Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland

Palliative care is increasingly delivered in the community but access to medicines, particularly ‘out of hours’ remains problematic. This paper describes the experience of developing a model to deliver pharmaceutical palliative care in rural Scotland via the MacMillan Rural Palliative Care Pharmacis...

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Main Authors: Gazala Akram, Emma Dunlop Corcoran, Alison MacRobbie, Gill Harrington, Marion Bennie
Format: Article
Language:English
Published: MDPI AG 2017-02-01
Series:Pharmacy
Subjects:
Online Access:http://www.mdpi.com/2226-4787/5/1/6
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author Gazala Akram
Emma Dunlop Corcoran
Alison MacRobbie
Gill Harrington
Marion Bennie
author_facet Gazala Akram
Emma Dunlop Corcoran
Alison MacRobbie
Gill Harrington
Marion Bennie
author_sort Gazala Akram
collection DOAJ
description Palliative care is increasingly delivered in the community but access to medicines, particularly ‘out of hours’ remains problematic. This paper describes the experience of developing a model to deliver pharmaceutical palliative care in rural Scotland via the MacMillan Rural Palliative Care Pharmacist Practitioner (MRPP) project. The focus of the service was better integration of the MRPP into different care settings and professional teams, and to develop educational resources for the wider MDT including Care Home and Social Care staff on medicine related issues in palliative care. A variety of integration activities are reported in the paper with advice on how to achieve this. Similarly, many resources were developed, including bespoke training on pharmaceutical matters for Care Home staff. The experience allowed for a three step service and sustainability model for community pharmacy palliative care services to be developed. Moving through the steps, the key roles and responsibilities of the MRPP gradually shift towards the local Community Pharmacist(s), with the MRPP starting from a locality-based hands-on role to a wider supportive facilitating role for local champions. It is acknowledged that successful delivery of the model is dependent on alignment of resources, infrastructure and local community support.
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spelling doaj.art-34889b063eaf4a2083540bb53f752a972022-12-22T03:45:41ZengMDPI AGPharmacy2226-47872017-02-0151610.3390/pharmacy5010006pharmacy5010006Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from ScotlandGazala Akram0Emma Dunlop Corcoran1Alison MacRobbie2Gill Harrington3Marion Bennie4Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow G4 0RE, UKStrathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow G4 0RE, UKNHS Highland, Inverness IV2 3BW, UKThe Boots Company PLC, 5 Wentworth St, Portree IV51 9EJ, UKStrathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow G4 0RE, UKPalliative care is increasingly delivered in the community but access to medicines, particularly ‘out of hours’ remains problematic. This paper describes the experience of developing a model to deliver pharmaceutical palliative care in rural Scotland via the MacMillan Rural Palliative Care Pharmacist Practitioner (MRPP) project. The focus of the service was better integration of the MRPP into different care settings and professional teams, and to develop educational resources for the wider MDT including Care Home and Social Care staff on medicine related issues in palliative care. A variety of integration activities are reported in the paper with advice on how to achieve this. Similarly, many resources were developed, including bespoke training on pharmaceutical matters for Care Home staff. The experience allowed for a three step service and sustainability model for community pharmacy palliative care services to be developed. Moving through the steps, the key roles and responsibilities of the MRPP gradually shift towards the local Community Pharmacist(s), with the MRPP starting from a locality-based hands-on role to a wider supportive facilitating role for local champions. It is acknowledged that successful delivery of the model is dependent on alignment of resources, infrastructure and local community support.http://www.mdpi.com/2226-4787/5/1/6pharmaceutical palliative carecommunity pharmacymedication used in palliative careruralservice evaluationsupport staffeducation and training
spellingShingle Gazala Akram
Emma Dunlop Corcoran
Alison MacRobbie
Gill Harrington
Marion Bennie
Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
Pharmacy
pharmaceutical palliative care
community pharmacy
medication used in palliative care
rural
service evaluation
support staff
education and training
title Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_full Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_fullStr Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_full_unstemmed Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_short Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_sort developing a model for pharmaceutical palliative care in rural areas experience from scotland
topic pharmaceutical palliative care
community pharmacy
medication used in palliative care
rural
service evaluation
support staff
education and training
url http://www.mdpi.com/2226-4787/5/1/6
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AT alisonmacrobbie developingamodelforpharmaceuticalpalliativecareinruralareasexperiencefromscotland
AT gillharrington developingamodelforpharmaceuticalpalliativecareinruralareasexperiencefromscotland
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