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CHIPPS systematic review of pharmacist optimisation services in care homes.pdf (287.28 kB)

Systematic review and narrative synthesis of pharmacist provided medicines optimisation services in care homes for older people to inform the development of a generic training or accreditation process

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journal contribution
posted on 2019-12-06, 10:28 authored by David John Wright, Vivienne Maskrey, Annie Blyth, Nigel Norris, David P. Alldred, Christine M. Bond, James Desborough, Carmel M. Hughes
Objectives: To develop a training programme to enable pharmacists with prescribing rights to assume responsibility for the provision of pharmaceutical care within care homes, a systematic review and narrative synthesis was undertaken to identify reported approaches to training pharmacists and use this literature to identify potential knowledge requirements.
Methods: A PROSPERO‐registered systematic review was performed using key search terms for care homes, pharmacist, education, training and pharmaceutical care. Papers reporting primary research focussed on care of the older person within the care home setting were included. No restrictions were placed on methodology. Two researchers independently reviewed titles, abstracts and papers. Agreement on inclusion was reached through consensus. Data on titles, training and activities undertaken were extracted and knowledge requirements identified. Findings were synthesised and reported narratively.
Key findings: Fifty‐nine papers were included, most of which were uncontrolled service evaluations. Four papers reported an accreditation process for the pharmacist. Thirteen papers reported providing tools or specific training on a single topic to pharmacists. The main clinical and therapeutic areas of activity (requiring codified knowledge) were dementia, pain, antipsychotic and cardiovascular medication. Provision of pharmaceutical care, effective multidisciplinary working and care home staff training represented the main areas of practical knowledge.
Conclusions: Information regarding training and accreditation processes for care home pharmacists is limited. This study provides insight into potential codified and practical knowledge requirements for pharmacists assuming responsibility for the provision of pharmaceutical care within care homes. Further work involving stakeholders is required to identify the cultural knowledge requirements and to develop a training and accreditation process.


National Institute for Health Research (NIHR) Programme Grants for Applied Research (PGfAR) Programme. Grant Number: RP‐PG‐0613‐20007

Health Research

Programme Grants for Applied Research

Department of Health



International Journal of Pharmacy Practice 2019,

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Leicester Medical School


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International Journal of Pharmacy Practice


John Wiley & Sons Ltd on behalf of Royal Pharmaceutical Society





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