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Pharmacy 2017, 5(1), 6; doi:10.3390/pharmacy5010006

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

1
Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow G4 0RE, UK
2
NHS Highland, Inverness IV2 3BW, UK
3
The Boots Company PLC, 5 Wentworth St, Portree IV51 9EJ, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Jeffrey Atkinson
Received: 21 December 2016 / Revised: 6 February 2017 / Accepted: 7 February 2017 / Published: 16 February 2017
View Full-Text   |   Download PDF [1872 KB, uploaded 16 February 2017]   |  

Abstract

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. View Full-Text
Keywords: pharmaceutical palliative care; community pharmacy; medication used in palliative care; rural; service evaluation; support staff; education and training pharmaceutical palliative care; community pharmacy; medication used in palliative care; rural; service evaluation; support staff; education and training
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Akram, G.; Corcoran, E.D.; MacRobbie, A.; Harrington, G.; Bennie, M. Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland. Pharmacy 2017, 5, 6.

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