We were recently contacted by a patient in England who takes Warfarin about what he believes to be an inconsistent approach towards the requirement for pharmacists to do independent checks when dispensing anticoagulants.
The patient told us that in his experience some pharmacists appear to be following guidance to the letter, while other pharmacists do not appear to be even aware of it. This has led the patient to question why pharmacists need to carry out these checks.
The concerns raised by the patient about this issue highlight the importance of pharmacy professionals communicating effectively with their patients and clearly explaining why they are asking for information or giving advice. This will help patients to make informed decisions and support and encourage patients to manage their health and wellbeing.
According to the NHS England and NHS Health Scotland, anticoagulants are one of the classes of medicines most frequently identified as causing preventable harm and admission to hospital. It is important therefore for all healthcare professionals, including pharmacy professionals, to ensure they take all possible steps to manage the risks associated with their prescribing, dispensing and administering.
The RPS produced a GB-wide Quick Reference Guide in which it highlights the need for pharmacists to check every patient presenting a prescription for anticoagulants is being monitored, including asking to see the patient’s anticoagulant treatment booklet. The guide also provides advice on how to ensure a safe supply of warfarin. In addition, the NPA published guidance and a template Standard Operating Procedure (SOP) to support its members in implementing the NPSA guidance.