Alexander Spurling

Clinical Pharmacist in General Practice

[Alexander Spurling @askspurl]

Hospital discharge pathway #hsrpp2017 @NUHPharmacy @samanthatravi19 @NickHunter19

[Alexander Spurling @askspurl]

@NUHPharmacy @patrickiwilson @SFHTPharmacy @judithanya Good luck Patrick big loss for NUH pharmacy!

[Alexander Spurling @askspurl]

@SteveLaitner @BenAllenGP I suspect both LTC and lower acuity illness can be managed in community pharmacy. The issues are around workforce (ARRS contributing to this), current contractual arrangements where supply still remains the bulk of payment and the lack of prescribing options within cpcs.

[Alexander Spurling @askspurl]

@SteveLaitner @MissBethanEJohn Some clinical commissions groups have developed local pgds for management of uncomplicated UTIs. Within Derbyshire we certainly do. No reason why this and a National minor ailments scheme can’t become an advanced service within the community pharmacy contract.

[Trisha Elliott @Trisha_the_doc]

One of the most important issues in modern medicine is overprescribing, yet we don’t focus on it nearly enough.

Reducing overprescribing saves money, saves lives & helps save the planet. What’s not to like?

Link to the @bmj_latest editorial here:

https://t.co/tJlaOSfqDH

[The PCPA @pcpa_org]

Delia Bishara and @TonyAvery1 @GrahamStretch discussing Anticholinergics and Dementia tonight to a full house #pcpaEvents @MaudsleyNHS

[Patient Safety Congress & Awards @HSJptsafety]

The #HSJpatientsafety Awards 2021 Shortlist is here >>
https://t.co/f2fDhOoklC

CONGRATULATIONS TO ALL THE FINALISTS!

[The Pharmaceutical Journal @PJOnline_News]

Why can codeine be regarded as a 'pro-drug' and what is it metabolised into?

#pharmacycpd

https://t.co/ajyLnCA23z

[Medication Safety @meds_safety]

New paper discussing anticholinergic drugs and risk of dementia concludes that if it can be established that certain medications increased the risk of dementia, initiatives to change prescribing could become a key in reducing that risk. https://t.co/p0OHGAITRT

[Dr Terry Quinn💙 @DrTerryQuinn]

Anticholinergic meds are associated with a dose dependent increase in dementia risk.

Read more in our @CochraneDCIG review.
Our first to use prognostic factor review methods.

A collaborative effort supported by @DunhillMedical

https://t.co/9YYbcFqNiW

[Therapeutics Initiative (TI) @Drug_Evidence]

Want to know more about #deprescribing of #antihypertensives in older adults? 🤔💊

Our TI #BestEvidence webinar recording now available: https://t.co/jO96OUoxsn

👉🏽Presenter: @CochraneHTN author Dr. Emily Reeve @Reeve_Research

#MedEd #hypertension #prescribing

[Alexander Spurling @askspurl]

@SteveLaitner @KateJopling @CharlotteAugst @njlait @ashsoni0607 @MartinRCGP That point of access already exists in the form of CPCS. Does referral reflect need for f2f vs remote access?! I suspect not! Patient in collaboration with pharmacist can determine that but variation will undoubtedly exist.

[British Geriatrics Society @GeriSoc]

#Frailty is a long term spectrum disorder and a condition characterised by lost biological reserves across multiple systems #SoOGeriatrics2021

[British Geriatrics Society @GeriSoc]

'Single dose of Pfizer and Oxford vaccines cuts risk of hospital admission by 80% in over 80s, data suggest' via @bmj_latest https://t.co/KMwkDo8QyH #CovidVaccine #COVID19

[Dr Ruth Bednall @BednallRuth]

Validation of a Hospital Clinical Pharmacy Workforce Calculator: A methodology for Pharmacy? - Bednall - - International Journal of Clinical Practice - Wiley Online Library - Finally!!! Very satisfying to get this into virtual print. Paper version pending! https://t.co/HPAHktauFw

[Alexander Spurling @askspurl]

@andy_husband1 @PHPharmOutcomes Drop me a DM if you want my email to discuss.

[Anna Murphy @murph_ac]

On average, older people have 2 new meds, 0.8 stopped, 0.7 frequency changes, and 0.5 dose changes per admission. We need to engage with our patients, reinforce changes and communicate better across the interface. Medication safety is, after all, everyone’s responsibility.

[MedPipeline @MedPipeline]

Anticholinergic Drugs to Avoid in the Elderly - https://t.co/4p51GMxkoj https://t.co/GJAuaRZhKx

[deprescribing.org @deprescribing]

Study published in BMC Geriatrics investigating risk factors for hospital readmission in older adults suggests that patients aged 65+ had higher odds of readmission within 30 days of discharge if they regularly used 10 medications or more https://t.co/VpzfRTIIYf @BMC_series

[Patrick Wilson 💙 @patrickiwilson]

Pharmacy referrals via ⁦@nervecentrehq⁩ goes live ⁦@NUHPharmacy⁩ today. Excellent work by the team to get this development off the ground. Starting 9-5 Monday to Friday but more developments to follow!

[National Pharmacy Association @NPA1921]

Thank you @JackieDP for paying tribute to community #pharmacyheroes for opening throughout the pandemic and for vital contributions to the #NHS. Your ask of @NHSEngland to make sure that the right resources go to our pharmacies to continue to do fantastic work is appreciated.