaulineBorda Production:ShirleyWilson REGULARS PublisherRonaldSalmon,FRPharmS Sugar content of Bed Timers excites pressure groups 175 DirectorFelimO'Brien Farley's rebut AIS allegations on children's formulations Comment 171 PublishedSaturdaysbyBenn PublicationsLtd,(member,United Prescription for myopic pharmacists handed out? 176 NorthernIrelandnotebook 176 NewspapersGroup),SovereignWay, Northern Ireland notebook Topicalreflections 176 Tonbridge,Kent,TN9 1RW TTeelleexp:ho9n5e1:3207B3e2nt3o6n44C22 Advising OTC on cystitis and shingle 193 Counterpoints 179 Facsimile:0732361534 Pharmacy update Chemexcorner 186 RegionalAdvertisementOffices: Prescriptionspecialities 188 Manchester(North&Scotland): Auditing pharmacists on alcohol dependence advice 197 AreaManager:BrianCarter Businessnews 200 (061-8810112) Pharmacy practice update Comingevents 201 Subscriptions:Home£95perannum.Overseas £&1.E9i4rep£er13c3oppyer(paonstnaugmeeixntcral)u.dingpostage. Wellcome Trust share sale a moderate sucess 200 Classifiedadvertisments 202 ABC MemberoftheAudit Research and researchers to benefit from new funds Businesslink 209 BureauofCirculations in CBI sees no end to recession 201 People 210 AUnitedNewspaperspublication Cutsinplantinvestmentthreatened Appointments 210 Comment harmaceuticals are the traditional safe stock in a like Topsy for the past couple ofyears and the share price recession and it is notdifficult to seewhy; peoplewill give was due forsome retrenchment. The second factor has to up what they can when money is tight, but health is be, improbably given the available evidence, that City understandably regarded by most people as essential investors still cling to the belief that the UK economy expenditure. And when this is topped up by the general remains in the grip of a downturn in the business cycle eeling of malaise generated by job insecurity or and that if investors keep their nerve, the cycle will turn unemployment, small wonder the drug companies boom up again. as the economy goes down. In these circumstances a swi—tch back to the more It should come as no surprise, then, that —Smithkline cyclical stocks makessome sense buy nowwhile prices Beecham's interim resultsshould be buoyant so much are keen. However,thislineofreasoningisfoundedont—he so that the usually dour Financial Times' Lex column belief that the past is a reliable guide to the future described it recently as a "glamour" stock. questionable at best in any economic analysis. Butwhat does come as a surprise, and must have been An interestingsecondaryquestion remainsthough: the especially galling for Wellcome as they strived to dispose extent towhich Lloyds Chemists have been dragged down of a huge tranche of shares at the best price they could bya move away from all things pharmaceutical. Forsome achieve, isthe slide in pharmaceuticals generallyover the time LloydsChemistshave beenafashionablestock in the past weeks. City, with every new rights issue a success. For the What does the Stock Market know that the rest of us, moment at least, Lloyds seem out offavour, though their including the CBI, apparently do not? day may come again. The company's chairman, Allen There maybeat leasttwofactorsatwork her—e. The first Lloyd, is unquestionably a fighter. isthatyoucan have too muchofagood thing even ina The bright spot in all this for pharmacy as a profession recession industrialscancomedown toapointwherethey has to be the news that the Wellcome Trust, disappointed look like a good long-term bet, while too many running or notwith how much they have raised, look determined for the pharmaceuticals life-boat can make the craft look to plough much of their still substantial cash pile into decidedly overloaded; certainly Glaxo had been growing necessary long-term pharmaceutical research. Chemist & Druggist AUGUST 1992 171 1 ; i Needle exchange Diabetic foods given success Plymouth a slating in Diabeticfoodssoldinpharmacies may be in breach of the law as A pharmacy-based needle One of the pharmacists while others have joined the wellasencouraginganunhealthy exchange service in Plymouth offering the exchange service, methadone programme. diet for diabetic patients, it is has proved so successful that David Stolton, told C&Dthat the While some pharmacists are alleged in the latest issue of The health officials plan to extend it, scheme had started quite slowly worriedabout the adverse effects FoodMagazine. eventually aiming for a network but hadsnowballedafter the first oftheserviceonothercustomers, The leading story in the across the city and surrounding six months. He now issuesabout hehadonlyeverreceivedpositive quarterlymagazine,publishedby areas. 1,500 needle and syringe packs a comments, he said. Before the the indepedent pressure group, The needle and syringe month. service was available there had The Food Commission, exchange service is currently Most of his clients were very been instances of used needles condemns the £15 million offered by five pharmacies and local to the pharmacy, he and syringes being found on the marketas"awasteofmoney"and their success in attracting drug explained,which issituated inan streets,butthisnolongerseemed singles out manufacturers Boots users has been very high, says area where there was a drug to be the case. and Thorntons forcriticism. Plymouth Health Authority's abuse problem. Many people did The Harbour Centre and the The British Diabetic annual AIDS report. nothavethetransporttovisitthe DrugAbuse Advisory Committee Associationrecommendedearlier Community pharmacies are HarbourCentre,acoupleofmiles are keen to extend the exchange thisyearthatthe managementof able to reach more people and away, he said. service, particularly to areas that diabetes through diet does not have succeeded in attracting Many of those who used the are some distance from an require the use of special certain groupsofdruguserswho pharmacy for exchanges were existing centre, said Mr Stolton. "diabetic" foods. i seem reluctant to attend the women, and Mr Stolton agreed However, itwasnotnecessaryfor Foodregulationsintroducedin city's Harbour Centre, a charity that the lackofstigmaassociated every pharmacy to be involved. 1984requirethatanyfoodcalling working with the Community with visiting a pharmacy DennisMillington,secretaryof itself"diabetic" mustbe lowerin DruTghseSenruvmicbee,radodfs tnheeedrleepsorta.nd cHoamrbpoaurred Cteontartetendmianyg thbee CDoemvmointteLeo,caslaidPhheawramsacdeeultigihctaeld ceaqluoirviaelsenatndregluolwaerrpriondufcattstyheatn, I!JI syringes issued by the Centre is important. with the Plymouth report. "The claims TheFoodMagazine,thisis I onthe increase.SinceApril 1991, Becausemostoftheclientsare LPC is anxious to encourage not always the case. anaverageof5,300syringeshave local, it's also possible to get to needle exchange and we are Bootssayitis"diappointingto btehaenn diosusbulede tpheer fmiognurteh,formotrhee pkrnoobwletmhse,msaainddMerveSntodlitsocnu.ssStohemier wdeelllighintePdlytmhaotuthit,"ishweorsakiidn.gThseo rheapvoertyet franoomtherthmeisleaFdoiondgI{ previous year. There has also have been directed towards LPC is looking at offering the Commission", and add that all been an increase in the rate of professional counselling services service in the North ofcounty. their diabetic foods comply fully return. with legal requirements in terms! thaHtotwheevreera,rewsotirlklepresoplaerewhaowaarree PSNC judicial review in High of"cDoimapboestiitcifoonodasndarleabreelqluiinrg.edtoI injectingdrugsandare notusing Court on Wednesday be no higher than standard1; the HarbourCentreexchange for equivalent foods in levels of fat, a number of reasons, one of and calories. In formulating ouri which is the possible stigma Thejudicialreviewgrantedtothe appropriate level ofremuneration products, we make comparisons'] associatedwithspecialistservices Pharmaceutical Services for pharmacy contractors to the withleadingnon-diabeticbrands, for drug users, says the report. Negotiating Committee in its Pharmacist Review Panel. or the average of a number off] This may be overcome by latest remuneration dispute with • An order prohibiting the DoH brands. The Food Commission! expanding the pharmacy-based the Department of Health was from determining the level of has simply used different arm ofthe service. heard in the High Court on remuneration for 1992-93 until comparatorsandhassome ofthe Community pharmacy-based Wednesday. Judgment was due afterthaPanelhasconsideredthe figureswrong," say Boots. j exchanges are "highly accessible on Friday, July31. reference above and made "We also ensure that ourI on a local basis, they avoid InMay, PSNCwonthe right to recommendations. diabetic products offer a 50 per] possible stigmaandallow for the seek court orders banning the • A declaration that the cent reduction in readily anonymity of the ordinary Department from setting the Department is not entitled to absorbable carbohydrate whe^ commercial transaction", the levelofremunerationfor1992-93 determine the level of comparedtostandardfoods.This! report continues. "The number until itscurrentdispute overpay remunerationuntilthePanelhas is the most important difference) ofpharmacistsbeingaskedtosell has been arbitrated by the considered the matter and made between diabetic and syringes implies a potential for Pharmacist Review Panel. recommendations non-diabetic foods." widespread use of pharmacies in The decision was a tactical PSNCwasalsograntedastayof Themagazine isalsocriticalof il needle exchange services." move to prevent an imposed pay proceedings to which the the amount of sorbitol found infl Benefits of Plymouth's settlement,andtoensurePSNC's application relates, namely the manydiabeticproductsasasugarj1 pharmacy-basedserviceincludea casewasheardbyanindependent determination ofthe appropriate substitute. Just 1.5oz of Boo—ts! higher level of returned, used tribunal, albeit one whose level of remuneration for the diabetic strawberry jam equipmentaswell as increasesin recommendations the Secretary provision of pharmaceutical —enough for three slices of bread; thequantityofequipmentissued. ofState for Health can ignore. services in 1992-93, until the will provide more than the It has also become apparent that PSNC sought: determinationofthe review.This maximum recommended intake pharmacies attract more female • A declaration that PSNC is is why there has been no further of25g perday, it isclaimed. I drug users than the Harbour entitled to refer, and has validly progress on the pay front since Such products are sold inl Centre-based exchange. referred, a dispute over the early May. chemists at a premium price, giving the impression that they;, are medically approved, says the; Labour's Blunkett takes on health article. Inall the maincategories! of diabetic food products there,, DavidBlunkett,thefirstblindMP Brightside in 1987. Mr Blunkett, by Harriet Harman, new Shadow are cheaper alternatives possibly totakeaguidedogintotheHouse whoisaformerleaderofSheffield Chief Secretary to the Treasury with less calories. of Commons, is Labour's new City Council, supported Bryan and a former spokeswoman on "Diabeticsarebeingtakenforo Shadow Health Secretary. Gould, MrSmith's principal rival health. ride by companies marketing!i His appointment to this during the Labour leadership Labour's long standing over-priced and unnecessary prominent post in the first contest. commitment to abolish products which undermine Shadow Cabinet formed by In shaping Labour's future prescription and other health professionaladviceandencourage; Labour'snewleader,JohnSmith, policy on the NHS, Mr Blunkett charges is certain to remain an unhealthy diet," the article underlines his political progress will be confined by the public subject to the proviso "as concludes,andurgestheGovern] since he became MPforSheffield expenditure restraints imposed resourcesallow". ment to seek an EC Directive. 172 Chemist & Druggist AUGUST 1992 1 ITC unable to ban milk ad The Independent Television Commission has told Baby Milk Action it is unable to ban a forthcoming advertisement for Forward follow-on milk. The action group complained to the ITC that follow-on milks should not be advertised to the publicbecausethere isariskthat they may be given to young babies instead of breastmilk or infant formulae. The group has received many reports of confused parents feeding follow-on milks to newborn and potentially allergic babies. The ITCsaysithasnogrounds for preventing the Forward advertisement because the productdoesnotcomewithinthe scope of current codes banning advertising ofinfant formulae. The advertisement complied No smoking heads West with the proposed EC Directive on labelling of follow-on formulae and specifically stated that Forward was designed for Glamorgan campaign babies ofsix months or over. While appreciating Baby Milk Action's concern to promote breastfeeding, the ITC says it Adviceonsmokingcessationisat a joint venture."As an Authority DUMP campaign, because they would be a major matter to the forefront of a health areputtingourmoneywhereour feel they have a duty to take consider prohibiting advertising promotion campaign to be mouth is on this," he said. unwanted medicines back from for a product which could launched through community LPC secretary Richard the general public, but adds: legitimately be marketed. pharmacies in West Glamorgan Griffiths says local contractors "Without the co-operation ofthe BabyMilkAction iscontinuing thisAutumn. have been very supportive of FHSA it would not have been its campaign with various Earlier this year, the Family moves to have a continuous possible." Government departments. Health Services Authority announced it would fund leaflet stands for the areas community Pharmacies second to hairdressers in pharmacies (C&D February 22, taking care of customers :p272). Thesestandsareinuseandthe Authority is now trying to Shoppers think that hairdressers careoftheircustomers,"shesaid. rude and ignorant staff and staff encourage a more pro active are the best of the High Street Two in five shoppers named who didn't know much about distribution ofleaflets. shops at taking care of their problemswithstaffasoneoftheir what theywere selling. Working with the Local customers, followed by pet hates. Top of the list of • Copies of Consumer Concerns Pharmaceutical Committee and pharmacies and shoe repairers; grumbles came unhelpful, 1992 (£5) are available from the the Welsh Committee on but DIY shops, launderettes and uninterested staff. People also NCC, 20 Grosvenor Gardens, Pharmacy Postgraduate furniture shopsare the worst. complained about slow service, London SW1 W0DH. Education, the FHSA is The league table comes from launching a health promotion the National Consumer Council initiative on October 6 with a who asked 2,000 shoppers about Health Store Week contributetothefundamental meeting for contractors, FHSA High Street shops and services. The British Health FoodTrade reviewofremuneration. Given dTehpoumtaysgteonledraCl&D.manager Terry vieOwveerdallp,ossihtiovpeslyanadltsehrovuigchestahree AOscstoocbiearti2o6n-3h1avaes HdeeaslitghnaStteodre tDhreMraewvhieiwn'nsetyighhtopteismedefnrtaimset,s furTthhiesr wmielletbiengsfolaltowtewdo-bwyeetkwloy dbeegtrweeeen ofdiffsearteinstfactsihoonps.varTihees Wheeaelkt.hiTerhediaeitmanisdtobeptrteormotea wdfiaelmwlanwgoeitenktgsa"ka.ect"ipornecoivpeirtattheeonrext intervals which will focus on most visited shops are understandingofthe link smoking cessation, one of the supermarkets, newsagents and betweendietand good health, JJ Locums AGultahmoorritgya'ns.health aims for West prheasrpmoancdieenst.sAvbisoiuttedneinaechouotfotfhteesne sibaanylclslouBodneHsFt,ThAce.ormHepileegtahislteiigoohnftss2,aw0in0ldl0 FKohrajpuerrisaoonfalJJrLeaoscounms,sMharsJay Meanwhile progress has been during the past 12 months. local activities. passedall bookingsand locum mFHaSdAe-funodned cpolnatnisnuoufosrDUMthPe theMyorehatvheanasevgeonodoutcohfoitceensaoyf MRC and Teijin fLoorcmusmtSoerPvriocveisn.ciHaolwPehvaerrm,acy campaign in the area, said Mr newsagent, pharmacy or major The Medical Research Council bothcompaniesstressthat Thomas. Although this was supermarket but less than half andtheJapanesecompany there has notbeenany initially announced in February, think they have a good choice of Teijin Ltd havesigned an financial agreementbetween problems with the new waste clothing, electrical or photo agreementtoestablish ajoint them. regulations had postponed the developing shops. researchfacility,theTeijin Scotia booklet jicnutrrroednutcltyion.ordeTrhieng FaHllSA thies chaHiorwmeavne,r,warLnaeddy rWeitlaicloexr,s tNheCrCe BMMiiRlolCmeHiCdloill.claTalhbeoLralabatobirovaretaoCtreoynr,tyrawetiltilnhe SpcuobtliiashPehdaramabcreoucthiucraelsdehtaaivleing necessary equipment and hopes was no room for complacency. focuson novel approachesto the problemsassociated with toseethescheme in operation in "Except forhairdressers, ratedas nerve regeneration and repair. seborrhoeicdermatitis. It SepMtremTbhero.mas said he was very vceornysumgeorosd, blyess60thpaenr hcaelnftthoef Dentists review oauptplrionaecshthteoctoremaptamneyn'tswhich encouragedbytheattitudeofthe shoppers in our survey were MinisterforHealth DrBrian does not involvethe useof |LPC in West Glamorgan, prepared to say that shops were Mawhinneyhaswrittentoall steroids. Copiesareavailable Stressingthat the initiativeswere more than fairly good at taking dentiststoencouragethemto fromthecompany. Chemist & Druggist AUGUST 1992 173 I Abhtevinl«d_PM«eflbmgIritormotion;Forcorrectusagerendlobel PtwHWiwilAlphosylJ in-IShampoollupoloe,..«peorl.scentlol.onshampoowithaherbalf.ogroncf «i»t"c'h«i"n•g•o"•n«d•dA1o,nodh-ov,HitDEo»tlroogcelao(ndCoAadlmiTnoi.st5r°aotwion«:*UUwses«:.»Aclyphtowsoylat2t-hrnr-eleSJoh,a:m,pooro1.1.1diirnedcitceadtebd»ftorhetphheyIirueioatnm.enClonotffds-clailpwtdiicsoorMdoewrts/wsuarcihltaittop^:soSreinassiitsi,visteybtoor.chooa.litcor.d«U.srmoot,intp!r,,egtncoaln.ensc isbestavoided Legalcategory:GSl PackageQuantities:Bottlesol20.125and250ml Bus,..NHSprices RSP'sinbrackets..:n a,0.4«p:,CI.81,£399,and£343(£5.49):Produr kliSBSSi0036/0052.Furtherinformationandfullprescribinginformationcanbeobtainedfrom:Stafford-Millerlimited,BroadwaterRoad,WeiwynGardenCity,Her«.,.AL73Sf W— gm-—— nmuiliwIIIIIIIWIIrlWW'IW*'^^^ ALPHOSYL 2 1 HESE DAYS PEOPLE WANT SHAMPOO & CONDITIONEF ONE BOTTLE IN (including the thousands with scalp problems) Replacing the highly successful Alphosyl Shampoo, Stafford-Miller have developed New Alphosyl 2-in- For sufferers of scalp psoriasis, dermatitis and dandruff, New Alphosyl 2-in-l is the first specialist treatmen—t t NEW combine shampoo and conditioner in one convenient bottle. Customers with scaly scalp problems want effective products that also ALPHOSYL allow them to have the benefits ofcombinalattiioonn sshhaammppooooss,, jjuusstt HliKkee aannyycone else. New Alphosyl 2-in-l, with all the strength of coal tar in a formula which leaves the hair shiny and easy to manage, lets them do just that. IN So stock up now and recommend the specialist scalp treatment that's setting the trend. 5%COALTAR For your free copy of the Scalp Disorder Educational Aid write to: The Professional Relations Officer, Stafford-Miller Ltd., Broadwater Road, YOU'LL BE SELLIN< MORE THAN OR Wclwyn Garden City, Herts AL7 3SP. I Farley's Bed Timers under US 'drive-up' service for over sugar content fire repeat prescriptions Health pressure groups are drinkadulthotchocolateafter 18 children unattended with any initiating a campaign of action months, says the company. foodordrink,"sayCrookes. "It is A drive-up service for repeat against Farley's Bed Timers babv "The launch of Farley's Bed also clearly stated that children prescription refills has eased drink (C&DApril 18 p612). Timers offers parents a choice in should always brush their teeth customer congestion, reduced The National Dental Health terms of a specially formulated before going to sleep and after parking demand and improved Education Group, Baby Milk productforyoungchildrenwhich consumingany food ordrink." customerserviceatanoutpatient Action, and Action and takes into account their However,AISsaythatinreality pharmacy department in Information on Sugars (AIS) developing nutritional needs." parents are unlikely to wake up America. claimtheproductcontradictsthe Bed Timers contains a lower sleepy children to brush their Details of the service at the advice of dentists, paediatricians level of sucrose than adult teeth. They say such disclaimers Naval Hospital, Portsmouth, and health visitors who say that equivalents,explainCrookes.The are a "cynical attempt" by the Virginia,arepublishedintheJuly infants should be given milk or levelofsugarintheproductisthe company to absolve itself of issue ofthe American Journal of cooled, boiled water and do not minimum necessary to ensure responsibility for the alleged HospitalPharmacy. need sweetened drinks. the product is acceptable to a health hazards ofits product. The only disadvantage of the They plan to alert parents, toddler's palate, they say. AIS says it is shocked that an service is less contact between carers and health professionals "As responsible manufacturers ethical company like Boots (sic) the customer and the pharmacy involved with young children and in linewith health education would introduce a product like staff for counselling, says the about what are claimed to be messages, Farley's state on-pack Bed Timers and then attempt to author Ray Holt. However, this "potential dangers" ofthisdrink. that parents should not leave exonerate it in thisway. has not been a problem at the "All baby drinks currently on Naval Hospital as counselling the British market contain more activitiesareconcentratedonthe than sufficient sugar to cause initial filling of the prescription, serious dental problems if not on refill visits, he says. misused," says AIS. "In recent About 700 prescription refills years the trend has been to are processed and filled daily at reduce the sugarcontent ofbaby the drive-up service. This has foodand drinks." reduced the numberofcustomer Bed Timers has been specially visits to the outpatient formulated for toddlers from 12 department by about one third months onwards, say the and reduced demand for parking manufacturers Crookes. It was by360-400 parking spaces aday. launched in response to research Patients wishing to use the that showed that toddlers are drive-up service must ask for frequently given a warm drink their refills by telephone. All priorto goingto bed. requests are recorded by a Statisticsshowthatover30per pharmacyanswer machine. cent ofchildren are drinking tea The messages are transcribed, at 12 months and 35 per cent processed and checked by a pharmacist in the main pharmacy. Refills ready for Cold care collection are taken to the Scottishcontractors marked the retirement ofthe DepartmentofHealth's drive-up site twice daily. information chiefpharmacist ProfessorGraham Calder(left) when the Standing If a refill is missing, the required CpcrhoeamsimerinmttaatnteieGonroafoentmhJeeuPlMyhila2lr4am.rac(Hereiugtwhitac)s,alpwrhGeeosneesnrataiedldtCwhoiauttnhcriaelmsumhnaoelsrltaetgdiifoatndfirnneongmeortPiaGantCidons acumsitsosmienrgirsefaisllkefdortompaanrdk,pfiicllkouupt had, in recentyears, beencarried out inan atmosphereofcompetitive the refill at the main pharmacy. Around 60 percent ofpeople are partnershipwiththe Department. ProfessorCaldersaid his taskat the The error rate for missing refills confusedaboutcoldcareandtwo ScottishOffice hadat times been an arduousone, but he nowplannedto is less than 0.5 per cent, says the thirdswantmore information on givesomethingbacktoScottishpharmacyduringhisretirement author. jhow to cope with the common cold, asurvey has revealed. The findings of consumer Letter quoting Bottomley breached Code research by Crookes Healthcare werepresentedbyseniorproduct Alettertounitgeneral managers about such new products. required by Clause 11.3 of the manager,AndrewPortsmouth,at concerning Neupogen and the The Association says it Code, and ruled a breach. ameeting in London lastweek. 1991 UK Prix Galien, which considered that the letter was The case is among 14 detailed The survey showed that while included comments made by within the scope ofthe Code and in the ABPI's July case report many women felt their GPs did Virginia Bottomley, the then also ruled it was appropriate for (issue 39). Of these, half were not put cold care high on their Minister for Health, has been mailing to general managers, so ruled in breach of the Code of agenda,halfsaidtheywere happy ruled in breach of the ABPI's there was no breach of Clause Practice. toseektheadvice ofpharmacists Code ofPractice. 12.1 However, a complaint from a ortotry trusted OTC brands. The complaint, from a chief However, the Committee hospital pharmacistallegingthat Jean Raper, a principal pharmacy services manager, said queried whether the quote from a table in a brochure issued by a occupational health nurse, told the letter drew attention to the Mrs Bottomley had been taken member company was the meeting that the cost of the award Neupogen had received as out ofcontext. inconsistent with the product's common cold to industry was "it was judged to have made the They considered that the prescribing information, was not unacceptably high. most significant contribution to references in the letter to Mrs a breach ofthe Code. To overcome the problem, patient care in terms of efficacy, Bottomley choosing to give The company, which was not employees needed to have health safety and innovation" and also ministerial confirmation to the named, was nevertheless advice on the common cold and that " Mrs Bottomley chose to cost effectiveness of Neupogen concerned that the abbreviated information on the type of cold give ministerial confirmation of might be misleading as to both information in the brochure had care productsto take, she said. the cost effectiveness of whatshesaidinthespeechandas been interpreted in such a way When counter prescribing for Neupogen". to its significance. andsaid itwouldbeinvestigating working customers, pharmacists Roche Products denied there The Committee considered ways in which it could be should ask what the person'sjob was any breach of the Code and that the company had not amended to ensure that such actually involves rather than said it was appropriate to inform obtained written permission to misunderstandings would not whattheiroccupationis,shesaid. managersresponsibleforbudgets quote from the speech, as recur. Chemist & Druggist AUGUST 1992 175 1 Insurances: the launch of"Rappell" (C&D N.IrelandNotebook July 25 pl31) this gap in head all for one louse treatment has been Prescription breached. and one My only hesitation is that, for myopic despite being available only to pharmacists? for all pharmacies, Rappell has no product licence.At the I ama lifelong member ofthe hmaovmeefnotr rtehecoomnmlyenedviidnegncteheI Sfoosmteerctliomseeragloi,nksinwiatnhaltotcealmpCtPst,o AcNsaustsoitcooinmaaetliroPnohfaarUnmndaiccaehuleotmyia.claIlhave pttohraobtdeuicantt"evissetrCsyhiatprohwteaelsnltb'esheeanasdssuhlrooauwnsncee sIlopocufarflerreefddormmoyunlaserbryyv.icteOhsneteocdaperrvraeoclttoicpeo,af always considered the two repellant", but in a condition financialreward,tookupmyoffer bprreeertnloaeaviftliiidcpoiirnnaoslgfheiwapslilsstimhtoonytabhlneeescmNueuPpstpAsuoaarrltyly otsrfheuacpstepuioacvrsehts?muerpyainducenemquisaculfipffriioceipdeonrttitoons is apIrnrededq,liuisemchsiuatnsvasiernwdygawsaodropknroeseoscniaebtilhveleoeitrdfeboeef.whaitMlthfyhe, services and Unichem being an extremely competent pharmacy I will stock Rappell, but I "shock". I was equally "shocked" wholesaler. wuinltlilontlhyeseevlildietnwciethtocsauuptpioornt tnhoatthiIngw!asAexspateicstfeadctotroywoferekhfaosr croemlIpaheuatnidcthonreosvf,eUrnhsoiewceehnveemtr'h,seutnwtiolatshe optofrimtcheoerhesamscaoblnleecerenrprnaaciikss.etdhaptrothreata CThaarwrelil'fsflicepncer.ices: nBooaCwroldbleweeeanrgeuaeglsreesesdif.norttuhneateWiensttheerinr indemnity insurance package N(iissPCwcA&hoDamatpnMenttyuhiaenly2g5sa,udrbieprsleca5crs5ti)ltp,yhtiibwsouinptt.ahtchtkahatege comvouemSsripthnaecbraeeeddtahclweomisottissnhtgotrifheredprirefeolinedxtvueacdcntotisotn—, rleaaslt?ity at fbtpeoahebawryonmeragkmcoiitlfsioktrasst.niooatAnrhgseianifbgnoe.,riIndnigitstthearixpsippbebeucrattarievsn,deg promotion and distribution advIannotradgeerotfotthaekeUnfuilclhfeimnancial arnedducItdioonnoitnaunntiitciupsaatgeea— TprhiecereofduactliaorgneirnatnhgeeToafriff The PCC needs to pfarcokmagtheeINwPoAu,ldanhdavtehattoisreasign tfohrertehicsalnarbgeeliitntclreejaussetiifnicpartoifoint. greepnreersiecnstabtaicvketooftthhoesemamrokreet do something sTtheepNIPwAouilsdthneotoncloyntgeemnpuliantee. tInheacnoonrsmuamlerretwaoilulednvqiuriocknlmyent hiansdipgrnaotdiuocnedfraomfurcoormemoufnity phoosiwtipvheaarnmadctihsitnsk vionidceepelenfdtetnotspuhpapromratcy, and its pirnedsuccreipctoimomnemrecdiiaclinreesalirtayr,elbyut pihnacrommaeciasptpsarwehntolysebeeithnegir can compete... stmehyreIvibcNcuoPesnsiAsniaeedrsseessr,esnmebteciuaomtlnbIdefcortrasonhrnuionpnneoi.fng cpcdoroeuommndpatueenctrdte,idtosohnsenepollrtadiwcoasemppsolsofyo,.lsaduspoptvlheyirsatnhde aurhinvosfewiareniavgrgeledrysi,asatcmltlooaurccnoketendtus.rncafaTclahteioerirsssf,ionrceeveirt hnoelwdiwonrgldCoPfsNHaSndtrustPsa,tifeunntd cuonmdpeertsittaonrditnhseurferrussttrhaattion of psoTrhieasriesiosrneocrzeeamsaonsuwffheyrers, wthheeraecatsualthienTgarreidfifepnatycsosdti.reTchtley Creh-aarstseesrssi,ng wweho naeneddwhtaot wbee professional indemnity is tied should not purchase different only contractors to gain under are.Aspharmacistsweneedtobe tulpiohnfademrleeimrnmasebctefiaorsnrstdhtwtihhehpa.otfoEtmrqhgiiuegsathlfitluslya, I can tbaaaunrltyOpawOrtgooandtudurceebttreasitolfhfopersryhiccraoeemmtppouaofrro£ni,7st.ooi2sn5t,ihtfeor wwtIhhhaeoomdaaiarrsseecsoamuuhamnekitanidsgncgaotlfhemetoyhasertaerfietneohltiodhs,seoea.sned sdiederecIvnititdicieseffsyhiionwnewge,focarawnnthdhieparctPohhvwaihrdamehtaeacapenlrudtitchitec.chaaerlne otherwise leave himself surgery for another, expensive I would prefer that all Contractors Committee to be without adequate cover. The to the exchequer, prescription! distortion ofpricing in supply critical of Western Board fact that the two together make were removed such that there pharmacists for accepting a good commercial sense, and Licensing was no need fora discount derisory fee for baby milk cmoimgphettibteorcso,nsiisdaenreidro'nuynftahiart',to assurances a spcaailde.foTrhaenn,evtehredfeeemsawnedianrge ddiifsfterriebnuttionne,gobtuitatwieonargeapmlea.yinTghea even iflost on Unichem, necessary service could be seen in their PCCcancomplainifnegotiations should raise a smile from the true parsimonious light. are not done through them, and lately retired Peter Dodd! guarantee ? priTchees haratvieficailaslolyenhcigohurTaagreifdf snaeygot"iwaetiotnolpdrovyiodueasro"awidfeallocfaolr Sizing things the unwelcome activities ofthe pharmacists, but the Committee up I have always had problems "me too" branded generic needstodosomethingpositiveto convincing parents that the distributors, with increasing see how pharmacists can attempted prophylaxis ofhead aggravation to community compete effectively within the I am sure Shire lice infestation by the use of pharmacistsand unnecessary NHS. Pharmaceuticals have a valid regular insecticide applications duplication ofstock. With this The oxygen concentrator reason for increasing the pack to their children's hairwas not change the cost motive for the contract, for example, has been size ofClinitar shampoo and a good idea but have so far doctor ofprescribing branded re-negotiated but has not cream from 60g to lOOg but I been unable to offer them a generics has been removed, returned to pharmacy. remain unenlightened. What is genuine alternative. Nowwith and it is now up toall those The railway companies in the recently appointed Family US suffered massive decline in Health ServicesAuthorities the '50s and '60s against medical and pharmaceutical competition from other carriers. advisors to go out, calculator In their arrogance, caused by in one hand, big stick in the long-standing success, they took! other, and ensure that a myopic view ofwho they were! prescribing habitsare rapidly and saw themselves as|J changed to the benefit ofthe unassailable: their mistake. taxpayer. Let us hopewe do not sufferaja similar decline. We are in tha healthcare business and musll REFLECTIONS stop seeing ourselves in the1 medicine supply business! Numark have captured it well "Pharmacy is healthcare retailing". 176 Chemist & Druggist 1 AUGUST 1992 he way to charm xtra sales from every processing ilm ustomer. 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