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  • It takes a special sort of person to work in paediatric care. We chat to Alison Tennant, Chief Pharmacist at Birmingham Women’s and Children’s NHS Trust about the risks and rewards of working with children and their medicines. Parents going home with bags of bottles, the difficulties of shared decision making and instead of DNA we have DNB - Did not Bring. A joyous and fascinating episode where we delve into the art and practice of prescribing in children.

    In our micro discussion we discuss the excellent paper “Why learning how to swallow pills is good for patients, parents, and the planet” in which we learn about the importance of teaching children how to swallow tablets. Both as a lifeskill and as a measure to support sustainability. “If you can swallow Lego you can swallow a tablet!” https://www.bmj.com/content/384/bmj-2023-076257

    Video: Kidzmedz Project: Teaching Children to Swallow Tablets: https://youtu.be/XwiuU-k2FIM?si=pXmEULvikHBA4Ftt
    As with all of our guests, Alison shares with us a Memory Evoking Medicine, a career anthem and book that has influenced his life. Alison’s choice is as unique as you might expect!

    Bonus Content! Pharmacogenomics in Children- Listen to Alison talk about her favourite subject regarding pharmacogenomics in mental health youngsters, and how it helps the shared decision making process in deciding which medicines to use https://www.theauralapothecary.com/p/bonus-material/

    Our new website is now live https://www.theauralapothecary.com/ and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!

    Our latest blog posts talks about our first live public show - ‘Music, Memories and Medicines’ - have a read here; https://www.theauralapothecary.com/blog/the-three-apothecaries-music-medicines-and-memories/.

    To get in touch follow us on Twitter and Instagram @auralapothecary or email us at [email protected] .

    Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural Apothecary Library here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

  • How do you influence the prescribing habits of an entire country? This is the task of NHS England’s National Clinical Director of Prescribing Professor Tony Avery. We chat to Tony about this new, groundbreaking leadership role and techniques used to influence and improve prescribing practice across a whole nation. In addition to this role Tony is a practising GP, a professor of primary health care at the University of Nottingham and an NIHR Senior Investigator.

    In 2012, Tony and his team developed ‘Pharmacist-led Information Technology Intervention for Medication Errors’ — or PINCER — project, which was rolled out nationally to general practices in England to tackle hazardous prescribing from 2018.

    In our micro-discussion, we talk about the recent Chief Medical Officer’s annual report 2023: health in an ageing society https://www.gov.uk/government/publications/chief-medical-officers-annual-report-2023-health-in-an-ageing-society Professor Chris Whitty's report recommends actions to improve quality of life for older adults and prioritise areas with the fastest growth in older people. We discuss the concept of ‘Lifespan vs Healthspan’ and what that means for prescribing in an increasingly specialist medical model .

    As with all of our guests, Tony shares with us a Memory Evoking Medicine, a career anthem and book that has influenced his life. Be prepared for an Aural Apothecary first as Tony surprises us with his choice of song…

    Join us for our next live show in Bordeaux for the European Association of Hospital Pharmacists Congress! https://www.eahp.eu/congresses/programme

    Our new website is now live https://www.theauralapothecary.com/ and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!

    Our latest blog posts talks about our first live public show - ‘Music, Memories and Medicines’ - have a read here; https://www.theauralapothecary.com/blog/the-three-apothecaries-music-medicines-and-memories/.

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural Apothecary Library here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

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  • A lively chat as we are joined by sexual health pharmacist Sally Kneath. Sally busts the myths that often surround people living with HIV and details how it is managed today - perhaps not how you would imagine. We reflect on the impact of the stigma caused by the 80’s ‘Don’t die of ignorance’ campaigns that still exists today and how we need to move toward seeing HIV alongside any other chronic condition.

    Sally has also been instrumental in developing and promoting the use of naloxone and its role in saving hundreds, if not thousands, of people at risk of overdose from opiates. Watch her talk about it here; https://www.youtube.com/watch?v=BaOUCo1M2mk

    In our micro-discussion we discuss HIV Care among Elderly Patients https://link.springer.com/article/10.1007/s40266-022-01003-3

    BONUS CONTENT: HIV Testing, PeP and PreP - Listen to Sally talk about the importance of HIV testing and reducing the stigma attached. Find out about HIV preventative drugs and prophylaxis.

    As with all of our guests, Sally shares with us a Memory Evoking Medicine, a career anthem and book that has influenced her life. The drug may literally save your life!

    Our new website is now live https://www.theauralapothecary.com/ and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!

    Our latest blog posts talks about our first live public show - ‘Music, Memories and Medicines’ - have a read here; https://www.theauralapothecary.com/blog/the-three-apothecaries-music-medicines-and-memories/.

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected]. Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg
    You can view the Aural Apothecary Library here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

  • We are joined by Professor Bapu Jena. Physician, economist, author of ‘Random Acts of Medicine’ and host of the superb ‘Freakonomics MD’ podcast, we explore with Bapu the concept of ‘natural experimentation’. How might a marathon be bad for your health? Why might you be safer not seeing a cardiologist after a heart attack? What is the impact of striking doctors on health outcomes?

    Bapu is Professor of Health Care Policy at Harvard Medical School and a physician in the Department of Medicine at Massachusetts General Hospital and so we discuss health economics, and the differences between US and UK healthcare. We also see a new interview style from Jamie as he poses some of his most challenging questions yet…

    As with all of our guests, Bapu shares with us a Memory Evoking Medicine, a career anthem and book that has influenced his life. Bapu’s book choice proves challenging!

    Read about Bapu here https://hcp.hms.harvard.edu/people/anupam-b-jena. Also check out the superb Freakonomics MD podcast https://freakonomics.com/series/bapu/ - it is one of Steve’s favourites.

    Our new website is now live https://www.theauralapothecary.com/ and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think! Our latest blog posts talks about our first live public show - ‘Music, Memories and Medicines’ - have a read here; https://www.theauralapothecary.com/blog/the-three-apothecaries-music-medicines-and-memories/

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural Apothecary Library here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

  • For our first episode of series 6 we are delighted to be joined by former BBC reporter Rory Cellen-Jones. As well as a successful career in journalism, Rory is also part of “Movers and Shakers’ - the hit podcast about life with Parkinsons.

    Rory was diagnosed with Parkinsons in 2019 and has spent recent years investigating the role technology can play in improving the treatment of Parkinson's disease. We discuss the role medicines now play in his life, his experience of healthcare and the need to make Parkinson’s disease more visible with help for patients to navigate the system.

    A key theme of Rory’s experience has been the impact of communication - both good and bad. In our micro-discussion we discuss the report by DEMOS “I love the NHS but… preventing needless harms caused by poor communication in the NHS” https://demos.co.uk/research/i-love-the-nhs-but-preventing-needless-harms-caused-by-poor-communications-in-the-nhs/ - a powerful exploration of the problems caused by poor communication and recommendations on how to solve it.

    We also discuss Rory’s fantastic memoir ‘Ruskin Park - Sylvia, me and the BBC’ - http://litalist.com/book/9781914613432. Keep an ear out for the drug ‘Oblivon’ and its interesting instructions…

    As with all of our guests, Rory shares with us a Desert Island Drug, a life anthem and book that has influenced his life. Rory’s choice comes with a lesson from Steve in Pharmacology…!

    Rory’s fame of course is succeeded by his more famous pet - check out #sophiefromromania on Twitter to enjoy the story of a rescue dog from Romania.

    Our new website is now live https://www.theauralapothecary.com/ and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!

    You can find out more about the superb Movers and Shakers podcast here; it is superb and a must listen for anyone interested in the lived experience of people with a chronic condition. @moversand6 https://open.spotify.com/show/4dipKcMG0IocnGsdRmB2nJ

    Our latest blog posts talks about our first live public show - ‘Music, Memories and Medicines’ - have a read here; https://www.theauralapothecary.com/blog/the-three-apothecaries-music-medicines-and-memories/

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural Apothecary Library here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

  • Pull up a chair and join the Three Apothecaries around the fire for our end-of-year chat with friends and colleagues Clare Howard and Jonathan Underhill to discuss another dramatic year.What will 2023 be remembered for? Was it the Year of Community Pharmacy or of Artificial Intelligence? Who would win in a fight – ChatGPT or a clinical pharmacist? How should NICE determine Quality of Life? And what is it that Gimmo and Steve are drinking?!

    2023 was also a year of loss. The team reflects on those who are no longer with us and the impact loss and experiencing end of life care has had both on us personally and professionally. We discuss how our special patient focussed series has had a profound impact on how we think about shared decision making.

    We also share some exciting news – a show aimed at members of the public. Join us at the Chapter Arts Centre in Cardiff on Jan 20th for ‘The three apothecaries: Medicines, Music and Memories https://www.chapter.org/whats-on/the-three-apothecaries-medicines-music-and-memories-podcast-jamie-hayes.

    You can read about our blog ‘Person-Centred Care: Lessons for Healthcare from the Aural Apothecary Podcast’ here; https://www.theauralapothecary.com/blog/person-centred-care-lessons-for-pharmacy-from-the-aural-apothecary-podcast-an-aural-apothecary/

    Evaluating the performance of ChatGPT in clinical pharmacy: A comparative study of ChatGPT and clinical pharmacists https://bpspubs.onlinelibrary.wiley.com/doi/10.1111/bcp.15896

    Our new website is now live https://www.theauralapothecary.com/ and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!To get in touch follow us on Twitter @auralapothecary or email us at [email protected] .

    Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural Apothecary Library here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

  • A pivotal figure in the development of Evidence Based Practice and an inspiration to many, it was our real pleasure this week to chat to Professor Neal Maskrey. A retired GP and former director of the National Prescribing Centre, Neal has been a key figure in the way clinical evidence is presented and used in practice. He tells us about his new book, Rebalancing Medicine, where he shares his story and ideas for the future of medicine, including prescribing. We hear about the concept of ‘Time Needed to Treat’ alongside his role in the introduction of one of the truly game changing drugs to the UK.

    “Time Needed to Treat” paper : https://www.bmj.com/content/380/bmj-2022-072953?ijkey=62fad3373b9e8067e3e1f1b5d4fee276d55b4331&keytype2=tf_ipsecsha

    Professor Don Berwick’s “3 Era ‘s of Medicine” paper : https://qi.elft.nhs.uk/resource/era-3-for-medicine-and-healthcare/

    Neal adds the final ingredient to our ‘NHS Tonic’ - our guests’ cure for the NHS.. As with all of our guests, Neal shares with us a Memory Evoking Medicine, a life anthem and book that has influenced his life. Neal brings his own unique twist to our much loved feature…

    Our new website is now live https://www.theauralapothecary.com/ and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural Apothecary Library here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

  • How do we manage Chronic Pain? This week we talk to Louise Trewern of Living Well with Pain, who has herself lived with chronic pain since childhood. After years of strange illnesses, infections and persistent pain Louise was diagnosed with fibromyalgia and prescribed a stupor-inducing cocktail of opioids, antidepressants and benzodiazepines. We chat to Louise about how she discovered a different approach to self-management that she attributes to saving her life. It is a story that challenges widely held convictions about how pain is managed and the importance of treating a patient as a person and not a symptom.

    We continue the development of our ‘NHS Tonic’ - the treatments our guests prescribe to cure our ailing NHS.

    As with all of our guests, Louise shares with us a Memory Evoking Medicine, a life anthem and book that has influenced her life.

    You can listen to the Aural Apothecary playlist here;

    https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=22afce0c369b4164

    You can view the Aural ApothecaryLibrary here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

    Live well with Pain: https://livewellwithpain.co.uk/

    Chronic Pain: Definitions and Diagnosis https://www.bmj.com/content/381/bmj-2023-076036

    Louise on Twittter @loulouscorpio

    Our new website is now live www.the aural apothecary.com. and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

  • Our new website is now live - www.theauralapothecary.com

    A fantastic chat this week we talk to Paul Woodgate who as well as having Type II Diabetes and Parkinson’s disease is an advocate for patients in the design of healthcare services. We hear how this important role has evolved from being the oft ignored voice at the back of the room to being a central part of service design.

    Our micro-discussion continues our examination of the Sunday Times Article “The NHS is flatlining - here’s how to save it right now” by Health Editor Shaun Lintern. In it he proposes 10 ideas that he thinks might ‘save the NHS’ and so we ask our guests what they think. Paul and Gimmo ‘disagree agreeably’…

    As with all of our guests, Paul shares with us a Memory Evoking Medicine, a life anthem and book that has influenced his life.

    Our new website is now live www.the aural apothecary.com. and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] .

    Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg
    You can view the Aural ApothecaryLibrary here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

  • A truly joyful patient story this week when we chat to Louise Jenkins. Cystic Fibrosis is a condition that encompasses your whole life. Louise talks to us about growing up with the condition, balancing the constant need for treatment with trying to grow up normally. Louise describes being ill with CF as ‘like having a second job’, and tells us the transformative effect a change in drugs has had on her life. It is a miraculous story.

    Our micro-discussion continues our examination of the Sunday Times Article “The NHS is flatlining - here’s how to save it right now” by Health Editor Shaun Lintern. In it he proposes 10 ideas that he thinks might ‘save the NHS’ and so we ask our guests what they think. As one of our younger guests what will Louise’s idea be for inclusion in the ‘Aural Apothecary’s 2023 NHS Tonic?’

    As with all of our guests, Louise shares with us a Memory Evoking Medicine, a life anthem and book that has influenced her life. This week's choice will bring a tear to your eye.

    Our new website is now live www.the aural apothecary.com. and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think.

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural ApothecaryLibrary here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

    Louise has started her own business in Cardiff as a Nail Technician. Please support her and find out more on her Instagram page @__nailsbylou.

  • Our new website is now live - www.theauralapothecary.com

    ‘Assume I know nothing’ - we are joined today by Dr Liz O’Riordan about the impact having the very condition she was trained to treat had on her, both as a patient and a doctor. Liz is a renowned author, international speaker and host of the fantastic podcast ‘Don’t Ignore the Elephant’ in which Liz talks about the stuff no one else will. As well as her experience of cancer, Liz discusses her experiences of sexism, she tells us what actually goes on in the operating room and what really annoys her about pharmacists.

    Our micro-discussion continues our examination of the Sunday Times Article “The NHS is flatlining - here’s how to save it right now” by Health Editor Shaun Lintern. In it he proposes 10 ideas that he thinks might ‘save the NHS’ and so we ask our guests what they think. What will Liz’s idea be for inclusion in the ‘Aural Apothecary’s 2023 NHS Tonic?’As with all of our guests, Liz shares with us a Memory Evoking Medicine, a life anthem and book that has influenced her career. This week's choice is guaranteed not to give you a headache…

    The NHS Predict online tool to see how different treatments for early invasive breast cancer might improve survival rates after surgery can be found here: https://breast.predict.nhs.uk/


    Our new website is now live www.the aural apothecary.com. and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think! To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural ApothecaryLibrary here https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

    Find out more about Dr Liz O’Riordan at her website here https://liz.oriordan.co.uk/.

    The Complete Guide to Breast Cancer: How to feel empowered and take control by Trisha Greenalgh and Liz O’Riordan; https://uk.bookshop.org/p/books/the-complete-guide-to-breast-cancer-how-to-feel-empowered-and-take-control-professor-trisha-greenhalgh/434879?ean=9781785041877.

    Pre-order Under the Knife - The Rise and Fall of a Female Surgeon https://unbound.com/books/under-the-knife/.

    Podcast; Don’t Ignore the Elephant https://dontignoretheelephant.podbean.com/.

  • Our new website is now live - www.theauralapothecary.com

    We are joined today by former police officer and creator of cognitive hypnotherapy Trevor Silvester. But what is Cognitive Hypnotherapy and how does it work? We discuss the role of alternative therapies such as this in holistic models of care. Trevor also takes us through his personal mind-bending journey into the world of psychedelics. This is one trip you will not want to miss.

    Our micro-discussion continues our examination of the Sunday Times Article “The NHS is flatlining - here’s how to save it right now” by Health Editor Shaum Lintern. In it he proposes 10 ideas that he thinks might ‘save the NHS’ and so we ask our guests what they think.
    What will Trevor’s idea be for inclusion in the ‘Aural Apothecary’s 2023 NHS Tonic?’

    As with all of our guests, Trevor shares with us a Memory Evoking Medicine, a life anthem and book that has influenced his career. This week's choice will live forever…

    Our new website is now live www.theauralapothecary.com and as well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think!

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural ApothecaryLibrary here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O

    You can find out more about Trevor’s work here; https://www.questinstitute.co.uk/.

    The Guardian article on psychedelics is available here; https://www.theguardian.com/books/2023/apr/10/the-big-idea-should-doctors-be-able-to-prescribe-psychedelics.

  • Our new website is now live - www.theauralapothecary.com

    We are joined in this episode by Rachel Power, Chief Executive of the Patients Association - an independent patient charity campaigning for improvements in health and social care for patients. Are patient information leaflets best used as wallpaper? We discuss the concerns that patients are bringing to the Patients Association which include medicines information and communication.

    Our micro-discussion continues our examination of the recent Sunday Times Article “The NHS is flatlining - here’s how to save it right now” by Health Editor Shaun Lintern. In it he proposes 10 ideas that he thinks might ‘save the NHS’ and so we ask our guests what they think. What will Rachel’s idea be for inclusion in the ‘Aural Apothecary 2023 NHS Tonic?’

    As with all of our guests, Rachel shares with us a Memory Evoking Medicine, a life anthem and book that has influenced her career. This week's choice will leave an unpleasant taste in the mouth…

    We also share some exciting news - our new website is now live! www.theauralapothecary.com. As well as being a searchable database of all episodes, we will be uploading transcripts and extra content for your enjoyment and education. Have a look and let us know what you think.

    To get in touch, follow us on Twitter @auralapothecary or email us at [email protected] .

    Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural ApothecaryLibrary here; https://litalist.com/shelf/view-bookcase?publicId=KN6E3O


    You can find out more about the Patients Association here; www.patients-association.org.uk


    The report from Kent Surrey Sussex Academic Health Science Network: Is It Time To Reimagine Patient Information? is available here
    https://kssahsn.net/improvement/is-it-time-to-reimagine-patient-information/


    The report from Wessex AHSN - Written Medicine - increasing access to health and medical information for all patients is available here; https://wessexahsn.org.uk/projects/482/written-medicine-increasing-access-to-health-and-medical-information-for-all-patients

    Dr Sam Finnikin’s article ‘We threw the guidelines at her’ can be found here; https://bjgplife.com/we-threw-the-guidelines-at-her/?s=08

  • As a prelude to our next episode, where we discuss the issue of pain and opioid dependency, we are replaying a classic from the Aural Apothecary Archive. This is particularly timely as this is also the month that guidance on ‘Optimising personalised care for adults prescribing medicines associated with dependence or withdrawal symptoms’ has been issued in England. We will pick up on this guidance next time. In the meantime enjoy this prelude…

    This was a fascinating episode where we talked to Tracy Brown – an award winning pharmacist working in Glasgow. As well as running primary care pain clinics Tracy runs the Pain Teach and Treat Programme. We talked about the difficulties of supporting people with chronic pain along with the concept of Analgesic Stewardship. As ever we threw a bit of behaviour change into the mix.

    Our micro-discussion focused on General Practice responses to opioid prescribing feedback – a paper which examines how detailed feedback to prescribers can improve patient care https://bjgp.org/content/71/711/e788.

    As with all our guests we asked Tracy to pick her ‘Desert Island Drug’, a career defining anthem and a book that has influenced her work. The choices do not disappoint.

    We reference a number of pain resources – these include; - Live Well with Pain – https://livewellwithpain.co.uk-

    Flipping Pain – https://flippinpain.co.uk To get in touch follow us on Twitter @auralapothecary or email us at [email protected]

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural Apothecary Library here; The Aural Apothecary - Bookcase:

    Tracy’s Bio

    Tracy moved from community pharmacy to primary care 17 years ago. She ran a benzodiazepine step down clinic for several years before, in 2006, Tracy started a pain clinic in one of the GP practices in Glasgow {Govanhill Health Centre.}In 2020 Tracy applied for Scottish Government funding under the Modernising Patient Pathways Programme to expand her pain clinic to cover the three additional GP practices in Govanhill Health Centre.She now runs the Pain Teach and Treat programme, attends the Pain Network meetings and is a become a member of the Scottish Pain Pharmacists Network In 2021 Tracy won the PRESCQIPP award for Addressing Overprescribing and was voted the Silver award winner for her work on deprescribing.

  • The Godfather of Shared Decision Making (SDM) has spoken, so listen up! (apologies for his microphone quality though)
    Professor Alf Collins is currently NHS England’s Clinical Director for personalised care but he was a community consultant in pain management for many years and worked with the Health Foundation helping lead applied research and implementation programmes in person centred care. We go very deep on this one, and it is all very Radio 4, but we discuss the complexities of the person / clinician axis when it comes to SDM.
    We also challenge each other to our TED talk ideas and STC comes up with another analogy between primary and secondary care.
    As with all our guests we ask Alf to pick his ‘Desert Island Drug’, a career defining anthem and a book that has influenced his work and he is quite the maverick…..
    Links to references / books mentioned:
    MAKING SHARED DECISION-MAKING A REALITY: No decision about me, without me Angela Coulter + Alf Collins. The Kings Fund 2011 https://www.kingsfund.org.uk/publications/making-shared-decision-making-reality
    What have Nobel Prize winners ever done for us? Dr Tim Wilson. Health Service Journal 2020 https://www.hsj.co.uk/service-design/what-have-nobel-prize-winners-ever-done-for-us/7027119.article
    MedStrong: Shed Your Meds for a Better, Healthier You- Dr Donna Bartlett
    You can view the Aural Apothecary Library here; https://www.goodreads.com/review/list/31270100-paulgimson?ref=nav_mybooks&shelf=the-aural-apothecary
    You can listen to the Aural Apothecary playlist here: https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=a7c4915ce1b54c37
    To get in touch follow us on Twitter @auralapothecary or email us at [email protected]

  • As a prelude to the next Series 5 episode with Professor Alf Collins, the Godfather of Shared Decision Making, we have dug into the Aural Apothecary Archives and found one of our best episodes about the importance of having meaningful conversations with patients about medicines.

    Enjoy first time around if a new listener, or even more second time around if a loyal fan …
    Jonathan Underhill is a consultant clinical adviser for NICE and has a research interest in Evidence-Informed Decision Making. We discuss the new NICE 5 year strategy, Shared Decision Making and what autobiographies can teach us about human behaviour. Alongside this we discuss his love of The Boss, animals and drug allergies and a toxicology murder-mystery.

    As with all our guests we ask Jonathan to pick his ‘Desert Island Drug’, a career defining anthem and a book that has influenced his work.
    You can view the Aural Apothecary Library here; https://www.goodreads.com/review/list/31270100-paulgimson?ref=nav_mybooks&shelf=the-aural-apothecary
    You can listen to the Aural Apothecary playlist here: https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=a7c4915ce1b54c37
    To get in touch follow us on Twitter @auralapothecary or email us at [email protected]

  • What is more important? Quality of life or length of life? A question that our guest, Deborah Duval, faces on a daily basis. Deborah is Managing Editor at Kidney Care UK and lead for www.kidneykitchen.org - a place where eating is de-medicalised and where celebrity chefs cook kidney-patient friendly meals. She shares with us her experiences of being a recipient of multiple transplants and how she balances a busy lifestyle with a gruelling and complex treatment regimen. Can you imagine what it is like ‘never to have felt normal’?

    How can we save the NHS? We continue with our new feature based on a recent Sunday Times Article “The NHS is flatlining - here’s how to save it right now” by Health Editor Shaun Lintern. In it he proposes 10 ideas that he thinks might ‘save the NHS’ and so we ask our guests what they think. What will Deborah’s idea be for the Aural Apothecary 2023 NHS Tonic?!

    As with all of our guests, Deborah shares with us a Memorable Medicine, a life career anthem and book that has influenced her career. This week's choice is on fire…

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural ApothecaryLibrary here; https://www.goodreads.com/review/list/31270100-paul-gimson?ref=nav_mybooks&shelf=the-aural-apothecary

    You can find out more about Deborah’s work, the Kidney Kitchen and the Kidney Matters magazine at https://www.kidneycareuk.org/about-kidney-health/kidney-matters/.

  • We’re back! This series we are focussing on the patient and their experiences of medicines and we start with a cracker! Graham brings his expertise working for the pharmaceutical industry and as a pharmacologist (and one of the people behind the superdrug Tamoxifen) to helping people understand and use their medicines through the fantastic website www.meandmymedicines.org.uk.

    We chat to Graham about his own experiences taking medicines and the approach of the health services to supporting patients in taking theirs. How much has it improved in the last twenty years or has it got worse? Graham argues that we are handing a huge responsibility to patients when we prescribe a medicine - is it fair to expect them to take on that burden without more support?
    In our micro discussion we are looking at the Sunday Times Article “The NHS is flatlining. Here’s how to save it right now”. In it, health Editor Shaun Lintern suggests 10 ideas that he thinks might ‘save the NHS’. Well, we reckon our guests can do better and so for this series we are asking for their ideas on how they might improve the health of the NHS - what will be their ingredient for ‘Aural Apothecary 2023 NHS Tonic!’

    As with all of our guests, Graham shares with us a Memorable Medicine, a career anthem and book that has influenced his career. The drug choice will leave a pleasant taste in the mouth…To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural ApothecaryLibrary here; https://www.goodreads.com/review/list/31270100-paul-gimson?ref=nav_mybooks&shelf=the-aural-apothecary

  • Join the Three Apothecaries and some old friends as they gather around the fire and reflect on the year gone by. Jamie, Gimmo and Steve the Chemist are joined by friends of the show Clare Howard and Jonathan Underhill to discuss the highs and lows of 2022. Starting with COVID and ending with Strep A, what a year for healthcare and medicines it has been.

    We discuss the role that community pharmacy has played in these unprecedented times and the national efforts underway to tackle deprescribing and polypharmacy. We reflect on the impact of some of our conversations, and our greater understanding of issues such as the menopause and growing old – apt, as a number of the apothecaries turned 50 this year!We discuss some of the books that we have enjoyed this year and the fun we had at our live events – plenty more of them to come! We preview 2023 and in a rare peak into the dispensary, we reveal which guest we have invited onto the show – and who has accepted, ignored or declined our approaches!

    A Merry Christmas and a Happy New Year to all of our listeners.

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    The podcast featuring David Haslam (author of Side Effects: How our Healthcare has lost its way) referenced in the episode can be found at https://ockham.healthcare/podcast-david-haslam-how-our-healthcare-lost-its-way/.

    You can listen to the Aural Apothecary playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural Apothecary Library here; https://www.goodreads.com/review/list/31270100-paul-gimson?ref=nav_mybooks&shelf=the-aural-apothecary

  • For this special episode the Apothecaries are joined by Professor Phil Howard ,OBE, to discuss Antimicrobial Resistance and what we can all do to tackle it. Phil is well placed to discuss this with us as the Antimicrobial Stewardship Lead for the North-East & Yorkshire region of England and the former President of the British Society of Antimicrobial Chemotherapy.

    World Antimicrobial Awareness Week (18-24th November) aims to increase awareness of global antimicrobial resistance and to encourage best practices for using antimicrobials responsibly among the general public, health workers and policy makers, to avoid the further emergence and spread of drug-resistant infections https://www.gov.uk/government/publications/european-antibiotic-awareness-day-resources-toolkit-for-healthcare-professionals-in-england/world-antimicrobial-awareness-week-waaw-and-european-antibiotic-awareness-day-eaad.

    We explore why prescribers might feel compelled to prescribe antibiotics in spite of the risks and what can be done to support prudent prescribing. We hear examples of good practice and about the resources that are out there to help people. Don’t miss an exciting announcement about a future partnership between the Three Apothecaries and the British Society of Antimicrobial Chemotherapy! We discuss previous Health Secretary’s admission that she had shared unused antibiotics with friends and family…

    As with all of our guests, Phil shares with us a Memorable Drug, a career anthem and book that has influenced his career. Expect an antimicrobial theme!

    Our micro-discussion focuses on the role of community pharmacy in supplying antibiotics and in particular the sore throat test and treat service that is in operation in Wales. An improvement in care or a risk to resistance? We discuss the latest research and give our verdict (https://academic.oup.com/jac/advance-article/doi/10.1093/jac/dkac358/6770011).

    The Royal Pharmaceutical Antibiotic Amnesty Toolkit can be found here; https://www.rpharms.com/resources/pharmacy-guides/antimicrobial-resistance-and-stewardship/antibiotic-amnesty.

    The Antibiotic Freakonomics podcasts mentioned can be found at
    https://freakonomics.com/podcast/cassandra-quave-thinks-the-way-antibiotics-are-developing-might-kill-us/
    https://freakonomics.com/podcast/doctors-know-they-prescribe-too-many-antibiotics-why-dont-they-stop/

    To get in touch follow us on Twitter @auralapothecary or email us at [email protected] . Don’t forget to rate us and comment wherever you have got this podcast from.

    You can listen to the Aural Apothecary musical playlist here; https://open.spotify.com/playlist/3OsWj4w8sxsvuwR9zMXgn5?si=tiHXrQI7QsGtSQwPyz1KBg

    You can view the Aural ApothecaryLibrary here; https://www.goodreads.com/review/list/31270100-paul-gimson?ref=nav_mybooks&shelf=the-aural-apothecary

    Phil can be found on Twitter at @AntibioticLeeds

    Phil Howard Bio
    Philip Howard is the Antimicrobial Stewardship Lead for the North-East & Yorkshire region of England. He was a Consultant Pharmacist in Antimicrobials at the Leeds Teaching Hospitals NHS Trust until September 2021 and Honorary Visiting Professor at Leeds University. He is the former President of the British Society of Antimicrobial Chemotherapy.
    He was a member of the Dept of Health ARHAI Antimicrobial Stewardship Group that produced the original Start Smart then Focus Antimicrobial Stewardship Guidelines, and the HPA Primary Care Unit which helped produce the RCGP TARGET guidance on Antimicrobial Stewardship in Primary Care.
    He is a member of the UK Dept of Health advisory group on AMR & HCAI and the NICE common infections guidelines group, NICE living CoVID guideline group and the NICE new models of antimicrobial funding committee.

    His research interests include Antimicrobial Stewardship and antibiotic shortages. He led the first global hospital Antimicrobial Stewardship survey. He has been involved in AMS education and training across the world. He’s a Fellow of Royal Pharmaceutical Society and has won the GHP/GSK/UKCPA Clinical Leadership Award, the UKCPA Lifetime Achievement Award and awarded the Officer of the British Empire (OBE) medal for his services to healthcare. He is a spokesman for the Royal Pharmaceutical Society on Antimicrobials, and for the Antibiotic-Action and British Society of Antimicrobial Chemotherapy charities.