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Pharmacists will do more to improve the health of all Australians

February 13, 2019

 

In 2023 pharmacists will be the custodians of medicine safety, embedded wherever medicines are used, and more responsible and accountable for the safe and effective use of medicines, a new report reveals.

 

Pharmacists in 2023: For patients, for our profession, for Australia’s health system, developed by the Pharmaceutical Society of Australia (PSA), reveals the 11 system changes needed for healthcare evolution to deliver safety and quality improvements in the use of medicines, and better use of pharmacists to improve access to healthcare.

 

PSA National President Dr Chris Freeman launched the report today at a breakfast event in Parliament House attended by political leaders and pharmacy experts from across the country.

 

Pharmacists in 2023 is the pharmacy profession’s response to the national medicine safety problem,” Dr Freeman said. “The report unlocks the potential for pharmacists to improve healthcare access and outcomes for Australians and reduce variability in care.”

 

PSA recently showed in its Medicine Safety: Take Care report that 250,000 people are admitted to hospital each year as a result of medicine-related problems, costing the Australian health system $1.4 billion per annum.

 

“Medicine safety should be a national priority. The report identifies the key actions needed to address this issue by unlocking more opportunities for pharmacists as the guardians of medicine safety.

 

“Pharmacists must be empowered to do more than the current system allows them to do. As the only health professionals trained with a specific focus on the effective and safe use of medicines, pharmacists must lead a culture change to embed medicine safety at every point of healthcare delivery.

 

“Rather than gazing into a crystal ball, we have laid out an ambitious agenda for change with tangible and practical actions to support all pharmacists to reach their full potential and provide more effective and efficient healthcare.

 

“All of the actions in Pharmacists in 2023 aim to ensure pharmacists practise to the full extent of their expertise, are recognised for their key role in healthcare and are remunerated appropriately.

 

“Our goal is to ensure any Australian, no matter where they live, can receive the best possible care from a pharmacist, and that pharmacists are supported to address their patients’ needs using the full extent of their training and expertise.”

 

The report is the result of two years of consultation with a wide range of pharmacy, consumer and health stakeholders.

 

For pharmacists in 2023 to address the health needs of all Australians, the report identifies 11 actions for change:

 

  1. Empower and expect all pharmacists to be more responsible and accountable for medicine safety.
  2. Enhance the role of community pharmacists to have a greater level of responsibility and accountability for medicines management.
  3. Embed pharmacists within healthcare teams to improve decision making for the safe and effective use of medicines.
  4. Facilitate pharmacist prescribing within a collaborative care model.
  5. Improve pharmacist stewardship of medicine management to improve outcomes at transitions of care.
  6. Utilise and build upon the accessibility of community pharmacies in primary care to improve consumer access to health services.
  7. Equip the pharmacist workforce, through practitioner development, to address Australia’s existing and emerging health challenges.
  8. Establish additional funding models to recognise the value and quality of pharmacist care.
  9. Allow greater flexibility in funding and delivery of pharmacist care to innovate and adapt to the unique patient needs in regional, rural and remote areas.
  10. Develop and maintain a research culture across the pharmacist profession to ensure a robust evidence base for existing and future pharmacist programs.
  11. Embrace digital transformation to improve the quality use of medicines; support the delivery of safe, effective, and efficient healthcare; and facilitate collaborative models of care.

 

Dr Freeman said, “I now look forward to working with pharmacy leaders, other healthcare groups, consumers and government to advance the role of pharmacists in 2023 – for patients, for our profession and for Australia’s health system.”

 

Read Pharmacists in 2023

 

Media contact:
Jarryd Luke
Senior Communications Officer
0487 922 176

Dispensing Practice Guidelines Review

The Pharmaceutical Society of Australia (PSA) is undertaking a review of the Dispensing Practice Guidelines.

 

PSA gratefully acknowledges the Australian Government for providing funding for this work.

 

During the public consultation period on the revised Dispensing Guidelines, PSA welcomes comments from interested individuals and organisations, including members of the pharmacy profession as well as consumers, other health professional groups and practitioners, educators, researchers and government bodies. A survey has been created to assist with feedback and commentary. Feedback can also be provided via the phone or email.

 

 

Please note: The revised Guidelines will undergo professional copy-editing and production processes following this consultation. PSA requests feedback focus on the content of the revised Guidelines, unless otherwise specified in the question. The revised guidelines are still in consultation and as such have not been endorsed.

 

Recommendations a major step forward for medicine safety

Thursday 7 February, 2019

 

The recommendation to add pharmacists to the list of eligible allied health professionals to access Medicare Benefits Schedule (MBS) items for medication management services for patients with complex care requirements is an important investment in the safe and effective use of medicines, the Pharmaceutical Society of Australia (PSA) said today.

 

The Allied Health Reference Group of the Medicare Benefits Schedule Review Taskforce has released a consultation document with a recommendation to establish an item to allow pharmacists to provide medication management services to patients with complex care requirements.

 

PSA National President Dr Chris Freeman said this recommendation, along with those made by the General Practice and Primary Care Clinical Committee to remunerate non-doctor health professionals to participate in case conferencing, will go a long way in supporting pharmacists to be better integrated with other healthcare providers in primary care.

 

“We have known for a long time that there are financial and structural impediments to pharmacist involvement in case conferencing, and these recommended changes will help overcome those barriers,” Dr Freeman said.

 

“These recommendations are a major leap forward, empowering pharmacists to practise to the full extent of their expertise and provide the best possible care for their patients.

 

“The recommendations could not be more timely, following on from PSA’s Medicine Safety report that revealed the extent of harms caused by medicines misuse in Australia and highlighted the need for pharmacists to be embedded wherever medicines are used.

 

“PSA has advocated over many years to diversify remuneration to reflect pharmacists’ extensive expertise and contribution to Australia’s health. Pharmacists have been calling for access to the MBS to reflect their skills, training and experience for longer than many of us can remember.

 

“PSA has advocated for pharmacists to be included in the list of eligible allied health practitioners and we have delivered this positive recommendation.

 

“In our 2019-20 Pre-budget submission we urged the Government to add pharmacists to the list of eligible allied health professionals that can deliver MBS services to patients with chronic diseases under the allied health chronic disease management items. We have now made this a reality.

 

“The MBS is a key funding mechanism to support innovative and collaborative models of care for chronic disease and complex conditions. We are delighted that both the Allied Health Reference Group and the General Practice and Primary Care Clinical Committees have listened to PSA and recommended allowing pharmacists to access these MBS items.

 

“Pharmacists should be able to deliver these services from any setting, including general practice, aboriginal health services and community pharmacies. This is about the right pharmacist, with the right skill set at the right time working as part of a multidisciplinary collaborative team.

 

“This is an innovative and cost-effective solution to address challenges in the health system and reduce harm caused by medicines.”

 

PSA’s Pre-budget submission also called for continued funding for integrating pharmacists in Aboriginal Community Controlled Health Services to improve chronic disease management.

 

In line with PSA’s recommendation, the Reference Group has recommended building and investing in an allied health research base to support evidence-based strategies for integrated or collaborative approaches to chronic disease management.

 

“This will help address health inequalities for Aboriginal and Torres Strait Islander peoples and rural and remote communities,” Dr Freeman said.

 

“We are excited that our advocacy is unlocking opportunities for pharmacists to realise their full potential. We look forward to working with the committees involved in the Medicare Benefits Schedule Review as they undertake their consultation on these recommendations, and finally when they will be presented to the Minister for Health.

 

“We also look forward to the Minister for Health making these recommendations a reality after the consultation process has been finalised to ensure pharmacists can do more with medicines for more Australians.”

 

Media contact: 
Jarryd Luke
Senior Communications Officer 
0487 922 176

Medicine safety should be a priority in 2019-20 Federal Budget

Wednesday 6 February 2019

 

Innovative and cost-effective solutions to current health system challenges, including harm caused by medicine misuse, have been recommended by the Pharmaceutical Society of Australia (PSA) in its 2019-20 Federal Budget submission.

 

PSA National President Dr Chris Freeman said PSA’s Medicine Safety: Take Care report, released last week, showed medicine safety was a major problem in Australia.

 

“PSA’s Medicine Safety report reveals that 250,000 people go to hospital each year because of medicine misuse, costing the health system $1.4 billion annually,” Dr Freeman said.

 

“Every day, pharmacists are faced with situations where the health system fails to meet their patients’ needs. Pharmacists want to use their knowledge to provide more effective care.

 

“The public considers pharmacists approachable, knowledgeable and highly trusted. People value pharmacists’ expertise and want to see it put to full use.

 

“However, structural and funding barriers are holding pharmacists back from participating in key Government initiatives. As the peak national body for pharmacists, PSA has made cost-effective recommendations for removing these obstacles and maximising the safe use of medicines.”

 

PSA recommends the 2019-20 Federal Budget makes provision to:

 

  • Provide seed funding to embed pharmacists in residential aged care facilities to improve the Quality Use of Medicines and in particular to reduce harm caused by overuse of psychotropic medicines, opioids and antibiotics
  • Grow the extensive immunisation network in primary care to boost vaccination rates
  • Facilitate the appointment of a Commonwealth Chief Pharmacist to improve the Commonwealth Government’s coordination and responsiveness to medication issues in Australia’s complex healthcare system
  • Establish funding mechanisms to facilitate collaborative practice between Aboriginal Health Services and community pharmacies
  • Add pharmacists to the list of eligible allied health professionals that can deliver MBS services to patients with chronic diseases under the allied health chronic disease management items.

 

These recommendations aim to enhance the Government’s existing health investments and do not duplicate or inhibit any initiatives in the 6th Community Pharmacy Agreement.

 

“The 2019-20 Federal Budget is an opportunity to enhance the use of pharmacists’ skills and expertise for the betterment of Australia’s health,” Dr Freeman said. “We urge the Government to partner with pharmacists to unlock this opportunity by funding the initiatives in PSA’s submission.”

 

Media contact:

Jarryd Luke
Senior Communications Officer
0487 922 176

Problems with medicines behind 250,000 hospital admissions annually

31 January 2019

 

A new report has revealed 250,000 Australians are hospitalised each year, with another 400,000 presenting to emergency departments, as a result of medication errors, inappropriate use, misadventure and interactions – at least half of which could have been prevented.

 

The Medicine Safety: Take Care Report, developed for the Pharmaceutical Society of Australia by the Quality Use of Medicines and Pharmacy Research Centre at the University of South Australia, calculates the annual cost of medication-related problems in Australia at nearly $1.4 billion – equivalent to 15 per cent of total PBS expenditure.

 

Speaking at the report’s launch in Melbourne today, PSA National President Dr Chris Freeman said the report revealed the sobering extent of the issue and demonstrated the need for medicine harm to become a national health priority.

 

“Each year, approximately 250,000 Australians are admitted to hospital as a result of medicine-related problems. This is almost four times the annual number of people who are hospitalised as a result of motor vehicle accidents,” he said.

 

“And there is an additional 400,000 presentations annually to emergency departments due to medicine-related problems.

 

“At least 50 per cent of medicine-related problems are preventable, but only if we remove the siloed approach to medicines management.

 

“If medicine harm was a chronic disease it would already be a national health priority. This report highlights that governments, pharmacists and other health professionals need to work together to reduce the alarming incidence of medication errors, misadventure, misuse and interactions,” he said.

 

Report author, Professor Libby Roughead from the Quality Use of Medicines and Pharmacy Research Centre said, “As the use of pharmaceuticals increases so too do rates of medication error, management problems and interactions with other medicines.”

 

The report highlighted that in 2016-17 two thirds of patients visiting GPs took at least one continual medication, with 11 per cent experiencing adverse medication events in the previous six months. “This equates to almost 1.2 million Australian experiencing an adverse medication event in the past six months,” she said.

 

“Four-in-ten older Australians have been prescribed at least one potentially inappropriate medicine, confirming the need for greater checks and balances in the way medicines are prescribed, dispensed and monitored,” she said.

 

PSA argues that increasing the role of pharmacists in medicines management and wherever medicines are used – in residential aged care homes, hospital discharge and in the community – has the potential to significantly reduce the number of adverse events and medication-related hospital admissions.

 

Dr Freeman added, “There is a clear need for pharmacists to lead medication reconciliation and review activities as they are experts in medicines. They are uniquely placed within the healthcare system and the frequency with which they interact with patients means they are equipped to identify a medicine-related issue and resolve it immediately.”

 

“Regular and thorough reviews of medicines are one of the ways to reduce this significant health risk and cost to the community. On average, four medication-related problems are detected for each person who has a home medicines review,” he said.

 

“The report also shows the need for pharmacists to be embedded within residential aged care facilities to tackle the prevalence of medication-related problems that occur in this setting. This could include medication review, clinical governance and educating staff in the quality of use of medicines.”

 

The report findings focus on four areas where medication-related problems are rife:

 

Inappropriate medicine use in residential aged care

  • 98 per cent of people living in aged care facilities have at least one medication-related problem identified at review, and up to 80 per cent are prescribed potentially inappropriate medicine.
  • 17 per cent of unplanned hospital admissions by people living in aged-care facilities are caused by an inappropriate medicine.

 

Hospital discharge is a missed opportunity

  • More than 90 per cent of people have at least one medication-related problem post-discharge from hospital.
  • At least one medication error was identified in 60 per cent of hospital discharge summaries where a pharmacist was not involved in its preparation.
  • Only one-in-five changes made to the medication regimen during hospital admission were explained in the discharge summary.

 

Impaired kidney function is increasingly common in older people

  • One-in-four older people treated with medicines that rely on the kidneys to clear the body are prescribed doses considered excessive.
  • Among people with poor kidney function, at the time of their admission to hospital 16 per cent were receiving a medicine that should not have been prescribed and 21 per cent had been prescribed an inappropriate dose.

 

Multiple medicine use spells danger

  • The use of multiple medicines was responsible for 70 per cent of cases where people are admitted to hospital for adverse drug reactions.

 

Read the full report here.

 

For more information or to arrange an interview with Dr Chris Freeman or Professor Libby Roughead, please contact Jay Pleass on 0412 623 578 or (02) 8904 7300.

Alyssa Murray wins Pharmacy Student of the Year Wildcard

Sunday January 27, 2019

 

Alyssa Murray from Queensland has won the National Australian Pharmacy Students’ Association (NAPSA) Wildcard for the 2019 PSA Pharmacy Student of the Year (PSOTY) Award.

 

PSA National President Dr Chris Freeman announced the award at the NAPSA Congress Gala Ball in Adelaide tonight.

 

Dr Freeman congratulated Ms Murray on her exceptional achievement.

 

“Ms Murray and all of the finalists demonstrated exceptional counselling skills and impressive pharmacy knowledge,” Dr Freeman said.

 

“It was great to see so much talent on display at the competition today.

 

“Seeing these rising stars in action fills me with confidence about the future of the profession.”

 

Ms Murray is completing a Bachelor of Pharmacy at the University of Queensland and is a member of the Queensland Pharmacy Students Association (QPSA).

 

The judges were impressed by the strong field of finalists:

 

  • Noor Shoaib, La Trobe University (VIC)
  • Vivien Banks, University of Queensland (QLD)
  • Jacqui Leggett, Queensland University of Technology (QLD)
  • Stephanie Samios, University of Queensland (QLD)
  • Sean Richardson, University of South Australia (SA)

 

The award is proudly sponsored by Mylan.

 

Ms Murray will now travel to PSA’s national conference PSA19 from 26 to 28 July 2019 in Sydney to compete in the prestigious national final.

 

“PSA thanks Mylan for their fantastic support of this award,” Dr Freeman said.

 

Media contact:
Jarryd Luke
Senior Communications Officer
0487 922 176
media@psa.org.au

Pharmacists recognised in Australia Day Honours

Saturday January 26, 2019

 

Respected pharmacists and PSA members Grant Kardachi FPS, Dr Geraldine Moses FPS, Emil Dan FPS, Dr Carol Armour FPS and Dr Ross Holland FPS have been congratulated by the Pharmaceutical Society of Australia (PSA) for being awarded the status of Member of the Order of Australia (AM).

 

PSA also applauds PSA members Geoffrey Pritchard FPS, Leonard Levy MPS and Robert Kalaf MPS for receiving the Medal of the Order of Australia (OAM).

 

Pharmacists Jim Siderov, Paul Sinclair and Bakhos Georges were also honoured with the Member of the Order of Australia during the Australia Day celebrations last night.

 

PSA National President Dr Chris Freeman congratulated all of the pharmacists who were recognised.

 

“I applaud all of the exceptional pharmacists for their tireless dedication to their profession, to their community’s health and to their peak national body, PSA,” Dr Freeman said.

 

“The pharmacy profession has been well represented in this year’s awards. It’s inspiring to see so many pharmacists honoured for their pioneering work to improve Australia’s health.

 

“These respected leaders and role models have set an inspiring example for our profession.”

 

Mr Kardachi from Unley Park in South Australia is a past National President and current National Board Director of PSA. Mr Kardachi has owned several community pharmacies while supporting research projects in medication management. He has served the state of South Australia through various foundations, boards and committees.

 

From Corinda in Queensland, Dr Moses is a hospital-based drug information consultant and clinical pharmacist. She provides the Australian Dental Association’s national drug information advisory service Pharma-Advice. Dr Moses is an adjunct associate professor at the University of Queensland and co-founder of medicines education service Pharmeducation. She has served as a member of the PSA Queensland Branch Committee and received PSA’s prestigious Bowl of Hygeia Award in 1993.

 

Mr Dan from Marourbra in NSW received a PSA Lifetime Award of Excellence in 2009 and has since become a PSA Life Fellow. He was an early pioneer of asthma research in Australia, founding the anti-allergy and asthma treatment initiative Allersearch. His groundbreakng work in this area also includes research for smoking cessation services in pharmacy at the Woolcock Institute of Respiratory Medicine, and lecturing for PSA and the Asthma Foundation.

 

Dr Armour is a Professor of Pharmacy and Associate Dean of Career Development, Sydney Medical School at the University of Sydney. She was recognised for significant service to medical education and asthma management.

 

Dr Holland was recognised for significant service to pharmacy practice, medical education and professional organisations. Hailing from NSW, he is a PSA Life Fellow and has served as the Dean of Academic Studies at the Australian College of Pharmacy Practice. He is a Past Faculty Member of the World Health Organisation Regional Teacher Training Centre, South Korean Clinical Pharmacy Association.

 

Recognised for his service to the pharmacy profession, Mr Pritchard from Milsons Point in NSW is a PSA Life Fellow and served as a Liaison Officer for the PSA NSW Branch. His contributions include Director of Pharmacy Services at the Sydney Olympic Games and a number of roles at the Pharmacy Council of New South Wales.

 

Mr Levy from North Caulfield in Victoria has made longstanding contributions to the Victorian Branch of PSA, including as a Councillor and Chair of various committees. He has contributed many years of service to the Pharmacy Board of Victoria.

 

Mr Kalaf has worked as a pharmacist at Cooranbong Pharmacy and Compounding in NSW for more than 25 years. His community service roles include President of the Cooranbong Chamber of Commerce, Member of the Sewerage Development Committee and Member of the Tidy Towns Committee.

 

Media contact:
Jarryd Luke
Senior Communications Officer
0487 922 176

Pharmacists support pill testing

January 23, 2019

 

In the wake of recent deaths from illicit drug use at festivals, pill testing and drug checking services should be trialled in Australia, according to a new position statement by the Pharmaceutical Society of Australia (PSA).

 

PSA National President Dr Chris Freeman said PSA believed further pill testing trials should be conducted at music festivals and other environments where illicit drug use occurs.

 

PSA’s position supports the recent call by the Royal Australasian College of Physicians as well as other medical groups to implement further pill testing trials at music festivals.

 

Pill testing is a harm minimisation service that analyses the content of illicit drugs to warn people about unknown and potentially lethal contaminants. In 2011, illicit drug use caused 2.3% of the total burden of disease and injury in Australia.

 

Dr Freeman said PSA considers pill testing to be consistent with the principles of harm reduction and supports further trials to inform the role of pill testing in Australia.

 

“Pill testing informs people of the risks of illicit drugs without giving the impression that the drugs are safe – they are still illegal and potentially harmful,” he said.

 

“Pill testing was successfully trialled at the Groovin’ The Moo festival in Canberra last year, and PSA supports further trials in each jurisdiction in Australia.”

 

Pharmacists have a long and established role in harm minimisation, from Opioid Replacement Therapy and needle and syringe programs to providing naloxone.

 

However, Australia is lagging behind other countries where pharmacists play a more prominent role in minimising harm from illicit drugs.

 

“Outside of emergency settings, Australia has no ongoing sanctioned pill testing services, even though evidence shows young people are supportive of these services and would use them,” Dr Freeman said.

 

“Several European countries already provide these services, including the Netherlands, Austria, Portugal and France.

 

“The evidence from Europe is clear: pill testing saves lives. It’s time to invest in national trials and research so we can make informed decisions about pill testing.

 

“Law enforcement by itself does not stop people from dying but pill testing, as a supplement strategy, can.”

 

Media contact:
Jarryd Luke
Senior Communications Officer
0487 922 176

Pharmacy banner and buying groups urged to remove homeopathy from their shelves

Community pharmacy banner and buying groups should draw a line in the sand and cease all activities that encourage the stocking, promotion, recommendation or marketing of homeopathy, the Pharmaceutical Society of Australia (PSA) said today.

 

PSA National President Dr Chris Freeman published an open letter and wrote to major banner and buying groups, stating that many people were not aware that there was no reliable evidence for the use of homeopathic products.

 

“Public health is put at risk if people choose homeopathy over treatments that evidence shows are safe and effective,” he said.

 

PSA provided advice to pharmacists in its Choosing Wisely recommendations last month. One of the six recommendations is: “Do not promote or provide homeopathic products as there is no reliable evidence of efficacy. Where patients choose to access homeopathic treatments, health professionals should discuss the lack of benefit with patients.”

 

“Where there are homeopathic products available from community pharmacies, patients may see this as a de-facto endorsement,” Dr Freeman said.

 

The supply of homeopathic products is in contravention of the PSA Code of Ethics for Pharmacists. The Code of Ethics, recognised by the Pharmacy Board of Australia, states that pharmacists should only “supply or promote any medicine, complementary medicine, herbal remedy or other healthcare product where there is credible evidence of efficacy and the benefit of use outweighs the risk.”

 

“The PSA Code of Ethics makes it clear that homeopathic products should not be stocked or sold in community pharmacies. Banner and buying groups should do everything in their power to remove these products from their shelves,” Dr Freeman said.

 

“I congratulate the community pharmacists who have made the decision to remove these products from their shelves, or are planning to do so. We need to lead by example so patients continue to see community pharmacy as a health destination that provides the best possible evidence-based care.

 

“I look forward to community pharmacy groups committing to ensure patients receive robust health advice and are not misled into believing homeopathic products have any evidence of benefit.”

 

Media contact:
Jarryd Luke
Senior Communications Officer
0487 922 176

PSA supports Uluru Statement from the Heart

January 10, 2019

 

The Pharmaceutical Society of Australia (PSA) has endorsed the historic Uluru Statement from the Heart, which calls for a First Nations Voice to be enshrined in the Constitution and for a Makarrata Commission as a process for agreement making and truth telling.

 

PSA National President Dr Chris Freeman said PSA was proud to add its voice to the call for recognition of the First Peoples of Australia in the Constitution.

 

“PSA is committed to ongoing work to support the health and wellbeing of Aboriginal and Torres Strait Islander people. We support the Uluru Statement from the Heart’s call for constitutional reforms to empower people to have their views heard in relation to making laws and policies that affect their lives.

 

“We are proud to add our voice to this movement for a better future.”

 

Generational disadvantage continues to have a detrimental impact on the physical and mental health of Aboriginal and Torres Strait Islander people.

 

“As the peak national body for pharmacists, PSA has long advocated for closing the gap by supporting pharmacists to play an active role in improving medication management for Aboriginal and Torres Strait Islander people,” Dr Freeman said.

 

“Pharmacists must work collaboratively with Aboriginal Health Organisations to improve the health and wellbeing of Aboriginal and Torres Strait Islander people.”

 

PSA is collaborating with the National Aboriginal Community Controlled Health Organisation (NACCHO) on the Integrating Pharmacists within Aboriginal Community Controlled Health Services to Improve Chronic Disease Management (IPAC) trial.

 

This pioneering project aims to improve chronic disease management by embedding pharmacists within Aboriginal Health Services.

 

PSA’s Aboriginal and Torres Strait Islander Health Services Pharmacist Career Pathway provides training and support to help pharmacists working in these services to optimise health for their patients.

 

PSA will be developing a Reconciliation Action Plan (RAP) in 2019. The RAP will underpin the work PSA does with Aboriginal and Torres Strait Islander people and support members and staff to provide culturally safe workplaces and services.

 

Media contact:  
Jarryd Luke
Senior Communications Officer
0487 922 176