The Pharmacy Show newspaper, July Issue

Launching Pharmacy Show Chat & Community Sites

2013 Exhibition Floor Plan

SEE PAGE 6

Latest Exhibitor News

SEE PAGES 8 & 9

www.thepharmacyshow.co.uk

SEE PAGE 13

@pharmacyshow

July 2013

IS PHARMACY FIT FOR A FUTURE IN THE NEW NHS?

Bad Pharmacy: An example

Improving public health and reducing medicines waste are themes that are set to dominate conversations about the NHS during 2013 and beyond, but as the NHS struggles to pay for any new services, questions will be asked whether pharmacy represents the cost effective solution that NHS commissioners need?

To find out the answer to these fundamental questions for the profession’s future, visit this year’s Pharmacy Show, scheduled to take place on Sunday 29th - Monday 30th September, 2013, at the National Exhibition Centre (NEC), Birmingham.

Seismic challenges

In a service-driven era where outcomes and competitive tendering lie at its heart, the gloves are effectively off, and through the Any Qualified Provider model, pharmacy must stand up and be counted, and compared, with the very best providers healthcare services in the market today.

So, is it any wonder that when pharmacies are exposed by the likes of consumer watchdog Which? for substandard service, that their critics – and competitors - start asking questions about the apparent ‘disconnect’ between the level of service pharmacy tells the NHS it can provide to patients, and the levels of service it actually provides?

When people question whether medicines optimisation is a fad, and the sceptics carp that medicines optimisation is just medicines management ‘rebadged’, should pharmacy really

Source: The King’s Fund

The latest changes to the NHS in England are seismic in comparison to all previous re-modellings of the health system.

The most important change is the emergence of a new breed of commissioner with attitudes that are as rich in electoral accountability as they are poor in knowledge, understanding and sympathy with any previous perceptions of professional healthcare boundaries.

be shouting about the provisional findings of the New Medicine Service, which show that over eight in ten NMS medicines attracting an NMS service fee were already being taken as prescribed? If, as the dispensing doctors say, around 17 NMS patient consultations need to be done for one medicine to become adherent - at a cost of between £350.80- £491.12 to a cash-strapped NHS - why shouldn’t pharmacy be asked to stand up and defend its value for money service proposition?

Equally, debatable are the recent findings of the Healthy Continued on page 3

The Pharmacy Show: For Winners The Pharmacy Show was recently shortlisted by Exhibition News Magazine for Best Trade Show 2013, and with over 200 nominations received, this alone demonstrated how the show is held in high regard by exhibition peers as well as the pharmaceutical industry.

We are absolutely delighted to announce on the night of the awards ceremony (10th April 2013), a panel of judges announced The Pharmacy Show as WINNERS. This is a huge achievement and testament to all the hard work and effort put in by the team to ensure The Pharmacy Show remains the UK’s most attended and important education and sourcing event in the community pharmacy industry.

The judges commented “The Best Trade Show category was the most hotly contested of all categories at this year’s Exhibition News Awards.”

Continued on page 2

Supported by

Recently, I needed to go and buy some medicines. So, on my way into work, I popped into the nearest pharmacy to my route into work: a branch of a very large chain of chemists. I bought Piriton and Co-codamol.

This turned out to be a particularly disappointing example of a very lackadaisical, dangerous attitude to OTC sales.

And this comes merely a few weeks after publication of the latest Which? report into pharmacy, and about a week after pharmacy was referred to, by Ben Goldacre and Andy Lewis no less, as a “quack profession”.

Now, I’m demonstrably not a parent, but you know when a child is told off for doing something naughty? The usual response is it stops doing the naughty thing, and is extra well-behaved for a while until the original offending behaviour is forgotten about. Then it starts being naughty again.

On second thoughts, I know some adults to whom the same applies. The pharmacy profession as a whole should be in that well-behaved phase right now. We should be pulling together, and ensuring that everyone involved - including counter staff- pulls up their collective socks, shakes off bad habits, and works to the highest quality – not simply to prove a point, but because this is how we should operate all the time.

So back to the pharmacy, I shuffled in and asked for “Some Piriton and some co-codamol”. The lady who served me appeared to be an experienced member of the pharmacy counter-staff. Here’s how the conversation went: Counter assistant: “Do you want a pack of 30 or 60 Piriton?

Me: 30 Her: And you wanted paracetamol?

Me: No, co-codamol.

Her: Soluble?

Continued on page 2

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Continued from page 1 Me: No. Her: have you got a loyalty card?

Me: No Her: that’ll be £5.34 Me: [pays and leaves] Here is how the conversation should have gone, at a bare minimum: Counter assistant: Do you want a pack of 30 or 60 Piriton?

Me: 30 Her: We’ve got a cheaper generic version, if you want that?

Me: Lovely, yes please Her: These can cause drowsiness, mind, so make sure you don’t drive or anything when you’ve taken them Me: Okay, I won’t.

Her: And you said you wanted co-codamol?

Me: Yes. Her: Soluble or tablets?

Me: Just tablets is fine Her: Have you used these before? Do you take them regularly?

Me: No, just when I have a headache now and again.

Her: Because of the codeine content, they should be used for no more than 3 days at a time. If you feel you still need to use them after that, see your doctor. They also contain paracetamol, so make sure you don’t take any other paracetamol products with them - and no more than 8 tablets in a day.

Me: Okay Her: Do you take any other medication at all?

Me: No, just the contraceptive pill Her: Have you got a loyalty card?

Me: No Her: That’ll be £5.34 Me: [Pays and leaves] That extra counselling would have taken an extra 20 seconds, which might have seemed like a minor inconvenience to me. But let’s have a look at the theoretical consequences of this conversation not taking place: Piriton: Causes drowsiness. I take one, get in my car, fall asleep at the wheel, and have an accident.

Co-codamol: I don’t realise it contains paracetamol and take 2 co-codamol tablets and 2 paracetamol tablets four times a day for a while. I get liver failure, and die a slow, painful, unpleasant death because a suitable liver isn’t available for transplant.

Also: I take co-codamol regularly for a week. I then try to stop taking co-codamol, and start getting headaches, and generally feeling awful, so I restart taking it. I am now dependent on the codeine.

Yes, I am a pharmacist, so I already know the potential risks and consequences of taking these drugs. But I wasn’t wearing an “I’m a pharmacist” T-shirt that morning, so it’s not like the counter assistant knew this.

Simply because I asked for the products by name does not necessarily mean that I know all about them and do not require full counselling on how to use them appropriately.

And yes, I do also know that there is no good evidence that co-codamol is more effective than paracetamol alone, and I know I’m daft to be buying them, before anyone starts with the “aren’t you supposed to be a skeptical pharmacist?” Sometimes even skeptical pharmacists like to utilise the placebo effect that the promise of a tiny opioid hit provides.

www.thepharmacyshow.co.uk

Pharmacy and commissioning – we MUST win the argument

Pharmacy Show debates to signpost the future

Most of us have grown up in the security of the NHS. From birth in an NHS hospital through childhood illnesses, broken bones and operations, we have been comforted by the institution that is free at the point of use and does not discriminate.

There are no easy answers to these questions, but solutions lie in networking and practice-sharing, and taking the best of the advice and help that are on offer. And, this year’s Pharmacy Show gives the pharmacy community the opportunity to do just this.

services at local hospitals, rather than expecting patients to travel. It is also a better financial model for trusts who want to prevent more of the funds heading to the door of the specialist centre.

In all of these cases the solution to the problems should start with pharmacy and primary care. More people need should and could be treated in the community.

We all know family and friends whose lives have been saved or transformed by the care and treatment of NHS staff. As a mother, I know where the local hospital, doctor and pharmacist are located so that I can access them when I or my family need them. As a new mum, I used NHS Direct to reassure myself about the baby’s latest ailment, secure in the knowledge that it was a trained nurse answering my questions, referring me to A and E when they shared my worries.

But that security and comfort is being undermined. Over the last few weeks we have heard countless stories in the national media about pressures on the NHS. The introduction of NHS 111 has been fraught with difficulties as it has replaced trained medical staff at NHS direct with call centre staff relying upon scripts and algorithms. Already deaths have been blamed on administrative errors as the system struggled to cope with calls and trying to get ambulances out to those who needed emergency care.

At the same time, health commentators are predicting that we are a matter of months from a meltdown in A and E as hospitals struggle to cope with demand. Too often they see patients who frankly should not be there, but simply do not know where else to go during weekends or out of hours. Coupled with this, many of the NHS walk-in centres have been closed as funding is reduced and the new clinical commissioning groups reevaluate their budgets and what they can do with them.

As the stories grow about the poor response and service being given to some through NHS 111, it creates more insecurity and people will not rely on them turning automatically to their local A and E, adding a further burden on an already over-stretched service.

So the perfect storm is brewing in healthcare, undermining all our instincts that tell us we can rely on the NHS. Where is community pharmacy in all of this? Sadly, not where it should be.

There are too many patients needing EHC who still attend A and E when instead they should be going to their local pharmacy. There are still too many patients that run out of medicines and think they can get them at the hospital, when they should be seeing their pharmacist. Too many have minor ailments but when out of hours and the GP surgery is closed, believe their only choice is to go to A and E, when they should be seeing their pharmacist.

This is just the tip of the iceberg. Yet, they are the type of cases where pharmacy should be the first port of call.

Any of these theoretical problems can- and do - happen to people. We simply cannot go on providing such poor service over the counter and yet at the same time expect our profession to be taken seriously. This is not safe selling of medicines - this is irresponsible and dangerous, and unacceptable. It makes me pretty angry because it not only gives me a bad name, and all the other great, conscientious pharmacists I know, but more importantly because it endangers patients on a minute-by-minute basis.

A Health Dose of Skepticism – a sceptical pharamcist’s blog (http://healthydoseofskepticism.blogspot.co.uk/)

Living Pharmacy pathfinder programme. When HLPs in some service areas are found to deliver worse outcomes than their non-HLP equivalents(from the recent evaluation report), and where the implementation of the HLP in an area is shown to reduce the area’s service outcome, does this really prove the case for pharmacy and the HLP model as the best mechanism for delivering public health services and meeting the escalating public health challenges facing the NHS today?

By Claire Ward, Chief Executive, The Independent Pharmacy Federation

Community pharmacy should be the answer to the question being posed by commissioners up and down the country ‘what are we going to do to reduce pressures on A and E?’

Irresponsible and dangerous

Continued from page 1

OPINION

We need policy makers and commissioners to understand the role that pharmacy can play and to start thinking about the re design of services and care which integrates pharmacy at the front end. Why did ministers not consider a national network of pharmacies to deliver the minor ailments service?

Why are commissioners not pushing more ‘flu vaccinations to pharmacy, rather than patients attending GP surgeries?

We know that secondary care, which takes more than half of local health economies’ spend, needs to adjust its focus. Acute trusts are reviewing how they get more value by using primary care and social services to prevent people coming into hospital or staying there.

At the other end of the health spectrum, we know that trusts are looking at how they can provide some the tertiary or specialist

So pharmacy needs to step up its game. It needs a national campaign to promote community pharmacy to the public. This is not about individual commercial advantage. It should not be about Boots’, Lloyds or any independent pharmacy. It is more important than that. It is about the re-education of the public to understand the right place to access help. When they have coughs or colds and other minor ailments, or simply need advice, they should start with the pharmacy. If the pharmacist can’t help then he or she will be able to signpost to other options in the sector that can. Because if we can’t or won’t deliver that message right, then we will all face a bleak future. Our NHS is struggling in an environment where our demands are growing while our funding is reducing. This is surely untenable.

I want the security and peace of mind in knowing that if I, or my family, have a genuine emergency we can access the advice and care we need easily and quickly. All of these stories above chip away at that peace of mind. There are millions of people like me. The only way we can help is if we make a genuine, decisive and collectively committed effort to improve the quality and offering of community pharmacy. Next we have to ensure policy makers, commissioners and, above all, the public understand the value and role of community pharmacy.

Continued from page 1 “The judges awarded CloserStill Media for its superb efforts on The Pharmacy Show. CloserStill is doing great things with its innovative exhibition model in several industries, and in the short time since its establishment, has earned itself a reputation for identifying emerging trends and successfully turning these into events. The organiser was recognised by the judges for achieving significant growth in a targeted and potentially difficult market. CloserStill was also complimented on its hard-working Pharmacy Show team and in-depth knowledge of the pharmacy industry, which shone through its seminars and content programmes.”

With most key speakers already signed up to present at the show and over 6,500 delegates expected to attend, the Pharmacy Show offers the very best networking venue for pharmacists available today.

Improving clinical knowledge will be a key component of this year’s Pharmacy Show and the show organisers have announced that the highly successful sister-event, the Clinical Pharmacy Congress, will present a new, two-stream clinical conference. The clinical education programmes, chaired by Jonathan Jonathan Mason, will allow community pharmacists to engage and collaborate with their secondary Mason care colleagues on medicines optimisation, transfer of care. Community pharmacists will also be able to attend a series of refresher seminars on key therapeutic areas.

Interactive patient case reviews In a Pharmacy Show first, community pharmacists, and their hospital colleagues, will be able to attend interactive patient case series reviews in special sessions moderated by clinical leaders covering respiratory, cardiovascular diseases and diabetes.

With so many key issues confronting the pharmacy profession, there will plenty of opportunities for delegates to tackle the profession’s leadership and its leading entrepreneurs in a ‘Question Time’-style debate panel to address all of the big issues, such as contract funding, medicines supplies and service commissioning, confronting community pharmacy

businesses across the country. Pharmacy owners and managers will be able to quiz entrepreneurs including: Kirit Patel MBE of the Day Lewis group; Graham Phillips of the Manor Pharmacy Group; Ash Soni, Cope Pharmacy; Sultan ‘Sid’ Dajani of Wainwrights Chemists and Vijay Patel, CEO of Waymade. The panel will participate in a no-holds barred discussion Sultan ‘Sid’ on a range of topics which will allow delegates to gain a unique perspective on how the most Dajani successful pharmacy businesses are tackling the myriad of challenges and the very exciting opportunities that the changes in the healthcare landscape have presented.

Following last year’s popular and lively panel debate all the leading pharmacy organisations such as the RPS, the NPA, the PSNC, the PDA, the GPhC and the IPF will be present to debate the current live issues.

Pharmacy represents one of the largest retail channels in the UK for suppliers of medicines and healthcare products.

Research shows that 84% of all UK adults visited a pharmacy in the last 12 months – with the average number of visits in a year being 14 times.

The award-winning (see story below) Pharmacy Show will this year see the biggest ever exhibition showcasing more than 400 suppliers (see page xx for the 2013 exhibitor list) – all keen to tap into the multi-billion pound pharmacy market.

“There seems to be a tangible sense of excitement and anticipation about this year’s show. We are expecting our biggest ever attendance. This is an incredibly important time for pharmacy to define its future and to stand up and be counted,” said Pharmacy Group Show Director Matthew Butler.

“We’re working hard – with all our partners Matthew and stakeholders in the profession – to ensure Butler we deliver a show in September which will be able to signpost many of the answers the profession is seeking to ensure it retains its critical role in the frontline of delivering world-class patient care and is equipped to play its part in tackling the looming public health crisis,” Butler added. i) Comment by DDA vice-chairman Dr Allan Tennant [online] at http://www. dispensingdoctor.org/comments.php?id=2523 ii) Healthy Living Pharmacy pathfinder programme evaluation report, p33-35 [online] at: http://www.psnc.org.uk/news.php/1568/hlp_evaluation_adds_to_ evidence_for_developed_pharmacy_role

need to dispatch fragile goods such as glass bottles, lightweight packs and dispensers?

In October 2012, UK pharmacists gathered in record numbers for The Pharmacy Show - cementing its status as the UK’s most attended and important education and sourcing event, with 6,208 hospital and community pharmacy, healthcare and industry professionals attending the show has seen consistent growth year on year with unique attendance increasing by +46% in last three years.

The show featured more than 55 hours of business and clinical education delivered by an impressive line-up of speakers in six conference streams making it the UK’s largest source of live CPD. A record of 364 UK and international suppliers showcased the latest equipment, technologies and retail solutions at the event creating the largest ever Pharmacy Show exhibition. Exhibitors ranged from large, multi-national organisations to independent suppliers providing an exciting range of goods and services to meet the needs and aspirations of pharmacists.

To be part of a show that is highly recognised by both the events and pharmaceutical industry, book your stand now by calling Esther Beal on +44 (0)2476 719684 or Garry Tyson on +44 (0)207 348 4903, alternatively, you can email e.beal@closerstillmedia.com or g.tyson@ closerstillmedia.com and be a WINNER today!

The Pharmacy Show, which takes place on September 29th and 30th 2013 at the NEC (halls 6 & 7), already has over 320 exhibitors confirmed. 85% of stand space has already been booked – so don’t miss out on this massive opportunity – book your space today!

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The Pharmacy Show is organised by CloserStill Media Healthcare Limited George House, Coventry Business Park, Herald Avenue, Coventry CV5 6UB. Tel: 02476 717151 Matthew Butler, Group Event Director m.butler@closerstillmedia.com Esther Beal, Show Manager e.beal@closerstillmedia.com Garry Tyson, Senior Sales Executive g.tyson@closerstillmedia.com Lucy Pitt, Group Marketing Manager l.pitt@closerstillmedia.com Mike Hulse, Marketing Executive m.hulse@closerstillmedia.com Julia Danmeri, Head of Operations j.danmeri@closerstillmedia.com Kate Jackson, Conference & Speaker Manager k.jackson@closerstillmedia.com Laura Shapiro, Clinical Programme Manager l.shapiro@closerstillmedia.com Debbie Wilson, Credit Controller d.wilson@closerstillmedia.com Alex Slater, Event Administrator a.slater@closerstillmedia.com Michael Westcott, Managing Director m.westcott@closerstillmedia.com

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www.thepharmacyshow.co.uk

The waste of medicines in the NHS

By Mark Robinson, Medicines Management Partnership

capital investment we fought hard to reach 10.

It’s not like me to criticise those in power about their solutions to the waste of medicines in the NHS. It is not like me to suggest that they don’t fully understand the reasons. And it’s not like me to suggest that if they came to the coal face and spoke to people then they might know some of the answers. But….

There is no doubt that there is significant waste of medicines in the NHS. £300million, if you believe the York and School of Pharmacy report, but we all know that this is the tip of the iceberg and it is a little more complex than that.

I know that sometimes a prescribed medicine just doesn’t work or it has side effects that lead to discontinuation and this is the acceptable face of waste.

But sometimes medicines are prescribed too quickly before the patient is ready and there is too little support during the early phase of the patient medication experience. See my blogs on the patient medication experience and the art of prescribing (saying no quickly and yes slowly). Some patients don’t even collect their prescriptions; others do with no intention of taking the medicines in the first place. Some instinctively know that the prescriber hasn’t listened and this little pill is not the solution to their real problem.

And then there is the awful prescribing dispensing cycle that leads to the largest component of waste in the NHS. Of course a part of this is stockpiling – or the excess capital investment in medicines. When in hospital we worked to a turnover of 12 – ie we had to turnaround the total stock within the pharmacy twelve times a year. It was a struggle (and we almost reached 12 in the pharmacy), but when we looked to include all medicines throughout the hospital to reduce our

The grandees of the profession say – talk to the patients – encourage them to comply with their medicines. But I have done that and you have missed the point – yet again.

Patients tell me that they are not in charge of their medicines – they are in charge of their prescriptions – and this is not the same. Medicines come altogether, in a group, like busses – did you not know that.

Here is an example of a conversation: “I tick all the boxes and I get all the medicines”.

“But you don’t have to; you could pick and select the ones that you need” “It’s not as easy as that, don’t you understand the system – the game we play” Well here is my lesson that I am sharing. There is a prescription with six items on it. They are all intended to be prescribed for a month. But two are flexible through direction (one upwards and one downwards from the prescribed quantity), two are flexible because the patient says so and two are just right (the patient’s definition because he wants to take them ‘just right’.

They all have 6 repeats on the basis that the patient will visit the GP in six months’ time for a formal check-up.

“So some months, when I am less well I have to order the prescription a little early – I can do that without too much hassle”. “If I just order the one that I am short, then it’s a separate triple round trip for me (doctor, doctor, pharmacy) and I am out of sequence and they call me in for my check early”. OK so what happens if you don’t order the one that you don’t need? “That is also OK, but if I forget and don’t order it twice I think that they might cross it off my repeat (actually this did happen about three years ago)”.

“So I tend to order them all about every 20 days”.

So how many boxes do you have in your cupboard at home?

“Oh probably thirty to forty or so – for some I am about four or five months ahead, some I am bang on time and there are some that I will never use”. “I have about 10 boxes of stuff that was stopped at my last review that I should bring back to you.”

So I have asked the patient, found the answer and I hold my head in my hands – how can I sort this out with the system that

we have? All that I have been told is perfectly reasonable and reflected by the next patient and the next and the next.

So there you are, by my very rough calculations, the NHS has about one billion pounds of capital invested in medicines in the bathroom cupboards around the country. And some of this will be needlessly wasted.

It is so ridiculous that I don’t know whether to laugh or cry. It’s like ordering the same monthly grocery delivery without ever changing it. It’s like a supermarket ordering so much stock in that its shelves are bursting until they put it all in the bin, because nobody is buying it.

We must put the patients in charge of their medicines and not their prescriptions. We must build the system around their needs and change the archaic system that we have. Don’t expect the humble pharmacist to reduce waste when, in the main, it is the system that is to blame.

Why can’t we all sit around a table – GPs, Pharmacists, IT experts, leaders and just talk this through with a whole load of real patients – and sort the thing out the way that they want it.

Will the electronic transfer of prescriptions project be part of the solution – well perhaps – in my opinion it is currently part of the problem, but the solution is there (often over-ridden) if it develops and pushes through with much greater speed (they do know this – they are clever people – they could save the NHS £1b).

The right prescription for every pharmacy.

This year sees the 10th year anniversary since our business

Bring your pharmacy into the 21st century

moved from the Trust premises into our state-of-the-art

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manufacturing facility near to the hospital in Old Street, London.

manufacturers offering the widest portfolio of ophthalmic specials in the U.K. Our friendly Customer Services team are only a phone call away

7684 9090 (option 1)

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Abbey Pharmacy, Rotherham (UK)

We look forward to seeing you in September. In the meantime please contact our customer service team for any direct enquiries or orders.

Optimise your workflow and increase customer satisfaction – with Willach Pharmacy Solutions you can achieve both. Because the perfect organisation of your pharmacy according to the Willach Triangle Principle saves valuable working time – time you can then dedicate to your customers. Find out how you can increase turnover and profit.

Visit us from 29 to 30 September 13 at the Pharmacy Show in Birmingham, booth C21.

Visit our exhibition workshop on Sunday, 29 September 2013 at 4:45pm

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Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Moorfields Pharmaceuticals on 020 7684 9090 (option 2). *On UK mainland orders before 3.30pm

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“The Willach Triangle Principle – modern and efficient pharmacy workflow management!”

Andrew and Sally Porter used our advice to come up with a new concept which transformed their pharmacy in 2012. The results were dramatic. In this workshop Andrew shares the story of their success. Our promise: you will gain brand-new insights on how to increase your efficiency and delight your customers.

Providing eye care solutions you can trust

Your keynote speaker: Andrew Porter, pharmacist and co-owner of Abbey Pharmacy, Rotherham

Part of the Moorfields Eye Hospital NHS Foundation Trust

24/05/2013 15:38

Sunday 29th September 2013 9:45 – 10:30

Monday 30th September 2013

Chronic kidney disease refresher Paul Kendrew, MRPharmS, Principal Pharmacist Renal Services, Department of Pharmacy, Hull and East Yorkshire Hospitals NHS Trust

10:45 – 11:30 Coronary heart disease update Helen Williams, MRPharmS, PGDip(Cardiol), Ipresc, Consultant Pharmacist for Cardiovascular Disease, NHS Southwark Clinical Commissioning Group 12:00 – 12:45 Unmet need in depression: opportunities for community pharmacy John Donoghue, BSc FCMHP, Consultant Pharmacist, Medicines in Mental Health Ltd 13:15 – 14:00 Palliative care update Gwen Klepping, MRPharmS DipClinPharm MSc, Palliative Care Pharmacist, Katharine House and Sobell House Hospices Oxford Radcliffe Hospitals NHS Trust

15:45 – 16:30 Hypertension refresher Helen Williams, MRPharmS, PGDip(Cardiol), IPresc, Consultant Pharmacist for Cardiovascular Disease, NHS Southwark Clinical Commissioning Group 16:45 – 17:30 Oncology refresher Rachel Patel, MRPharmS, ClinDip, Oncology Pharmacist, Guy’s and St. Thomas’ NHS Foundation Trust

Kellogg’s can trace its origins to a philosophy that urged people to improve their health by changing their eating habits.

Today, a staggering 8 out of 10 adults and children in the UK don’t eat enough fibre, making it a common nutritional deficiency Low fibre intakes are associated with slow digestive transit and low stool weight which is often accompanied by bloating and pain in the digestive system and ultimately constipation.

A recent survey found that 44% of the UK population suffers from bloating, 37% from flatulence, 29% from sluggish digestive transit and/or constipation and 22% from cramps. Very often, these symptoms can be addressed with lifestyle advice, such as increasing fibre content in the diet.

Moorfields Pharmaceuticals is now one of the leading specials

Tel: +44(0)20

The streamlined Clinical Theatre programmed by The Clinical Pharmacy Congress team will this year provide a comprehensive clinical refresher programme covering therapy areas such oncology, coronary heart disease, hypertension, depression, alcohol dependency, asthma, COPD, dermatology and renal medicine, to name a few.

9:45 – 10:30

Dementia – what it means for pharmacy Dave Branford, PhD FRPharmS, FCMHP, Chief Pharmacist, Derbyshire Healthcare NHS Foundation NHS Trust

10:45 – 11:30 Alcohol dependence: are pharmacists missing a trick?

Sponsored by: Steve Bazire, BPharm(Hons), FRPharmS, DipPsychPharm, FCMHP, MBE, Consultant Pharmacist in Medicines Management, Norfolk and Suffolk NHS Foundation Trust

Helen Williams

John Donoghue

Dave Branford

Steve Bazire

Ben Dorward

Gwen Klepping

12:15 – 13:00 COPD update Anna Murphy, BSc. MSc. DPharm.

MRPharmS(IP), Consultant Respiratory Pharmacist, Cardio-respiratory Directorate, University Hospitals of Leicester NHS Trust 13:15 – 14:00 Anti-coagulation refresher Sotiris Antoniou, RPS, MSc, DipMgt, Consultant Pharmacist for Cardiovascular Medicine, Barts Health NHS Trust 14:30 – 15:15 Diabetes refresher Sally James, MSc. MRPharmS, Diabetes and Divisional Pharmacist for Medicine, Royal Liverpool University Hospital 15:45 – 16:30 Epilepsy update Ben Dorward, BSc DipClinPharm MRPharmS, Neuroscience Pharmacist, Sheffield Teaching Hospitals NHS Foundation Trust 16:45 – 17:30 Asthma update Anna Murphy, BSc. MSc. DPharm. MRPharmS(IP), Consultant Respiratory Pharmacist, Cardio-respiratory Directorate, University Hospitals of Leicester NHS Trust

Improve health by changing eating habits A hospital pharmacist’s story

Pharmacy Solutions

Celebrating our 10th year of Ophthalmic Specials

Clinical Theatre

14:30 – 15:15 Dermatology refresher Aini Alcock, MRPharmS, DipClinPharm (Comm.), Lead Clinical Pharmacist in Dermatology and Rheumatology, Sheffield Teaching Hospitals Foundation Trust Mark is a pharmacist with extensive experience within the NHS. Mark has worked within the hospital sector, through clinical pharmacist up to chief pharmacist and spent some time as a business manager. Mark has also worked within general practice, a commissioning pilot and across 3 PCGs which merged to form a single PCT. Mark currently works on a consultancy basis delivering services for the NHS and healthcare sectors.

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Wheat bran in the Kellogg’s All-Bran range is a superior fibre that can reverse the consequences of poor intakes by: • increasing stool weight, • reducing intestinal transit time, • reducing symptoms of digestive discomfort associated with irregularity,

thereby helping to provide natural relief from digestive discomfort within as little as 5 days.

Join us for a seminar at the OTC Academy on Sunday 29th September at 11:00, to gain access to a free CPDaccredited online training module for you and your colleagues.

Key learning points from the seminar: • Fibre deficiency & digestive health symptoms are very common - how are they related?

• Wheat bran: the most effective fibre source for reducing transit time and increasing stool bulk • Kellogg’s All-Bran range: a natural and cost effective alternative to laxatives for alleviating and preventing the symptoms of constipation and digestive discomfort – the clinical evidence Please join the Kellogg’s Nutrition Health Care Professional Community at www.kelloggsnutrition.com, where you’ll be able to access: • Kellogg’s Nutrition resources • New research findings • Nutrition news and insights • Educational materials and more…

VISIT US AT STAND B43

Novartis Consumer Health Exhibiting at The Pharmacy Show 2013 Novartis Consumer Health is proud to announce that it is exhibiting at the 2013 Pharmacy Show, which will mark the first appearance for the company at the annual event. Attendees can visit our booth (stand number B40), where we will be running activities and will have specialists on hand to discuss the causes, impact and treatment of body pain, such as backache, neck ache, and muscle and joint pains. Visitors to the booth will also be able to find out about a new topical formulation from Voltarol®.

Pain affects everyone at some point in their life and so is an area of huge importance to our patients and customers.

The UK has an ageing population1, and this group is more likely to experience increased occurrences of episodic pain2.

Pain can significantly impact quality of life and can disrupt a number of activities, including: work; concentration; sleep; hobbies; and sports and recreation2.

Novartis Consumer Health representatives will be happy to answer any questions attendees may have regarding pain and our range of available pain relief treatments.

When patients with unmet medical needs run out of options, they rely on companies like Idis to secure the drug they need. Whether it’s still in development, unlicensed in their country, discontinued, or experiencing supply disruptions, with the right knowledge and experience access can usually be created for that patient.

Many unlicensed medicines are routinely procured in the UK, but it was a supply problem that hospital pharmacist Dee was facing in the United States. Although America spends more on healthcare than any other nation and is at the forefront of medical innovation, drug shortages are more common there than you might think.

Dee has to do everything she can to resolve these sorts of problems for her patients. After going through the trauma of being diagnosed, the last thing you want to hear is that you may have to stop your treatment because of a supply problem. Patients rely on the hospital pharmacy to help them continue their fight, so it’s imperative that it has the drugs it needs.

When an oncology drug for acute myeloid-like leukemia was recalled, Dee turned to Idis for help. They’re experts in navigating country-specific regulations needed to safely create access to drugs on a named patient basis. In Dee’s case, they not only tracked down a source of the drug she needed in Switzerland (where there were no supply issues), but efficiently worked through the legal requirements to bring it through the border system and into the US. It’s that level of expertise that can literally make the difference between life and death, helping pharmacists like Dee provide her patients with the medicine they need to carry on.

References 1. ONS. Population ageing: Statistics, 2012 2. Novartis Consumer Health. OnePoll Pain Survey 2008

See more stories and other scenarios in which Idis brings hope to patients across the globe at ididthis.idispharma.com

VISIT US AT STAND B40

VISIT US AT STAND F74

www.thepharmacyshow.co.uk

Why does it take so long to slap a label on a box?

By mrdispenser

www.thepharmacyshow.co.uk

The Pharmacy Show launches Pharmacy Show Community and #PSchat

1: Patients walks in and leaves the door open on a

cold day

to raise questions, respond and debate key issues in realtime, before moving on to Pharmacy Forum where a more lengthy debate can take place.

2: assistant puts down her Take-a-Break mag and

looks up 3: patient hands assistant the prescription 4: assistant makes small talk and complains she has

no money 5: asks if patients pays or is exempt 6: takes a charge off the patient 7: assistant tells patient all about her last holiday

which was a cruise 8: assistant brings script into dispensary

The Pharmacy Show has recently launched The Pharmacy Show Community which aims to give everyone involved in pharmacy, whether operating in a community, secondary or primary care environment, a place to access a variety of independent news sources, to share ideas, discuss pressing issues, debate hot topics or simply collaborate with each other for the good of pharmacy, 365 days of the year. For

Lucy Pitt, Event Marketing Manager, said: “We are very pleased to have partnered with Pharmacy Forum. As the UK’s largest online gathering of community pharmacists, we are always looking for ways to enable collaboration in the pharmaceutical industry and partnering with Pharmacy Forum was a natural progression.”

Lucy Pitt

9: script falls on the floor

The First Pharmacy Show Chat June 19th 2013 saw the First Pharmacy Show Chat take place, ably facilitated by Fin McCaul, Chairman of the Independent Pharmacy Federation (IPF). The chat followed a number of questions posed to the eager participants:

By Mark Robinson Q1. How does community pharmacy overcome the challenge to prepare and deliver a local agenda There seemed to be a consensus that some innovators and adopters have already made some progress, but the greatest challenge might be in bringing the majority on board.

Several comments seem to agree that community pharmacy was a diverse group and in some ways an isolated group with a real need to work closer together. There seemed to be a hope that the LPN might fill some of this role.

I was particularly interested in the comments about paperwork, which was followed up by comments on bureaucracy and red tape. There was a feeling that this might get worse, with localisation that the Area Teams should work to improve.

10: dispenser can’t pick it up due to her nails Q2. How does pharmacy become a proactive profession? Can it, is it, what is needed?

11: pharmacist picks it up 12: places it in basket or clip to indicate waiting 13: tech scans the prescription

There was a general view that Community Pharmacy lacked political clout. I am not sure that I agree that it is ‘lost’, but would agree with many that suggest it needs to formulate a more coherent position, be more connected and get its voice heard. There was the usual discussion about rates, but an interesting question from the main man as to how we put more value in patient outcomes (pharmacy delivered) and drive the market value back up? An interesting addition from James was that pharmacy should stop whinging and leaders should start leading and that it will change with effort.

14: ETP not working 15: labels it manually 16: checks if its NCSO 17: broken bulk 18: eligible for NMS 19: due for MUR 20: proscript flags up that it is eligible for NMS 21: try to print out consent form 22: no paper in printer 23: paper reloaded 24: labels generated 25: labels run out half way 26: labels replaced 27: endorser not working 28: product dispensed 29: hand to pharmacist 30: checks for signature 31: in date 32: clinically appropriate 33: not blacklisted 34: wrong formulation dispensed

further details, visit The Pharmacy Show Community website www.pharmacyshowcommunity.co.uk.

Alongside The Pharmacy Show Community, The Pharmacy Show has announced a partnership with Pharmacy Forum, a platform enabling discussions of all things regarding pharmacy. Pharmacy Forum will host The Pharmacy Show Chat (#PSchat) Channel with a mission to of connecting people who are working in, studying for, or are simply interested in the field of pharmacy. Pharmacy Forum membership is completely free, as long as members keep on topic and choose the relevant sections of the forum to make posts.

The Pharmacy Show Chat Channel allows participants to continue on-going debate and information sharing. #PSchat hosts bi-weekly live Twitter chats led by a panel of industry experts and covers current issues in pharmacy including Commissioning Services, Self-selection of P Medicines and Medicines Shortages. Each chat is focussed around one particular subject and allows everyone involved in pharmacy

7

Fin McCaul Q3. What are the challenges for community pharmacy in relation to spending time with patients to enable the safe use of medicines I was concerned about the comments about workload, stress and exhaustion, but delighted about the passion for patients that was expressed. There was a fascinating question posed

by Dr Chris Green – would a move away from being paid for the number of dispensed items be enabling or a nail in the coffin?

There were several comments about the current pharmacy contract and the lack of alignment with the GP contract and I would say that somewhat mixed views on the delivery of joint working between GPs and community pharmacists.

Jonathan did, however, remind us that NHS England have the ability to make these contracts interdependent and that some of the representative bodies like the NAPC recognise the role of pharmacy and ‘get’ the benefits of joint working.

What do patients want? Some felt that patients wanted a McDonalds type pharmacy – fast and anonymous. Public awareness seems to be a significant problem, particularly when we felt that community pharmacy USPs were position within communities and patient relationships.

I think that Fin’s summary was particularly pertinent – lots of engagement and discussion and not enough time.

Pharmacists are all really passionate for the future that we all need to harness. For me – I just hope that we are not here in 5 years’ time discussing the same problems and the same aspiration.

To take part in the next live Twitter chat, log on to twitter and follow @pharmacyshow or go to www.pharmacyshowchat.co.uk

To take part in the next live Twitter chat, log on to twitter and follow @pharmacyshow or go to the Pharmacy Show Chat website www.pharmacyshowchat.co.uk

Looking for legal specialists in retail pharmacy?

Where you will be kept up to date with when, what time and which industry expert and recognised champions of pharmacy will be on hand to host relevant sessions and answer pre-submitted questions as well as join in with the comments from the night.

35: sent back for amending

41: pharmacist hand endorses script 42: patient has a hard to pronounce name 43: pharmacist ponders whether the forename or

surname is easiest to pronounce 44: pharmacist turns over script and sees that patient

has paid for the prescription 45: shouts out patients name 46: patient comes to counter 47: pharmacist tells patient that their 28 disp aspirin

75mg is cheaper to buy 48: patient is refunded and buys 100 x aspirin

75mg disp 49: pharmacist secretly upset at losing NMS 50: patient leaves

An oil found in New Zealand mussels could free millions of osteoarthritis sufferers from the constant, sometimes crippling pain of their condition, according to new research.

A team from the Clinic of Rheumatology and Internal Medicine in Poland found that the oil, called PCSO524, reduced arthritis-related pain by 89%, with 91% of participants reporting an improved quality of life. The oil is the active ingredient in Lyprinol.

The study also found that traditional fish oil supplements were less effective, with patients reporting higher pain levels throughout the trial.

Professor Jacek Szechiński, who led the study, said:

“These are remarkable findings, which show that the mussel oil PCSO-524 is significantly more effective than traditional fish oils in treating the pain associated with osteoarthritis. As there are no side effects due to the lower dosages than are needed compared to traditional fish oils, Lyprinol could offer an effective alternative treatment to those people whose life is blighted by the pain of osteoarthritis.

“With the results of this study, and previous work which has shown the benefits of PCSO-524, it’s starting to look like we’ve only scratched the surface of what this oil has to offer to those suffering from not just osteoarthritis but a range of conditions. It’s a very exciting time.”

The study is published in the Special Issue ‘Marine Compounds and Inflammation’ of the Marine Drugs journal (Zawadzki et al 2013; Mar. Drugs 2013, 11 (6), 1920-1935; doi: 10 3390/md11061920)

n Visit us o 0 5 StantdthG e a Show Pharmacy 2013

A member of our team can be contacted now on 01922 720333 or by email healthcare@enoch-evans.co.uk

LA W

40: near miss log filled out

DO

39: pen is found in pharmacists trouser pocket

New hope in osteoarthritis pain battle. Study finds mussel oil can reduce symptoms by 89%.

St. Paul’s Chambers, 6-9 Hatherton Road, Walsall, WS1 1XS www.enochevans.co.uk

NL Y

38: the whole pharmacy team looks for the pen

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E

36: re-dispensed

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SANTE VERTE-ALOE VERA - PUB WISDOM - 062013.indd 2

03/06/2013 16:16

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5 MACK’S

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PHARMACY BUSINESS ACCELLERATOR Seats 250

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F92

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www.thepharmacyshow.co.uk

Plan not to scale and subject to change. Correct at the time of print

Seats 250

CALL GARRY OR ESTHER TO DISCUSS STAND OPTIONS 0207 348 4903 / 02476 719 684

THE EXHIBITORS 4Little1 Baby nose-clear A. Vogel A+D Medical Abatron About Eyes Activa Healthcare Acumag Ltd. AFEX AKB Pharmacy Sales Alliance Healthcare Allied Pharmacies UK Ambe Ltd Amscreen Media Sales Ansons LLP Solictors Appia Healthcare APTUK Arise and Shine Cosmetics ARX Ltd. Aspen Medical Europe ATL Systems Avicenna plc Babystart Baptt Shopfitters Better You Ltd BHR Pharmaceuticals Ltd BioCare® Ltd Blue River Inverness Boiron Boost Buddy Boots BR Pharmaceuticals Bradford College Braemar Finance British Army Brush-Baby Ltd Buttercups Training Caflon Ltd Calderdale and Huddersfield NHS Foundation Trust Calm Natural Limited Cambrian Alliance CamNutra CAMRx Capatex Category Solutions Charles Russell LLP Chemi-Call Ltd Chemist4Sale/ATS - Accountants Chiesi Christie + Co Church & Dwight City & Nationwide Locums CitySprint Healthcare Claratone UK Clement Clarke International Ltd Clover 51 CN Creative Code Security Systems Confidante Consilient Health Cooperative Pharmacy Coscentra UK CPPE Craig & Hayward Crescent Diagnostics CSY Retail Cynosure UK Ltd Danone Day Lewis DE Group Debenham Ottaway Dee Set Logistics Ltd Denward Dexsil - Vitasil Dr Bee Dr. Schar Insitute Dudley Hunt Durbin PLC DX East Midlands Pharma Ltd East Stone Specials E-Lites Electronic Cigarettes Enoch Evans LLP

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Ethigen Ltd Fleming Medical Fortuna Healthcare Funky Pumpers G R Lane Health Products Galderma Ltd. Giddins Guard Global Factories and Tooho Go-Lites Good Night Anti-Snoring Ring Goodlookers GP Supplies Green Angel Grosvenor Consumer Product GSK Consumer Healthcare Guy's & St. Thomas NHS Foundation Trust Hager & Werken Happy Feet Merseyside Harper Adams University Hazlewoods HD Medi Health Connection Health Enterprises, Inc Healthaid Healthcare at Home Healthpoint Technologies Ltd. Helix Health HPG Business Sales & Locumlink Hutchings Consultants Ltd Idis Ltd Igennus Healthcare Nutrition Ikon Sales Ltd. IPM IPS SPecials ISTA Technologies J&K Henderson JAK Marketing Jaytec Glass Job Skin Ltd Keep it Kind Deodorants Keito Europe Ltd Kellogg's Kent Pharmaceuticals Kestrel Ophthalmics Ltd Kinetic KLS Netherlands K-Med Knapp UK Ltd Kora Healthcare Ltd Labcold LEC Medical Lexon Lightsign Ireland Lipotrim Litejoy Ltd Lloyds Pharmacy Lloyds TSB Healthcare Logixx Pharma Solutions Ltd Lucimed Lyprinol M & A Pharmachem Ltd M Cubed Mack's Earplugs Manakedi Skincare Mane 'n Tail Martindale Pharma MASTA Ltd MCS Wholesale Ltd Meda Pharmaceuticals Ltd Medequip MediEstates Medilogic Mesmereyez Methameasure MHRA ModiPlus MooGoo Skin Care Moorfields Pharmaceuticals Morrisons MTS Medication Technologies MultiCIG Mundays

D16 C99 D102 F53 B98a G93 E63a G52 E108a D95 G81 E107a C93a B103 E40 B81 D101 C97 B96 E73 C20 D91b E71 F12 C83 E12 F20 C104 F51 F74 G10 E93 G21 C70 D30 B104 D97 A62 B42a E91 D109 B43 F50a G34 F92 C73 C94 E112 G31a A80 F110 F100 F10 F61 C44 B82 C109 C108 C46b G21a F82 D110 B110 B97a F101 B83 G40 C10 G91 G101 F84 E94 C100 C85 E99 D106 C43 C110 A94 B35 G45 D99

Natural By Nature Oil Natural Pharmacy Magazine Natures Aid Nature's Dream Nature's Plus UK NAWP NDC NeatCigs Neilmed Nekem Nelsons Spatone Neo Cigarette Neo G Ltd Nestlé Healthcare Nutrition Network Packaging New Era Packaging Nicolites No More Sweat Norseman Trolleys NoteMachine UK Ltd Nova Laboratories Novartis Consumer Health NPA NRS Healthcare nSpire Health Ltd Nualtra Nucig (Electronic Cigarette) Ltd Numark NuPharm Laboratories Ltd Nurishment Active Nutricia Nutrivital Health O’Keeffes Company OH White Teeth Whitening OK Smokey Omron Healthcare (UK) Ltd Orthosole Osmosis Promotional Products Ltd Our Internet Pharmacy/ Pharmacy PGD Oxford Pharmacy Pak Cosmetics Wholesale Parkinsons UK Pasante Healthcare Patterson Medical PDT Solicitors Personal Diagnostics Personal Products Ltd Perspi Guard Antiperspirants Pfizer PG Mutual Pharmacist Support PharmaClinix Pharmacy Equipment Direct Pharmacy Medical Pharmacy Partners PharmaDoctor Pharma-Mobility Pharmanord UK Pharmarama PharmaTill Pharmaweb Physicool Phytomed Medicinal Herbs Ltd Pilbox PillManager Pivotell Ltd. Planet Earth Wholesale Planet Health Pluggerz Pocket Heroes Polar Speed Distribution Ltd Positive Solutions Pound International Ltd Premier Healthcare Products Ltd. Premier Vanguard Limited Prim Pharma Prima Home Test Professional Pharmacy Services Group Profoot Prospect Health

G80 G31 B40a E90 A60 C44a G108 E70 E88a D96 A74 G60 D112 B70a A30 E103 F44 D46 E97 D42 D65 B40 B60 E82 A102 B41 E62 D20 C84 E21 B92a G24 C91 E76 G82 E63 D91a E105 B73 F54 C33 B101a D41 G105 C102 G30 C50 B94b E30 A10 D109a C51 B64 B95 D10 D45 E42 B97 D60 E100 E92 E95 G22 C99a F102 C103 E106 D12 B106 D43 F103 E81 F104 A62a C40 E62a D98 C114

Protect iT Socks Proto-Col Protomed Ltd. Pure Aid Healthcare Ltd Quantum Pharmaceutical Ltd Quest Vitamins QuickMar Ltd R.I.S Products Ltd R.O.C.S. RA Accountants LLP RBS Corporate Banking Readyspex Reckitt Benckiser redmed gmbh Regal Healthcare Revitacell UK Ltd Rio Trading Company Robotik Technology Roche Diagnostics Rocks Off Ltd Rokshaw Pharmaceuticals Roskerr Ltd. Royal Pharmaceutical Society Sainsburys Salus UK Ltd Santander Santé Verte Scanlite Visual Communications ScanMed QR Scientia Skills Shoreline (UK) Ltd Sinclair IS Pharma Skinny Group Skins Healthcare Solgar Vitamin & Herb Special Products Spilly Spoon Sterling Pharmaceuticals Superdragon TCM UK Ltd Surgichem Ltd Swimseal International Symprove Probiotics Teal Patents Ltd TEMAG Pharma The Body Doctor The Collagen Company Ireland The General Pharmaceutical Council The Konjac Sponge Company Ltd The Pharmacy Consultancy The Specials Laboratory Thermoskin Ultralife Healthcare Ltd University of Surrey V2Cigs UK Vapelux Vapestick Vapouriz Premium Electronic Cigaretts Varga-Med Veterinary Medicines Directorate Viator Viminset Virginia Medical Supplies Vitry Vocalzone Throat Pastilles VVS Ltd Water - Jel Technologies WaymadePlc Weleda (UK) Ltd Wholesale Health Supplements Willach Pharmacy Solutions GmbH Yakira Eyewear Ltd Zita West Products Ltd

C41 C101a E51 A20 E50 D48 B102a A57 C98a B16 B107 F62 D70 E96 D86 D49 D47 F30 C71 B94a C91a B102 G100 F40 G94 G61 B30 A35 B100a D90 A55 C80 C40a B71 C32 B101 D92 B88 B21 D31 C46 D116 A110 B106b B94 B93 E102 G75 G33 F80 G65 F116 C98 D94 C106 B70 F52 E88 B92 E41 D93 B40b C34 G51 C96 G73 B20 C46a B96a C21 B44 B106c

B10 B100

CATEGORIES AT THE PHARMACY SHOW 2013 • EPOS / IT / Software/Web Design/Telecoms • Monitoring/diagnostics/ Medical Instruments • Naturals & VMS • OTC • Packaging / Monitoring / Dosage • Pharmaceuticals • Recruitment • Refrigeration / Drugs Cabinets • Shopfitting / Retail Displays • Specials/Unlicenced Medicines • Wholesales / Distributor

• • • • • • • • • • • •

Waste Disposal Health and Beauty Hygiene and Infection Control Mother and Baby Weight Management Photographic/Print Services Logistics and Storage Mobility Buying Group Consumables Gluten Free Electronic Cigarettes

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www.thepharmacyshow.co.uk

www.thepharmacyshow.co.uk

Medicine Optimisation Forum

NEW FOR 2013

New for 2013 the Medicine Optimisation Forum will provide delegates with a number of extremely topical subjects such as practical application of medicines optimisation, medicines safety, clinical effectiveness, prescribing and dispensing errors, outcome based prescribing, transfer of care, shared care services, basic health economics & value based pricing. Speakers will share their expertise with delegates, then the host, Jonathan Mason – Clinical Advisor (Medicines) at NHS England (London Region), will in a highly interactive format question the speaker in a ‘chat show’ format enabling a high level of audience participation. On Monday morning three clinical experts (respiratory, diabetes and cardiovascular) will provide a set of Case Series reviews with audience participation the patient will get the right treatment…

A View From the Frontline

I was going to use the standard term – at the crossroads – but community pharmacy has been at the crossroads too long and I wonder whether things have gone too far and we should really think the unthinkable.

By Mark Robinson

prescription numbers, prescription complexity and current out of stock problems, the workload is increasing with a fall in total income.

I was stimulated to write this blog for a number of reasons:

Sunday 29th September 2013

Monday 30th September 2013

• a small chain of community pharmacies going into administration

10:00 - 12:00 Optimising Clinical Effectiveness at all levels

10:00 - 12:00 Case Series Reviews session

• a general feeling in community pharmacy that ‘things are tough’ – when many seem to be facing quite severe financial and cash flow pressures.

• Medicines safety Jane Nicholls, MSc. MRPharmS, Acting Director, Medicines Use & Safety Division • Outcome based prescribing TBC •

Quick snapshot into Health Economics & Value Based Pricing Omar Ali, BSc(Hons)Pharm DipClinPharm MRPharmS ACPP, Formulary Development Pharmacist, Surrey & Sussex NHS Trust

14:00 - 16:00 Practical aspects of Medicines Optimisation • Anti-microbial reviews TBC • Proactive and positive approach to MUR’s and NMS Dr Doreen Cochrane PhD MRPharmS, Independent Clinical Pharmacist, Prescribing Support Services • Prescribing and dispensing errors TBC

•

Respiratory patient Anna Murphy, BSc. MSc. DPharm. MRPharmS(IP), Consultant Respiratory Pharmacist, Cardio-respiratory Directorate, University Hospitals of Leicester NHS Trust

• Diabetes patient Sally James, MSc. MRPharmS, Diabetes and Divisional Pharmacist for Medicine, Royal Liverpool University Hospital

But who cares? Everyone in the NHS is facing the same problem. GPs are always telling us this. Well I care and we need to talk about this openly. We also need to ask the question about what we now want from community pharmacy going forward.

• the Locum rates falling to a point where you can comfortably earn more as a tube train driver

Omar Ali

Heidi Wright

• a series of worrying stories of pharmacies entering into ‘sharp practices’, often I would suggest at the instigation of businesses under severe economic pressure.

• Cardiovascular patient Sotiris Antoniou, RPS, MSc, DipMgt, Consultant Pharmacist for Cardiovascular Medicine, Barts Health NHS Trust 14:00 - 16:00 Principles behind Medicines Optimisation •

Medicines Optimisation and how it can work in practice Heidi Wright, MRPharmS, English Practice and Policy Lead, Royal Pharmaceutical Society

•

Shared Care Services – who’s responsible Jas Khambh, MPharm, MGPhC, IP, Dip Presc Sci, B.Pharm, Pharmacy & Medicines Use & Procurement Operational Lead & Lead for Primary Care, London Procurement Partnership

•

Interface and transfer of care in older people Lelly Oboh, MRPharmS, Consultant Pharmacist, Care of Older People, Guys & St Thomas Community Health Services and East and South East NHS Specialist Pharmacy Services

Anna Murphy

Sotiris Antoniou

g’s Fund Source: The Kin

Community pharmacy has always been the most effective procurement arm of the NHS, but with the introduction of category M, the NHS earns large amounts of money through community pharmacy procurement. And with ever increasing

Jas Khambh

I have spoken recently, some might say frequently about the rich community based asset that community pharmacy is.

Usually located in the places where people live or shop – a cornerstone of our communities at a time when communities and high streets are under tremendous pressure. We want community pharmacy to play a bigger role in public health, out of hours and providing advice and treatment to patients relieving the pressure on general practice and in turn hospitals.

The accountants say its tough, but community pharmacy will pull through – but that does depend on an improving economy and additional money diverted into community pharmacy based services. I wish I shared their optimism – but then they are accountants and a business closed is a client lost – so they shout ‘hold on in their and keep paying the accountancy bills – it will get better’.’

But the community pharmacy contract is not helpful and does not shift the focus from procurement profit to service delivery yet. England is miles behind Scotland and many of the locally enhanced services have moved ownership. These services are fragmented and localised. I know that localisation is good, but administration is increased and duplicated when I thought that we were going to sort out innovation and spread of good practice following Innovation, Health and Wealth? I know that the Chief Pharmacist is looking at ways of relaxing supervision requirements, but that is tinkering with airspace rather then a solid solution.

So where might we end up? Well smaller community pharmacies will become unviable. They don’t have purchasing

By Mark Robinson

James reminded us within his blog that 298 pharmacists responded to the whole consultation. It would appear that the consultations and notices were quite difficult to find and very few of us saw it. Lindsey felt that it was not a clear question and it was hidden. I have learnt that throughout Europe a P class of medicines doesn’t always exist – so why do we have it in the UK and is it all about standardisation – removing the quirky Brutishness? But the GPhC says it will happen – it’s good for us – it fits their light touch approach to regulation.

The implementation will be variable There appeared to be no consensus on how it would be implemented. SparkleWildfire felt that it would be easier in smaller pharmacies and HLPs and more difficult in larger pharmacies. Ryan noted that some medicines would never be put to self-selection and we were reminded of the recent communication from Public Health England about addiction to prescribed and otc medicines (which I assume includes P medicines).

Safety There are many concerns around patient safety. Cathy felt that P items are not adequately supervised at the moment and Anthony Cox reminded us how easy it was to obtain

diclofenac. We also face the reality that a counter assistant waving a product in the air or a faint shout in the din of a busy pharmacy is quite a weak form of supervision. This is despite us knowing how to offer P medicines properly – now what was that pneumonic – ahh WHAMM? Are the GPhC arguments for fragile?

Pharmacist Safety There were several comments about the input of the responsible pharmacist and a clear understanding that the positioning of P medicines in the pharmacy will be largely directed by the owners. This may cause conflict. Mr Dispenser quite rightly asked where we would stand if we refused to sell a SS medicine and the patient complained to the GPhC – and what would they do if inundated with complaints.

Additional training I loved Amanda’s point that when you pick up an item it becomes ‘yours’ and paying is just a formality. I liked the thought of rugby tackling a patient who has slipped an inappropriate SS into their basket, wrestling a packet of cocodamol from an addict and the need for ‘negotiation skills’, but we were reminded that probably the most dangerous patient is the one that doesn’t ask.

But it doesn’t have to be like this.

Exceptional POR

Self-selection: #PSchat It is going to happen

power and without the additional service contracts, they might close. Don’t think that the multiple chains will take over – they will ‘divest’ their least profitable pharmacies. It’s business! So you might not find a community pharmacy near your home, within your community, on your high street. You may have to travel further to get your medicines dispensed, your questions answered, the support you value. I hate the thought, but your medicines may plop through your letterbox in the ubiquitous Jiffy bag. You may need to spend more time in your GP practice.

Jonathan Mason

The Second Pharmacy Show Chat, ably facilitated by Mr Dispenser, Community Pharmacist, Blogger and author of funny pharmacy book “Pills, Spills & Methadone Thrills: A day in the life of a community pharmacist” took place on Wednesday 3rd July. The chat followed a number of questions posed to the eager participants on the subject of self-selection of P medicines:

Rechargeable Starter Kit £6.49 RRP

A Powerful Natural Anti- inflammatory Scientifically valeted effectiveness for pain relief from arthritis and a range of other inflammatory disorders.

Customer View I am not sure there was much evidence of what our customers actually want and whether there is much public support for this move. Mohammed gave us a timely reminder that the internet is changing our sector, just like others and we need to figure this in.

Visit Us On Stand G31 for Special Show Only Offers

In conclusion it seems that there are many worries about self-selection undermining our patient facing role, commoditising medicines, reinforcing the pharmacy as a shop. We all seem worried about implementation, the variation and the conflict between responsible pharmacist and owner, independent and multiple.

The biggest task, however, seeing that it will happen, is to turn this into a positive to improve the professional image and professional environment of pharmacists and pharmacies.

How are we going to do it – well I just don’t know. But I don’t want this to be another slide on the slippery slope.

As a footnote I must add James’s comment which reflects some of my recent blogs including ‘the vital role syndrome’.

“I’d rather my RPS fees weren’t spent on propping up pisspoor activity by the GPhC”. I have to agree – we need the RPS to change the outlook for the profession and not get embroiled in the detail and noise.

To take part next time, log on to twitter and follow @pharmacyshow or go to www.pharmacyshowchat.co.uk

11

100u%ral Nat

Natural Food Supplement for Joint Mobility www.lyprinol.co.uk

Experience you can trust

USB Charger £6.49 RRP Cartomizers Multiple Flavours £5.99 RRP

12

EXHIBITOR NEWS 13

www.thepharmacyshow.co.uk

It’s here! A multi-symptom treatment for IBS… How Symprove can help • Anyone with constipation, diarrhoea, bloating or gut pain • After antibiotics to restore gut balance • Clinical research shows significant improvement in IBS symptoms* What is Symprove?

• A live, activated, multi-strain beneficial bacteria supplement • Delivered as a refreshing drink on an empty stomach • 10 billion colony forming units (CFUs) per dose • Only needs refrigeration once opened To find out why Symprove’s Unique Delivery System (UDSTM) enables the multi-strain live activated bacteria to live up to their true potential, visit: www.symprovebioscience.com Tel: 01252 413600 Email: opportunity@symprove.com *NHS King’s College Hospital, Prof. Ingvar Bjarnason, Professor of Digestive Diseases. (Gut: PMO-076)

VISIT US AT STAND D116

Contact lens care preparations Abatron is a wholly owned British company with over 30 years experience specialising in the research, development, manufacture and sale of Contact Lens Care Preparations.

128x178 ad Pharmacy Show Mag 2013:Layout 2

5/6/13

HaveYou ConsideredOffering DailyLivingAids?

16:02

Our core range of products include Quattro®, an outstanding multipurpose solution for both SOFT and RGP lenses which incorporates a unique dual surfactant system, Amiclair® protein remover tablets, and Ami-dose®, a sterile saline for rinsing eyes and soft contact lenses that has been designed to be more controlled than tears.

Page 1

Abatron products are prescribed by leading practitioners both at home and overseas.

Introducing a new category

NDC Ltd offer refurbishment and construction services Nationwide. We are the market leaders in the health care market offering a total construction service.

Daily Living Aids represent a major new sales and profit opportunity for retail pharmacists, increasing foot flow and repeat visits to your Pharmacy and helping older people in the community live more independently, comfortably and safely.

We offer:

Naturally better for you and the Earth A proven well merchandised range of bamboo fabric eco wear for today’s health conscious and environmentally aware consumer.

• 48 Hour Delivery (Stocked Lines) • FREE! Delivery (orders over £100 net) to Pharmacy or Direct Home Delivery Option • FREE! A5 Consumer Catalogues & Point of Sale

high margin

To profit from this opportunity visit us at stand E105

• High Awareness & Endorsement amongst Healthcare Professionals • TCES National Catalogue Product Range • Award Winning Customer Service & Product Development

See us at The Pharmacy Show, Stand E82, NEC Birmingham 29th - 30th September 2013

• Helpful Product Advisory Information Service (managed by in-house Occupational Therapist)

At NDC Ltd we ensure the client is given best value for money solutions to exceed their expectations. We listen, advise, plan and deliver with skill and dedication.

As part of our scope of works we can provide a “free” project management service from inception through to completion of the projects.

• 2,500 Daily Living Aids designed to support independent living

• Retail Packaging & Regular Promotional Offers

VISIT US AT STAND C95a

Nationwide refurbishment and construction services

PHARMAC OR HO EY DELIVEM R OPTION Y

NRS Healthcare is a market leading manufacturer and distributor of daily living aids and assistive technology equipment.

Visit: www.abatronltd.com

www.nrs-uk.co.uk

Tel: 0845 120 4522 Email: info@nrs-uk.co.uk NRS Healthcare, Sherwood House, Cartwright Way, Forest Business Park, Bardon Hill, Coalville, Leicestershire LE67 1UB.

Contact us Boody Eco Wear 152-154 Coles Green Road London NW2 7HD, UK Tel: + 44 (0) 20 8452 0296 Fax: +44 (0) 20 8438 6400 Email: info@Boodyecowear.com www.Boodyecowear.com

Our services include full building works, supply and installation of cabinetry, etc, all flooring, decorating, electrics, air conditioning - the full Turnkey solution.

We are always happy to visit your premises and discuss your requirements and offer a “free” no obligation site survey and fully itemised estimate for works.

Tel No: 01254 351511, Mobile: 07970 009512 Email: info@ndc-ltd.com, Website: www.ndc-ltd.com

VISIT US AT STAND G108

Leaders in the supply of mass market perfumery

High quality nutritional supplements Ultralife Healthcare Ltd has been a manufacturer and provider of high quality nutritional supplements for the past decade. We strive to deliver the highest quality lifestyle and performance products to help our customers get optimum results in weight management, wellbeing, strength and fitness.

One of the newest products available from Ultralife is NutriPlan; a delicious meal in a drink suitable for all ages.

It allows families or individuals to save time and money on making meals while providing the key nutrients, vitamins and minerals their bodies need to function during the day.

PWB Health is a subsidiary company and the provider of the Breastlight, a Class 1 medical device designed to assist women in their regular self-check routine. Through this part of the business we work with a number of international distributors and support cancer related charities and organisations in highlighting the importance of breast cancer awareness.

VISIT US AT STAND F116

Health screening services The Keito platform eHealth which is incorporated in our latest generation K8 healthcare monitor is an ideal tool to assist pharmacies in providing health screening services.

These monitors are coin operated multifunction machines providing a printed receipt for (a) 50p showing height, weight, BMI, & body fat (b) £1 showing height, weight, BMI, heart rate analysis, blood pressure & body fat.

The monitors have a voice prompt making it easy for customers to use and it is not necessary for pharmacy staff to assist.

The K8 connects to the internet allowing appropriate customers to register and to view a history of their readings on our Keito eHealth website. This unique system provides pharmacies with a tool to interact with customers thereby improving customer loyalty and for development in the area of patient consultation. The registration process is simple and customers can do this themselves on the machine via a swipe card. The machine will continue to work as normal with coins for non registered customers.

Main benefits: • develop customer loyalty • attract new customers • generate additional revenue

PharmaTill - Epos system for pharmacy Are you looking for EPOS for your pharmacy?

You’ll be surprised by the simplicity and features of PharmaTill Epos, exclusively developed for pharmacy.

• All in One Touch Screen System • Excellent epos design – Easy to use • Effective stock control - No more over stocking, under stocking or wastage • Intelligent order system - Order projection facility, via internet or modem • Chemist and Druggist Updates - Keep prices up- to-date by automatic regular updates • Integrated card payment - Process debit/credit card payment via internet within Epos • Loyalty points - Reward customers, increase sales • Staff Time In Time Out – Records staff working hours • Shelf edge label - Save staff time, no need for item price tags • Head Office System - Complete control of all your pharmacy branches • Excellent Customer Support - Telephone, online and onsite support Website: www.pharmatill.co.uk Telephone: 01254 679675 Email: sales@pharmatill.co.uk

VISIT US AT STAND E100

Pharmacy business sales and valuations agents Do you know what your pharmacy business is worth?

Come to Stand E93a and find out. We are Pharmacy Business Sales and Valuations Agents specialising in just Pharmacy, with expertise built over 30 years, so we really know the market and have confidence in our valuations. Our advice is always honest and aimed at providing guidance for decision-making and not just for securing your business for sale. We pride ourselves in the service we provide and our fees are very competitive.

Our teamwork with specialist solicitors, accountants and mortgage consultants ensures that we take the stress out of the business selling and buying process.

As well as our business sales, our valuation service encompasses a wide variety of work.

VISIT US AT STAND D109

We believe our service and expertise is our strength and most of our business comes from recommendations. We aim to build long-term relationships with all our Clients.

Wholesale Health Supplements

For our Buyers, we keep a database so please do come around and register with us.

• Health Supplements • Slimming Supplements • Vitamins • Health Patches Fantastic Health Supplements Supplied to Pharmacies throughout the UK. Take a look at our fantastic range of best selling health and Slimming supplements that return great profit margins. We Supply our supplements in highly attractive point of sale boxes that can fit neatly on any sales counter that will enhance any store and attract positive reactions from your customer’s. Our Best Selling Health Supplements are supplied in visually eye catching boxes which will increase your sales by up to an extra 70%.

New in for 2013 – See Our Space Saving Rotating Stand stocked with 36 of the best selling Supplements that will appeal to customers of all ages. This smart stand will look impressive in any store and can be easily restocked. Excellent profit margin return from a very small floor area, this is a stand packed full of great health supplements that every store should have.

VISIT US AT STAND E93a

Democratisation of hearing technology!

Claratone was founded with the aim of giving unrestricted access to the latest advances in hearing technology - we call it democratisation of hearing technology!

Claratone enables people across the UK and Europe to enjoy an unrestricted hearing experience and improved communication. For all those who do not yet require a hearing aid, Claratone offers pre-configured, non-medical Personal Sound Amplifier products which meet the highest quality standards, at an unbeatable price.

A large portion of the more than 60 million people in Europe are suffering with the initial stages of hearing difficulties, which are initially noticeable in conversations in noisy environments. A large portion of this group does not have any assistive listening devices.

Coscentra UK, Market leaders in the supply of mass market perfumery. Already supplying hundreds of successful fragrances to pharmacy’s in England and Wales.

Health Patches Our excellent range of health patches come supplied in a very eye catching point of sale box that sits on your sales counter. Eight different patches ranging from slimming to Energy and Well Being, Anti wrinkle and lots more...

New outlets wanted!!! Distributors and reps for Ireland and Scotland wanted!!!

Quality Products Made in the UK. Proudly Backing Britain’s Economy

Our main product range includes: • Personal Sound Amplifiers – FocusEar, RCA Symphonix, Acoustic Research and Soundà • Hearing protection – Alpine, Comply and EARaser • Batteries – Rayovac and Soundà

Please visit our stand D40 at the UK’s best pharmacy show.

Trade Sales & Enquiries: 0845 463 1321

www.claratone.co.uk

VISIT US AT STAND D40

VISIT US AT STAND B96a

VISIT US AT STAND G70

14 EXHIBITOR NEWS

Unique range of Bioactivated organic silicium products Vitasil is a unique range of Bioactivated Organic Silicium products produced by Dexsil Laboratories in Belgium.

Silicium (Latin for silicon) is often referred to as the forgotten trace element and the human body is now deficient in this important constituent. Silicium is particularly effective in helping the body to produce its own collagen with consequent benefits in anti-ageing, reduced inflammation associated with arthritis, rheumatism or any joint pain. The product range comprises two oral liquids, Bio-activated Organic Silicium to increase the body’s silicium levels and a second liquid, again silicium, but with added MSM, Glucosamine and Chondroitin.

These liquid products are complemented by a range of silicium gels, applied externally, used to treat the ailments mentioned above together with any general inflammation, muscular strain, broken veins and capillaries, pigmentation, oily skin spots, post-operative stitches, wrinkles and signs of premature ageing.

Come and see us at the Dexsil - Vitasil Stand C88 and sample these innovative products.

VISIT US AT STAND C88

Specialist custom made compression garments Jobskin® is a company that has built its reputation by producing outstanding quality medical products for over 40 years, manufactured in Nottingham, UK. Leading the way in rehabilitation therapy, we are the largest UK manufacturer of specialist custom made compression garments for therapy and orthotic professionals.

We offer the highest quality made to measure products, silicone gel and stock orthotic products to meet your needs. We are dedicated to providing the ultimate in therapy management, with the focus on improving patient quality of life.

Our long standing reputation, commitment to the customer and product innovation is unmatched in the market today.

We supply all major pharmaceutical wholesalers and our Silicone Gel and Lymphoedema products are FP10 listed, For more information please visit our stand B42a where our sales product specialists will be happy to discuss your requirements and show you our product range. www.jobskin.co.uk

VISIT US AT STAND B42a

Washable continence care products

EXHIBITOR NEWS 15

The revolutionary natural anti-inflammatory

Food for special medical purposes provider

With growing scientific evidence highlighting its remarkable health-giving properties, Lyprinol is rapidly becoming the musthave natural health supplement.

Nualtra is a new Food for Special Medical Purposes Provider specialising in formulating and bringing to market a range of Oral Nutritional Supplements (ONS) for the treatment of disease related malnutrition.

The key to Lyprinol’s success is its patented stabilised natural marine lipid extract, comprising of a rare combination of lipid groups and unique Omega-3 polyunsaturated fatty acids. The oil, PCSO-524, was discovered by British scientists studying arthritis in the 1980s.

Today, it has been scientifically proven to reduce asthmatics’ need for inhalers, improve lung function and radically reduce the crippling pain associated with arthritis.

Natural Pain Remedy Lyprinol acts by normalising inflammation in swelling joints and the body’s airways, making moving and breathing easier.

Helping Arthritis sufferers Studies have shown Lyprinol can relieve arthritic conditions by modulating the lipoxygenase pathway, which governs the inflammatory system.

Lyprinol is also incredibly powerful, being • more than 100 times more potent than fish oil • 200 times more potent than flax oil. www.lyprinol.co.uk

VISIT US AT STAND G21a

Vapouriz electronic cigarettes Further to a successful exhibition at the National Convenience Show in Birmingham and securing new business in retail/wholesale and distribution, Vapouriz are proud to announce they will be exhibiting at the Pharmacy Show In September.

Since the show we’ve seen great interest in our product range not only from retailers but also from general consumers. Our new retailers are reporting a high level of sales, especially in our Vapouriz Tank range and E Liquids.

In addition to this we offer a traditional 2 piece rechargeable electronic cigarette, cartomizers refills, disposables together with various accessories.

Vapouriz can offer a range of POS displays to meet individual requirements, these can be seen at our stand on the day.

Vapouriz Electronic Cigarettes are experiencing huge growth with some exciting opportunities for partners to join with us on our journey.

All products are ACBS approved and were designed and formulated by Company Founder Paul Gough who trained and worked as a Dietitian in the NHS and HSE. The company was founded to make oral nutritional supplements more affordable both for the patient and for relevant health authorities by reducing the cost of reimbursement. Nualtra recognises the key role that taste plays if patients are to comply with their prescribed dose of ONS. In sensory analysis, compliance and palatability studies, our products namely Nutriplen, Nutriplen Protein and Nutricrem have compliance rates of 90-96% over a 1 month prescription period compared to an industry average of 77% of leading 200ml brands.

Our aim is to be the best tasting, most cost effective oral nutritional supplement available. Please come and find out more at stand B41.

WEBSITE: www.nualtra.ie

VISIT US AT STAND B41

The experts in true aromatherapy Natural by Nature Oils is a family run business, specialising in all aspects of aromatherapy.

Established in 1974 we were one of the first companies to introduce aromatherapy into the UK. Natural by Nature Oils has been producing Pure and Organic essential oils for over 35 years.

We are one of the biggest suppliers of essential oils to the Independent Health Food Industry and are recognised for our high quality of products and customer service.

Our aim is to give all our customers complete confidence in all our products; we offer a full range of guaranteed pure and organic essential oils, base oils, creams, facial oils and aromatherapy products We source all our oils ourselves from around the world to ensure the highest of quality; our products are all manufactured in our own factory, which allows us to control the whole process to ensure all goods leave us in perfect condition.

www.vapouriz.co.uk

We believe in being a responsible supplier by offering all our customers an advice line Mon-Fri 9-5pm for any questions regarding essential oils and their uses. We have over 1000 tried and tested recipes for every day common conditions, so allowing for a natural and pure approach to health and wellbeing.

VISIT US AT STAND F52

Tel: 01582 840848, www.naturalbynature.co.uk

Please feel free to come and discuss your requirements and try our products for yourselves.

VISIT US AT STAND G80 Capatex Medical are the owners and manufacturers of Kylie®, Kanga® and DRYtex®, the leading brands in washable continence care bed protection and washable continence care underwear.

Kylie® & Kanga® are the leading retail and pharmacy brands of washable continence care products and the expanded range from Capatex Medical includes disposable products.

All products are retail packed including bar codes and POS materials are available to help merchandise and promote the brands.

Capatex Medical are also home to Keep U-Dri® waterproof leg and arm cast protectors. As well as continence care products Capatex Medical manufacture and supply the Breeze® range of tracheostomy airway management products. This range includes tracheostomy tube holders and the San Marino Safety Net. Visit stand E107 to see more of what we can offer you. www.capatexmedical.com

VISIT US AT STAND E107

READ THE LATEST SHOW NEWS AT WWW.THEPHARMACYSHOW.CO.UK

Generic pharmaceuticals Kent’s position as Britain’s largest independent generic pharmaceuticals manufacturer and wholesaler has been significantly enhanced following our merger with Fannin Pharma resulting from the acquisition of our business by DCC Vital in February 2013 Between Kent and Fannin portfolios, we are able to offer a full selection of competitively priced, quality Generic, Brand, PI and OTC products that include over 120 own label Generic manufactured products.

This offer is closely supported by a team of informed and pro active Primary, Secondary and Wholesale managers who work closely with their customers advising them on our product, pricing and market information. Orders are delivered next morning across the UK. This year we will be promoting our extended portfolio of new products and packaging along with unique offers and bespoke services for the independent pharmacist.

Visit Kent on stand F50a to find out more about our quality products, services, opportunities and a chance to win an iPad!

VISIT US AT STAND F50a

Caring for your joints Why look after your joints?

Joints are vital for physical mobility – they support the body and are involved in every movement you make. Wear and tear of the joints occurs naturally throughout life and so it is important to do all that you can to maximise joint health, especially as you get older.

Caring For Your Joints with GOPO® Joint Health • New Name, Original Formula • Helps maintain healthy and flexible joints.

• Rich in Vitamin C which is essential for normal collagen formation, needed by the body for healthy bones and cartilage.

• Unique patented food supplement made from specially cultivated rose-hip.

• Supported by numerous peer-reviewed clinical studies.

For more information about our brands please visit www.laneshealth.com

VISIT US AT STAND B98a

New teething remedy in the UK! Camilia® Oral Solution by Boiron is a homeopathic medicinal product for teething babies and toddlers. Composed of three active substances - Chamomilla vulgaris 9c, Phytolacca decandra 5c and Rheum 5c - Camilia® Oral Solution treats a variety of symptoms associated with teething such as painful and swollen gums, irritability, digestive disturbances and ENT disorders.

This product is a perfect opportunity for pharmacists to advise parents in distress! Camilia® is very hygienic and easy to use with sterile single-dose containers, each containing 1mL of oral solution. Packaged in boxes of 10 single-dose containers, Camilia® is free from preservatives, sugar, lactose and ethanol, and safe to use on babies over 1 month old. Camilia® is an international brand already launched in 10 countries and a leader on many markets.

Available from Alliance Healthcare, order line 08458736166, PIP code 379-3643.

VISIT US AT STAND C105

Advance your career with a top ten UK university The University of Surrey – a top ten UK university Are you looking to advance your career through further study or professional training?

The University of Surrey offers a wide range of undergraduate, postgraduate and flexible Continuing Professional Development programmes in biosciences and nutritional sciences, delivered by leading experts at the cutting edge of research and practice.

We are proud to have risen to 8th position in the Guardian University League table 2014, and to 13th place in this year’s Complete University Guide. Our biomedical research — including nutrition — was ranked in the top 5% in the country in the last Research Assessment Exercise (2008).

Our programmes include MSc Clinical Pharmacology and MSc Nutritional Medicine — the first university-level, evidencebased Masters degree course in this subject in the UK. To discover what the University of Surrey can offer you, log on to www.surrey.ac.uk or visit us at the Pharmacy Show.

VISIT US AT STAND C98

The forefront of the sexual health revolution STUD 100® Desensitizing Spray for Men - Lidocaine 9.6% w/w.

Among those at the forefront of the sexual health revolution, the Pound International Group of Companies pioneered the development and sale in pharmacies of STUD 100® Desensitizing Spray for Men, formulated to help relieve the symptoms of over-rapid and premature ejaculation. For more than 25 years, men have been using STUD 100® to help enhance their relationships.

A worldwide bestseller, STUD 100® is approved by leading health authorities around the world for sale Over-TheCounter without a prescription. In the UK, STUD 100® is licensed for sale as a ‘P’ product. STUD 100® meets all FDA requirements in the US and has been sold in more than 60 countries.

Quality vitamins, supplements and herbal remedies Since 1981 Natures Aid has become one of the leading suppliers to pharmacies for quality vitamins, supplements and herbal remedies.

All our products are manufactured in our state-of-the-art manufacturing facility in the UK to GMP and Pharmaceutical Standards. Our award winning product range consists of over 200 innovative products which include the UK’s leading range of Traditional Herbal Remedies for Echinacea, Devils Claw, Milk Thistle, Valerian, St John’s Wort and Rhodiola.

For further information on the Natures Aid range including the Traditional Herbal Remedies come and see us at the show.

VISIT US AT STAND B40a

The microwavable eye compress The Eye Doctor® is a microwavable eye compress, your ideal partner for easing various eye conditions and

Nestlé Health Science, through its Nestlé HealthCare Nutrition business, makes a positive difference in the nutritional health, well-being and quality of life of patients through the development and delivery of innovative, medically recognized branded nutritional solutions.

irritations...naturally.

Our range of solutions helps to optimize the nutritional intake of individuals whether their goal is to combat disease and/or recover better and faster or to stay healthy.

The Eye Doctor® features: • A removable, washable cover to ensure hygiene • An adjustable comfort strap for personal comfort • A pouch for safe, clean, dry storage to preserve the life of your product.

Our range addresses normal and disease-specific nutritional needs and related services including patient and healthcare professional education and training. Nestlé Health Science has worldwide headquarters in Lutry (Switzerland).

The Konjac Sponge Company 100% natural pure vegetable fibre face and body sponges offer a completely unique cleansing experience.

A premium range of top quality, moisture rich, skincare products offer amazing deep cleansing and gentle exfoliation without damage. The sponges sooth even the most delicate and sensitive skin types, with great results even for problem skin conditions such as eczema.

An easy add on additional sale to current cleansing products and are featured regularly by the national press. Currently supplied internationally to many beauty departments of high end stores, now offered to the Pharmacy market.

Great prices with great margins on a product that simply sells itself! Becoming a stockist ensures great support and marketing from ourselves, so our ever growing customer base knows just where to find their favourite skin care product.

Come and see us to experience our sponges at the Pharmacy Show stand G75.

Or call 01296 662383 for more details

VISIT US AT STAND F104

Making a positive difference in nutritional health

100% natural pure vegetable fibre face and body sponges

Relax away the symptoms of: • MGD & Blepharitis • Grittiness & Irritation • Dry Eye Syndrome • Inflammation • Styes & Cysts

www.konjacspongecompany.com

VISIT US AT STAND G75

Items that enhance male sexual pleasure Planet Earth is a wholesale company specialising in sexual health, particularly focussing on items that enhance male sexual pleasure.

At this year’s Pharmacy Show, Planet Earth will be primarily focussed on two brands, Überlube and the Ultimate range: Überlube is a silicone based sexual lubricant that provides long-lasting lubrication and has also been successful in the US as an anti-chaffing sports aid and an anti-frizz hair care product; the Ultimate range is a comprehensive range of natural male enhancement products that tackle problematic areas such as poor erection quality, erectile dysfunction and premature ejaculation.

Both of these products are exclusive to Planet Earth and thanks to their premium branding attract both mainstream consumers and those who are used to buying adult products.

In total, Planet Earth offers more than 20 exclusive brands and provides marketing support, drop shipping and white label opportunities to all of its customers.

VISIT US AT STAND E106

Specials and unlicensed medicines provider that you can trust Rokshaw Pharmaceuticals – Patient safety, service excellence and peace of mind.

Primum non nocere

Nestlé Health Science Nestlé HealthCare Nutrition Suite 1.11 South Harrington Building 182 Sefton Street Liverpool L3 4BQ

Our special blend filling consists of a unique mixture of different shapes & sizes of natural grains ensuring maximum contact with the affected areas. This combination gives the best heat retention which is necessary for an effective treatment.

The Eye Doctor® is your ideal partner for easing various eye conditions and irritations. The Eye Doctor® compress is registered as a Class 1 medical device with the MHRA (the Medicines & Healthcare Products Regulatory Agency).

We always put patient safety first and pride ourselves on delivering a rapid service while giving you peace of mind.

VISIT US AT STAND B70a

VISIT US AT STAND B94

We provide a full range of Batch Specials, Bespoke Specials, Special Obtains and Imports.

Rokshaw, the specials and unlicensed medicines provider that you can trust.

Product quality is assured and pricing is very competitive but sustainable.

Rokshaw supplies hospitals, wholesalers, retail pharmacies and Doctors throughout the UK.

Over 100 New Exhibitors of exciting new products and services at the 2013 Pharmacy Show!

All of our batch and bespoke specials are available on a next morning delivery service if the order is placed before 5.00pm.

Please come and see us on stand C91a or contact us on: Telephone: 0191 5493547 Fax: 0191 5491985 Email: info@rokshaw.co.uk Web: www.rokshaw.co.uk

VISIT US AT STAND C91a

ER ST GI W! RE NO

IS PHARMACY FIT FOR PURPOSE..?

Never has there been a more important time for pharmacy professionals to get together, debate the future and have a voice for the future of community pharmacy in the new NHS Landscape, and The Pharmacy Show is the place to do it!

The UK’s largest networking, CPD education and sourcing event for community pharmacists and pharmacy technicians, takes place once again at the NEC, Birmingham on 29th & 30th September.

• The Medicines Optimisation Theatre will host sessions covering prescribing and dispensing errors, shared care services, counterfeiting/ falsifying medicines and adherence • Four Keynote Theatre panel sessions across the two days covering ‘Is Pharmacy fit for purpose?’ – Have your say!

• New signposting for Pharmacy Technicians NEW FOR 2013: • The Clinical Theatre is this year programmed in association with The Pharmacy Show’s sister event, The Clinical Pharmacy Congress, offering you refresher sessions so you can enhance your knowledge on key therapeutic areas.

The Pharmacy Show is FREE to attend for pharmacy professionals, pharmacy technicians, counter and dispensing staff, medicines management teams, wholesaler & distributors, and pre-reg pharmacists.

Don’t miss out on the largest gathering for community pharmacy and book your place TODAY!

• Enhanced programme for Counter Assistants looking at their role as part of the pharmacy team • Not forgetting a large number of suppliers showcasing the latest medicines, products, services and technologies including over 100 new for 2013.

To register yourself and your team for free go to www.thepharmacyshow.co.uk/newspaper1 Supported by