August 2018

in this month's edition:

  • Integrated Community Pharmacy Services Agreement
  • PSA Conference
  • Auckland University Research Study
  • Pharmac - Rivaroxaban
  • College courses
  • Intern Training Days

Integrated Community Pharmacy Services Agreement

The following announcement comes from TAS regarding the integrated community pharmacy services agreement:

Kia ora national pharmacy, health and consumer groups

We are delighted to announce the new contract for pharmacy services, the Integrated Community Pharmacy Services Agreement, supported by pharmacy sector representatives and due to come into effect on 1 October 2018. The new contract has changed considerably from the contract proposed during consultation earlier this year, and reflects the feedback received. A sincere thank you to everyone who contributed their thoughts on the DHB's proposal on how to take the next steps to deliver on the Pharmacy Action Plan .

The contract is the outcome of discussions over recent months with sector representatives and other bodies including community pharmacy groups, consumer representatives, the Pharmaceutical Society and the Pharmacy Council. It is a key step in enabling delivery of the Pharmacy Action Plan, and the government’s desire for health services to be delivered closer to home, and to reduce inequity by providing additional support to the most vulnerable populations.

Maintaining access to pharmacy services is critically important, and DHB's recognise the ability of community pharmacy to advance national health objectives is dependent on its sustainability. DHB's expect to increase their spend on community pharmacy by more than $20 million in the first year of this contract, including volume growth, new payments and new local services.

Key changes since consultation, at a glance:

  • The name of the contract specifically refers to community pharmacy, and only licensed pharmacy owners will be able to sign this contract.
  • Dispensing and advisory services, and the funding for them, have been put back together in one Schedule. An agreed process for any future changes to this approach is clearly set out in the contract.
  • Everyone who signs the contract will get an Additional Professional Advisory Services Payment, to recognise the value DHB's place on advisory services that are not connected to a dispensing.
  • Processes have been clearly defined for national annual review of the contract and for local commissioning.

If you are interested in learning more about the new contract, you can find more information here including the new contract, a more detailed explanation of the changes to the contract since consultation, an explanation of the funding for the new contract, and an FAQ.

We welcome your future involvement in the development of new local services. If you have any questions, please don’t hesitate to get in touch with us.

Ngā mihi

Dr Kevin Snee
Lead Pharmacy Chief Executive 20-DHB's
Chief Executive, Hawke’s Bay District Health Board

Carolyn Gullery
Lead Pharmacy General Manager 20-DHB's
Executive Director, Planning, Funding & Decision Support, Canterbury and West Coast District Health Boards

PSA conference 27 - 29 July 2018 SYDNEY

PSNZ President Graeme Smith and FIP ( Fédération Internationale Pharmaceutique ) CEO Dr Catherine Duggan at PSA (Pharmaceutical Society Australia) Conference

Dr Catherine Duggan was the international keynote speaker and participated in a number of hot topic panel sessions. Catherine is CEO of FIP based in the Hague. Prior to this appointment Catherine was the Director of Professional Development at the Royal Society of Great Britain. Catherine has worked in community, primary care, hospital and academia. Her career provided inspiration for the NZ ECP’s.

Professional meetings and learning at PSA Conference

Society Branches funded a number of Early Career Pharmacists to the Pharmaceutical Society Australia conference in July. NZ and Australian ECP’s spent time exchanging views and learning from each others experiences.

“We came away with ideas and opportunities for our professional roles back in NZ.”

“The conference was invigorating and showed such a positive and exciting future for us.”

Society CEO, Practice and Policy Manager and the Education and Training Manager had meetings with Australian counterparts, sharing learning products and policy approaches. Organisational change and growth in supporting structures and services for a profession on the move , was discussed, along with leadership and management training.

The evolution of practice across healthcare settings; digital disruption; innovation; voluntary assisted dying in Victoria; clinical decisions around biologics and biosimilars, were some of the many popular sessions for the 1,000 attendees.

auckland university research study

New zealand (NZ) Community pharmacist-based support for people with long term health conditions focussing on diabetes: pharmacists' perspective

The aim of this study is to assess the attitudes and confidence of community pharmacists currently practising in New Zealand when providing care for patients with type 2 diabetes, and to explore their job satisfaction.

This project is one of the two P410 projects being offered in 2018 looking at aspects of this issue from the perspectives of two stakeholder groups: community pharmacists and consumers. The projects are part of an international study addressing these issues in seven developed countries. The study will explore the views and practices of community pharmacists in New Zealand relating to chronic disease management, in particular type 2 diabetes.

The authors aim to draw comparisons with studies done overseas to find aspects in which New Zealand pharmacists are doing well in but also where improvements are needed.

This survey is expected to take 10 minutes to complete and is anonymous.

To help us with this work and complete the questionnaire please click on the following link:

Pharmac - rivaroxaban is funded from 1 august 2018

From 1 August 2018 Rivaroxaban (in 10 mg, 15 mg and 20 mg) will be funded with no Special Authority. Note: the 10 mg tablet will have a restriction limiting the dose to one tablet per day.

PHARMAC have worked with their partners to develop resources for health care professionals and consumers to learn about the safe and appropriate use of rivaroxaban. They include:

The HealthNavigator website have also produced consumer information on Rivaroxaban, including a downloadable leaflet, which may be useful in discussions with consumers.

college courses

a changing treatment landscape?

Current use of biologics in Rheumatology, Gastroenterology and Dermatology Programme

Biologics, also known as biologic therapies or biologic response modifiers have become an important part of modern healthcare. These drugs are derived from living material and interfere with specific parts of the body’s immune system. Patients with severe immune-mediated inflammatory disease, e.g. rheumatoid arthritis, Crohn’s disease or psoriasis, often respond well and relatively quickly to treatment with biologic medicines.

Join this 9 week programme to learn about the development of biologics, efficacy, common adverse effects, monitoring, when these agents would be initiated and more!

This programme will be presented by Dr Rebecca Grainger (rheumatologist), Dr Stephen Inns (gastroenterologist) and Dr Gerhard Eichoff (dermatologist) who will focus on the use of biologics in their specialty and cover practical considerations such as specific monitoring, commonly co-prescribed medicines and funding.

Remember this training can be part of your Group 3 learning goal on biologic therapies!

Look out for enrolment details coming soon!

Upcoming webinar: how dense are you? how to assess and treat osteoporosis - tuesday 21 august 2018 7.30pm

Presented by: Dr Anna Fenton

Worldwide, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds. Pharmacists can play a key role in educating patients about the management of osteoporosis to help reduce the risk of fractures.

Join this live webinar presented by Dr Anna Fenton to learn about the importance of osteoporosis as a medical problem, the risk and benefits of osteoporosis therapies, particularly the bisphosphonate, and techniques for measuring bone density.

Click here for further details and to enrol.

World breastfeeding week

World Breastfeeding Week is celebrated every year from 1 to 7 August to encourage breastfeeding and improve the health of babies around the world.

Pharmacists play an important role advising about the safe use of medicines during breastfeeding. To ensure your knowledge is up to date, see the ON DEMAND courses available below.

available on demand

psychotropic medication use in pregnancy and breastfeeding

Did you know that 25% of women suffer from depression either during or after pregnancy? It is highly likely you will see antidepressants and other psychotropic medications being prescribed for your pregnant and breastfeeding patients.

Enrol in this course to learn about assessing the safety and risks of various psychotropic medication use in pregnancy and breastfeeding, including antidepressants, antipsychotics, anti-epileptics and benzodiazepines.

Successfully complete the associated assessment to obtain 4 Group 2 ENHANCE points. Click here for further details and to enrol.

medications and breastfeeding

Literature shows that over 90% of breastfeeding women take at least one medication at some point whilst they are breastfeeding.

With this in mind, it is important for pharmacists to be able to confidently advise patients whether a medication is safe to use during breastfeeding.

Join this course to learn about the principles of drug transfer into breast milk and factors affecting infant exposure, counselling skills on the safety of taking drugs during breastfeeding and how to resolve conflicting information from different breastfeeding resources.

Click here for further details and to enrol.

intern training days

The EVOLVE team are currently travelling around the country for August Training Days. This is the second set of face to face training of the year, with each intern attending 3 days in Auckland, Wellington or Christchurch.

At August Training Days interns learn about pharmacist only medicines; medication devices and how to counsel patients about them; medicine information queries; paediatrics; wound care; diabetes; mental health; quality improvement and dispensing errors; and law & ethics. Interns also have the opportunity to have a one on one meeting with an EVOLVE team member to discuss their personal progress and goals for the year.

EVOLVE is grateful for the support of expert pharmacists who come and share their knowledge at the various sessions. Interns comment on how valuable it is to hear from specialists in their fields and how training days open their eyes to the different roles pharmacists have. Interns leave Training Days with a renewed enthusiasm for the profession and the remainder of their journey towards registration as pharmacists.