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Hot topics in Hospital Pharmacy (Dr. Roberto Frontini)

Medicines Shortages

Across Europe, and in other parts of the world, the difficulties experienced with the availability of medicines are becoming an increasing problem for pharmacists in practise. Indeed, a survey conducted by EAHP in 2012 suggested that nearly 80% of hospital pharmacists in Europe are experiencing medicines shortages in their hospital on a weekly or daily basis. The subsequent negative impacts for patients are multi-faceted, including not only potential interruption of supply of their medication, but also the distraction of resource from the pharmacy from other patient-centred activities when managing a supply disruption, and the added stress and work pressures for hospital pharmacies that can contribute to heightened risk of medication errors occurring.

Clearly the situation cannot be allowed to become worse and action must be taken. EAHP, in collaboration with partners, is making representations at the European level for new measures to be taken by the industry, by the European Commission and the European Medicines Agency. Can 2013 be the year that partners in the medicines supply chain achieved a turnaround in the disturbing shortages trend?
 

Pricing of medicines in an era of public spending austerity

No country in Europe is immune from the effects that the new era of public spending austerity is having on the delivery of public services of all kinds. Spending in health services is coming under renewed scrutiny and one target for reduced expenditure is the medicines bill. With much development in the past ten years in areas such as generic substitution and health technology assessment, new innovative approaches to pricing are in development in many countries, including various forms of risk sharing such as cost-sharing incentives for the introduction of new medicines, and pricing based on the value/outcome delivered by a medicine. Such novel approaches offer many opportunities, and could see the growth of the hospital pharmacist’s role in providing evidence of the outcomes of medicine use. However, are there also threats to transparency, and can a fair form of measuring outcome ever be developed?

The regulation of medical devices

The regulation of medical devices has been placed in the media spotlight as a result of the PIP breast implant scandal, with some politicians going as far as to suggest devices should be subject to the same regulatory regime as medicines. Whilst recent proposals from the European Commission have not gone this far, there is a clear recognition that the regulatory environment needs improvement, especially in ensuring that there is a common high standard for assessment of devices across Europe. But will the proposals really tackle all the issues, and do they take due account of the role of the hospital pharmacist in procuring, advising and monitoring the use of devices in hospitals?

The reform of clinical trial regulation in Europe

There is universal acceptance that the 2005 European Directive on the regulation of clinical trial assessment procedures in Europe did not achieve its objectives of simplifying and improving the environment for the conduct of trials. Accordingly, proposals from the European Commission in 2012 to create a new Regulation, with more centralized and harmonized processes for trial submission, including greater distinctions to be made in relation to requirements for high and low risk trials, have been met with broad acceptance.

Where there is debate and contention however is in relation to just how transparent the information derived in the trial process should be. EAHP, alongside other organisations, is pushing for greater levels of transparency to aid participating hospital pharmacies in their involvement in the trial process, and to maximize the confidence all stakeholders have in the European system of trial regulation. The Press Conference at the 18th Congress of the EAHP gives space to discuss EAHP’s proposed improvements to clinical trial regulation in more detail and set out the range of benefits that can be achieved by increasing trial result transparency.

2014 European Summit on the future of Hospital Pharmacy

Vision is being able to see where one is going, and to see what’s ahead, in both literal and figurative senses. Vision is about knowing your destination, so that you know if you’re there, and even more importantly knowing if you’re off course and not any closer to your goal. 5 years after the FIP Basel statements, which set out international hospital pharmacy competencies, and in the context of ongoing Pharmine activity into the nature of European hospital pharmacy, it is an appropriate time to stop and ask important questions such as:

• Where do we want hospital pharmacy in Europe to be in 10, 20 & 30 years’ time?
• How do we get there?
• When we review the last 50 years of hospital pharmacy development, what can we learn about the future?
• How can we keep ahead of change, and shape the future, rather than be shaped by the future?
• What challenges will be faced in achieving the vision for European hospital pharmacy?

EAHP plans to host a significant event in 2014 to set the pathways for the development of European Hospital Pharmacy in a manner that inspires the confidence and support of not only hospital pharmacists, but patients and our fellow health professionals. The Press Conference at the 18th Congress of the EAHP provides an opportunity to set out in more detail the plans for this event and how its outcomes will intend to raise practise in every European country.

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EAHP Forum

All the EAHP team is working on providing a Forum that can help connect all the members in Conversations and Groups to talk about important matters for the European Hospital Pharmacist.

The Forum will be accessible for all the EAHP members, you don’t have to create a new account to browse and participate.

Conversations and groups

The Conversations will be moderated by our team to provide documents and relevant topics for the community.

The Groups will connect all members that share a category. Members who work on the same assocation, on the same hospital, that have the same role, etc.

Stay tuned for the realase of the forum. Soon on EAHP.