In order to improve public health services provided in community

In order to improve public health services provided in community pharmacy, subjective norms and perceived behavioural control should be addressed. Appropriate training and support is needed in order to increase pharmacists’ confidence in providing public health services. Research is needed to establish the attitudes of support staff to allow for support and training to be appropriately targeted for this group. This review should provide a good insight for

providers of education and training for pharmacists. 1. Eades, C. E., Ferguson, J. S. & O’carroll, R. E. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health 2011; 11: 582. 2. Ajzen, I. Perceived Behavioral Control, Self-Efficacy, Locus of Control, Lumacaftor ic50 and the Theory of Planned Behavior1. Journal of applied social psychology 2002; 32: 665–683. Nawal Arif CNWL Trust, London, UK Identify areas of practice at the clozapine clinic which need improvement to

ensure that all patients who are prescribed clozapine have routine physical healthcare checks done, and results are recorded and communicated to the secondary care psychiatric ABT-199 solubility dmso team. No documentation found of physical healthcare checks being disseminated to the secondary care teams. Clozapine clinic nurses have a responsibility for physical health monitoring of community based clozapine population in primary care and ensuring results reported to the secondary team appropriately. The physical health needs second of patients with schizophrenia are often not adequately screened by clinicians. This was recognised by the NICE guidance

for schizophrenia1, which highlighted that general practitioners and secondary care psychiatric services should monitor the physical health of people with schizophrenia at least once a year, and these results should be communicated with the psychiatrist as well as documented in the case notes. The aim of this study is to assess adherence to the clozapine operational guidelines2 at one of the Central North West London (CNWL) nurse-led clozapine clinics, & identify areas of practice that need improvement. An audit tool was designed & a total of 30 out of 60 outpatients adhered to the selected criteria. This included receiving clozapine for at least three years with a blood monitoring frequency of every four weeks. Data was collected from patients’ progress notes and from an electronic record system (JADE®) for the previous three visits to the clozapine clinic over a one-week period in July 2011.

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