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Pharmacists to limit dispensing and sales of medicines

The Federal Government has made a clear directive to the Australian public this week to stop stockpiling medicines to ensure the continuity of the medicine supply chain during the COVID-19 pandemic.

 

The Pharmaceutical Society of Australia has been hearing from you, our members, that pharmacists are being pressured to dispense unsafe quantities of medicines. In some cases this has included threats of abuse and physical violence.

 

This is unacceptable and has to stop. PSA is dedicated to protecting you, our frontline pharmacists, trying to do your best in these challenging times.

 

From today, the Federal Government is calling on Australians to not stockpile medicines.

 

The Federal Government has now backed all pharmacies to limit dispensing of medicines to one month supply.

 

This gives pharmacists the Government’s backing to say NO to patients who are pressuring them to dispense more than a month’s supply.

 

Peak doctor groups have been contacted by the Government and this message is being re-enforced with them too – prescribing clinicians will be asked to observe the same criteria.

 

There are more than enough medicines in the supply chain today – but if stockpiling continues, this may change.

 

Dispensing multiple months of medicines is unsafe, both for the patient and for the supply chain.

 

We are united and stand with you, as you go above and beyond to care for all Australians during this time.

 

The joint statement on the Limits on dispensing and sales off prescription and over-the-counter medicines to provide you with direction will be on our website here.

National President’s Message:
 COVID-19 Update

13 March 2020

 

You will be aware of the significant escalation this week in the public health response to COVID-19 in the Australian community. This is consistent with global public health responses, particularly following the World Health Organization’s characterising COVID-19 as a pandemic. I am committed to keeping you informed of the latest updates so that pharmacists can play their part in protecting themselves, their colleagues and the Australian community. The next couple of weeks will be pivotal in trying to contain transmission of COVID-19 in Australia so that our health system can deal with the likely impact of this virus on Australian shores.

 

We have created a dedicated COVID-19 webpage to keep pharmacists updated on the latest information and advice as it becomes available. It contains links to up-to-date information, guidance and resources from governments and other trusted sources for pharmacists and your patients.

 

We continue to monitor the COVID-19 pandemic and have dedicated staff working to ensure that members are represented and supported as you support the health of Australians on the frontline.

 

This week the Australian Government made two significant announcements affecting pharmacists:

 

COVID-19 health package

 

There were two measures in this package relevant to pharmacists. The first of these was the introduction of $25 million to a Home Medicines Service which will enable patients to have their PBS/RPBS prescriptions filled online or remotely, and have their medicines delivered to their home.

 

The second measure was $5 million to fast-track the introduction of electronic prescriptions through engagement with software vendors. This is expected to bring electronic prescription capability online within two months.

 

Other measures in this $2.4 billion package included expanded MBS funding for telehealth consultations which is expected to accelerate demand for electronic prescribing.

 

This week I met with senior Department of Health officials to discuss how the Home Medicine Service and electronic prescriptions will be implemented. PSA is working with the government to inform these measures and will provide members with further details as soon as they are available.

 

COVID-19 economic stimulus package

 

Business measures announced, including grants of up to $25,000 with a minimum payment of $2,000 for small and medium businesses that employ staff with an annual turnover of up to $50 million to support community pharmacies during the pandemic.

 

I know that many of you are concerned about the medicines supply chain, and on the background of current problems with medicines shortages, whether COVID-19 will exacerbate the situation. We are working closely with TGA’s Medicine Shortages Working Party to ensure that the medicines supply chain remains robust and that patients can access the medicines they need, when they need them. I have written to the Presidents of both the AMA and the RACGP to communicate to their members that the writing of section 49 prescriptions (known as regulation 24 prescriptions) has the potential to disrupt the supply chain and could mean that some patients have a disproportionate supply of medicines.

 

We are also working closely with the Pharmacy Guild of Australia to ensure that continued dispensing arrangements can apply across Australia for medicines for chronic conditions, and that there is an opportunity to provide alternate supplies of medicines should medicines shortages be exacerbated by COVID-19.

 

PSA will continue to monitor this dynamic situation and I will write to you each Friday to keep you informed. Additionally PSA will use our communication channels – including our dedicated COVID-19 website and social media – to provide you with the most current and up-to-date information.

 

If you have questions or require support in your role supporting the community, please contact us via 1300 369 772 or policy@psa.org.au.

 

Yours sincerely,

Associate Professor Chris Freeman

National President

National President’s Message:
 COVID-19 Update

11 March 2020

 

As the COVID-19 situation unfolds, I would like to commend you and your fellow pharmacists for the mature way our profession has been tackling this health crisis. The Minister for Health, Greg Hunt, has asked that we pass on his thanks and has stated “I would like to thank all pharmacists as frontline health professionals and the role you are playing in assisting patients in the early phases of COVID-19 pandemic response”.

 

A number of PSA members have raised with me their struggles in accessing the right information about COVID-19. PSA has collated the latest available resources on our website and this is available here. This information will be updated on a regular basis, and I intend to write to you as members on a weekly basis with a summary of the developments on COVID-19.

 

I know that members are concerned about COVID-19 and at this stage the best way to access the most up to date information about COVID-19, including symptoms is through the Department of Health COVID-19 webpage. The Department of Health has also developed a comprehensive list of resources, including information in assessing people who have recently travelled internationally. These resources have been translated into a number of languages. This information is available here.

 

Access to Personal Protective Equipment (PPE) is of the utmost priority and will only become more important over the coming weeks. I urge you all to contact your Primary Health Networks to request an adequate supply of PPE, to protect yourself, your colleagues and your patients. If you are having difficulties accessing PPE from any PHNs, please let me or your state branch office of PSA know of the difficulties, and we will follow this up on your behalf. There are restrictions regarding the use of these PPE and information about their intended use is available here.

 

Last week, I attended the primary care and aged care preparedness forums which discussed the COVID-19 outbreak and the next steps in Australia’s response. There are likely to be significant changes in how patients can access healthcare in the coming weeks and months and we will keep you informed of these changes. The challenges facing rural and remote Australia, Aboriginal and Torres Strait communities, and our aged care sector is of high priority. PSA highlighted the issues of availability of PPE stock, stockpiling of medicines, and the need for continuation of emergency dispensing of chronic disease medicines.

 

Announced today as part of the Government’s response to COVID-19 is a $2.4 billion health package including the establishment of telehealth items for GPs and the establishment of fever clinics in states and territories. The Commonwealth has also announced two specific measures related to pharmacists. The implementation of electronic prescriptions will be expedited over the short-term and a payment to community pharmacy for medicine home delivery will be applied for patients impacted by COVID-19. We will keep you informed as more details of these measures are worked through with the Department of Health.

 

I know many of you have raised concerns about requests from patients for multiple repeats of medicines, and regulation 49 prescriptions (previously regulation 24) which could result in inappropriate medicines stockpiling and possibly medicine shortages, if this behaviour continues. PSA has today participated in a Medicine Shortages Working Party meeting with the TGA and other key stakeholders in the medicine supply chain. We have heard the concerns of members and PSA wants to reassure pharmacists that we are actively working with National Pharmaceutical Services Association and the Pharmacy Guild of Australia to keep members up-to-date on the current supply situation. Pharmacists are encouraged to reassure patients that there is no need to panic and everything is being done to ensure medicines are available.

 

I encourage you to bookmark our dedicated webpage to keep you updated on the latest information and advice on COVID-19. This webpage can be accessed here and will be updated frequently. PSA will also keep members informed on our PSA and Early Career Pharmacist Facebook pages.

 

I encourage you to highlight any issues on the ground with the COVID-19 pandemic planning, and members should feel free to communicate with PSA at policy@psa.org.au.

 

Yours sincerely,

Associate Professor Chris Freeman

National President

My Health Record Guidelines

PSA, in partnership with the Australian Digital Health Agency, has developed Digital Health Guidelines that incorporate guidelines for pharmacists when utilising  My Health Record. These guidelines are designed to support meaningful clinical use of the My Health Record system.

 

The My Health Record provides a picture of an individual’s health information, supporting timely access to important clinical documents and Medicare information by patients and their treating healthcare providers.

 

PSA gratefully acknowledges the Australian Digital Health Agency for providing funding for this project.

 

Absence from Work Guidelines & certificate templates

Access PSA’s Absence from Work Guidelines and Resources here

Prescription Medicine Safety: Managing risk, driving and constructive conversations

Delivered by experts in the area of Alcohol and Drug misuse and treatment, including:
Dr Kylie Bailey – Senior Clinical Psychologist, Service Manager, Drug & Alcohol and Aged Care, Hunter Primary Care

Kylie is a senior clinical psychologist and has conducted research on young people and alcohol misuse, and investigated treatment responses to psychosocial interventions for adults who have co-existing depression, alcohol misuse and posttraumatic stress symptoms. Kylie is also a Senior Lecturer at the University of Newcastle. She graduated from the University of Newcastle with a PhD (Psychiatry,) a Bachelor of Arts (Psychology) and a Master of Psychology (Clinical).

Dr Tony Gill – Senior Staff Specialist, St Vincent’s Drug & Alcohol Service; Chief Addiction Medicine Specialist, NSW Health

Tony is a Senior Staff Specialist with the St Vincent’s Drug and Alcohol Service. Tony is the Medical Director of the Central Coast Drug and Alcohol Service and Conjoint Lecturer at the University of NSW and Newcastle University, as well as Chief Addiction Medicine Specialist at the Ministry of Health, NSW. Tony has previously worked for many years in an advisory capacity for Government, providing expert clinical advice as Clinical Director of the former Drug Programs Bureau in the Ministry of Health.

Associate Professor Suzanne Nielsen – Deputy Director, Monash Addiction Research Centre, Melbourne; NHMRC Career Development Fellow.

Suzanne has published over 110 scientific publications and given over 150 national and international conference presentations. Her research has led to a greater understanding of how to identify and respond to prescription and over-the-counter drug-related problems. She has informed legislative change in Australia to reduce pharmaceutical drug harm (e.g. rescheduling of codeine and alprazolam), expanded overdose prevention with naloxone in primary care settings, and informed clinical guidelines on the use of opioid agonist treatment for prescribed opioids dependence. Her current research focuses on understanding how to improve identification of prescribed opioid use disorder, with the aim of reducing risks relating to prescribed opioid use through evidence based treatment and prevention.

 

 

Medication safety, including fitness to drive

Online module – free for all pharmacists

2 hours

This content is available for all pharmacists as free online modules or through combined online module & face-to-face delivery. Click the links below for more information or to register.

Prescription Medicines Safety Program Session 1

Prescription Medicines, Fitness to Drive and Constructive Conversations

Prescription Medicines Safety Program Session 2

Could Naloxone be an option? – Multiple medicines case studies

Prescription Medicines Safety Program Session 3

Opioid replacement Therapy and Complex Case Study

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My Health Record Workshop presenter – Samantha Bowen

Samantha Bowen, B.Pharm, AACPA MSHP, is a Clinical Pharmacist working in the Private Hospital sector. She is also an Accredited Pharmacist, conducting both HMRs and RMMRs in the Nepean Blue Mountains region. Prior to this she  worked in community pharmacy for 8 years. Samantha first became involved with My Health Record in 2016 during one of two opt-out trials.

 

She was then recruited by the Digital Health agency as a Pharmacist Digital Health Leader; a network which aims to increase the awareness and promote usability of My Health Record among fellow Pharmacists. Samantha has been involved in facilitating the uptake of My Health Record since this time.

 

 

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