Home' Australian Pharmacist : Australian Pharmacist March 2015 Contents Australian Pharmacist March 2015 I © Pharmaceutical Society of Australia Ltd.
The PSA NSW Branch has released
its NSW election policy document.
At a function in Sydney last month the
Branch presented a range of policy
proposals that would reinforce the
skills, knowledge and experience that
pharmacists have to deliver better
health outcomes for people in NSW in a
way that makes economic sense.
NSW Branch President, Dr Stephen
Carter, said the proposals had
grown from policy and program
ideas put forward by PSA members
‘ They have been rigorously tested
against available Australian and
international research to deliver
practical and economically sustainable
health benefits,’ Dr Carter said.
‘ There are more than 8,000 pharmacists
in NSW; a growing and diverse workforce
that is accessible, highly skilled and
knowledgeable in the Quality Use of
Medicines, and flexible to adapt to new
professional opportunities that support
the delivery of better healthcare in NSW.’
Dr Carter said the proposals specifically
covered the areas of a NSW medicinal
cannabis program, community
liaison pharmacists, medication and
mental illness, pharmacy immunisers,
electronic recording and reporting of
controlled drugs (eRRCD), and pharmacy
‘Community pharmacy is one of
Australia’s great public-private-
partnerships, delivering health
services to the NSW population in an
economically sustainable and patient-
centred way from over 1,900 community
pharmacies,’ he said.
‘ These policy proposals reinforce the
skills, knowledge and experience that
pharmacists have to deliver better
health outcomes for NSW in a way that
makes economic sense.’
• Deliver economic benefits to a
tight health budget, making up to
$12 million available to reinvest
elsewhere in the health system.
• Build patient-centred health
services to reduce the 71,000 annual
medication-related admissions to
NSW hospitals, relieving pressure
on emergency departments and
improving mental health outcomes.
• Equip and educate pharmacists
and the community on eRRCD and
Quality Use of Medicines, reducing
medication misuse and associated
• Plan a compassionate, patient-centred
program in the community setting for
the medicinal use of cannabis.
• Realise public health benefits through
the accessibility, knowledge and
skills of a growing NSW pharmacist
workforce who are ready to deliver
Routine hair testing
The Australian Health Practitioner
Regulation Agency (AHPRA) is
introducing hair testing for all
practitioners with substance related
Mandatory hair testing will be routine for
all registered health practitioners with
substance-related impairment, under a
screening protocol to be introduced by
the AHPRA and the National Boards.
AHPRA CEO Martin Fletcher said the
protocol provided a clear framework
across professions for AHPRA’s advice to
National Boards about the management
of registered practitioners with drug
‘It will make sure drug screening in the
National Scheme is evidence-based,
effective and up to date,’ Mr Fletcher said.
Under the protocol, all health
practitioners who have restrictions on
their registration linked to past substance
abuse will have routine hair testing in
addition to urine testing. Routine hair
testing helps provide comprehensive
information about the use – over time –
of a wide range of drugs (not just based
on the practitioner’s drug taking history).
National Boards will continue to make
decisions about individual practitioners
with impairment case by case, based on
testing standards set out in the protocol.
• nationally consistent threshold limits, so
all pathology providers conducting the
tests use consistent testing baselines
(e.g. will report all positive alcohol
readings over 30pg/mg in hair)
• agreed ‘critical events’ – in addition
to positive test results – requiring
action and follow up (e.g. unexplained
delayed screening tests or results,
failure to attend screening, diluted or
• agreed triggers for National Boards
to consider disciplinary action (e.g.
positive test results, non-compliance
with screening requirements).
12 2015NSWElectionManifesto I ©PharmaceuticalSocietyofAustraliaLtd.
5. Pharmacists as immunisers
Summary Pharmacists as immunisers are well established around theworld in
countries including the uSa, england, ireland and New Zealand.
The PSA urges the NSW Governmentto act urgently
to amend the Poisons and Therapeutic Goods
Regulation2008to authorise pharmacists to supply
and administervaccinations withouta prescription
to individuals notcoveredbytheImmunise
A us tra lia Prog ram.
Influenzais aseasonal disease, and is responsible
fordozens of deathsand thousands of
hospitalisations through the winter months.
studyhas suggested thatjustinadults agedover
50 years, upto 13,000 hospitalisations and3,000
deaths every yeararedue toinfluenza.
Annual administrationofthe influenza vaccine
is the mostimportant measure inpreventing
and is recommendedforany personovertheage
of six months, unless contraindicated. Accessibility,
costand convenience are allfactors when
consideringhowtoincrease vaccine community
The Pharmacy BoardofAustralia(PBA) inDecember
2013 declaredadministration of vaccines withinthe
current scope ofpracticeof pharmacists.20
BetterHealth for NSW:unlockingpharmacists’skills I ©PharmaceuticalSocietyofAustraliaLtd. 13
the solution Pharmacists as immunisers provide an unparalleled
levelof convenience to membersof the community
whowouldnototherwise be vaccinatedfor a
varietyof reasons. Theservice provides members
of the publicwitha valuable opportunitytoconsult
ahealth professionalabouttheirhealth and
medicines. Pharmacists referwhen appropriate,
freeing upGeneral Practitioners formore complex
pharmacists as immunisers support, ratherthan
detract, fromthe Immunise Australia Program, by
broadening community coverage and reaching
previously unvaccinated parts ofthe population.
In January 2014, Queenslandbecame the first
state to allowpharmacist-deliveredinfluenza
vaccinations, as partofthe QueenslandPharmacists
ImmunisationProgram(QPIP) trial. Datacollected
• More than12,000 vaccinations have been
deliveredwithno adverse outcomes
• 97%of service users were completely satisfied
• 62% of users were female, with52% between
• 38%ofusersofthe service did notgetvaccinated
every yearand14% hadneverhada influenza
vaccination. Further, if the service was not
available atthe pharmacy17.5% would not geta
More than 12,000 vaccinations
have been delivered with
no adverse outcomes
97% of service users were
completely satisfied with
62% of users were female,
with 52% between
46-65 years of age
InJuly 2014, the QPIPtrialwas broadenedto
include measles and whooping cough.
The governments of the NorthernTerritory, Western
Australia and SouthAustraliahave allrecently
movedlegislative changes toallowpharmacists
The governments ofVictoria,Tasmania and
the Australian CapitalTerritory areall currently
consideringoptions forthe introductionand
The Australian Pharmacy Council(APC) is finalising
accreditation of immunisation training programs;
the PSAhas alsogainednationalaccreditation
withtheAustralian Skills Quality Authority forits
ImmunisationTrainingprogram, as used inthe
QP IP tri al.
The onlything preventingthe supplyand
administration of vaccinationsbypharmacists in
NSW is regulatory reform.
PSA is pharmacy.
2015 NSW electioN MaNifeSto
better health for NSW: unlocking
Links Archive Australian Pharmacist February 2015 Australian Pharmacist April 2015 Navigation Previous Page Next Page