1. Guild of Healthcare Pharmacists Procurement and Distribution Interest Group 7 th June 2007 Dr Keith Ridge Chief Pharmaceutical Officer (England)

2. As a nation we have changing needs…. Netherlands UK US Japan 0 5 10 15 20 25 30 35 198019851990199520002003 % obesity in selected countries Projection Over 65s Under 16s 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 1971198119912001200420112021 Number of people over 65 yrs Which two or three of these, in your opinion, are the aspects of public services that are most in need of improvement? ACCESSQUALITYRESPONSIVENESS 0 5 10 15 20 25 30 35 40 45 50 Making sure services are available to all who need them Getting things right first time Friendly and helpful staff Keeping me informed on the services they provide Making it easy to get in touch when you have an enquiry Quickly responding to an enquiry Being able to contact them at weekends and in the evening % … and the public has new expectations of services Some context

3. Wanless: Projected UK Health Spend

4. More personalisation, a stronger voice and a greater focus on prevention through strengthened commissioning and greater patient choice (demand - side reforms ) More diverse providers, with more freedom to innovate and improve services (supply - side reforms ) Money following the patients, rewarding the best, giving others the incentive to improve (transactional reforms) A framework of system management, regulation and decision making which guarantees safety and quality, fairness, equity and value for money (system management reforms) Better care Better patient experience Better value for money

6. Purchasing for Safety Promote procurement of injectable medicines with inherent safety features.

7. Forthcoming new NPSA guidance

8. Clear Ampoule Labelling

9. Clear Vial Labelling

10. Clear Infusion Labelling

11. Clear Infusion Box Labelling

12. Ready To Administer Products

13. NPSA Alert on Injectable Medicines

14. Prescriber Clinical Pharmacist Pharmacy Procurement Patient

15. Values and beliefs of pharmacists Respect for medicinesRespect for medicines To act in the patients best interestsTo act in the patients best interests Barber etal (RPSGB 2007)

16. Building on the past Maintain values and beliefs All understand the complexity of the medicines supply system Embrace sensible change Look beyond boundaries Maintain knowledge and skills (role of the proposed Royal College)

17. Description of professionalism –integrity –compassion –altruism –continuous improvement –excellence –working in partnership with members of the wider healthcare team Royal College of Physicians Dec 2005