Inhaler Technique CPD: Alopecia - Economic backdrop for pharmacy sector - Irish Pharmacy Union
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IRELAND’S OFFICIAL PHARMACY PUBLICATION
MARCH 2019
CPD: Alopecia
Economic backdrop
for pharmacy sector
Inhaler
Technique
Asthma Society and IPU
launch awareness campaign
IPU CONFERENCE – EARLY BIRD DEADLINE | EPILEPSY IRELAND
TAILOR-MADE
JUST FOR YOUR
PHARMACY
A bespoke retail review of your front-
of-pharmacy will give your pharmacy
a facelift to boost your sales without
overstretching your budget.
Our One-Day Review will include: How we have
■ Expert advice on your retail offering helped ...
■ A complete review of the front-of-pharmacy including
category management and promotion planning Perhaps the most effective
■ Providing training in sales techniques part of the process was the
■ Re-merchandising displays (interior and window) to
explanation given to the teams in
enhance the retail experience in your pharmacy store, the ownership they took of
■ Helping you and your sales team develop new sales ideas the ideas discussion and the speed
■ Using key performance indicators to help you
of implementation of the change,
increase front-of-pharmacy business which thankfully produced the
■ Motivating your sales team to be innovative, expected results.
sales focused and up-to-speed on product knowledge
Tom Murray,
Murray’s Pharmacy,
Co. Donegal
Darren Kelly, IPU Business Development
Manager, has over 20 years of retail
experience. If you would like further
information on this service or would like to
book a Retail Review, please contact Darren
on (01) 493 6401 / 086 028 9825 /
email: Darren.kelly@ipu.ie
MARCH 2019
07 A Note from the Editor
IPU News
The latest news and events
from Butterfield House
08 Dates for your Diary
08 Pharmacy in the media
16
10 IPU Conference – Early Bird Deadline
The IPU Review is published
monthly and circulated to Irish 10 Operation Transformation – Thank you
pharmacists. The views expressed 12 Urgent progress needed on resourcing
by contributors are not those healthcare in the community
of the IPU nor is responsibility
accepted for claims in articles 14 Member Briefings – March 2019
or advertisements.
14 Congratulations
Subscription:
€100 (Ireland North & South) and
€150 (including postage overseas).
Publisher:
Irish Pharmacy Union
(IPU Services Ltd),
Butterfield House,
Butterfield Avenue,
Rathfarnham, Dublin 14,
D14 E126
Tel: (01) 493 6401
Fax: (01) 493 6626
34
Email: ipureview@ipu.ie
Website: www.ipu.ie
Editor: Jack Shanahan MPSI
Editorial Associates: Features
Sinéad Fennell, Ciara Browne
and Jim Curran 16 Economic backdrop for pharmacy sector
Advertising: Sinéad Fennell
Email: ipureview@ipu.ie
Tel: (01) 493 6401
22 A community pharmacy-based
pilot project for BowelScreen
©2019
25 IPU Conference
Copyright: All Rights Reserved,
Irish Pharmacy Union.
Printed by Ryson Colour Printers Ltd.
IPU Review is a Registered Trademark
of the Irish Pharmacy Union.
30 Asthma Society
of Ireland
34 An Analysis of
the Pharmacist
Workforce Capacity
in Ireland
30
IPUREVIEW MARCH 2019 3
NEED HELP
WITH THE HSE?
THE IPU CONTRACT UNIT
IS HERE TO HELP YOU
CONTACT DEREK OR AOIFE
For advice on any part of the pharmacy contract;
For advice on all aspects of processing claims;
For assistance in responding to direct correspondence from the HSE PCRS;
If you are called to a meeting with the HSE PCRS;
If your pharmacy is inspected by the HSE PCRS;
If you are subject to a claims investigation; and
If you are being investigated under the pharmacy contract.
Telephone: 01 406 1557 / 01 493 6401
Derek Reilly, Contract Manager, derek.reilly@ipu.ie
Aoife Garrigan, Contract Administrator, aoife.garrigan@ipu.ie
39 Behaviour & Attitudes:
Reframing Community
48
Pharmacy
43 Epilepsy Ireland –
Purple Day 26 March
45 CPD: Alopecia
48 Assisted Decision-Making
(Capacity) Act 2015
51 Report of PSI Council Meeting
of 14 February 2019
News
53 Politics
66 PSI Strategy 2018 – 2020
57 Obituary: Pádraig Ó Mathúna 67 IMVO – EU Falsified Medicines
Directive (FMD)
58 Studies 68 HIQA announces public consultation on
C-reactive protein point-of-care testing
60 High Tech Medicines Update: 69 National Cancer Strategy 2017 – 2026
Implementation Report 2018
Symkevi® Film-coated Tablets 70 Irish Skin Foundation Dermatology Study
Day 2019 – 6 April 2019
61 Clinical Tips: Restrictions 70 Cystic Fibrosis Ireland to host
on the use of Quinolone and national conference
Fluoroquinolone Antibiotics 70 9th All Ireland Pharmacy Conference
– Call for Abstracts
62 International Pharmacy News 71 Accord Healthcare launches High Tech
Hub Demo Video with PharmaBuddy
64 Product Information 71 Daffodil Day more important than ever
72 Ministers for Health and Agriculture publish
report on antimicrobial use and resistance
72 Over 600 life-saving defibrillators across four
manufacturers require urgent updates
73 Minister for Health appoints HSE Board
73 FSAI publishes updated guidelines
74 Irish Chemists’ Golfing Society News
74 Classifieds
IPUREVIEW MARCH 2019
39 45 5
IPU PRODUCT FILE
The IPU Product File has been in existence for more than 30 years and is an indispensable resource
for community pharmacists. It was designed for pharmacists by pharmacists and is also used by doctors
and hospital personnel. It is a vital support tool for prescribing, dispensing, claiming with PCRS, stock
ordering, stock taking, price checking and product sourcing.
What is in the File? ISO Certified
The File contains information on over 63,000 products, including: In 2016, the IPU Product File achieved ISO Certification
for 9001 (Quality) and 27001 (Information Security).
Licensed medicinal products The audit and certification process for ISO Certification ISO 9001 ISO 27001
Registered Registered
Unlicensed medicinal products emphasises the robustness of the IPU Product File and Quality
Management
Information Security
Management
underpins its position as the definitive medicinal product
Medical devices and sundries (bandages, dressings, ostomy equipment etc.) catalogue in Ireland.
Nutritional products, including foods for special diets
Easy to Use
Veterinary products
The IPU Product File is an open system, so no matter what vendor you choose,
Photographic products the file can be adapted for your needs. The IPU Product File is available by
Cosmetic products electronic download, where you can log-in and download your monthly update.
Front of Shop products (shampoos, toothpastes, vitamins etc.) Contact Us
In addition to pricing information, barcodes etc., the IPU Product File The IPU Product File team are available to answer your queries, whether it’s
provides valuable professional information on health products. The professional on sourcing a product, pricing queries etc., the team will be able to assist you.
information provided includes the Medicinal Product Name, PA/EU number, For any queries relating to the IPU Product File, please contact a staff member
Generic Name, Pharmaceutical Form, Strength and Legal Status. on 01 406 1550 or datainfo@ipu.ie
A NOTE FROM THE EDITOR Jack Shanahan MPSI
No computer can take the
place of a professional taking a
compassionate and professional
decision to avoid or minimise harm
One of the major societal issues facing us is the twin prongs
of workplace and work evolution. While nobody has a crystal
ball, the growth of artificial intelligence and self-styled expert
systems are making many categories of workers nervous.
O
n the face of always deliver optimal care. yes and no. This begs the offering. One of the major
it, pharmacists In addition, we now have the question that arose earlier. annoyances that I endured
should not be growth of remote prescription If a pharmacist is simply an in the trial was the niggle of
sleeping too well writing services, where the effector of a set of rules, then having to log-in every three
at night. And this person signing the prescription why not replace them with hours. It says something about
would be true if you took a will never examine, not to a machine? The technology the quality of the product
very functional look at some mind meet the patient under is there. Dispensing robots that this was my biggest
of our labours. It is evident their care. And to cap it all, we are in many towns in Ireland. issue. So, what did they do?
that some of our processes have the arrival of ‘drop in’ As electronic prescriptions They made everybody log-in
can be automated. It would clinics, large and small, where become the norm, then there every hour with the release
be fair to say that our Achilles you will see an Irish registered is an obvious progression. version. Genius. It was no great
Heel is the perception that doctor, but with few of the The reality is that there are consolation as I compared my
our work is simply seen as a benefits of an overview of your times when it is necessary for setup with others. Of those
supply function. Yet, on any clinical history. All reasons pharmacists to break the law, that had a working system, it
given day, while safe medicine why you need a professional purely in the patient’s best was clear, with two notable
supply is important, we are pharmacist acting in the best interest. These are exceptional exceptions, that consultation
not automatons. We are interest of the patient. circumstances. But they exist. with end-user needs was
professionals, exercising our This is exactly what our And no computer can take minimal. In many cases, you
judgement about where the code of conduct demands of the place of a professional actually have to scan twice.
patient benefits and risks lie. us. The revised version, while taking a compassionate and Life is too short for these
Even in the idyllic pastures varying in emphasis, still has professional decision to avoid poorly designed and rushed
and gently rolling verdant hills this overarching concept at or minimise harm. FMD packages. Demand more.
of the Kingdom, the winds its core. For instance, the old FMD day passed with a
of primary care change are chestnut, are pharmacists splutter and a phut: nobody
blowing steadily. allowed to break the law? died and some actually had a
Part of this is the gradual More specifically, are there working system in place by 9
erosion and fragmentation times when, in a professional February. As anticipated, plain
of the traditional GP-patient capacity, we are expected sailing was not the order of the
relationship. As we move to to supply controlled drugs day. On a very positive note,
large primary care centres, outside legislative parameters? the powers that be decided on
anonymity starts to follow. But As we all should know, the a soft rollout. This meant that
this is only a minor part of the legislation is very clear. There all medicines, in the initial
challenge. Above all else is the are no circumstances where period, are supposed to scan
sheer volume of work faced you can supply a CD2/3/4.1 green. This does not mean that
by most GP practices. Most drug, with the honourable they all have a pass, in that
patients, and pharmacists, can exception of phenobarbitone/ if you adjudge a medicine to
attest to the sheer difficulty phenobarbital in epilepsy, be suspicious, you should act.
in getting a GP practice to without a valid prescription. This is, of course, what would
even answer the phone. Most So, there it is. Black and white. have happened previously. As I
routine GP prescriptions are Can’t be done. This is, of had done beta testing with one
on a conveyor belt system. course, the answer that any specific supplier, I decided to
This has meant an increasing computer can give. Technology throw my lot in with them for
dependence on processes, is the master of the binary going live. It would be fair to
many of which, with the question, with everything say that I wasn’t particularly
best will in the world, don’t coded in noughts and ones, enamoured with the live
If you have any comments, queries or issues to raise, send
your “Letters to the Editor” by email to ipureview@ipu.ie.
IPUREVIEW MARCH 2019 7
Pharmacy in
the Media
At the end of January, pharmacy students rallied outside
the Dáil in protest at unpaid work placements. We were
there to show our support to the students; there was
media coverage on RTÉ Radio 1 and Darragh O’Loughlin
was quoted in The Irish Times.
We were mentioned in the Irish Daily Star regarding
the DPS Scheme and on Fora.ie regarding the new FMD
legislation.
We were mentioned in the Mail on Sunday ahead of the
launch of Operation Transformation’s nationwide Weigh
Your Age campaign and our involvement this year. The
campaign was announced on the programme on RTÉ
One on Wednesday 6 February. There was significant
national media around the campaign including The
Dates fioarry
Irish Times, Irish Independent, The Herald and on RTÉ.ie.
IPU member Sarah Breslin was quoted for an article
in the Lifestyle section of the Irish Independent and
your D
there was coverage in the Donegal Democrat. Ann Marie
Horan was also on RTÉ One’s Claire Byrne Live to discuss
the campaign. There was a segment on Operation
Transformation on 13 February to show footage from
2019 some of the pharmacies.
MARCH rld Glau
coma There was also coverage on RTÉ.ie, in two articles in
16 M a rch Wo w w .world the Irish Examiner, and in the Irish Daily Mirror regarding
10 – Week, w rg/t the IPU’s objection to VAT on food supplements.
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8 IPUREVIEW MARCH 2019
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IPU NEWS
WEIGH
IPU Conference YOUR
– Early Bird AGE
Deadline As part
metaboli of Operation Tra
c age,
FOR FR
nsfor
checked visceral fat, fat p mation, have you
er r
EE in th centage and weig
is Pharm
The IPU National Pharmacy Conference is the ‘go-to’ 7 Februa acy on ht
event for community pharmacists in Ireland. The 9th ry 2019
annual conference will take place on 10 – 12 May 2019
in the Galmont Hotel, Galway. IPU Members can avail SUPP
ORTE
D BY
of a special Early Bird Rate – book before 29 March to
secure the discounted rate.
The range of events held over the weekend ensures
that there is something for everyone at this year’s
conference. The conference is open to all registered
Operation
pharmacists, as well as pharmacy staff and owners
who are members of the IPU, and Pharmacy Interns.
10 educational sessions will be held over the
Transformation
weekend, providing you with the opportunity to
enhance your skills, differentiate yourself from your
peers and help you to stay up-to-date with current
issues. The clinical sessions will focus on supporting
a range of patients, thus improving patient outcomes – Thank you to
all involved
and bettering the health of the communities you serve.
Turn to pages 25-29 for more information about our 10
CPD sessions, along with a booking form you can use to
book your place.
Your conference ticket gets you unlimited access to We want to thank all of you who took part
all the sessions, as well as the Exhibition Hall, Panel in last month’s Operation Transformation
Discussion and Plenary Session. You can find full details Weigh Your Age campaign. It was a huge
of the conference at www.pharmacyconference.ie. success and participating pharmacies were
The Early Bird rate, available to IPU Members, is very busy all day. From feedback we have
only €100. Sign-up and save before 29 March. received from members, there was a great
turnout in pharmacies and members were
very happy with how everything went.
10 IPUREVIEW MARCH 2019Hi Tech Portfolio
ANTI-BACTERIAL AGENT NEUTROPENIA
Linezolid Accofil ▼
Linezolid Filgrastim
600 mg x 10 Film Coated Tablets 30 MU/0.5 ml Solution for Injection
/ Infusion in Pre-Filled Syringe x 5
48 MU/0.5 ml Solution for Injection
/ Infusion in Pre-Filled Syringe x 5
ANTI-FUNGAL AGENT
Voriconazole Accord Pelgraz ▼
Voriconazole Pegfilgrastim
6 mg Solution for Injection
50 mg x 28 Film Coated Tablets
in Pre-Filled Syringe x1
200 mg x 28 Film Coated Tablets
PULMONARY ARTERIAL HYPERTENSION
ANTI-VIRAL AGENT
Granpidam
Valganciclovir Sildenafil
Valganciclovir
20 mg x 90 Film Coated Tablets
450 mg x 60 Film Coated Tablets ONCOLOGY AGENT
Bicalutamide
IMMUNOSUPPRESSANT Bicalutamide
Mycophenolate 50 mg x 28 Film Coated Tablets
Mofetil Accord
Mycophenolate Mofetil Capecitabine Accord
Capecitabine
250 mg x 100 Capsules 150 mg x 60 Film Coated Tablets
500 mg x 50 Film Coated Tablets 300 mg x 60 Film Coated Tablets
500 mg x 120 Film Coated Tablets
HIV-1 INFECTION AND HEPATITIS B INFECTION
Imatinib Accord
Tenofovir disoproxil Imatinib
Tenofovir disoproxil 100 mg x 60 Film Coated Tablets
400 mg x 30 Film Coated Tablets
245 mg x 30 Film Coated Tablets
HEPATITIS B INFECTION Temozolomide Accord
Temozolomide
Entecavir (Actavis) 5 mg x 5 Hard Capsules
Entecavir 20 mg x 5 Hard Capsules
100 mg x 5 Hard Capsules
0.5 mg x 30 Film Coated Tablets 140 mg x 5 Hard Capsules
180 mg x 5 Hard Capsules
250 mg x 5 Hard Capsules
Further information is available on request from Accord Healthcare Ireland Ltd, Euro House |
Euro Business Park | Little Island | Cork | T45 K857 | Ireland. Tel: 021-461 9040 or from the SmPC available on www.accord-healthcare.ie
Products subject to prescription. Supply through pharmacies only. Marketing Authorisation Holder for Actavis products Actavis Group PTC ehf, Reykavikurvegi,
76-78, 220 Hafnarfjordur, Iceland and for Accord products Accord Healthcare Limited, Sage House, 319 Pinner Road, North Harrow, Middlesex HAI 4HF, United Kingdom.
Date of Preparation: September 2018 UK&IE/HiT/0002/10-17aIPU NEWS
Urgent progress needed
on resourcing healthcare
in the community
The Government faces increasing and often competing Services which the IPU recommend rolling out to Irish
demands from across the healthcare industry. In the face of pharmacies include:
these pressures the IPU has urged the Government to remain
n Minor Ailment Scheme
focussed on their primary care objectives and to deliver new
This scheme would enable medical card patients receive
and efficient ways to treat patients in their communities.
treatment for common illnesses such as hay fever,
There are over 1,800 community pharmacies nationwide
migraine or skin conditions free of charge direct from
and the range of services they provide could be significantly
their local pharmacy. Currently medical card patients
enhanced. However, according to the IPU, the Government
are required to visit a GP and obtain a prescription
has consistently failed to progress a series of common-sense
for treatments ordinarily available over the counter.
proposals, creating missed opportunities for patients and the
Implementing this scheme prevent the requirement for
system as whole.
up to 950,000 GP consultations each year.
Darragh O’Loughlin, Secretary General of the IPU said,
“Community pharmacy is the most accessible part of our n New Medicine Service
healthcare system, with four out of five members of the public A structured pharmacy-led monitoring service for
visiting a pharmacy at least once a month. It is clear that our patients on newly prescribed medications for long-term
patients want to avail of more services from the convenience illnesses including COPD and Type 2 Diabetes. A pilot
of their local pharmacy, but a lack of action from Government in Ireland has already shown this improves ‘optimal
is consistently preventing us from doing so. Crucially, there adherence’ to medications and could bring savings to the
are many people currently being treated by GPs, who could be health system.
treated in pharmacies. GP practices are already under severe
pressure, with many reportedly unable to take on new patients. n Chronic Disease Management
With GPs overwhelmed, it makes absolute sense to expand Envisaged as a collaborative initiative between GPs,
the scope of services provided by community pharmacists, Pharmacists and other healthcare providers this scheme
which will reduce the burden on this overstretched part of the would see pharmacists would monitor important health
healthcare system.” indicators and refer any concerns to GPs. A pharmacy-
based blood pressure management service could for
example save the state €1.36bn over 30 years.
“Irish pharmacists are ready, willing and waiting to enhance
the levels of care they provide,” said Darragh O’Loughlin.
“Unfortunately, time and again, despite all the successful pilots
and studies, community pharmacists’ positive intentions and
desire to help patients is left to gather dust on a shelf.”
Darragh O’Loughlin concluded that, “The time is right to
optimise our delivery of primary care by providing appropriate
convenient, accessible and cost-effective healthcare through
pharmacies in communities throughout the country. Patients
cannot afford to wait.”
12 IPUREVIEW MARCH 2019RELIFE.
M Y S K I N S AYS
H OW I F E E L
Colore:
P. 296 C
IR-REL-01-2019 FEB 2019IPU NEWS
Member Briefings
Congratulations
– March 2019 Congratulations to Alma Barr, Education
Coordinator, IPU, who gave birth to a baby boy
The IPU will be holding a series of member briefings in the last month. We wish Alma and Jonathan all the
last two weeks of March (see details below) to update you on all best with their new arrival!
relevant current issues and to hear your views. Issues to be
discussed will include the following:
n Current position regarding FEMPI;
n Falsified Medicines Directive / medicines authentication;
n Brexit;
n PCRS issues;
n Political lobbying campaign; and
n Any other issues arising.
Region Venue Time Date
Cork The Oriel House Hotel 8.00pm 19 March
Ballincollig, Co. Cork
Limerick The Strand Hotel 8.00pm 20 March
Ennis Road, Limerick City
Kilkenny Newpark Hotel 8.00pm 21 March
Castlecomer Road, Kilkenny
Sligo Clayton Hotel 8.00pm 25 March
Clarion Road,
Ballytivnan, Sligo
Athlone Hodson Bay Hotel 8.00pm 26 March
Roscommon Road,
Athlone
Galway Maldron Hotel Sandy Road 8.00pm 27 March
(Formerly the Pillo Hotel)
Headford Road, Galway
Dublin Crowne Plaza Hotel 8.00pm 28 March
Blanchardstown,
Dublin 15
GET THE RETAIL
FACTOR IN YOUR
PHARMACY.
For further information on the IPU Retail Review service, please contact
Darren Kelly on (01) 493 6401 / 086 028 9825 or email: Darren.kelly@ipu.ie
IPU Retail Banners 190X45 MAR16 ART.indd 4 25/03/2016 17:55
14 IPUREVIEW MARCH 2019DON’T LET PAIN
HOLD YOU BACK
ESSENTIAL
INFORMATION
Solpa-Extra 500mg/65mg Soluble Tablets contain paracetamol and caffeine. For the treatment of mild to moderate pain. Adults and children over 16 years: 1-2 tablets
dissolved in water every 4-6 hours. Max 8 tablets a day. Children 12-15 years: 1 tablet disolved in water every 4-6 hours. Max 4 tablets a day. Not suitable for children under 12
years. Contraindications: Hypersensitivity to the ingredients. Precautions: Particular caution needed under certain circumstances, such as renal or hepatic impairment, chronic
alcoholism and malnutrition or dehydration. Precautions needed in asthmatic patients sensitive to acetylsalicylic acid, patients on a controlled sodium diet and with rare hereditary
problems of fructose intolerance. Patients should be advised not to take other paracetamol containing products concurrently. Pregnancy and lactation: Not recommended during
pregnancy and breastfeeding. Side effects: Rare: allergies. Very rare: thrombocytopenia, anaphylaxis, bronchospasm, hepatic dysfunction, cutaneous hypersentitivity reactions.
Unknown: nervousness, dizziness. Further information is available in the SmPC. PA 1186/017/001. P. MAH: Chefaro Ireland DAC, Treasury Building, Lower Grand Canal Street,
Dublin 2, Ireland. Date of preparation: April 2017.BUSINESS Jim Power, Economist
Economic
backdrop for
pharmacy sector
Trading conditions for the The pharmacy sector in 2018
pharmacy sector continued Trading conditions for the
pharmacy sector continued
sales increased by 17.1%, but
the value of sales increased
to gradually improve in 2018 to gradually improve in 2018
in line with most other parts
by a more modest 6.6%. This
suggests that the pharmacy
in line with most other parts of the economy. Sales of
Pharmaceutical, Medical and
sector is still dealing with
a financially pressurised
of the economy. Sales of Cosmetic items increased by
1.5% in value terms in 2018
consumer sector, with the
ability to convert volume
Pharmaceutical, Medical and and by a much stronger 5.5% growth into value growth still
in volume terms. Between challenging.
Cosmetic items increased by 2015 and 2018, the volume of
1.5% in value terms in 2018
and by a much stronger 5.5%
in volume terms.
16 IPUREVIEW MARCH 2019On the price side, Figure 1: Retail Sales of Pharmaceutical, Medical & Cosmetic Items
compression is still a feature
of the market. In 2018, the
average consumer price of
pharmaceutical products was
3.4% lower than the previous
year and 10.5% lower than
2008; the average price of
prescribed drugs declined
by 5.3% in 2018 and was
19.7% lower than 2008; and
the average price of other
medicines declined by 0.1%
in 2018, but prices were 1.8%
higher than 2008.
The economy in 2018
The Irish economy performed
strongly in 2018, with almost
all indicators of economic
Source: CSO
activity continuing to suggest
solid levels of economic
momentum.
Figure 2: Consumer Price of Pharmacy Products
GDP growth
Quarterly national accounts
data are available for the
first nine months of 2018 and
show that in the first three
quarters of the year, real
gross domestic product (GDP)
expanded by 7.4% and real
gross national product (GNP)
expanded by 7.5%. Personal
consumption increased by
3.1% and exports of goods and
services expanded by 9.2%.
Modified domestic demand
expanded by 4.5%. This is an
indicator of domestic demand
where globalisation effects,
such as trade in intellectual
property products and trade in
aircraft by leasing companies,
are excluded. This is a more
accurate representation of
Source: CSO
what happened on the ground
in the real economy in 2018
and it describes an economy
that experienced steady rather the fact that personal finances in 2008 but it has plateaued spending, but rather reflects
than dramatic growth as the are still stretched due to low over the past three years and the financial strains that
GDP and GNP growth rates wage growth for the past is proving quite volatile from continue to pressurise the
might appear to suggest. decade; a high personal tax month to month. In October, personal sector.
burden; uncertainty relating confidence dipped to a
Consumer dynamics to the impact of Brexit; and 46-month low but it improved Labour market
In 2018, the volume of retail rapidly escalating house prices modestly in January. In the year to September
sales expanded by 3.8% but and rents that are soaking up Issues such as Brexit, 2018, the number of people
the growth in value terms was disposable income, leaving rapidly escalating house in employment increased by
lower at 2.7%. The persistent less money available for other prices and rents, higher fuel 66,700 or 3% to reach 2.273
gap between volume and discretionary spending. The costs, the high personal tax million. This is the highest
value growth reflects the fact retail market is challenging, burden, and subdued wage level of employment ever
that retailers are still dealing with the growth in online growth are combining to achieved in Ireland. The
with a personal sector that is purchasing also a significant have a somewhat sobering growth in employment is
resistant to higher prices and business challenge. influence on the personal broadly based from a sectoral
is continuously in search of Consumer confidence sector. However, this is not perspective, and unlike the
value for money. This cautious recovered strongly in the indicative of an impending years leading up to 2007, it is
consumer behaviour is due to aftermath of the recession sharp correction in consumer not being driven primarily by
IPUREVIEW MARCH 2019 17Figure 3: Consumer Confidence The public finances
The Government recorded an
Exchequer surplus of €106
million in 2018. This is the
first budget surplus since
2006. The improvement in the
public finances is due to tax
revenue buoyancy rather than
any serious efforts to control
public expenditure. For the
year as a whole, the Exchequer
collected €55.6 billion in
taxation, which is the highest
level of tax revenues ever
collected.
Tax revenues continued to
grow strongly in January and
were 7% ahead of January
2018. An Exchequer surplus of
€1.64 billion was recorded in
January.
The outlook for 2019
Source: ESRI/KBC Bank The outlook for the Irish
economy in 2019 looks
reasonably good but the risks
Table 1: Employment Growth by Sector Q3 2012 – Q3 2018 the construction sector and and challenges are clear.
related activities. This makes As 2018 progressed, the
Sector Q3 2012 Q3 2018 Change it look more sustainable. external environment did
(000S) (000S) In the year to January 2019, give cause for concern.
the number of people officially Growth in the Euro Zone lost
Agriculture 110.1 104.9 -5,200 registered as unemployed considerable momentum;
declined by 13,400, to reach a number of emerging
Industry 232.8 284.6 +51,800 127,300. The unemployment economies, such as Brazil,
rate stood at 5.3% of the Argentina, Venezuela
Construction 82.8 146.5 +63,700
labour force in January, which and Turkey, experienced
Retail & Wholesale 276.6 301.0 +24,400 is down from 16% at the considerable economic and
beginning of 2012. political difficulties; UK
Transportation 83.4 101.2 +17,800 growth was undermined by
Tourism Brexit-related uncertainty
Accommodation & 127.4 181.2 +53,800
The tourism performance and China lost considerable
Food Services
continues to be very strong. momentum. The US was the
ICT 91.2 124.1 +32,900 In 2017, 9.93 million overseas most notable exception, as
visitors came to Ireland, the tax package implemented
Financial Services 103.6 101.3 -2,300 which is the highest level ever a year ago gave a significant
recorded. The strong tourism boost to economic activity.
Professional & 106.5 135.4 +28,900
performance continued in As we look ahead to 2019,
Scientific
2018. 10.6 million overseas many of the signs are pointing
Admin & Support 79.7 105.4 +25,700 visitors came into the country, towards a more challenging
Services which is 6.9% ahead of 2017. year for the global economy
Visitor numbers from Great and global geopolitics. It is
Public Admin & 89.3 104.1 +14,800 Britain increased by 0.8% unlikely that global recession
Defence to reach 3.76 million, and will be experienced, but
accounted for 35.4% of total global growth looks set to be
Education 134.2 170.6 +36,400 overseas visitor numbers. This somewhat slower than in 2018
Health 258.4 282.1 +23,700 is down from 40.9% in 2016. and there are considerable
Sterling weakness and slower risk factors that will need to
TOTAL 1,887.0 2,273.2 +386,200 UK growth have impacted be watched closely.
on this market segment.
Source: CSO, Labour Force Survey, 20 November 2018 Visitor numbers from North n US growth is likely to
America increased by 13.4% ease over the coming
to reach 2.38 million; and months, as the fiscal
visitor numbers from the rest stimulus package
of Europe, excluding Great introduced a year ago
Britain, increased by 9.5% to dissipates. To date, the
reach 3.81 million.
18 IPUREVIEW MARCH 2019INVOKANA® (canagliflozin) 100 mg & 300 mg film-coated
tablets. PRESCRIBING INFORMATION. Republic of Ireland. Please
Uncontrolled INVOKANA is indicated for the treatment
of adults with insufficiently controlled
blood sugar
refer to Summary of Product Characteristics (SmPC) before
prescribing. INDICATIONS: The treatment of adults with insufficiently type 2 diabetes mellitus (T2DM) as an
controlled type 2 diabetes mellitus as an adjunct to diet and exercise
adjunct to diet and exercise.1
can’t wait
as monotherapy when metformin is considered inappropriate due to
intolerance or contraindications, or in addition to other medicinal products
for the treatment of diabetes. DOSAGE & ADMINISTRATION: Adults:
recommended starting dose: 100 mg once daily. In patients tolerating this
dose and with eGFR ≥ 60 mL/min/1.73 m2 needing tighter glycaemic control,
dose can be increased to 300 mg once daily. Caution increasing dose in
patients ≥ 75 years old, with known cardiovascular disease or for whom
initial canagliflozin-induced diuresis is a risk. Correct volume depletion
prior to initiation. When add-on, consider lower dose of insulin or insulin
secretagogue to reduce risk of hypoglycaemia. For oral use, swallow whole.
Children: no data available. Elderly: consider renal function and risk of
volume depletion. Renal impairment: not to be initiated with eGFR < 60
mL/min/1.73 m2. If eGFR falls below this value during treatment, adjust
or maintain dose at 100 mg once daily. Discontinue if eGFR persistently
< 45 mL/min/1.73 m2. Not for use in end stage renal disease or patients
on dialysis. Hepatic impairment: mild or moderate; no dose adjustment.
Severe; not studied, not recommended. CONTRAINDICATIONS:
Hypersensitivity to active substance or any excipient. SPECIAL WARNINGS
& PRECAUTIONS: Not for use in type 1 diabetes. Renal impairment: eGFR
< 60 mL/min/1.73 m2: higher incidence of adverse reactions associated with
volume depletion particularly with 300 mg dose; more events of elevated
potassium; greater increases in serum creatinine and blood urea nitrogen
(BUN); limit dose to 100 mg once daily and discontinue when eGFR < 45
mL/min/1.73 m2. Not studied in severe renal impairment. Monitor renal
function prior to initiation and at least annually. Volume depletion: caution
in patients for whom a canagliflozin-induced drop in blood pressure is a
risk (e.g. known cardiovascular disease, eGFR < 60 mL/min/1.73 m2, anti-
hypertensive therapy with history of hypotension, on diuretics or elderly).
Not recommended with loop diuretics or in volume depleted patients.
Monitor volume status and serum electrolytes. Haematocrit: careful
monitoring if already elevated. Genital mycotic infections: risk in male
and female patients, particularly in those with a history of GMI. Lower
limb amputation: Consider risk factors before initiating. Monitor patients
with a higher risk of amputation events. Counsel on routine preventative
foot care and adequate hydration. Consider discontinuing Invokana when
events preceding amputation occur (e.g. lower-extremity skin ulcer, infection,
osteomyelitis or gangrene). Urine laboratory assessment: glucose in urine
due to mechanism of action. Lactose intolerance: do not use in patients
with galactose intolerance, total lactase deficiency or glucose-galactose
malabsorption. Diabetic ketoacidosis (DKA): rare DKA cases reported,
including life-threatening and atypical presentation cases. Where DKA is
suspected or diagnosed, discontinue Invokana treatment immediately.
Interrupt treatment in patients who are undergoing major surgical
procedures or have acute serious medical illnesses. Consider risk factors for
development of DKA before initiating Invokana treatment. SIDE EFFECTS:
Very common (≥1/10): hypoglycaemia in combination with insulin or
sulphonylurea, vulvovaginal candidiasis. Common (≥1/100 to”It is unlikely that global recession will be
experienced, but global growth looks set
to be somewhat slower than in 2018 and
there are considerable risk factors that
will need to be watched closely.”
economic momentum relaxed about interest
in the economy has rates and a bit concerned
been generally solid by the slowdown in
but there are definite growth, particularly in
signs of easing. There Germany. This bodes well
are also justifiable for interest rates.
concerns about President
n The outcome for
Trump and his trade
Brexit remains deeply
agenda. The growth of
uncertain and will
protectionism would
continue to represent
not be good for global
a source of risk for
growth, and Ireland
Europe in general, but
would be particularly
for Ireland and the
vulnerable given the
UK in particular. A
importance of external
‘soft Brexit’ would see
trade to the economy.
sterling strengthen and
n Growth in the Euro Zone, a significant rebound
the UK and China is in the UK economy,
likely to soften further, which would be very
n The pressure to of the high personal tax
and emerging market good news for Ireland.
increase expenditure burden; subdued wage
economies are likely to However, Brexit remains
on public services, growth for the past
continue to struggle. a source of considerable
particularly health, will decade, although wages
uncertainty and defeat
n Global geopolitics also remain strong and will will rise more strongly in
for common sense.
look risky, with Russia, pressurise the public 2019; rising house prices
the rise of the right in The key domestic challenges finances. Public sector and rents will continue
Italy, Hungary, Poland include: pay pressures will be to soak up household
and Austria, the riots a particular challenge. disposable income; and
n The imbalance
in France, and the Ireland still has a Brexit will remain a
between demand and
relationship between the dangerously high level source of deep concern
supply in the housing
US and China being key of Government debt and uncertainty.
market is putting
issues of concern. that needs to be brought
considerable upward Real GDP growth is forecast
under control.
n US interest rates were pressure on house to expand by around 5% in
increased four times prices and rents and is n As the economy steadily 2019. Consumer spending is
during 2018. The Federal undermining national moves towards full projected to grow by 3.2%;
Reserve believes that competitiveness. It employment, wage the unemployment rate is
rates will need to be appears likely that pressures are likely expected to fall below 5% but
increased by 0.5% over house price inflation will to intensify and the should average around 5% for
the coming year but moderate in 2019 due recruitment and the full year; and employment
this may not be needed. to affordability issues retention of workers will is expected to grow by 1.5%
Based on recent slower rather than adequate become a significant to average 2.29 million. A
growth in the Euro Zone supply, but rents look challenge for all solid year looks in prospect,
and the complete lack set to remain under employers. not least due to the strong
of inflation, ECB rates considerable upward momentum carrying forward
n The personal sector
are likely to remain pressure. Housing supply from last year, but the risks
will remain pressurised
unchanged for the needs to increase as a and challenges will need to be
due to a combination
duration of 2019. The matter of priority. watched very closely.
ECB is currently very
20 IPUREVIEW MARCH 2019Challenging Times Ahead?
Let Accord take care of you
Gregg Farrell John MacHale
David Lane Richard Doherty
Damien McCormack Martina Sweeney Padraic O’Brien
Further information is available on request from Accord Healthcare Ltd
Euro House I Euro Business Park I Little Island I Cork I T45 K857 I Ireland 021-461 9040
Date of Preparation: Jan 2019 NA-371-01PROFESSIONAL Jennifer Flaherty, ITT, Dan Ahern, Community Pharmacist Farranfore,
Sinéad Flaherty, ITT and Tom Farrelly, ITT.
A community
pharmacy-based
pilot project for
BowelScreen in
County Kerry
Bowel cancer is the second most common
form of cancer in men, and third in
women, diagnosed in Ireland. The most
recent figure reported that 2,775 people
were diagnosed with bowel cancer in 2017
(National Cancer Registry, 2018).
I
ndividuals feel that of the screening test. Some syndrome, altered bowel ITT with the support of the
bowel cancer is not people often believe the habits and hemorrhoids. Irish Pharmacy Union, and in
as widely discussed test is more complicated Mindful of looking for particular, Ms Pamela Logan,
or advertised as than it is and/or that it is different ways of trying to Director of Pharmacy Services
breast screening quite distasteful. In recent promote cancer screening, the with the IPU. The study was
and therefore do not see years, there has been a shift National Screening Service’s commissioned and carried
the importance of taking from dispensing medication Bowel Screen approached out between March and July
part in screening especially towards patient care, placing researchers in the Institute 2018 across six community
when they feel fine and do pharmacists in a prime of Technology Tralee (ITT) pharmacies in county Kerry.
not have any symptoms position for delivering health to investigate innovative The sites represented a mix
(Wackerbarth et al, 2005). messages and incorporating ways of attracting people of rural, medium and large
There is also an element of cancer screening initiatives to participate in bowel towns in the county. In order
social embarrassment around into their existing practice screening. This study sought to ensure a high level of
bowel cancer, leading to it not (Havlicek and Mansell, 2016). to assess the effectiveness of consistency, pharmacists from
being as freely discussed as Pharmacists are well placed a community pharmacy based the selected sites were invited
other forms of cancer (Jones to have open discussions opportunistic bowel screening to a training workshop in the
et al, 2010). The evidence with the public, as many intervention. This study was delivery of the BowelScreen
would show that there is a people buy over-the-counter a joint project between the message and to educate
concern amongst participants medication for common bowel National Screening Service them about how the bowel
around the acceptability issues such as irritable bowel (Ms Lynn Swinburne) and the screening service operates.
22 IPUREVIEW MARCH 2019“I quit smoking for her”
Fergus O’Shea
Help smokers quit with an unbeatable
combination from *
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MB PCR
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NiQuitin Clear 14mg Patches. Indication: Stop Smoking aid, Contains nicotine, Requires willpower. Always read the leaflet. Legal classification: GSL. PA 1186/18/5. MAH: Chefaro
Ireland DAC, Treasury Building, Lower Grand Canal Street, Dublin 2, Ireland. Information about the product including adverse reaction, precaution, contra-indication and method of
use can be found at: http://www.medicines.ie/medicine/12137/SPC/NiQuitin+CLEAR+14+mg+24+hours+transdermal+patch/ (14 mg). NiQuitin Mini Mint 1.5 mg Lozenges. Stop
Smoking aid, Contains nicotine, Requires willpower. Always read the leaflet. Legal classification: GSL PA 1186/18/11 (1.5mg) PL. MAH: Chefaro Ireland DAC, Treasury Building, Lower
Grand Canal Street, Dublin 2, Ireland. Information about the product including adverse reaction, precaution, contra-indication and method of use can be found at: http://www.medicines.
ie/medicine/14493/SPC/NiQuitin+Mini+1.5mg+mint+lozenges (1.5mg). Date of preparation: 12/09/2018.Patients aged between period in 2017 and 2018 were GP until they are very unwell. References
60 to 69 years, presenting compared with the return Through these interactions, 1. Connelly, D., 2007. Community
for prescriptions or other rates in this initiative. Given the community pharmacist pharmacists can play a key role
pharmacy items, were the wide disparity in sample therefore has the opportunity raising awareness of bowel
targeted to receive an sizes, it is difficult to make to raise awareness for bowel cancer. Pharmaceutical Journal,
intervention delivered by the a direct comparison and as screening (Connolly, 2007). 278(7452), pp.580-580.
pharmacist recommending such should be treated with Pharmacists are in a prime 2. Havlicek, AJ. & Mansell, H. 2016.
the BowelScreen home test. caution. Nonetheless, the position to aid with health The community pharmacist’s
In total, 85 people signed kit return rates were very screening, as they are one role in cancer screening and
up to take part in the home encouraging by comparison of the most accessible prevention. Canadian Pharmacy
Journal, 149(5),pp. 274-282.
test and of that number, 69 and certainly would suggest healthcare professionals
were deemed to be eligible that community pharmacies to members of the general 3. Jones, R.M., Devers, K.J., Kuzel,
to take part. Out of the are very well placed to assist public and are already A.J. and Woolf, S.H., 2010.
Patient-reported barriers to
69 participants, 51 people with such health promotion actively involved with health
colorectal cancer screening:
returned the test kit, giving initiatives. promotion and prevention a mixed-methods analysis.
an overall uptake rate of Most people feel that they as illustrated by their American journal of preventive
73.9%. For the purpose of can appropriately self-care participation in the influenza medicine, 38(5), pp.508-516.
illustration, the national for these conditions at home vaccination programme. 4. National Cancer Registry, 2018.
return rates for the same time and would not go to see the Cancer Factsheet Colorectal.
[Online]. Available at: https://
www.ncri.ie/sites/ncri/files/
09/04 – 06/05 2018 2017 Pilot Project Rates factsheets/Factsheet%20
No. Invited 28,879 22,985 69 colorectal.pdf [Accessed 26th
December 2018].
Kits Returned 11,023 8,871 51 5. Wackerbarth, S.B., Peters,
J.C. and Haist, S.A., 2005.
% Return Rate 38% 38.5% 73.9% “Do We Really Need All That
Equipment?” Factors Influencing
Colorectal Cancer Screening
Decisions. Qualitative Health
Research, 15(4), pp.539-554.
6. World Health Organisation,
1994. The Role of the
Pharmacist in the Healthcare
System. [Online] Available
at: http://apps.who.int/
medicinedocs/pdf/h2995e/
h2995e.pdf [Accessed 26th
December 2018].
7. Winawer, S., Faivre, J., Selby, J.,
Bertaro, L., Chen, T.H., Kroborg,
O., Levin, B., Mandel, J.,
O’morain, C., Richards, M. and
Rennert, G., 2005. Workgroup
II: the screening process.
UICC International Workshop
on Facilitating Screening for
Colorectal Cancer, Oslo,
Norway (29 and 30 June 2002).
Annals of oncology, 16(1),
pp.31-33.
24 IPUREVIEW MARCH 2019CONFERENCE
10 CPD
SESSIONS
TO CHOOSE
FROM AND
MUCH MORE
IPU NATIONAL
PHARMACY
CONFERENCE
10 – 12 May 2019, The Galmont Hotel, Galway
pharmacyconference.ie
The face of community pharmacy is ever-changing with new
initiatives always in the pipeline. The IPU National Pharmacy
Conference ensures that you remain up-to-date with these
developments through 10 informative educational sessions.
IPUREVIEW MARCH 2019 25W
e have taken on valuable feedback from IPU members and worked with our Conference Subcommittee, IPU
Academy, financial advisers, industry representatives and other organisations to develop a comprehensive
and educational programme to support you with your CPD. We will provide you with a CPD template for each
session which is designed to support your engagement with the CPD system developed by the IIOP. A certificate
of attendance for your sessions will be sent to you after the conference. The conference programme features
professional and business sessions, covering a wide range of topics. See below information on all our sessions or for a full
description, please visit www.pharmacyconference.ie.
Clinical Sessions Business Sessions
5 Ways to Increase Your Wellbeing at Work Maximising the Return from your Dispensary Data
(No Matter How Busy You Are) – a hmR Presentation
4.00pm, Friday 10 May 4.00pm, Friday 10 May
This session will be delivered by Séamus Ruane, Galway- Health Market Research, for several years now, has been
based contractor pharmacist with over 20 years’ experience in transforming your raw data into meaningful information to give
community pharmacy. This workshop will give you actionable, your business the edge it needs in an extremely competitive
evidence-based steps to help you improve your wellbeing at environment. Using the most advanced technological solutions,
work. It provides a clear template to help you consistently we are helping you, the pharmacist to ‘maximise the return
feel good and function effectively at work. Learn how to build from your dispensary data’. hmR’s Pharmacy Platform identifies
positive emotion, increase engagement, and find meaning at opportunities within the data and helps pharmacists unlock
work, all in an easy-to-apply format designed to make your hidden profit potential including generic opportunities. This
changes last. Discover evidence-based, busy-proof wellbeing session will be delivered by Alan McCormick, Senior Manager –
approaches that enable you to confidently handle common Pharmacy Business Intelligence, hmR Ireland.
work challenges.
Transform your Business using People, Process and Technology
The Pharmacist in an Atrial Fibrillation Clinic . . . 8.30am, Saturday 11 May
A Model of Care We are looking forward to welcoming Jay Patel, Pharmacist and
Sponsored by Bristol Myers Squibb Executive Director, Day Lewis Plc, to speak on this topic at the
5.30pm, Friday 10 May conference. Pharmacy must adapt to the changing demands
During this informative session, delivered by Edwina Morrissey, of both patients and commissioners. What innovation means
Senior Clinical Pharmacist at Tallaght University Hospital, however, is often misunderstood. This session describes what
you will gain a better understanding of atrial fibrillation, its innovation actually is and how business owners can innovate
diagnosis, complications and treatment. After this session you leveraging three core assets (People, Process and Technology).
will be able to review and counsel a patient on a direct oral
anticoagulant and understand the pharmacist’s role in the atrial Economic Trends in 2019 and How they May Affect the
fibrillation multidisciplinary clinic. Pharmacy Sector
In Association with Moore Wealth Management
The Role of the Community Pharmacy Team in 12.30pm, Saturday 11 May
Supporting Palliative Care at Home This session will be delivered by Economist Jim Power where we
8.30am, Saturday 11 May will consider the Irish economic environment in general, the
This exciting session is in association with Galway Hospice and behaviour of consumers, the public finances, Brexit, interest rates
will demonstrate how community pharmacy can play a big part and how all of these issues impact on the pharmacy business.
in supporting Palliative Care in the home. This session will be
delivered by Karen McKee, Chief Pharmacist, Galway Hospice Leading Through Adversity
Foundation. 4.15pm, Saturday 11 May
Jack Kavanagh, Pharmacist and Motivational Speaker, will deliver
Eczema Diagnosis and Treatment: Tips and Tricks for the on leading through adversity, which will reveal fundamental
Community Pharmacist / Sponsored by A.Menarini truths we can all relate to about the ebbs and flows of life as
12.30pm, Saturday 11 May Jack relays his personal story of adversity and his journey from
During this session, delivered by Dr Paul Ryan, Pharmacist and surviving to thriving in life. He will impart his biggest learnings
GP, the most recent prescribing guidelines on eczema are put in his journey of personal leadership, resilience and growth
into practice for the community pharmacist. Key learning points through the adversities we all encounter in our lives. Jack is set
from this talk include pathophysiology of eczema, different to inspire us at what is set to be an invigorating conference.
types of eczema seen in community pharmacy as well as the
treatment of the common eczema types. Leading, Delegating, Communicating – How will you Manage?
10.00am, Sunday 12 May
The Challenges Presented by Breast Cancer Survivors As a community pharmacist, you won’t just be a health
Taking Antihormone Medication professional – you will also be both a manager and a leader of a
10.00am, Sunday 12 May team of people within a pharmacy. The role of a pharmacist is a
This will be delivered by Elizabeth Summersby, RANP Oncology, position of responsibility and with it comes assumed obligation;
Our Lady of Lourdes Hospital. Breast Cancer affects 1 in 9 Irish obligation to be in control, to be in authority, to solve problems,
women and there are currently 2,883 new cases diagnosed as well as to temporarily manage resources, people, compliance,
annually1. With early detection and an increasing number of targets and, above all, a health brand. There are three specific
effective therapies, more women than ever are surviving breast skills needed to manage the potential challenges which you
cancer. Therapies such as Tamoxifen and Aromatase Inhibitors may experience while working as a first-year pharmacist. These
reduce the risk of recurrence by up to 50%2. These treatments may are; Communication Skills, Delegation Skills and Performance
be used for up to 10 years3 and may result in long term side-effects. Management Skills. Join us in this session, delivered by Susan
Madden, Principal, South East College – Further Education &
1. National Cancer Registry, 2016.
Training, to discover how effective communication can help to
2. Cahir et al. 2015.
3. Goss, 2016. foster a good working relationship between you and your team,
which can in turn improve morale and employee efficiency.
26 IPUREVIEW MARCH 2019The conference also offers invaluable
networking opportunities and face- APPEL Preceptor Training
to-face contact with your colleagues. Pharmacists who would like to act as a Preceptor to a
4th-year pharmacy student under the new MPharm
programme can undertake the required Preceptor
There are numerous networking opportunities throughout
training at this year’s IPU conference. These pharmacists
the weekend, from the tea/coffee breaks in the Exhibition
will then be positioned to oversee four-month APPEL
Hall to the IPU President’s Dinner & Ball – a key social
placements for 4th-year students in 2019. At the
event in the pharmacy calendar. This year’s President’s
conclusion of the session, participants will understand
Dinner & Ball takes place on Saturday 11 May as part of the
the new role of the Preceptor, how placements are
conference weekend. You can book your dinner ticket on the
structured and assessed, and the learning outcomes
booking form provided for just €35.
set for students. The session will identify strategies
to successfully facilitate experiential learning
placements through effective feedback, resolving
Pharmacy Staff conflict and calibrating expectations. This training
session will be delivered by Dr Maria Donovan, Practice
Pharmacy staff and technicians can attend the Educator, University College Cork (UCC), and Eimear Ni
conference for the full weekend for just €60! This Sheachnasaigh, Practice Educator, University Of Dublin,
includes admission to all sessions and the Exhibition Trinity College (TCD). For more information on this
Hall, as well as Friday night dinner and daily session, please contact the APPEL Team at ops@appel.ie.
refreshments and lunches (Saturday and Sunday).
Pharmacy staff are a key asset to your pharmacy
business and the conference is the ideal place for
them to attend educational courses. To support the
continuing education of pharmacy technicians, we will
Conference Information
also hold a CPD for Pharmacy Technicians session on
the Sunday morning entitled Support and Care for
and Registration
Cancer Patients.
One in three people in Ireland are given a diagnosis
The conference is open to all Condition of entry
pharmacists, non-pharmacist
of cancer. This is almost always a life-changing event It is a condition of entry that
pharmacy owners who are IPU
which poses challenges for patients. Pharmacy staff you may be photographed
Members, Pharmacy Interns
can offer advice and support about medication and at the event and that your
and all pharmacy staff who
lifestyle measures to help improve patient outcomes. image may be used on IPU
work for members of the IPU.
At the end of this course, pharmacy technicians will and IPU National Pharmacy
You can register online at
be able to discuss the appropriate use of anti-emetics Conference material. The IPU
www.pharmacyconference.ie
and other ancillary treatments prescribed for patients reserves the right to refuse
or by completing the form
receiving chemotherapy or radiotherapy; advise entry to anyone it sees fit.
overleaf and faxing or posting
patients on how to maintain good general health
it back to the details on
and what to do if they feel unwell; and offer practical
advice on skin care and general appearance to help
the form. Accommodation
Your registration fee includes
patients to look good and feel better. The Galmont Hotel (formerly
n Admission to all the Radisson) is located in
sessions Galway city, just a three-
minute walk from the central
n Entry to Exhibition Hall
Eyre Square and overlooking
n Friday night dinner, Galway Bay. It is also just a
with pre-dinner drinks short walk from the main
railway and bus stations. Use
n Daily refreshments and code IPU2019 when making
lunches (Saturday and your reservation for a special
Sunday) conference rate. The hotel can
n Conference bag be booked by contacting them
on 091 538 300.
Cancellations Please complete the form on
NEWLY and refunds the reverse and return it to
IED
Q UA L I F S T S !
the IPU to book your place
Cancellations made prior
for the 2019 IPU National
AC I
to 19 April will be refunded
PHARM
Pharmacy Conference.
in total. Refunds will not be
You can also visit www.
d with processed after this date.
you first registere ber Accommodation cancellations
pharmacyconference.ie/
If em
ter 1 Sept
Registration to book a place.
the PSI af an attend the
are at the discretion of the
The Early Bird rate for IPU
Galmont Hotel, Galway.
c
2016, you ce for just
Members is available until 29
conferen .
March 2019.
€80
We hope to see you there!
IPUREVIEW MARCH 2019 27You can also read
