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APF26 supporting developing practice

6 February 2024

 

The Pharmaceutical Society of Australia (PSA) is set to release the 26th print edition of the Australian Pharmaceutical Formulary (APF) later this month, featuring updated guidance and information on a range of clinical topics.

With the publishing of APF26, pharmacists have access to a fully revised section on Compounding, an updated Treatment Guidelines for Pharmacists section, and updated Cautionary Advisory Label (CAL) recommendations.

PSA National President Associate Professor Fei Sim FPS said each edition of the APF reflects updated expected practices, supporting quality pharmacy practice across roles and settings.

“As our practice evolves to meet the future health needs of Australians, so does the APF,” A/Prof Sim said.

“APF supports the role of pharmacists in achieving medicine safety backed by evidence-based information at all stages of the medication management cycle, including dispensing, compounding, therapeutic management, and providing health information.

“Whether practicing in community, hospital, embedded and consultant pharmacy roles, using the APF as clinical decision support at the point of care continues to promote the safe and effective use of medicines,” A/Prof Sim concluded.

APF26 contains the most important update to the Compounding section seen for many editions. Key changes in the section include:

  • detailed guidance on assigning expiry dates to compounded medicines (including sterile medicines)
  • clear explanation of the legislative and regulatory framework that applies to compounding
  • expanded guidance on compounding sterile medicines and handling or compounding hazardous medicines
  • new guidance about manipulating and repackaging commercial products
  • new guidance about water used for compounding medicines or for manipulating commercial products into a ready-to-administer form.

Pharmacists who are involved with the following clinical activities will find guidance in APF that is relevant to their practice:

  • simple or complex compounding
  • handling or compounding hazardous medicines
  • repackaging medicines (e.g. into a dose administration aid)
  • manipulating commercial products into a ready-to-administer form (e.g. reconstituting antibiotics)

The Treatment Guidelines for Pharmacists section has been expanded and includes 30 health conditions. The new Treatment Guidelines include:

  • anorectal disorders
  • cold sores
  • conjunctivitis
  • weight management.

Each Treatment Guideline has been written to help pharmacists easily find the key information they need at the point of care.

The Pharmacy Board of Australia requires all pharmacists to have ready access to APF during clinical assessment and reviewing, dispensing, and counselling processes. APF digital subscribers will automatically have access to all new and updated APF26 content.

Pre-orders for the print edition of APF26 are open now. Visit https://www.psa.org.au/media-publications/australian-pharmaceutical-formulary/

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

The Pharmaceutical Society of Australia is the only national peak body that represents all of Australia’s pharmacists across all practice settings. We want every Australian to have access to the best healthcare, and this must include optimising access to pharmacists’ knowledge and medicines expertise at the forefront of our healthcare system.

2024-25 Federal Budget submission: Building a healthcare system for the future

5 February 2024

 

The Pharmaceutical Society of Australia (PSA) is calling for investment into pharmacy and pharmacist services to improve access and equity of care as part of its 2024-25 Federal Budget Submission.

As the peak professional body for pharmacists in all areas of practice, PSA calls for the upcoming Federal Budget to support patients’ access to care and medicines through funded community pharmacist-led consultation services, an expanded National Immunisation Program Vaccinations in Pharmacy program, support for participation in multidisciplinary case conferencing, and nation-wide mental health first aid training.

Importantly, PSA also calls for the permanent introduction and funding of the Integrating Pharmacists within Aboriginal Community Controlled Health Services to Improve Chronic Disease Management, or IPAC Project, embedding vital medicines safety advocacy into Aboriginal and Torres Strait Islander primary health services. The IPAC Project is critically supported by the National Aboriginal Community Controlled Health Organisation (NACCHO) and the Medical Services Advisory Committee (MSAC).

PSA’s recommendations signal the impact that increased scope for pharmacist services can have on the broader health system.

PSA National President Associate Professor Fei Sim FPS says that funding for pharmacist services is key to equitable and accessible care now and into the future.

“This year’s Budget is an opportunity to strengthen our healthcare system, ensuring that its fit for purpose and able to meet the current and future health needs of our population,” A/Prof Sim said.

“Pharmacists should be supported to deliver more vaccinations, to act as a key consultation and triage point, and to offer crisis support to people experiencing mental ill health.

“Pharmacists should be funded to continue our vital role in Aboriginal and Torres Strait Islander primary health services as part of the IPAC program supported by the National Aboriginal Community Controlled Health Organisation and the Medical Services Advisory Committee.

“These recommendations bolster medicine safety, and recognise pharmacists’ roles in disease management, and support access to care for all Australians.

“We can make a real difference to the patients we serve, and the health system more broadly, but our pharmacy workforce should be supported to be in these roles.

“PSA is calling for investment across five key areas that support patient access to care, bolster the quality use of medicines and medicines safety, and recognise our roles as critical to improving the disease management.

“Investing in community-based care and quality use of medicines is investing in accessible and equitable care for Australians when and where they need it,” A/Prof Sim concluded.

PSA’s full Budget Submission is available at https://www.psa.org.au/advocacy/budget-submissions/

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Vaccination funding should be consistent: Sim

31 January 2024

 

The Pharmaceutical Society of Australia (PSA) welcomes news that payments for pharmacist administration of COVID-19 vaccinations will be increased from tomorrow (1 February 2024) but urges similar increases across the National Immunisation Program Vaccinations in Pharmacy program.

 

The Pharmacy Programs Administrator (PPA) has confirmed that the new fee for COVID-19 Vaccine Administration Payments for all doses will be raised to $30.65. The Vaccination Incentive – Site Visit fee will not increase.

PSA National President A/Prof Fei Sim FPS said that increases should also apply to payments for NIPVIP vaccines.

“While I welcome increases in pharmacist remuneration for administering vital COVID-19 vaccines, it further highlights the growing inequality in funding for other vaccines delivered by pharmacists,” A/Prof Sim said.

“This change recognises the costs involved in delivering vaccination services, and it should be applied to all vaccines expected to be delivered by pharmacists. All vaccination services, regardless of whether under the COVID-19 Vaccination in Community Pharmacy Program or the National Immunisation Program Vaccinations in Pharmacy program, should be remunerated at the same rate.

This should include commitment to indexing of fees to keep pace with CPI, inclusion of rural loading, after hours incentives and incentives for reaching at risk and priority populations. The NIPVIP program should also support outreach services so pharmacists can support people wherever they live, including in aged care and disability facilities

“Adequate pharmacist remuneration is critical to ensuring that these essential services delivered by pharmacists can be delivered sustainably, which ultimately protects and maintains equitable access to vaccination services for all Australians.”

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Unleashing the potential of pharmacists: Scope of practice review

31 January 2024

 

The Pharmaceutical Society of Australia (PSA) welcomes the release of the first issue paper from the Unleashing the Potential of our Health Workforce Scope of Practice Review (the Cormack Review) last week.

The issues paper recognises the existing barriers that are preventing Australia’s healthcare professionals, including pharmacists, from practising to their full and top of scope.

PSA National President A/Prof Fei Sim FPS said that the paper highlights both the urgent and the long-term need for pharmacists to contribute to improving access to care and medicine safety through working to their full and top of scope.

“The Cormack Review’s first issues paper confirms that inconsistent regulations, unnecessary restrictions on practice, and siloed workforces are having a detrimental impact on patients,” A/Prof Sim said.

“As pharmacists, we welcome the paper as the first step in the review process, however we need to now look towards solutions.

“PSA is making the case for solutions that recognise the potential of pharmacists as vital members of the healthcare team.

“PSA sees a future where community pharmacies are supported and funded to fulfill their primary care role as urgent care clinics where pharmacists can triage, manage and consult on a range of acute common ailments.

“This includes the ability to prescribe PBS medicines, harnessing the accessibility of pharmacists to deliver timely, cost-effective care – dramatically reducing patients’ out-of-pocket costs.

“We see a future where pharmacists are embedded in multidisciplinary health care teams wherever medicines are prescribed, supplied, administered, or reviewed, and where pharmacists are utilised to support patients in managing chronic health conditions – whether that is a medicine or a referral to another healthcare provider.

“To achieve these aims, regulatory, financial and systems barriers must be recognised and removed, and only until then, we can see the full potential of pharmacists unleashed.

“As the next phase of consultation begins, we are continuing to advocate directly to government for the future of our profession and importantly, the future of our patients.”

A/Prof Fei Sim currently sits on the Cormack Review’s Expert Advisory Committee, representing the pharmacy profession.

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Pharmacists recognised in Governor-General’s Honours

26 January 2024

 

On behalf of the pharmacy profession, the Pharmaceutical Society of Australia (PSA) acknowledges and congratulates the Australian pharmacists recognised in today’s Governor-General’s honours.

 

The following pharmacists received Honours from the Governor-General today:

  • ​Dr Jennifer (Jenny) Gowan FPS, Member of the Order of Australia (AM)
  • Mr Desmond Lum MPS, Medal of the Order of Australia (OAM)
  • Ms Julie Rose Adams, Medal of the Order of Australia (OAM)

 

PSA National President A/Prof Fei Sim FPS congratulated the award recipients.

“The pharmacists recognised today have dedicated their lives to the health of their communities,” Dr Sim said.

“Congratulations to Dr Jenny Gowan, Mr Demond Lum, and Ms Julie Adams on your outstanding careers and your recognition as pillars of the community.

“On behalf of Australians, thank you for your contributions to our profession and our country,” A/Prof Sim said.

Dr Jennifer (Jenny) Gowan FPS

Dr Jenny Gowan FPS is a widely celebrated credentialed pharmacist, having been awarded PSA’s 2013 Pharmacist of the Year award as well as the AACP’s Consultant Pharmacist of the Year award in 2016.

Dr Gowan served on PSA’s Victorian Branch Committee for many years, and as the Branch’s Vice-President from 2021 to 2023. She has been a member of the PSA for 48 years.

Dr Gowan has been recognised by the Governor-General for her significant service to medicine as a pharmacist, to professional societies, and to community health.

Mr Desmond Lum MPS

Former community pharmacist Desmond Lum MPS has been recognised for his service to the communities of Holbrook and Thurgoona. Following a 30-year career as a pharmacist, Mr Lum has continued giving back to his communities through the Thurgoona Lions Club, the Thurgoona Men’s Shed, St Patrick’s School and various other organisations in the Albury-Wodonga region.

Mr Lum is a life member of the PSA, having been a member for 53 years.

Ms Julie Adams

Hospital Pharmacist Julie Adams was recognised for her service to pharmaceutical oncology.

Ms Adams has become a leader in oncology pharmacy and has expanded the role of pharmacists through innovation, research, and education. Ms Adam’s passion for pharmacy throughout her career has resulted in her being an inspirational member of the profession and a worthy recipient of the Pharmaceutical Society of Western Australia’s 2020 Eric Kirk Memorial Award.

PSA also congratulates former staff member Mr Peter Waterman, who was awarded a Medal of the Order of Australia for his service to media and journalism.

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Next generation learning for pharmacy assistants, interns

25 January 2024

 

The Pharmaceutical Society of Australia (PSA) has partnered with tech company Audirie to modernise pharmacy assistant and intern training programs, integrating tailored learning tools and real-time assessment into pharmacy education.

PSA learners will soon have access to virtual patients as part of their online learning environment, supporting the real-world application of their training material.

PSA Chief Executive Officer Adj A/Prof Steve Morris welcomed the new partnership, reaffirming the organisation’s commitment to enhanced education across the pharmacy sector.

“As a leader in pharmacy education and training, PSA’s excited to provide learners with new and innovative products as part of their education journey.

“We’re proud to be harnessing technology to give our learners the edge, training in real-life scenarios and better preparing them for their careers.

“Our focus remains firmly on providing high quality, practical education to our members and learners, training them to meet the current and future needs of our communities,” he said.

Audirie Chief Executive Officer Michael Alexander said the partnership represented a groundbreaking approach to education in the pharmacy sector.

“As a pharmacist myself, I am excited to collaborate with the Pharmaceutical Society of Australia and bring Audirie to the forefront of pharmacy education,” he said.

“This partnership is a significant step forward in integrating new technologies into the training and assessment processes, ultimately benefitting pharmacy professionals and the industry as a whole.”

About Audirie

Audirie is a leading provider of AI-driven communication solutions, committed to transforming the way individuals learn and grow. With a focus on immersive learning experiences, Audirie harnesses the power of artificial intelligence to deliver innovative and effective training programs across various industries.

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Access to RSV vaccine critical to its efficacy

19 January 2024

 

Following the welcome approval of a new vaccine to protect older Australians against the highly infectious respiratory syncytial virus (RSV), the Pharmaceutical Society of Australia (PSA) is urging governments to ensure its accessibility for those most at risk.

This week the Therapeutic Goods Administration (TGA) approved AREXVY for Australians aged 60 and over, the first RSV vaccine approved in Australia.

PSA National President A/Prof Fei Sim FPS said that allowing pharmacists to administer the vaccine would significantly improve its uptake and in turn, reduce hospitalisations from severe infections.

“Having a vaccine on the market is not enough, we need to ensure that it’s as accessible as possible to those who need it most,” A/Prof Sim said.

“Pharmacist immunisers are limited by red-tape and regulation imposed by states and territories, preventing them from fulfilling their potential to administer all vaccines to all at-risk Australians.

“Millions of Australians attend pharmacies for their vaccinations, with more than 15 million COVID-19 and influenza vaccines administered by pharmacists over the last few years.

“By making vaccinations more accessible to vulnerable groups, we can limit the serious health complications RSV can cause and in turn reduce hospitalisations.

“Allowing pharmacists to practise to the top of their scope makes efficient use of health resources, benefitting the broader health system.

“I urge all state and territory governments to authorise pharmacists to provide the RSV vaccine, supporting access to preventive care and keeping older Australians healthy and well.

“This access should extend to all vaccines, for all eligible people, in all locations where pharmacists work.

“Reducing barriers to vaccination, reducing barriers to care, should always be our priority,” A/Prof Sim concluded.

AREXVY will soon be made available nationally, on private prescription.

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Tasmanian pharmacists to support palliative care at home

18 January 2024

 

The Pharmaceutical Society of Australia (PSA) has partnered with the Tasmanian Government to help support palliative care patients stay at home and receive the care and medicines they need in a comfortable, familiar environment.

Announced by Health Minister Guy Barnett MP in Launceston today, the program supports community pharmacies across Tasmania to continuously stock essential palliative care medicines, ensuring these are available to patients across the state when needed.

PSA will deliver training in the provision of essential palliative care medicines for pharmacists and GPs as part of the program, ensuring the safe and quality use of medicines thanks to funding from the Tasmanian Department of Health.

PSA Tasmanian President David Peachey MPS said the joint approach demonstrated a commitment to improving palliative care for all Tasmanians.

“PSA is proud to be a part of this innovative program to improve services and support for palliative care patients within our community,” Mr Peachey said.

“Timely access to medicines to manage end of life symptoms is essential to a quality end of life journey for patients and their families. Palliative medications are needed within hours, not days, which is why it is so important that they are easily accessible within the community.

“Having more Tasmanian pharmacists educated and trained to supply palliative medicines means that we can make their safe and quality use more accessible to more people at the end of their lives,” Mr Peachey concluded.

PSA National President Dr Fei Sim FPS also welcomed the move, pointing to the growing role of pharmacists in palliative care following nation-wide consultation on the upcoming palliative care foundation training program.

“Upskilling local pharmacists in palliative care will increase the capacity of community palliative care teams, community pharmacists, and general practitioners to provide care to patients at the end of life,” she said.

“Pharmacists will increase collaboration and coordination of local palliative care services, reducing unnecessary hospital presentations.

“We look forward to evolving the support for pharmacists within the palliative care team as part of the ComPPaCT initiative,” Dr Sim concluded.

The pharmacist palliative care foundation training program will be available to all Australian registered pharmacists. More information and instruction on how to enrol will be communicated to PSA members in 2024.

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Victorian floods highlight urgent need for permanent continued dispensing

10 January 2024

 

The Pharmaceutical Society of Australia (PSA) welcomes the Victorian Government’s move to expand continued dispensing measures in response to widespread flooding in Central Victoria.

The introduction of Public Health Emergency Order 25 today aligns with the Commonwealth Government’s National Health (Continued Dispensing) Determination made in December 2023, and expands access to more than 750 PBS-listed molecules for people in emergencies who cannot access their prescription or get in touch with their regular prescriber. The Order is set to expire in February.

PSA Victoria President Dr Amy Page FPS welcomed the Emergency Order, saying that it allowed pharmacists to continue supporting patients with their health.

“Continued dispensing plays a crucial role in maintaining the continuity of care for patients, particularly in natural disasters where people can be separated from their medicines. We know that this only becoming more common with the effects of climate change.

“The temporary expansion of continued dispensing is vital in ensuring that Victorians can access their essential medications without unnecessary delays or interruptions during the current floods.

“We cannot wait for natural disasters to happen before we put measures in place to protect the health and wellbeing of our communities. Making continued dispensing arrangements permanent for all medicines, for example, would allow pharmacists to take a proactive role in the post-disaster health of their communities.

“I urge anyone who cannot access their medication for whatever reason to speak to their local pharmacist. We are here to help,” Dr Page concluded.

PSA National President Dr Fei Sim FPS again urged the Federal Government to work with state and territory governments to permanently protect emergency access to medicines.

“Regulations should be in place to support the safe and effective use of medicines, not hinder access to them,” Dr Sim said.

 

“Our nation’s fragmented approach is affecting the care we can provide patients, preventing continued access to essential medicines and disrupting care when people are already vulnerable to further illness.

 

“PSA firmly believes that all PBS General Schedule medicines should be permanently included in continued dispensing arrangements to avoid delays in emergency situations.

 

“I urge all state and territory leaders to implement permanent continued dispensing measures, giving all Australians equal access to the medicines they need in an emergency,” Dr Sim concluded.

Media contact:   Georgia Clarke   M: 0480 099 798  E: georgia.clarke@psa.org.au

Pharmacists relieved at reinstatement of expanded continued dispensing, but again call for it to be permanent

22 December 2023

 

The Pharmaceutical Society of Australia (PSA) welcomes the new Continued Dispensing Emergency Measure Determination issued by the Federal Government yesterday, supporting Australians affected by natural disasters and other emergencies.

The new determination allows pharmacists to provide patients with up to one month’s supply of 755 different Pharmaceutical Benefits Scheme (PBS) medicines (up from 150 medicines) if they are unable to access their prescription or prescriber in an emergency situation. The determination takes immediate effect.

PSA National President Dr Fei Sim FPS welcomed the move but again urged the Federal Government to make it a permanent.

“While this decision is welcome relief for patients and pharmacists in disaster affected areas, PSA has long advocated for the permanent expansion of continued dispensing nation-wide,” Dr Sim said.

“Every time there is a disaster, the government extends or reinstates this measure. However, this always takes a few days, and leaves patients without access to their medicines when they need them most. It is time to make it permanent.

“Regulations should be in place to support the safe and effective use of medicines, not hinder it. It makes no sense these measures expire after each natural disaster passes.

“With the effects of climate change making natural disasters harsher and more frequent, we know that these threats will continue.

“Not all emergences are natural disasters. Whether it be bereavement, domestic violence, house fire or car crash, the sad reality is that people are suddenly separated from their medicine in other emergencies.

“Permanently expanding the medicines covered by continued dispensing arrangements is necessary to give Australians peace-of-mind that no matter what, they will always be able to access to the medicines they need,” Dr Sim concluded.

 

This measure was also recommended as part of PSA’s 2023-24 Federal Budget Submission. Find the full submission here.