Emergency Hormonal Contraception - Medicines Authentication and Pharmacy Workflow
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IRELAND’S OFFICIAL PHARMACY PUBLICATION
NOVEMBER 2018
Medicines
Authentication
and Pharmacy
Workflow
Emergency
Hormonal va
A
ilab e
le Her
Contraception
HSE launches EHC
awareness campaign
in partnership with IPU
PHARMACOKINETICS | PHARMACYCARE | 10 YEARS OF MOVEMBER
W NE HUMIRA 80mg pen ® is now available HUMIRA® 80mg pre-filled pen is only licensed for use in moderate to severe rheumatoid arthritis, moderate to severe chronic plaque psoriasis, moderate to severe hidradenitis suppurative (HS) (from 12 years), moderate to severe Crohn’s disease and ulcerative colitis, moderate to severe paediatric Crohn’s disease (from 6 years), non-infectious IPP Uveitis, paediatric chronic non-infectious anterior uveitis in patients from 2 years.1 Further information is available in the Humira Summary of Product Characteristics (SmPC), available on www.medicines.ie or from AbbVie Limited, 14 Riverwalk, Citywest Business Campus, Dublin 24. Legal category: POM. * IPP – intermediate, posterior and panuveitis Reference: 1. Humira SmPC, available on www.medicines.ie Date of preparation: October 2018 IREHUM170655p
NOVEMBER 2018
07 A Note from the Editor
IPU News
The latest news and events
from Butterfield House
08 Dates for your Diary
08 Pharmacy in the media
23
10 Budget 2019
The IPU Review is published
monthly and circulated to Irish 11 Pharmacists key to driving successful
pharmacists. The views expressed self care strategy
by contributors are not those 11 IPU welcomes migraine relief now available
of the IPU nor is responsibility
accepted for claims in articles without prescription at pharmacies nationwide.
or advertisements. 12 IPU Academy Webinar Series
Subscription: 12 IPU Training Courses – Spring 2019
€100 (Ireland North & South) and 13 IPU Statement of Strategy July – September 2018
€150 (including postage overseas).
Publisher:
Irish Pharmacy Union
(IPU Services Ltd),
Butterfield House,
Butterfield Avenue,
Rathfarnham, Dublin 14,
D14 E126
Tel: (01) 493 6401
Fax: (01) 493 6626
Email: ipureview@ipu.ie
27
Website: www.ipu.ie
Editor: Jack Shanahan MPSI
Editorial Associates:
Sinéad Fennell, Jim Curran
and Ciara Browne
Advertising: Sinéad Fennell
Features
15 HSE launches Emergency
Email: ipureview@ipu.ie
Tel: (01) 493 6401
©2018
Hormonal Contraception
Copyright: All Rights Reserved,
Irish Pharmacy Union. (EHC) awareness campaign,
Printed by Ryson Colour Printers Ltd.
IPU Review is a Registered Trademark in partnership with IPU
of the Irish Pharmacy Union.
18 IPU Contract Unit –
how can we help you?
21 The first paid patient education at
pharmacy service launched
48
23 Economic Backdrop to
pharmacy sector
IPUREVIEW NOVEMBER 2018
27 Movember
18 3
Reach out to your shoppers Are you communicating effectively with your customers? The United Drug Point of Sale Toolkit is your comprehensive branding and marketing solution for impactful and professional communications in store and on social media. Get the best out of your pharmacy. Contact Aimée Roche aimee.roche@united-drug.com Mobile: 087 400 3500
32 Budget highlights and
32
introduction to PAYE
modernisation
37 Medicines authentication and
pharmacy workflow
40 Pharmacokinetics Part Four –
Metabolism: Clinical Implications
45 Care of adults and children with asthma
– e-Learning education programme
News
48 Venous Thromboembolism (VTE) 69 Brexit Update – HPRA Brexit Guidance –
during pregnancy Human and Veterinary Medicines
70 Health Products Regulatory Authority
publishes 2017 Annual Report
52 Tax breaks time and practice matters
40
71 European Investment Bank (EIB) to
provide €225 million loan to support
roll-out of eHealth
55 Best practice for hiring and firing 72 Have your say on HIQA’s new corporate plan
72 HIQA publishes recommendations for
community based ePrescribing
57 Politics – Budget 2019 73 HIIQA to commence health technology
assessment (HTA) on a pre-exposure
prophylaxis (PrEP) programme to prevent
61 Clinical Tips – Influenza virus vaccines HIV in Ireland
73 Patient-focussed cancer initiative wins the
2018/2019 season 2018 European Health Award
74 IPHA Manifesto for Better Health issues
call to place Ireland in top seven in Europe
63 High Tech Medicines Update –
45
for access to innovative medicines
Mavenclad 10mg tablets 75 Strong public support for increased
Government investment in Ireland’s
mental health services
65 Studies 76 NUI Galway seek participants for autism
in healthcare research study
76 Dangers of anabolic steroids highlighted
67 International Pharmacy News by new HPRA Zero Gains Campaign
77 European Commission expands labelling
for anti-diabetic agents InvokanaR and
68 Product Information VokanametR to include positive data on
cardiovascular and renal outcomes
52
77 Uniphar CROSS Cycle raises €100,000
for early cancer research
78 COPD Support Ireland to host Let’s Get
Moving on COPD Patient Conference,
15 November
79 Irish Chemists’ Golfing Society News
37
80 A review of the golfing year
81 Classifieds
IPUREVIEW NOVEMBER 2018 5
A NOTE FROM THE EDITOR Jack Shanahan MPSI
We must document, report,
prove and value what we do
Ticks, ticks and more ticks were rampant last month. Unlike
the mini-vampires suspended under the rhododendron
leaves, the ticks that take my focus this month are the ones
that fill boxes. They drain energy rather than blood.
W
hether it is the More importantly, it is an area properly document what we has still been found wanting.
PCRS, the PSI, that pharmacists are actively do, but when we do, we don’t At the very core, our ability to
the Revenue working at improving. The lack do it very well. communicate value is coming
or whomever, of ward pharmacists in many Pharmacy has never been up short. While the PSI ticks
we are hospitals means that the under more threat than now. boxes of compliance, it is
constantly filling out forms. role of the alert community Looking across the pond to important to recognise that, as
Our working lives are filled pharmacists is vital. So, it was the UK, recent cuts have led much as we dislike it, the role
with compliance. While I have with a degree of interest that to a substantial number of is important. Of course, they
railed and roiled against the I read the Cochrane Review. pharmacies closing. While this could approach the business in
growing mountain of pointless I was expecting to see the has not started happening a better fashion, but that is for
bureaucracy, there are times benefits of pharmacists in here yet, there is no doubt another day.
when a grudging concession medicines reconciliation. I was that the inflection point is As many of us face our
must be made. I have finally expecting to feel a warm glow on the way. The issue of not IIOP practice review, again
arrived and crossed over to the of contentment, belonging documenting what we do is we see the necessity of
dark side. Pharmacy, we have a to a profession that protects critical. While we fulminate demonstrating quality. Even
(another) problem. the vulnerable every day. So, about the biannual PSI with FMD, that colossal waste
I’m not sure how many what does the evidence say? assessment, it does something of money and resources, we
of you have come across “The impact of medication we are not willing to engage in. will be demonstrating quality.
the Cochrane collaboration. reconciliation interventions, It documents what we do. The Yet, this is not enough. We
They are a big deal in in particular pharmacist- problem is, of course, it isn’t must document, report, prove
evidence-based medicine. mediated interventions, on capturing many important and value what we do. If we
They generally produce medication discrepancies is aspects of our work. cannot do this, even at the
high quality guidance and uncertain due to the certainty As Amazon looms over most basic level of medicines
reports, largely independent of of the evidence being very our shoulders, it has never reconciliation, we have a
commercial bias. Last August low.” This is shocking. More been more important to serious problem.
they did a report entitled, importantly, it flies in the face demonstrate that we are not
What interventions improve of all current practice. But, supply chain cogs. We have
the accuracy and continuity of to reiterate the old adage, spoken before of the crisis in
medication lists as patients move anecdotes are not evidence. recent graduates, disillusioned
between healthcare providers More importantly, in this by the practice of community
and settings?. Now this is one case, absence of certainty is pharmacy. We have looked at
area in which many of us not confirmation of lack of the pharmacy retail warriors,
do well. Transitions of care efficacy. It simply tells us that, piling ‘em high and selling
are notorious, not only for of the 25 studies included in as many as they can. Yet,
prescription errors, but for the review, the quality of the their commercial success
medication misadventure in evidence was so poor that no has been to the profession’s
general. Most pharmacists pay certainty could be attributed detriment. It has created an
particular attention. In my to the benefit of medicines image and an expectation
pharmacy it is pretty much reconciliation by pharmacists. that is far removed from
axiomatic that a discharge This is just not good enough. what we do. Retail is retail.
prescription will have the As pharmacists, we know Pharmacy is pharmacy. Ours
potential for multiple errors. our worth. We know what we is a profession of medicines
The arrival of the unified do every day to improve the knowledge, of intervention
discharge system, with lives and the health of the and of communication. In an
associated standardised people we live with. But self- era of ever more complicated
paperwork, has only slightly knowledge does not make a treatments, ageing populations
ameliorated this. compelling argument. This is and polypharmacy, we are
Medicines reconciliation is now a hoary old chestnut in never more important. Yet, our
a huge patient safety issue. pharmacy. Not only do we not ability to document our value
If you have any comments, queries or issues to raise, send
your “Letters to the Editor” by email to ipureview@ipu.ie.
IPUREVIEW NOVEMBER 2018 7
Pharmacy in
the Media
On 25 September, World Pharmacists Day, we issued a
press release to announce that the flu vaccination is
available from pharmacies and that people should get
their vaccine as early as possible. Our campaign was
covered on Virgin Media One’s Ireland AM and there was
coverage in the Irish Sun, Evening Echo, on BreakingNews.
ie and on IrishHealth.com. IPU President Daragh Connolly
was also interviewed on KFM and Highland Radio, and
there was extensive coverage across regional radio
stations and regional newspapers. IPU members Kathy
Dates forry
Maher and Caitriona O’Riordan were interviewed on
LMFM and Limerick FM respectively.
your Dia
Our Submission to the PSI on the Temporary Absence
Consultation was quoted in the Sunday Mirror and on
DublinLive.ie following the meeting of the PSI Council.
Darragh O’Loughlin was quoted in The Irish Times for
an article which addressed substandard and falsified
2018
N OV E M B E R onth,
medicines. Darragh was also quoted in The Sunday
Movember M Times in an article which focused on the financial and
November e
www.cancer.i economic challenges facing Irish community pharmacies.
We issued a joint press release with the National
betes Day,
r World Dia
14 Novembe s.ie Association of General Practitioners to call for the
www.dia te
be
Government to begin the phasing out of the €2.00
Antibiotic prescription levy paid by medical card holders, and, at
r European
18 Novembe eness Day, www. the very least, exclude vulnerable patients from the levy
Awar
ther.ie
underthewea in this year’s Budget. There was national coverage in The
Times and Irish Daily Mirror, and also in the Evening Echo.
ement of
r The Manag We were mentioned in The Irish Times for an article
19 Novembe Living with
Patients which addressed legislation for conscientious objection
inar
HIV/AIDS web when it comes to abortion services.
cademy.ie
www.ipua Darragh O’Loughlin was quoted in the Sunday Business
ement Post in relation to Brexit and the potential impact on
r The Manag
27 Novembe mon Eye medicines in Ireland.
of Com
onditions w ebinar, We issued a press release after Budget 2019 was
C
cade my.ie announced stating that the prescription levy should
www.ipua
have been abolished entirely, the reduction in the DPS
threshold does not go far enough, and that a Minor
018
DECEMBER 2
Ailment Scheme remains a missed opportunity. There
was coverage in the Irish Examiner and Evening Echo.
ay,
World Aids D Daragh Connolly was quoted in the Irish Independent for
1 December .w orld aidsday.org
www an article which highlighted why your pharmacist should
l Day be the first port of call for healthcare.
Internationa
3 December Pe rson s w ith
of
ties , w ww.bit.ly/
Disabili
swith
DayofPerson
Disabilities
8 IPUREVIEW NOVEMBER 2018
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IPU NEWS Budget 2019 On 9 October, we welcomed the decision to reduce the prescription levy to €1.50 per item for the over 70s, however, we feel that the levy should be removed in its entirety especially for those in vulnerable patient groups, such as homeless people, those in residential care settings, patients with intellectual disabilities and palliative care patients. We also welcomed the €10 fall in the Drugs Payment Scheme (DPS) threshold to €124 from €134, but expressed disappointment that a more meaningful reduction was not announced. Daragh Connolly, President of the IPU, said, “While a prescription charge of €1.50 may seem insignificant, it is important to remember this is a charge on the healthcare of the vulnerable in our society. The Budget has clearly demonstrated our economy has recovered to a point where we don’t need such blunt and unfair taxes.” Mr Connolly also said that while “the €10 reduction in the DPS threshold is welcome, it is clearly not enough to have a significant impact on hard pressed families. The Government should set out a roadmap to significantly reduce this threshold to a more bearable level over the next number of Budgets.” Mr Connolly concluded by criticising the continued failure to introduce a Minor Ailment Scheme in pharmacies. “The failure to introduce a nationwide Minor Ailment Scheme is a introduced whereby marginalised people are exempted from missed opportunity for the tax payer, the health system and fees which they frequently cannot afford. Eliminating this fee most of all the patient. This would involve enabling medical would significantly help these vulnerable patients, and the cost card patients to receive treatment for common illnesses, free to the exchequer would be negligible.” of charge, directly from their local community pharmacy in Mr Connolly said, “Putting economic barriers in the way of a timely manner and without the need to pay for a visit to vulnerable patients taking their medicine doesn’t make sense. the GP. The introduction of a pharmacy-based Minor Ailment People living with heart disease, or at risk of the disease, Scheme would save nearly 950,000 GP consultations should be focusing on getting better and keeping well, every year, ensuring that this investment would not worrying about how they will pay for their next vital serve patients with more complex cases. The IPU has prescription. Poor adherence to treatments, especially already piloted this scheme with the HSE but has in the case of chronic illness and long-term patients, received no indication on when it will be rolled out.” will mean more hospital stays, more pressure on our On 3 October, ahead of the Budget announcement, already struggling health service, and more costs to Daragh Connolly, along with Dr Maitiú Ó Tuathail, the Exchequer in the treatment of these patients President of the National Association of General in the long run. Practitioners, jointly called on the Government to “Pharmacists and GPs would like to see a phasing- begin the phasing out of the €2.00 Prescription Levy out of the levy and, at the very least, exemptions paid by medical card holders, and, at the very for especially vulnerable patients, including those least, to exclude vulnerable patients from the in residential care settings; homeless patients; levy in this year’s Budget. patients receiving treatment under the Dr Ó Tuathail, a GP at Safetynet Primary Methadone Treatment Scheme in Care (a medical charity for marginalised respect of other medication that they in society) said, “This fee for medications may require; patients with intellectual is unjust and is a significant barrier to disabilities, and palliative care patients. the accessing of vital medicines for Patients need to be supported, not marginalised patients. A system must be penalised,” concluded Mr Connolly. 10 IPUREVIEW NOVEMBER 2018
IPU NEWS
Pharmacists
key to driving
successful self For he
a
Be We lth advice..
ll This .
care strategy - Think W inter
Pharm
acy
The role of community pharmacists is pivotal to the
successful development of self care and its more widespread
adoption, according to the Irish Pharmacy Union and the Irish
IPU welcomes
Pharmaceutical Healthcare Association (IPHA), who on 16
October launched a new self care awareness campaign, entitled
migraine relief now
Be Well This Winter – Think Pharmacy.
The campaign was rolled out through the extensive
deployment of social media, as well as a series of posters to be
available without
displayed nationwide in retail pharmacies.
This campaign builds on the previously highly successful IPU/
prescription
IPHA joint initiative launched earlier this year, Self Care: Taking
charge of your health, which placed a major emphasis on the
role of the pharmacist as a key component in helping people to
at pharmacies
manage their own health.
Self care is a healthcare philosophy which emphasises the
nationwide
role of ordinary people in taking ownership of their health and
wellbeing and includes taking actions to prevent and decrease
the likelihood of disease and to restore health after illness or
injury. It is the first step and first choice for Irish people who are
taking an increasingly active role in their healthcare and looking
to improve their health and wellbeing. From 22 October, Irish people who suffer from
Research from Behaviour & Attitudes confirms that there is migraine will, for the first time, be able to access
a clear desire from the majority of people (92%) to be involved a highly effective treatment, without prescription,
in decisions about their own health and medication, with 80% directly from their pharmacy. This follows a
expressing their view that they see their pharmacist as a key reclassification of the medication, sumatriptan,
partner in maintaining their health. which now allows it to be made available without
Daragh Connolly, President of the IPU, said, “Promoting prescription, a change which had long been called for
increased levels of self care in Ireland would lead to a far by migraine sufferers and by the IPU.
more efficient and effective system of healthcare. Embracing Welcoming the move, President of the IPU, Daragh
a philosophy of self care can lead to real, measurable savings Connolly, said, “Migraine is a severe neurological
in healthcare expenses and better outcomes for patients, condition that affects 15% of the world’s population.
and pharmacists can play a critical role in this area. Allowing It is estimated that as many as half a million Irish
pharmacists to work to their full scope will help to deliver better people suffer from migraine. The symptoms can be
patient outcomes by utilising our accessibility and professional extremely debilitating for those who suffer from
capabilities to benefit patients, in partnership with our migraine and we warmly welcome the fact that
healthcare colleagues and the pharmaceutical industry.” pharmacists will now be able to help sufferers get
Dave Barrett, Chairman of the Irish Pharmaceutical relief by providing this highly effective medication.
Healthcare Association, said, “As well as the obvious benefits “Treating migraine as soon as it appears is often
for individuals in taking a greater role in maintaining healthy the key to effectively managing a migraine. When
lives, adoption of self care principles could also help the State sumatriptan was prescription-only, people were
manage the financial challenges of an ageing population and often unable to obtain it when it was most needed.
strained healthcare budgets. As people take care of their own Pharmacies are the most accessible component of
health and self-treatable conditions, more healthcare resources our healthcare system and making sumatriptan
can be used for patients with severe and chronic diseases. Our directly available from pharmacists will greatly
industry is committed to working with healthcare professionals, increase our patients’ abilities to get the treatment
especially pharmacists who are often the first port of call for they need when they need it.”
health information and advice, to support consumers to identify The IPU is urging anyone who is concerned that
the most appropriate channel within the healthcare system.” they may be experiencing the early symptoms of a
Self Care – Taking charge of your health can be downloaded from migraine to visit their local community pharmacy
www.ipu.ie and www.ipha.ie. for advice.
IPUREVIEW NOVEMBER 2018 11IPU NEWS
IPU Academy
Webinar Series
Log into IPU Academy this month to participate in the Autumn
Programme Webinar series.
Date Topic Speaker(s)
Monday The Management of Patients Living Dr Lambert, Infectious Disease Consultant,
19 November with HIV/AIDS – what can a Community Mater Hospital, and Mairead O’Connor,
7.30pm – 8.30pm Pharmacist do? Acting Pharmacy Lead for Infectious Diseases,
Mater Hospital
in association with
Tuesday The Management of Common Eye Conditions Dr Aoife Doyle, Consultant Ophthalmic
27 November Surgeon, Royal Victoria Eye and Ear Hospital
7.30pm – 8.30pm in association with and St James’s Hospital
More information is available on www.ipuacademy.ie.
IPU Training Courses
– Spring 2019
IPU Basics in Health and Nutrition Course
Date Location
Wednesday 16 January, 10.00am – 5.00pm Butterfield House, Dublin
IPU Supervisory Development Course
Date Location
Day 1: Tuesday 29 January, 9.30am – 5.00pm Butterfield House, Dublin
Day 2: Tuesday 26 February, 9.30am – 5.00pm
IPU Introduction to Employment Law
and Employment Rights
Date Location
Day 1: Tuesday 5 February, 9.30am – 5.00pm Butterfield House, Dublin
Day 2: Tuesday 5 March, 9.30am – 5.00pm
12 IPUREVIEW NOVEMBER 2018IPU NEWS
IPU Statement of Strategy
Progress Report
July - September 2018
JCG Meeting with HSE IPU Pilot to Detect Hypertension and
The Joint Consultative
Atrial Fibrillation in Community
Group (JCG) met with the Pharmacy
HSE in September to
Sector
address a number of items
on behalf of members
including the PCRS
1,000+
Pharmacy Interface
Project, PCRS High Tech The IPU pilot to detect hypertension and atrial
Ordering Hub, Phased fibrillation saw over 1,000 patients screened in
Dispensing and the pharmacies around the country in July and
centralisation of the Drugs August
Payment Scheme
IPU Pharmacy eCommunications Survey Retail
Technician Course Reviews
Use the IPU website
Enrollments on to
91% 6
Retail
reviews
230 Year 1 of the IPU
Pharmacy Technician
Find the eNewsletter clear
and easy to use 96%
were
carried out
Course
Rate the eNewsletter Retail
Member 89% content as excellent or
very good
4 consultations
were
completed
Find our SMS Service
useful 89%
IPU Academy Autumn Contract Unit Assistance
Programme
The Contract Manager
Launched in September accompanied a number of
with 5 topics delivered individual pharmacists to
by 19 tutors in 21 meetings with the PCRS to
venues nationwide (63 assist them in resolving
courses) outstanding issues
Advertising Campaigns
The target audience had the opportunity to view the Think
Pharmacy TV ad 4 times and our radio ad featured in 8 spots
during Ireland’s top 5 listened to radio programmes. We also
launched the first week of our Flu Vaccination campign
Submissions to the PSI Framework for Handling
Advocacy/ We made submissions to Medicine Shortages
Activities the PSI on Temporary
Absence, Registration
We worked with the HPRA and
other supply chain stakeholders to
Rules and Code of develop a Framework for Handling
Conduct Medicine Shortages, which was
published in September
Garda Vetting National Media
Applications Press releases issued this
6,000+ processed to
date
700 Disclosures
issued this
quarter
8 quarter gaining extensive
national coverage including
items on RTÉ and Virgin
Media One
IPUREVIEW NOVEMBER 2018 13Now easier Improved
than ever to search
order functionality
Access to Stock
latest stock Indicators
information
Up-to-date Notifications
news
Our new and improved
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To access the UDW website select You can now access and move within
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For further information please contact
Leonora.Kinsella@united-drug.comPROFESSIONAL
HSE launches
Emergency Hormonal
Contraception (EHC)
awareness campaign,
in partnership with IPU
The HSE Sexual Health and Crisis
Pregnancy Programme (SHCPP)
is implementing a national public
awareness campaign this month, in
partnership with the Irish Pharmacy
Union (IPU). The campaign aims
to increase awareness about the
availability of Emergency Hormonal
Contraception (EHC) directly from
a pharmacy. The campaign will
launch on 12 November 2018.
I
ndependent market n Half of self-reported
research, carried out crisis pregnancies
in December 2017, are associated with
found that one in five contraceptive failure;
women are not aware
n Half of self-reported
that EHC is available directly
crisis pregnancies are
from pharmacists, without a
associated with non-use
prescription. The report, Sexual
of contraception;
Health in Ireland: What Do We
Know?, published by SHCPP in n Half of those failing to
June 2018, also highlights that: use contraception were
unaware of the risk of
pregnancy at that time.
IPUREVIEW NOVEMBER 2018 15The EHC campaign will which will run primarily via
focus on informing women digital media. Social media
that if they have unprotected
sex or their contraception
posts and adverts will be
created with key messages
Key campaign messages
fails, they can avail of EHC and Google Search AdWords
directly from their community will direct people to www. n EHC is available without
pharmacist. The target sexualwellbeing.ie for further prescription from pharmacies.
audience is all women of information. A media kit,
child-bearing age. including suggested posts and n The sooner you take emergency
The IPU and the HSE SHCPP images, will be provided via contraception, the more effective it is.
previously worked together on the IPU website, prior to the
a successful EHC campaign campaign launch. n You can avail of emergency
in 2012. This campaign A window sticker and contraception that is effective up
was promoted across all poster will be posted to all to five days after sexual intercourse.
community pharmacies and IPU pharmacy members
the campaign message was prior to the campaign launch n Women with medical cards can
well received. The HSE and IPU to complement the online get EHC free-of-charge directly from
are using the same messaging messaging and to further the pharmacy, without the need
for this year’s campaign. raise awareness that EHC is
There are a number of available in your pharmacy. for a prescription.
elements to the campaign,
What can you do?
Pharmacists have an important role to play in
ensuring that women have access to EHC in a timely
manner. You can get involved in this campaign and let
your patients know that they can visit your pharmacy
if they require EHC by:
n Displaying the campaign materials – display
the window sticker and / or poster prominently
in your pharmacy window, or door, so that your
patients know that you provide EHC; and
n Sharing the message – support the campaign by
sharing the key campaign messages and content
re
on your social media channels. This will help to
Av a H e increase the number of people who will see the
ilable
messaging.
Pharmacists play a pivotal part in communicating
broader sexual health messages to the public.
If a woman requires EHC from you, it is a good
opportunity to discuss contraception with her. The
www.sexualwellbeing.ie website covers all aspects of
sexual health and wellbeing including the different
contraception options available.
“The EHC campaign will focus on
informing women that if they have
unprotected sex or their contraception
fails, they can avail of EHC directly
from their community pharmacist.”
16 IPUREVIEW NOVEMBER 2018Relax - we’ve got it all in hand At United Drug Elements we offer a swift and efficient service for supplying and sourcing Exempt medicines and pharmaceutical supplies not normally available through regular pharmaceutical distribution channels. We operate in line with HPRA Regulation and HSE reimbursement. Begin by registering online or calling us on (01) 463 2300 www.ud-elements.ie
CONTRACT Derek Reilly, Contract Manager, IPU
IPU Contract
Unit – how can
we help you?
What should you do if you are called to a meeting with
the HSE PCRS to discuss what they characterise as
‘unsupported’ or ‘potentially invalid’ claims from your
pharmacy? What course of action do you take if you are
subject to a claims investigation? What do you do if you
are confronted with a HSE inspector in your pharmacy?
The first thing to do is pick up the phone to us; it’s what
we’re here for. In this article, Derek Reilly, Contract
Manager, IPU, outlines the services and advice that the
IPU Contract Unit can offer to IPU members.
M
any members
may be
unaware that
there is help
and advice
available to them at the end of
the line. Sometimes you may
only need some assurance
that in fact you are doing
everything completely right,
and other times it may be that
you do need additional help
and support. The important
thing is to call us. It’s the first
step to addressing the issue –
whatever that issue might be.
Since the lifting of the
recruitment embargo in the
public service in 2014, the
HSE PCRS has been hiring
again. This means there is
18 IPUREVIEW NOVEMBER 2018an increase in the number of of claims for individual terms of your contract with All individual queries are
staff scrutinising pharmacy pharmacists. In other words, the HSE, you have a right to dealt with in the strictest
claims. A significant increase this forum is where we, in enjoy fair procedures in the confidence. We also have lots
in the number of pharmacy the Contract Unit, meet the conduct of that inspection. In of useful information relating
inspectors is also expected PCRS face to face in an effort the event of an inspection, you to your contract, the HSE PCRS
in the coming year. This to resolve payment issues should always contact the IPU. and Department of Health on
ever-increasing probity and on your behalf. The Contract In rare but serious the members’ section of our
scrutiny means pharmacists Manager is also Secretary to circumstances, a pharmacy website, which you should
are more likely than ever the Pharmacy Contractors’ contractor may receive avail of. In short, we’re here
before to receive a letter from Committee (PCC). The PCC correspondence from the to help you, the member, so
the HSE PCRS examining or is responsible for all matters office of the Director General please avail of our services.
querying claims. We can assist relating to the Community of the HSE stating that there
you in drafting your response Pharmacy Contractors’ is reason to believe that You should contact
to these letters and are happy Agreement and pharmacy the contractor has failed to Derek or Aoife in the
to review any correspondence, contract, and negotiating with comply with the terms of their IPU Contract Unit:
on your behalf, before you the Department of Health and contract and allowing 14 days
n For advice on all aspects
send it to the HSE PCRS. the HSE on remuneration and to respond to the allegations.
of processing claims;
If there are circumstances policy issues. Anyone receiving one of these
where you are requested to The Joint Consultative letters, who has not already n For advice on all aspects
meet with the HSE PCRS, Group (JCG) meets four or five done so, should immediately of the pharmacy
we can advise you on times a year. Members of the seek the advice of the IPU and contract;
whether you should attend PCC, the Secretary General indeed legal advice before
responding. The likelihood n For assistance in
and the most appropriate and the Contract Manager
is that a Committee of responding to direct
representation to bring with meet with officials from the
Investigation, as set out in the correspondence from the
you and, should you need HSE PCRS through this forum.
CPC Agreement under Clause HSE PCRS;
it, point you in the direction The JCG was established with
of further professional/ the objective of maintaining 16, could be established on n If you are called to a
legal advice. In some stable contractual relations foot of your response. The meeting with the HSE
circumstances, we will attend between the parties. The Committee, which is chaired PCRS;
the meeting with you and terms of reference for the by a legally qualified person
advocate on your behalf. JCG and JOG are set out in a nominated by the Minister for n If your pharmacy is
It cannot be emphasised Relationship Values Charter, Health in consultation with inspected by the HSE
enough, however, that you signed by the IPU and HSE the PCC, can, if a complaint PCRS;
should always contact the IPU in 2016. The Charter may is upheld, result in the n If you are subject to a
for advice if you are called to sometimes seem at odds with termination of your contract; claims investigation; and
a meeting – then make your our day-to-day interaction hence, the importance of
decision on what to do next. and current strained relations seeking legal advice as early n If you are subject to an
The Contract Unit can also with the HSE PCRS, but the as possible. investigation under the
advise you on all aspects JCG does provide us with a One thing pharmacists must pharmacy contract.
of processing claims for regular forum where we can never do is bury their head
payment. It can often happen highlight the concerns of our in the sand hoping a problem
that a pharmacy is not members to senior officials will go away. The problem How to contact/access
reimbursed correctly, generally within the PCRS. At our most rarely, if ever, resolves itself the IPU Contract Unit
for an unusual or expensive recent meeting in September, on its own. We have seen
item, or is not happy with the the agenda included the issues that potentially could Telephone: 01 406 1557 /
HSE’s response to a payment Pharmacy Interface Project, have been resolved through 01 493 6401
query. In those cases, we phased dispensing approvals, a negotiated settlement, but
can advise you on how to the High Tech Hub and HSE have instead been escalated to Derek Reilly
proceed and, if necessary, reimbursement prices – any of a Committee of Investigation Contract Manager
raise the matter directly with which would merit an article because of a pharmacy derek.reilly@ipu.ie
the PCRS on your behalf. in themselves. contractor’s failure to seek
Every six to eight weeks, we What to do in the event help when concerns were first Aoife Garrigan
meet with the HSE under the of an inspection of your raised by the HSE PCRS. The Contract Administrator
auspices of what is known as pharmacy by the PCRS earlier you seek advice or help, aoife.garrigan@ipu.ie
the Joint Operational Group was covered in detail in an the better able we are to
(JOG). The purpose of the article in the IPU Review in assist you in reaching a
JOG is to allow direct liaison July and this is available in resolution.
and discussions between the HSE Contract section of
the IPU and the PCRS on our website. Remember, it
matters of an administrative/ is important to be prepared
operational nature with a for an investigation at any
view to resolving, where time and, while you have to
possible, issues with payment facilitate inspectors under the
IPUREVIEW NOVEMBER 2018 19Growing Together
The trade mark Actavis is used under licence by Teva
Pharmaceuticals Europe B.V.PROFESSIONAL
The first paid
patient education
at pharmacy
service launched
Pharmacycare is a platform for paid
services in community pharmacy.
Patient Support Programmes (PSPs)
are offered by pharma companies to
many patients to support compliance
and adherence, and now pharmacists
can have an enhanced role in
providing these services.
E
xpanding paid for What is the background
patient services to Pharmacycare and
within community
pharmacy is on the
who is behind it?
radar of everyone There are many potential
involved in the profession services, from vaccines to
in Ireland. An expansion health screening, that can be
of the scope of practice of safely delivered in community
pharmacists is not only pharmacy, but Hibernian
desirable from a professional Healthcare has brought this
and commercial perspective, innovative patient support
but also contributes to easing service to the market at a
the burden on primary really opportune time. Many
care services across the of you will know Hibernian
country. Pharmacists know Healthcare from its support
the medications, know the and delivery of vaccination
patients and are ideally and medicines administration
equipped to play a key role in training since 2009, but
enhanced patient support. it also works with many
IPUREVIEW NOVEMBER 2018 21Pictured at the
Pharmacycare launch
of the Nordimet patient
education service, L-R:
Pamela Logan, Director of
Pharmacy Services, IPU;
Olive Kelly, Key Account
Manager Nordic Pharma;
Guen Kelly, Marketing
Manager, Nordic Pharma;
and Alan Moran, Group
Managing Director,
Hibernian Healthcare.
major pharma companies to short in supporting the The initial Pharmacycare How do we sign up and
provide best-in-class Patient patient on their journey service consisted of a sharps what does it cost?
Support Programmes (PSPs) with a life changing chronic service for injectable devices
for medications including oral illness. The PSP services are for Pfizer (Enbrel), Roche Signing up to Pharmacycare is
medications and injectables. typically front-ended and can (RoActemra), Novo Nordisk very simple and free of charge.
Typically, these programmes leave the patient to their own (Norditropin) and Biogen Register your details on www.
include Patient Education, devices for several months (Benepali). Now, Nordic Pharma pharmacycare.ie or call the
Nurse Support, Sharps Service until their next consultant has launched the first patient Hibernian Healthcare office on
and Compliance Support. appointment at the hospital. education service for Nordimet, 01 460 4820.
What Pharmacycare offers the injectable methotrexate. Pharmacycare has the
is a range of pharmacist-led The Pharmacycare roadmap exclusive backing of the
What does the services that bridges those includes the rollout of many IPU. The time for new paid
service involve? gaps, improves engagement other services, as seen in the for services is now and we
with the medication and table below: encourage you to be part of it.
Hibernian Healthcare
supports compliance and
recognised one of the areas
adherence.
where PSPs can often fall
Service When can I offer the service? What is involved? What fee can I expect?
Sharps and Waste Initial service which is up and running Patients will bring their full sharps bin The fee for a swap out and
Management to your pharmacy and be provided with replacement is €15.00 – €20.00
a swap out.
Script Updates As new services are added The pharmacist will update the patient The fee will be €3.00 for each script
record on the Pharmacycare system updated via the portal.
each time the script is dispensed.
Patient Education Now for Nordimet. Others are in the Helping patients learn how to deal This will depend on the length and
pipeline with their condition and safely self- complexity of the training but for
administer their Nordimet. Nordimet the fee is €40.00.
Compliance As new services are added Pharmacists will receive training in This will also depend on the length of
Coaching compliance coaching and will conduct the consultation but we expect this to
compliance coaching by appointment be approx. €30.00.
with patients. The script will vary but
each meeting will follow an agreed
pathway.
Patient Outcome Mid-2019 This will include testing of various This will depend on the complexity of
Measurement health metrics to establish post- the testing to be completed.
medication efficacy.
22 IPUREVIEW NOVEMBER 2018BUSINESS Jim Power, Economist
Economic
backdrop to
pharmacy sector
The Irish economy Consumer spending
continues to perform In the eight months of 2018,
the volume of retail sales
in new car registrations is
occurring despite the very
strongly. Quarterly expanded by 3.3% and the
value of sales expanded by
positive, and in theory,
supportive economic
National Accounts show 2.1%. When new car sales are
excluded, the volume of retail
backdrop for new car sales.
In the first nine months of
that in the first six months sales expanded by 3.7% and
the value of sales expanded
the year, 77,277 used cars
were imported, which was
of the year, GDP was 10.5% by 2.3%. The gap between the 9.1% ahead of the first nine
value and volume metrics is months of 2017. Sterling
higher than a year earlier, continuing to suggest price weakness is the key driver of
and GNP was 9.1% higher. resistance from the stretched
personal sector.
this trend, with 96.3% coming
from the UK. Imported used
Modified final domestic In the first nine months of
the year, 123,099 new cars
cars are displacing new
car sales and creating a
demand, which excludes were registered, which is
4.2% lower than the first nine
challenging environment
for the new car industry.
the impact of trade in months of 2017. The decline
aircraft by aircraft leasing
companies and trade in
research and development
and intellectual property,
was 6.3% higher than
a year earlier.
IPUREVIEW NOVEMBER 2018 23Consumer spending continues Figure 1: Consumer confidence
to steadily improve. However,
there continues to be two 140.0
caveats. There is still a
significant gap between the 120.0
volume and value of growth in
retail sales, and weaker new 100.0
car sales are impacting on the
overall retail sales numbers. 80.0
These trends have been a
feature of the retail market
60.0
over the past couple of years.
40.0
Consumer confidence
20.0
Consumer confidence has
recovered strongly over the
0.0
past three years, but has
Feb 96
Dec 96
Oct 97
Aug 98
Jun 99
Apr 00
Feb 01
Dec 01
Oct 02
Aug 03
Jun 04
Apr 05
Feb 06
Dec 06
Oct 07
Aug 08
Jun 09
Apr 10
Feb 11
Dec 11
Oct 12
Aug 13
Jun 14
Apr 15
Feb 16
Dec 16
Oct 17
Aug 18
plateaued over the past
18 months and is proving
quite volatile from month
Source: ESRI
to month. For example, in
October, confidence dipped to
a 21-month low. Issues such
as Brexit, rapidly escalating announced spending increases The increase in the VAT The success or failure of any
house prices, higher fuel costs, that will take total spending rate for the hospitality sector budget in terms of achieving
the high personal tax burden, up to €66.5 billion, which from 9% to 13.5% is the most its aims and objectives is
and subdued wage growth represents an increase of 5.8% noteworthy feature of a heavily dependent on the
are combining to have a or €3.65 billion on the previous budget that granted generous economic environment. The
somewhat sobering influence year. Current spending will increases in government economic forecasts underlying
on the personal sector. Despite increase by €2.26 billion or expenditure. This expenditure Budget 2019 look quite
the economic recovery, the 4% and capital spending will is being funded by a sector realistic, based on what we
personal sector is still quite increase by €1.39 billion or that creates and sustains jobs currently know about what is
fragile. 23.6%. Gross current spending all over the country and which going on in the economy and
accounts for €59.3 billion of faces a serious threat from the external risks that exist.
total spending. Brexit. This move is difficult Real GDP is projected to grow
Labour market In relation to health, the key to understand. by 4.2% in 2019, following
measures were: growth of 7.5% in 2018.
In the year to June, the number
of people in employment n An increase of €1.05
increased by 74,100 or 3.4% to billion in health funding Table 1: Economic Forecasts Underlying Budget 2019
reach 2.255 million. This is the for 2019, bringing the
highest level of employment health budget to €17 2018f 2019f 2020f
on record. The level of billion;
unemployment declined
n €25.00 increase in the GDP 7.5% 4.2% 3.6%
by 26,800 in the 12-month
period to September and the weekly income threshold GNP 5.9% 3.9% 3.3%
unemployment rate has fallen for GP Visit cards;
to 5.4% of the labour force. Consumption 3.5% 3.0% 2.6%
n 50 cent reduction in
Since the weakest point of
prescription charges Investment -8.9% 7.1% 5.7%
the labour market in January
from €2.00 to €1.50 for
2012, the number of people Exports 7.0% 5.6% 4.8%
all medical card holders
unemployed has declined
over the age of 70; Imports 0.9% 6.2% 5.3%
by 226,600 from 356,000 to
129,400. n €10.00 reduction in the
Employment (Average) 2,259 2,321 2,373
monthly Drugs Payment
Scheme threshold from Unemployment Rate 5.8% 5.2% 5.0%
Budget 2019 €134 to €124; (Average)
The focus of Budget 2019 n €84 million for mental Inflation (Average) 0.7% 1.5% 1.7%
was very much on Health health services;
and Housing. The Minister General Government -0.1% 0.0% 0.3%
for Finance announced tax n National Treatment Deficit (% GDP)
increases that will raise Purchase Fund (NTPF)
€825.4 million in a full to get an extra General Government 64.0% 61.4% 56.5%
year and tax cuts that will €20 million; and Debt (% GDP)
cost €458.9 million in a full
year. The net withdrawal in n €150 million more Source: Department of Finance, Budget 2019
taxation was €366.5 million. for disability services
On the expenditure side, he bringing the total
funding to €2 billion.
24 IPUREVIEW NOVEMBER 2018®
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IRELA
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u m
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THA
N IEVER
IN REL
OL
STA M
N D A R D PA R A C E TA NLY PA
ACY O
PHARM
Powerful Pain Relief
*IMS Data July 2018
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Solpadeine Soluble Tablets contain paracetamol, codeine phosphate hemihydrate and caffeine. For the treatment of acute moderate pain which is not relieved by paracetamol or ibuprofen alone, including migraine,
headache, backache, menstrual pain, musculoskeletal pain, toothache, common cold, influenza. Adults and children 12 years and over: 2 tablets dissolved in water 3 – 4 times a day. Max 8 tablets in 24 hours. Do not
give to children under 12 years. Do not take for more than 3 days without consulting a doctor. Do not take any other paracetamol or codeine containing products concurrently. Can cause addiction. Use for 3 days only. In case of
overdose, seek immediate medical advice, even if the patient feels well. Contraindications: Acute asthma, known hypersensitivity to ingredients, lactation, known CYP2D6 ultra-rapid metabolisers, patients 0-18 years who
undergo tonsillectomy and/or adenoidectomy for obstructive sleep apnoea syndrome. Precautions: Renal or hepatic impairment, non-cirrhotic alcoholic liver disease, obstructive bowel disorders, previous cholecystectomy, acute
abdominal conditions, pregnancy, prostate hypertrophy, the elderly. Pregnancy and lactation: Not recommended during pregnancy and breastfeeding. Side effects: Thrombocytopenia, anaphylaxis, cutaneous
hypersensitivity reactions, hepatic dysfunction, GI disturbance, dependency or worsening of headache following prolonged use. PA 1186/11/1. Pharmacy Only. MAH: Chefaro Ireland Limited, 1st Floor, Block A, The
Crescent Building, Northwood Office Park, Dublin 9. Date of preparation August 2018. http://www.hpra.ie/img/uploaded/swedocuments/LicenseSPC_PA1186-011-003_29112017162036.pdfTax forecasts increased by a strong 5.2%, but Table 2: Tax Forecasts 2019
in value terms, the growth was
Following the tax changes a much more modest 0.9%.
announced in the Budget, 2018f 2019f %
The continued gap between €m €m change
overall tax revenues in 2019 are value growth and volume
projected to expand by 5.2% to growth remains an important
reach €57.9 billion. Corporation Customs 345 365 +5.8%
facet of the market.
tax receipts are projected to Price compression remains a Excise Duty 5,620 5,940 +5.7%
decline by 1.3%, reflecting the feature of the retail pharmacy
once-off boost to revenues sector. In the first eight months Capital Gains Tax 945 1,000 +5.8%
this year from changes to of 2018, the average consumer
accounting standards. Income Capital Acquisitions Tax 470 495 +5.3%
price of Pharmacy products
tax will account for 38.9% of declined by 3.8%, the price of 1,575 +6.3%
Stamp Duties 1,675
total tax revenues this year Prescribed Drugs declined by
and 39.5% in 2019. 6.2%, and the price of other Income Tax 21,445 22,905 +6.8%
medicines increased by 0.2%.
Corporation Tax 9,605 9,480 -1.3%
In the 12-month period to
Trends in the retail August, the average consumer VAT 14,090 15,140 +7.5%
pharmacy sector price of Pharmacy products
In the first eight months of the declined by 2.9%, the price of Motor Tax 980 945 -3.6%
year, the volume of retail sales Prescribed Drugs declined by
Total Tax Revenue 55,070 57,945 +5.2%
of Medical, Pharmaceutical 3.9%, and the price of other
and Cosmetic Articles medicines declined by 1.1%.
Source: Department of Finance, Budget 2019
Figure 2: Retail Sales of Medical, Pharmaceutical & Cosmetic Articles
130.0
125.0
120.0
115.0
110.0
105.0
100.0
95.0
90.0
85.0
80.0
Jan 15
Mar 15
May 15
Jul 15
Sep 15
Nov 15
Jan 16
Mar 16
May 16
Jul 16
Sep 16
Nov 16
Jan 17
Mar 17
May 17
Jul 17
Sep 17
Nov 17
Jan 18
Mar 18
May 18
Jul 18
Value Volume
Source: ESRI
Figure 3: Consumer Price Trends in the Pharmacy Sector
115.0
110.0
105.0
(Jan 2005 = 100)
100.0
95.0
90.0
85.0
80.0
75.0
Jan 05
Jul 05
Jan 06
Jul 06
Jan 07
Jul 07
Jan 08
Jul 08
Jan 09
Jul 09
Jan 10
Jul 10
Jan 11
Jul 11
Jan 12
Jul 12
Jan 13
Jul 13
Jan 14
Jul 14
Jan 15
Jul 15
Jan 16
Jul 16
Jan 17
Jul 17
Jan 18
Jul 18
Pharmaceutical Prescribed Other
products drugs medicines
Source: CSO
26 IPUREVIEW NOVEMBER 2018PROFESSIONAL Jack O’Connor, Country Manager, Movember Foundation
Movember:
10 years of
fundraising
in Ireland
Community-based health professionals can help
Movember to spread awareness around the issues men
face and encourage men to stay healthy in all areas of
their life, with a focus on staying socially connected
and becoming more open to discussing their health.
T
his year, Movember health and suicide prevention. seven men in Ireland will action is needed to raise
will mark 10 years Our fathers, partners, be diagnosed with prostate awareness about men’s health.
of fundraising brothers and friends are facing cancer in their lifetime.
in Ireland. By a health crisis that isn’t being Testicular cancer is the most
prioritising the talked about. Men experience commonly diagnosed cancer How does the Movember
funding of three of the biggest worse longer-term health than in boys and men aged between campaign work?
health issues faced by men, women and die on average 15 and 40 years.
From humble beginnings
Movember ensures that it has six years earlier. There is no Men are also impacted by
back in Melbourne in 2003,
a long-term, global impact. biological reason for this; it’s poor mental health and this is
the Movember movement
The Movember Foundation is largely down to attitudes, highlighted in the high rates of
has grown to be a truly global
the only charity tackling men’s awareness and behaviour. suicide in men. Each week in
one, inspiring support from
health on a global scale year- The impact of prostate and Ireland, on average 10 people
over five million people across
round, with a singular goal testicular cancer on lives of die by suicide. Of these, eight
the world who have funded
to stop men dying too young. men is substantial. Prostate are men, with the most at-risk
over 1,200 innovative projects
Movember addresses some cancer is the second most being those aged between 45
across 20 countries worldwide.
of the biggest health issues common cancer in men and 52 years. These are just
Since 2008, Movember has
faced by men – prostate cancer, and accounts for 11.1% of some of the statistics that
been funding solutions to
testicular cancer, mental all cancer deaths. One in show exactly why urgent
IPUREVIEW NOVEMBER 2018 27®
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not give to children under 12 years. Leave at least 4 hours between doses. Max 3 doses in 24 hours. Seek medical advice if symptoms persist after 5 days. Contraindications: Severe renal impairment,
hypertension, cardiovascular disease, hyperthyroidism, prostatic hypertrophy, glaucoma, concomitant or recent MAOI use, furazolidone, linezolid, beta-blockers, concomitant use of other sympathomimetics. Caution:
Mild to moderate renal impairment, diabetes mellitus, arrhythmias, phaeochromocytoma, patients taking anti-hypertensives or about to undergo general anaesthesia. Interactions possible with warfarin and other
coumarins, sodium bicarbonate, metoclopramide, domperidone, colestyramine. Side effects: Nervousness, insomnia, GI disturbances, dizziness, tachycardia, skin disorders, thrombocytopenia, agranulocytosis,
hypersensitivity reactions, hepatic dysfunction. PA 1186/12/1. Pharmacy Only. MAH: Chefaro Ireland Limited, 1st Floor, Block A, The Crescent Building, Northwood Office Park, Dublin 9. Date of preparation:
September 2018. http://www.hpra.ie/img/uploaded/swedocuments/LicenseSPC_PA1186-012-001_26052017191036.pdfthe most pressing health also help Movember to spread Irish Cancer Society. These campaign around World
issues that impact Irish awareness around the issues initiatives have ranged from Suicide Prevention Day in
men, and this year will mark men face and encourage men financial support for patients September. While other
Movember’s 10th year in to stay healthy in all areas and their families, to ground- charities are at the sharp
Ireland. of their life, with a focus on breaking research that has end of the issue, Movember’s
Movember is an annual, staying socially connected united the prostate cancer strategy is to keep men
month-long fundraising and and becoming more open to community, in an effort to socially connected and
awareness campaign that discussing their health. improve outcomes and the prevent their mental health
takes place every November. quality of life for men. Funds deteriorating in the first
For the month of Movember, are also committed to men’s place. Movember invests in
men effectively become Where the money goes mental health initiatives awareness and education
walking, talking billboards Movember has become the and programmes, supporting campaigns that aim to
for men’s health, sparking largest non-governmental testicular cancer through our change the attitudes around
both public and private contributor to prostate cancer Global Action Plan initiative. mental health.
conversations. These are initiatives in Ireland, funding For the past three years,
conversations that raise over 30 programmes through Movember has delivered a
awareness and educate men its Men’s Health Partner, the mental health awareness
and women of the key health
issues men face, helping
to change behaviour and
prompting men to engage in
their health and know when
to take action.
People can raise funds by
registering and either growing
a moustache, hosting a Mo-
ment, or by joining the Move
challenge and committing
to running or walking 60
kilometres over the month.
That’s 60 kilometres for the 60
men we lose to suicide every
hour.
There are also a number of
industry challenges, such as
the Pharmaceutical Challenge,
where any company or
person in the pharmaceutical
industry can unite under the
banner of men’s health and
compete against one another
for first place in the country.
Community-based
health professionals in the
pharmaceutical industry can
“People can raise funds by registering and
either growing a moustache, hosting
a Mo-ment, or by joining the Move
challenge and committing to running or
walking 60 kilometres over the month.”
IPUREVIEW NOVEMBER 2018 29You can also read
