Pharmacy Technicians Graduate - Brexit and medicine supply - Irish Pharmacy Union
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IRELAND’S OFFICIAL PHARMACY PUBLICATION
JUNE 2018
Garda Vetting Brexit and
medicine
supply
Pharmacy
Technicians
Graduate
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JUNE 2018
16
07 A Note from the Editor
IPU News
The latest news and events
from Butterfield House
8 Dates for your Diary
8 Pharmacy in the Media
9 Action needed now to stop
Pictured at the IPU Pharmacy
increase in crime against pharmacies
Technicians Graduation Ceremony
in the Royal Hospital Kilmainham, 9 Irish Pharmacy Technicians
are Shauna Lenihan, Claire Bowers Graduation 2018
and Melissa Burke.
9 Pharmacy: What does the future hold?
10 IPU Training Courses Autumn 2018
The IPU Review is published
monthly and circulated to Irish
pharmacists. The views expressed
by contributors are not those
of the IPU nor is responsibility
accepted for claims in articles
or advertisements.
Subscription:
€100 (Ireland North & South) and
€150 (including postage overseas).
Publisher:
Irish Pharmacy Union
12
Features
(IPU Services Ltd),
Butterfield House,
Butterfield Avenue,
12 Garda vetting
Rathfarnham, Dublin 14,
D14 E126
Tel: (01) 493 6401
Fax: (01) 493 6626 – behind the scenes
Email: ipureview@ipu.ie
Website: www.ipu.ie
Editor: Jack Shanahan MPSI 16 Brexit and
medicine supply
Editorial Associates:
Siobhán Kane, Jim Curran
and Ciara Browne
Advertising: Siobhán Kane
Email: ipureview@ipu.ie
Tel: (01) 493 6401
20 IPU Pharmacy
Technicians
©2018
Copyright: All Rights Reserved, Graduation
Ceremony 2018
Irish Pharmacy Union.
Printed by Ryson Colour Printers Ltd.
IPU Review is a Registered Trademark
of the Irish Pharmacy Union.
26 View from the Dispensary:
28
The hardship of the
Hardship File
28 Haemochromatosis – are we
pumping too much iron?
IPUREVIEW JUNE 2018 3
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30 Making training a
pharmacy priority
44
32 Financial checkpoints
for pharmacists
36 IPU President’s Dinner
and Ball 2018
40 Pharmacists need to play to
their strengths
44 Men’s Health Week: There’s News
something contagious in the air 64 Clinical Tips: Updated pregnancy
prevention measure for oral retinoids
65 International News
46 CPD: Biosimilars – an overview 66 Majority of young people with epilepsy
worried about employment
50 Report of PSI Public Council Meeting 66 Type 2 diabetes can be reversed with
of 17 May 2018 15% weight loss
67 Clinical trial sites could increase
significantly post-Brexit
52 Managing long-term sick leave 68 European pharmacists release best
practice paper on communicable
diseases and vaccination
54 Exhibition Hall at the IPU National 68 Public information campaign launched
to raise awareness of cancer trials
Pharmacy Conference 69 Irish Chemists’ Golfing Society News
70 Product Information
58 High Tech Medicines Update: 71 Classified Ads
Cotellic 20mg film-coated tablets
59 Studies
60 Political Report
All the latest pharmacy news from the Houses of the Oireachtas
52
32
IPUREVIEW JUNE 2018 5
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A NOTE FROM THE EDITOR Jack Shanahan MPSI
The lure of greener pastures
While bowing to the truism that a day out of Kerry is a day
wasted, it appears that the message has not spread. An issue
that was once an irritant has become a major thorn. This is the
scarcity of locum pharmacists outside of the major urban areas.
W
ith three pursuing high standards. The Dublin area. This creates a of helping patients gets
national MPharms that graduate have unique set of circumstances. subsumed by the daily drudge.
pharmacy never been more prepared Aside from the issues facing While all the above issues
colleges to enter the profession. everybody in relation to the are real problems, people
pumping out Yet disillusionment sets in cost, quality and lack of generally will put up with
almost 200 pharmacists fast. What is happening? availability of accommodation, current pain if they feel
every year, you would think As you probably know, the there is a more salient issue that there is long term gain.
that manpower shortages IPU recently commissioned of job quality. Most of the Many recent graduates do
were a thing of the past. Behaviour & Attitudes to city-based jobs for recent not see their future in the
Conversations with colleagues report on the Attractiveness of graduates are in pharmacy profession. They do not rate
and locum agencies all tell Community Pharmacy. Some chains, large and small. their prospects positively. They
the same story. It seems to of the preliminary findings These are a different animal see an era of continuing cuts
be a symptom of a more were presented at the IPU to traditional community to reimbursement. They see
disturbing trend: the droves of conference. It is a sobering pharmacy. They have different the rise of the internet and
recently qualified pharmacists study. While the final reports needs and requirements. So, automation as an existential
that are choosing to leave will be published in the future, a typical new graduate may threat in their expected
community pharmacy. I sat there are a few key takeaways. find themselves working working life. Yet we live in
down with a young colleague While a statement of the unsocial hours in a late-night a time where enormous
for lunch on the final day obvious, expectations are not pharmacy. They tell us that, change is happening within
of the IPU conference. This being met. Although almost if they are lucky, they may our primary care system.
person, whom I had never every graduate feels that get a lunch break. These are Pharmacy has evolved rapidly.
met before, appeared to be their primary degree bears not big issues in themselves, This will continue. The
an exemplary representative little relation to the real as they tend to be self- flux will ultimately create
of the profession. Personable, world, something appears limiting. A better pharmacy opportunities and reward for
engaged, clearly enthusiastic different with the MPharm. A job will come along. A more those that stay.
about helping patients, the newly qualified pharmacist insidious issue is looking at
epitome of an individual is a veritable pharmacology their non-pharmacist peers.
that you would feel safe for machine. Top this off with They see people with career
the profession’s future. Yet an emphasis on patient care paths. They see opportunities
her story left me disquieted. and extended services and for progression. They see
She estimated that almost you have somebody that unconstrained opportunities
half of her pharmacy year, can really make a difference for growth. All features that
those that graduated with in any pharmacy that they they do not see in pharmacy.
her, were no longer working work in. They are an asset to While further fields always
as pharmacists. As if to the community. The typical appear greener, perhaps the
emphasise the point, she graduate qualifies with an grass is indeed a little brown
further explained that she expectation that they will on our side.
too was pursuing another be part of the primary care Then there are the systemic
qualification and was continuum. They will be filled issues that now face all
already half way out the with the dynamism of the of us: days spent chasing
gap. Given the disconnect young, going out to make a prescriptions, chasing hospital
between what appeared meaningful difference to the doctors, chasing medicine
to be a suitable candidate patients under their care. On shortages. Navigating the
for ‘Young Pharmacist of the face of it, this is the job PCRS reimbursement system
The Year’ and the clearly description. So what happens? requirements is itself almost
unfulfilled pharmacy career One of the more mundane a degree level of frustration.
prospects, the conversation issues, perhaps in common The volume of regulatory
moved onto the reasons why. with most professions, is paperwork grows on a daily
Pharmacy is still a desirable that most recent graduates basis, the latest being the data
subject in college, the points want to live in an urban disclosure folder. It is clear
stay high. The colleges are setting, typically the greater that, for some, the satisfaction
If you have any comments, queries or issues to raise, send
your “Letters to the Editor” by email to ipureview@ipu.ie.
IPUREVIEW JUNE 2018 7
Pharmacy in
the Media
We issued a press release warning that violent crime
against pharmacies is increasing. We also outlined
what needs to be done to protect pharmacy staff
to members of the Joint Oireachtas Committee on
Business, Enterprise and Innovation. There was a
significant amount of media coverage on this issue,
with IPU President Daragh Connolly interviewed
on Newstalk FM, and also for the Irish Sun, with IPU
Executive Committee member Ann-Marie Horan to
discuss their own experience with pharmacy crime.
Daragh was interviewed across a huge amount of
regional radio stations, and IPU member Elaine Clarke
was interviewed on KFM. There was also online media
on BreakingNews.ie, Fora.ie and IrishHealth.com.
The IPU National Pharmacy Conference took place
Dates forry
at the end of April in the Clayton Whites Hotel in
Wexford. We issued multiple press releases covering
a range of different topics over the weekend, which
your Dia
gained an extensive amount of coverage. IPU Executive
Committee member Caitriona O’Riordan was
interviewed for an online article on illegal medications
for RTÉ.ie. There were two articles published in The
MAY 2018 Week,
Irish Times and there was also national coverage in
the Sunday Independent, Irish Examiner, Irish Sun, Irish
Men’s Health
11 – 17 June Daily Mirror, Irish Daily Mail, Today FM, Newstalk and
www.mhfi.org on BreakingNews.ie, as well as extensive coverage on
Donor Day,
World Blood regional radio stations.
14 June eblo od.ie
www.giv We issued a press release that welcomed newly
Event – published figures which showed that the number
IPU Business of people getting their flu vaccine in a community
26 June m ac y: W hat does
Phar pharmacy had increased by 46% over the last year.
ld?
the future ho There was coverage in the Irish Daily Mirror and Evening
Echo, as well as online media on IrishHealth.com and
DublinLive.ie.
JULY 2018 itis Day,
The IPU Technicians’ Graduation 2018, took place on
World Hepat 30 April in the Royal Hospital Kilmainham, Dublin, and
28 July ldhe patitis there was an extensive amount of media coverage on
www.wor
day.org the event including photographs in the Irish Examiner,
and multiple regional newspapers.
We issued a press release during May advising
sufferers of hay fever to visit their local pharmacy to
find out the best ways to manage their symptoms. We
received media coverage in the Irish Sun, Irish Daily
Mirror and on IrishHealth.com. Caitriona O’Riordan was
interviewed on Newstalk and KFM, and there was also
significant coverage across regional radio stations.
8 IPUREVIEW JUNE 2018
IPU NEWS
Action needed
now to stop Irish Pharmacy
increase in crime Technicians
against pharmacies Graduation 2018
146 pharmacy technicians graduated in a ceremony held
On 24 April, a delegation from the IPU, including IPU President at the Royal Hospital Kilmainham in Dublin on Monday
Daragh Connolly and Executive Committee member Ann- 30 April. The graduates achieved a level-three National
Marie Horan, appeared before the Joint Oireachtas Committee Vocational Qualification (NVQ) from Edexcel. The
on Business, Enterprise and Innovation and highlighted a comprehensive two-year course, which is delivered and
number of key concerns to the pharmacy sector including the administered by the IPU, prepares pharmacy technicians
impact and cost of crime on pharmacies. Daragh Connolly to assist pharmacists in ensuring the delivery of a
said, “Pharmacies throughout the country have been subjected high quality pharmacy service efficiently and safely to
to criminal activity on an ongoing basis and the problem patients. It was a great event with a fantastic turnout.
continues to get worse.” IPU President Daragh Connolly was there to present the
The IPU’s latest crime survey, which was published in graduates with their well-earned certificates.
February 2018, provided stark statistics on the level of crime The course, which was developed by the IPU and its
against pharmacies: sister organisation in the UK, the National Pharmacy
Association and Edexcel, is tailored specifically to suit
n 4 out of 5 pharmacies were a victim of crime in 2017 Irish pharmacy practice. See pages 20-24 for photos from
(79%); the ceremony.
n 9% increase in crime from 2012;
n 81% of victims had two or more incidents in 2017; and
Pharmacy:
n Twice the number of pharmacists experienced a raid in
2017 versus 2016 (6% in 2016 vs. 13% in 2017).
Mr Connolly told TDs and Senators at the Oireachtas meeting
What does the
that, “Of huge concern is the fact that almost one in three cases
of a robbery or a raid were described as violent and/or involved
the use of a weapon. Weapons included knives as well as
syringes and guns,” Mr Connolly continued.
future hold?
“Crime has a negative impact on staff morale with the
psychological aftermath and traumatic effects of these crimes
– particularly violent crimes – leading to increased levels of
absenteeism. Crime also damages businesses, threatens jobs
and negatively impacts on staff morale. These hidden costs can
have a far bigger impact on the pharmacy business than the
direct costs of damage and loss.” We will be hosting an engaging business event on Tuesday 26
The IPU has called for a number of measures to be June titled, Pharmacy: What does the future hold? The event will
introduced, including: take place in the Citywest Hotel (Newcastle Suite), Saggart,
Co Dublin, from 10.00am – 1.30pm, with registration and
n More visible policing: an increase in Garda patrols;
refreshments from 9.30am.
n Fast Garda response to reports of crime: need We will have top business speakers discussing important
for a targeted Garda operation to tackle crime topics including Economic Factors in Ireland: Where are we now and
against pharmacies; what does the future hold?, Brexit and Medicine Supply: An Expert
View and Consumers’ Perception and Expectations of Pharmacy.
n Increased public CCTV: particularly in town centres;
Speakers will include Conall Mac Coille, Chief Economist, Davy
n Tougher sentencing: a reassessment is needed Private Clients; Lorraine Nolan, CEO, HPRA; Jason Bradshaw,
of sentences handed down for business crime to JPA Brenson Lawlor; and Larry Ryan, Director, Behaviour &
ensure they are adequate in terms of punishment Attitudes. The event will be chaired by Conall O’Móráin,
and deterrent; and presenter of the Sunday Business Show on Today FM.
If you are interested in attending this event, please contact
n Business watch initiatives: more need to be developed ciara.browne@ipu.ie.
and implemented.
Mr Connolly concluded his presentation to the committee by
warning that unless action is urgently taken “this sinister and
frightening pattern of crime on pharmacies will continue, to
the detriment of our members’ pharmacies and staff, and the
local communities we serve”.
IPUREVIEW JUNE 2018 9
IPU NEWS
IPU Training Courses Autumn 2018
We have a great range of IPU Training courses starting from www.ipu.ie. Please send completed application forms to
the end of August. Make sure you check out the below table for training@ipu.ie or fax to 01 406 1556. If you have any questions
all the details on dates and locations. You can find details and in relation to these courses, you can phone Janice or Susan in
application forms on the Training section of the IPU website, the Training department on 01 406 1555.
Course Title Start Date Location
IPU Pharmacy Technician Course Monday 27 August Distance Learning
(Level 3 Diploma in Pharmacy Services Skills)
The comprehensive course, which is delivered and administered by the Irish
Pharmacy Union, prepares pharmacy technicians to assist pharmacists in
ensuring the delivery of a high quality pharmacy service in an efficient, safe
and cost-effective manner.
Continuing Professional Development (CPD) for Qualified Autumn Dates and Topics to be Confirmed
Pharmacy Technicians
IPU Medicines Counter Assistant (MCA) Course Monday 24 September Cork
The MCA Course is one day a week, for five consecutive weeks, for
pharmacy staff who work on the pharmacy medicine counter. Tuesday 25 September Athlone
Monday 5 November Waterford
Tuesday 6 November Dublin
IPU Medicines Counter Assistant (MCA) Wednesday 17 October Athlone
Refresher Course C
The IPU MCA Refresher Course is Continuing Professional Development Wednesday 14 November Dublin
(CPD) for Medicine Counter Assistants. This is a face-to-face course M
held on one day.
Y
IPU Pharmacy Interact Counter Assistant Course Anytime Distance Learning CM
This is a course geared for all staff working on the pharmacy medicines
counter, including full-time, part-time and Saturday staff. MY
CY
Pharmacy Retail Sales Monday 15 October Dublin
The IPU has developed a customised pharmacy retail selling skills course, to CMY
assist your pharmacy sales team in developing their retail sales know-how.
K
IPU Supervisory Development Course Wednesday 19 September Dublin
This course is an introduction to Leadership and Management and will be
delivered over two days, one month apart.
IPU Introduction to Employment Law and Tuesday 25 September Dublin
Employee Rights Course (NEW)
This course is aimed at candidates who require the knowledge to comply
with basic Employment Law, and the skill to successfully develop employees,
as well as manage the performance of the team for optimum productivity.
This interactive workshop is delivered over two days, one month apart.
IPU/ILM Level 3 Diploma in Leadership and Management Tuesday 18 September Dublin
This course has been specifically tailored to meet the development needs of
members and their employees, with a focus on the Irish Pharmacy Sector.
Medicine in Care Homes Anytime Training Pack
The Medicines in Care Homes training pack has been designed to assist
pharmacists in providing training on the management of medication to care
staff, working in residential care settings.
Digital Market & Social Media for Beginners Autumn Dates and
This course will give you an overview of social media, highlighting the Venues to be Confirmed
benefits and features for retail pharmacies.
Customer Service & Complaint Handling for Pharmacies Autumn Dates and
This course will help your staff develop a greater understanding of the Venues to be Confirmed
importance of communicating effectively with customers.
Sales & Merchandising Autumn Dates and
This course will assist your staff to increase customer spend in your Venues to be Confirmed
pharmacy by using better sales techniques, and understanding how to
present the retail offering through better layouts and stock merchandising.
10 IPUREVIEW JUNE 2018Paracetamol & codeine
Also available in a soluble format with caffeine**
Fast acting,
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*Soluble format also contains caffeine
ESSENTIAL
INFORMATION
Solpa-Plus with Caffeine soluble tablets contain paracetamol, codeine phosphate hemihydrate and caffeine. For the short term relief of acute moderate pain which requires stronger analgesia than single ingredient analgesics alone. Adults: 1-2 tablets up
to 4 times a day if necessary. Adolescents 16-18 years: 1-2 tablets up to 4 times a day if necessary. Adolescents 12-15 years: 1 tablet up to 4 times a day if necessary. Should not be used in children below the age of 12 years. Minimum dosing interval: 4
hours. If pain or fever persists for more than 3 days or gets worse, or if any other symptoms occur, treatment should be discontinued and a physician consulted. Contraindications: Hypersensitivity to the ingredients, women who are breastfeeding, respiratory
depression, chronic constipation, CYP2D6 ultra-rapid metabolisers, in all paediatric patients (0-18 years of age) who undergo tonsillectomy and/or adenoidectomy. Precautions: Particular caution needed under certain circumstances, such as renal or hepatic
impairment, chronic alcoholism and malnutrition or dehydration. Precaution needed in asthmatic patients sensitive to acetylsalicylic acid, patients with acute abdominal conditions or with a history of cholecystectomy, patients on a controlled sodium diet and with
rare hereditary problems of fructose intolerance. Patients should be advised not to take other paracetamol containing products concurrently. Pregnancy and lactation: Not recommended during pregnancy and must not be used during breastfeeding. Side effects:
Rare: allergies. Very rare: anaphylaxis, cutaneous hypersensitivity reactions. Not known: dizziness, drowsiness, constipation. Further information is available in the SmPC. PA 1186/011/004. P. MAH: Chefaro Ireland DAC, Treasury Building, Lower Grand Canal
Street, Dublin 2, Ireland. Solpa-Plus tablets contain paracetamol and codeine phosphate hemihydrate. For the relief of acute moderate pain which requires stronger analgesia than paracetamol or ibuprofen or aspirin alone. Adults: 2 tablets up to 4 times a
day. Adolescents 16-18 years: Two tablets up to 4 times a day. Adolescents 12-15 years: One tablet up to 4 times a day. Codeine should not be used in children below the age of 12 years. Minimum dosing interval: 4 hours. If pain or fever persists for more
than 3 days or gets worse, or if any other symptoms occur, treatment should be discontinued and a physician consulted. Contraindications: Hypersensitivity to the ingredients, women who are breastfeeding, respiratory depression, chronic constipation, CYP2D6
ultra-rapid metabolisers, patients 0-18 years who undergo tonsillectomy and/or adenoidectomy. Precautions: Particular caution needed under certain circumstances, such as renal or hepatic impairment, chronic alcoholism and malnutrition or dehydration, in
asthmatic patients sensitive to acetylsalicylic acid, in patients with acute abdominal conditions and with a history of cholecystectomy. Patients with rare hereditary problems of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption should
not take this medicine. Patients should be advised not to take other paracetamol containing products concurrently. Pregnancy and lactation: Not recommended during pregnancy and do not use during breastfeeding. Side effects: Rare: allergies. Very rare:
anaphylaxis, cutaneous hypersensitivity reactions. Not known: dizziness, drowsiness, constipation. Further information is available in the SmPC. PA 1186/011/005. P. MAH: Chefaro Ireland DAC, Treasury Building, Lower Grand Canal Street, Dublin 2, Ireland.
Date of preparation: May 2018.PROFESSIONAL
Garda vetting –
behind the scenes
Garda Vetting has been to the fore of many pharmacists’
minds over the past few weeks as the deadline for
submitting vetting forms was the end of April 2018.
T
he IPU is the conducted in respect of any
designated person who is carrying out
organisation work or activity, a necessary
for dealing and regular part of which
with vetting consists mainly of the person
applications for pharmacists having access to, or contact
and pharmaceutical with, children or vulnerable
assistants, and it has been persons”. Through the process
a busy time in Butterfield of vetting, An Garda Síochána
House. The IPU is processing provides employers with
the applications because “relevant criminal history
the National Vetting Bureau information on individuals
will not deal directly with applying for relevant work”.
employers, but instead They issue disclosures which
requires all applications to give details of an individual’s
be processed by an umbrella criminal convictions or state
body, such as a regulator, but that they have none, with
as the PSI is not doing so, the the intention that “using
IPU is fulfilling this role for these disclosures will assist
community pharmacies. This a potential employer or
article will provide a recap voluntary organisation in their
on why pharmacists now recruitment decision, helping
require vetting and what the to protect children and
process is. It will also provide vulnerable persons”.
some information on what
has been going on behind
the scenes at the IPU as we
work with pharmacists and
pharmaceutical assistants on 5,300
processing their applications.
pharmacist
What is Garda Vetting? vetting
Garda Vetting is designed applications
to enhance the protection
of children and vulnerable processed by the
persons. The Garda Síochána
website states that vetting “is IPU from 12 April
– 12 May
12 IPUREVIEW JUNE 2018What is the process
for pharmacists STEP 1
and pharmaceutical The IPU provides a list of pharmacy owners (including corporate bodies) to the National
assistants? Vetting Bureau. If two or more pharmacies are owned by the pharmacy owner/corporate
body, they are treated as one pharmacy business, thus facilitating pharmacists and
The National Vetting Bureau
pharmaceutical assistants in moving between the various pharmacies in that chain. Each
(Children and Vulnerable
pharmacy or chain nominates an Affiliate Liaison Person (usually the pharmacy owner or
Persons) Act 2012 requires
HR manager) to act as the point of contact with the IPU.
community pharmacy owners
to apply for vetting by the
Garda National Vetting Bureau
for all pharmacists and
pharmaceutical assistants STEP 2
working in that community The Affiliate Liaison Person asks each pharmacist and pharmaceutical assistant (referred
pharmacy or chain (including to as the vetting subject) to manually complete a Vetting Invitation Form; the form is
the owner, if a pharmacist). signed by the vetting subject, giving consent for vetting. The Affiliate Liaison Person then
The legislation applies to validates the proof of identity of each vetting subject. The information provided for each
any work or activity, which vetting subject is entered into the Pharmacy Spreadsheet document, and the Affiliate
is carried out by a person, a Liaison Person prints and signs the form to confirm that they have validated the identity
necessary and regular part of each applicant. The spreadsheet is then sent to the IPU for processing. NB. Pharmacy
of which requires the person owners who are pharmacists also complete a Vetting Invitation Form for themselves, which is
to have access to, or contact witnessed and initialled by another pharmacist.
with, children or vulnerable
persons in the course of that
work or activity, pursuant to
the Pharmacy Act 2007. This
definition covers pharmacists STEP 3
and pharmaceutical The IPU submits the data supplied on the Pharmacy Spreadsheet to the eVetting portal,
assistants registered after which the National Vetting Bureau (garda.ie) sends the individual vetting subject an
with the Pharmaceutical email with a link attached, inviting him/her to complete an online Vetting Application Form.
Society of Ireland (PSI) who
work in a patient-facing
role. All pharmacists and
pharmaceutical assistants
working in community STEP 4
pharmacies must be vetted The vetting subject completes the online Vetting Application Form (see point 6) and submits
by the end of April 2018. From it to the IPU.
May 2018, all pharmacists and
pharmaceutical assistants
must be vetted before taking
up a new employment (even
if they have previously been
STEP 5
vetted by another pharmacy). The IPU reviews the Vetting Application Form and, if all is in order, submits it to the
National Vetting Bureau. NB. If any mistakes have been made on the Vetting Application
Form, the application is cancelled and returned to the vetting subject explaining what mistakes
Why has there been have been made, along with a new individual link to the vetting application.
short notice to get our
applications in?
There was ambiguity for some
time regarding who would be STEP 6
the processing organisation The National Vetting Bureau processes the application and forwards a vetting disclosure to
for the pharmacy sector. the IPU. NB. A vetting disclosure is issued for every applicant even if there is no criminal record
For other healthcare areas, or specified information in relation to that person.
for example optometrists,
it is the regulator in that
area which processes the
applications. However, the
PSI has chosen not to do
STEP 7
so. We have been working The IPU forwards the vetting disclosure to the designated Affiliate Liaison Person.
with An Garda Síochána The vetting disclosure should be reviewed and, as soon as is practicable, a copy of the
on this issue since disclosure should be provided to the vetting subject. NB. The Affiliate Liaison Person must
December 2017 to ensure provide a confidential email for this purpose; it would not be appropriate for the IPU to send
our members can comply the disclosure to a general pharmacy email address.
with the legislation and be
vetted.
IPUREVIEW JUNE 2018 13The timeframe has been
short, but we are in constant
contact with the National
Vetting Bureau and we are
The current initial working flat out to get all the
applications processed as
vetting of all community quickly as possible.
pharmacists, which has What has been
seen the IPU process in excess happening behind
of 5,300 applications in the the scenes at the
IPU on this?
first month, is not the end of the From 12 April to the 12 May,
process. From May 2018 onwards, 5,300 applications have been
processed. Two of our staff
the legislation requires that all members, Róisín Molloy
and Darren Kelly, have been
pharmacists and pharmaceutical working on this area full-time,
and we have taken on two
assistants must be vetted before contract staff members who
are also working full-time
taking up any new employment, inputting applications. Other
even if they have previously members of staff at the IPU
have also been assisting.
been vetted by another
pharmacy. Where do I get more
information on this?
If you log in to the members’
section of the IPU website, we
have a Garda Vetting section
you will find useful, including
a Frequently Asked Questions
document. Just log in and go
to Professional > Legislation
“The IPU is processing the > Garda Vetting, or you can
email your query to vetting@
applications because the ipu.ie or call us in Butterfield
House on 01 493 6401.
National Vetting Bureau will not
deal directly with employers, but
instead requires all applications
to be processed by an umbrella
body, such as a regulator, but as
the PSI is not doing so, the IPU
is fulfilling this role for
community pharmacies.”
14 IPUREVIEW JUNE 2018BUSINESS Dr Lorraine Nolan, Chief Executive, Health Products Regulatory Authority
Brexit and
medicine
supply
Protecting the availability of medicines for
Irish patients and the integrity of our market
are key strategic aims of the Health Products
Regulatory Authority’s (HPRA) Brexit-related
activities, while also optimising our role
within the European regulatory network
and maintaining our strong working
relationships with UK colleagues.
A
t the end of regulatory network during
March 2017, the the ongoing discussions in
United Kingdom relation to its withdrawal
(UK) notified from the EU. Although the
the European eventual outcomes of these
Council that it intends to negotiations are unknown, it
withdraw from the European is clear that the relationship
Union (EU). The HPRA, between the UK and Europe
together with other Member will change.
States and the European The HPRA recognises that
Medicines Agency (EMA), is while there is still uncertainty
making preparations to ensure about how this will impact
that we continue to deliver on the health products sector,
our patient and animal health we are planning on the
remit, even if the UK fully basis that the UK becomes
exits the current regulatory a third country on 29 March
systems on 29 March 2019. 2019. The draft withdrawal
The UK continues to play document provides for a
a role within the European transition period until 31
16 IPUREVIEW JUNE 2018• Maintain dual
labelled medicines
where possible
Key priorities • Act as Reference
Member State
for all UK products
Access to as asked
• Stakeholder medicines • Facilitate access
engagement where possible
• Published • Provide pragmatic
guidance solutions
• Company
meetings
• Presenting
the Irish
position at Communication
international
Brexit
Public • Advocacy
Role
meetings health and
• Engaging
leadership with the
Commission
• Engaging
• Seeking to with the ENVI
maintain Committtee
all existing • Actively
authorisations Regulatory participate
in EU
• Increase future activity Brexit Fora
work
• Undertake
procedures
previously carried
out by the UK
December 2020. While there Therefore, Ireland has a Marketing EU regulatory procedures as
is political agreement over the critical reliance on the UK as authorisation holders may be required. There was
transition period, until the a source of medicines. HPRA It is critical that marketing extensive engagement and
full withdrawal arrangements Brexit planning has to focus authorisation holders also discussion throughout the day
are agreed, the transition on providing new and effective engage in this process. The as speakers and attendees
period is not guaranteed, and regulatory routes for products HPRA’s commitment to discussed the concerns and
as such, stakeholders should on the Irish market. It is also supporting stakeholders is requirements of the many
plan for a full Brexit on 29 critical that product coming dependent on companies different stakeholder groups
March 2019. The HPRA is from mainland Europe and engaging with us in a timely represented.
very aware of the significant leaving Ireland can transit manner. We are utilising
implications for the European the UK, post Brexit, without existing resources and will Commitment to
regulatory network as a whole, penalty. increase resources to meet supporting stakeholders
and particularly for Ireland our commitments. However, I would like to reiterate
given our close existing to deliver on this, we need the HPRA’s commitment to
ties with the UK including Engagement industry in return to give supporting all stakeholders
a shared marketplace. Our Irish Pharmacy Union regulators timely and advance in managing the regulatory
Brexit planning is based on and Pharmaceutical notice of their plans so we can and operational implications
addressing issues arising along Society of Ireland prepare accordingly. arising from Brexit. As the
the continuum from a soft to The HPRA has had ongoing primary focus of the HPRA
a hard Brexit. discussions with colleagues Stakeholder Brexit is to maintain supply of
Protecting public and animal in the IPU and PSI, and the information day medicines to the Irish market,
health is the key strategic aim topic has been explored in- The HPRA was the first it is essential that we engage
for the HPRA in planning for depth at governance meetings European regulator to and work with companies who
Brexit. It is believed that over with both organisations. host a Brexit Stakeholder are ultimately responsible for
60% of medicinal products The value of open discussion meeting, which was held the supply of medicines. We
on the Irish market either and early engagement is key in August 2017. The HPRA are also working closely with
transit, or come from, the in ensuring preparedness, speaker highlighted the the Department of Health
UK. In addition, up to 60% of seizing opportunities and HPRA’s proposed approach and the HSE. The HPRA will
marketed medicinal products mitigating against risks to potential Brexit scenarios inform and communicate on
share labels and leaflets associated with Brexit. and outlined our plans to Brexit through our website,
with the UK marketplace. increase our contribution to and via targeted meetings
IPUREVIEW JUNE 2018 17“HPRA Brexit planning has to focus on
providing new and effective regulatory
routes for products on the Irish market.
It is also critical that product coming from
mainland Europe and leaving Ireland can
transit the UK, post Brexit, without penalty.”
with the users of medicines. applications, and invites nationally authorised Companies wishing to
In addition, separate to applicants to contact products and bulk discuss any aspect of their
Brexit, the HPRA has set up us to discuss planned transfers; operations related to the
a medicines shortages group, applications; UK’s withdrawal from the
n Planning to increase
which will also provide a EU are encouraged to
n Willing to work with our commitment to
significant tool for identifying submit their queries to
companies who need assessment within the
and, where possible, customerservice@hpra.ie.
to transfer some or all centralised network,
addressing shortages however Stakeholders should
of their operations to and for new outgoing
they arise. check www.hpra.ie/brexit
Ireland to access the EU MRP/DCP;
To meet our commitment regularly for further
market;
to deliver on our patient n Actively facilitating guidance and updates.
and animal health remit, n Planning to continue the continued supply
the HPRA is: to work with our UK of critical medicines
colleagues after Brexit to the Irish market to Lorraine Nolan will be speaking
n Committed to taking
to help maintain, where ensure patient care; at the IPU Business Department’s
on lead and co-lead
possible, dual labelling upcoming event ‘Pharmacy:
assessment roles for n Participating in both
for products that are on What does the future hold?’, on
centralised procedures, the EMA and the
both the UK and Irish Tuesday 26 June in the Citywest
as required by the HMA fora for Brexit
markets; Hotel, Saggart, Co Dublin. Further
network; preparedness, and information on this event is on
n Exploring opportunities seeking to ensure that the opposite page.
n Willing and prepared
for dual labelled the specific needs
to take over the role of
packaging with other of the Irish market
RMS where a change in
European markets; are recognised and
RMS is required. There
addressed; and
will be no fee for this n Open to discuss
service. In addition, pragmatic or innovative n Engaging with
the HPRA is open to solutions to individual all impacted
acting as RMS for new regulatory issues, such stakeholders.
marketing authorisation
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18 IPUREVIEW JUNE 2018The IPU Business Department invites you to attend
a pharmacy business briefing session to discuss issues
of interest and concern to pharmacy owners, and to
look ahead at developments that will influence the
sector over the next number of years
Future of Pharmacy Business: Brexit and Medicine Supply:
What will the next 3 years bring? An Expert View
IPU Business presents:
Pharmacy –
What does the future hold?
Consumers’ Perception Economic Factors in Ireland:
and Expectations of Pharmacy Where are we now and what does
the future hold?
Speakers include:
Conall Mac Coille, Lorraine Nolan, Jason Bradshaw, Larry Ryan
Chief Economist, Davy CEO, HPRA JPA Brenson Lawlor Behaviour & Attitudes
MC for event – Conall O’Móráin, Today FM
26 June 2018 Citywest Hotel
9.30am - 1.30pm Newcastle Suite
RSVP: Please reply to confirm your attendance to Ciara.Browne@ipu.iePROFESSIONAL IPU Pharmacy Technicians Graduation Ceremony 2018 The annual IPU Pharmacy Technicians Graduation Ceremony took place in the Royal Hospital Kilmainham, Dublin, on 30 April. The comprehensive two-year course, which is delivered and administered by the IPU, prepares pharmacy technicians to assist pharmacists in ensuring the delivery of a high quality pharmacy service efficiently and safely to patients. Pictured are graduates receiving their certificates with IPU President Daragh Connolly. Pictured is the graduate of the Pharmacy Technician Pictured are the graduates of the Pharmacy Technician Course from Cork: Cliona O’Callaghan, Course from Carlow: Agnes Kavanagh. Marcella Moynihan, Jennifer Chute, Lisa Marie O’Driscoll and Deirdre Joyce. Pictured are the graduates of the Pharmacy Technician Course from Clare: Pictured are the graduates of the Pharmacy Technician Course from Dublin: Eimear McNamara, Siobhan O’Donoghue and Bozena Dzierwa Skotsenko. Leanne Fallon, Niamh Byrne, Darina Ann McGrath and Niamh Dempsey. 20 IPUREVIEW JUNE 2018
Pictured are the graduates of the Pharmacy Technician Course from Dublin: Amy Kennedy, Pictured is the graduate of the Pharmacy Technician Course Lisa Ennis, Sinead Fairbrother, Patricia Cross and Amy Grogan. from Donegal: Lisa Gallagher. Pictured are the graduates of the Pharmacy Technician Pictured are the graduates of the Pharmacy Technician Course from Dublin: Lisa Marie Kirwan, Course from Kerry: Laura Galway and Shona Scannell. Claire Bowers, Sophia O’Reilly, Emma Murphy, Danielle Whelan and Marie Curran. Pictured are the graduates of the Pharmacy Technician Course from Dublin: Egle Sasnauskaite, Pictured are the graduates of the Pharmacy Technician Course Leann Dunne, Amanda Byrne and Catherine Finnegan. from Louth: Catherine Byrne and Amanda Smith. IPUREVIEW JUNE 2018 21
IPU Pharmacy Technicians Graduation Ceremony 2018 / continued Pictured is the graduate of the Pharmacy Technician Pictured are the graduates of the Pharmacy Technician Course from Dublin: Sandra Murphy, Course from Laois: Sarah Louise Costelloe. Audrey Byrne, Ashley Molloy, Adam Doyle, Aoife Lawlor and Aine Walsh. Pictured are the graduates of the Pharmacy Technician Course from Kildare: Serena Prendergast, Pictured is the graduate of the Pharmacy Technician Lorraine O’Reilly, Fiona Canning, Michelle MCutcheon and Jane Wallace. Course from Mayo: Elaine Munnelly. Pictured are the graduates of the Pharmacy Technician Course from Dublin: Pictured are the graduates of the Pharmacy Technician Course from Dublin: Shauna McGuinness, Tammy Maguire, Miriam Kearns and Lisa Tolan. Jessica Wayne, Susan O’Carroll, Claire McGarvey, Hazel Phelan and Joan McGuirk. 22 IPUREVIEW JUNE 2018
Pictured are the graduates of the Pharmacy Technician Course from Pictured are the graduates of the Pharmacy Technician Course from Limerick: Kilkenny: Melissa Burke, Rebecca Fitzgerald and Amy Thomas. Mary Rose Slattery, Kate McDermott, Bridget Egan, Mark Ryan and Linda Hayes. Pictured is the graduate of the Pharmacy Technician Pictured are the graduates of the Pharmacy Technician Course from Wexford: Jessica Boyd, Course from Waterford: Helen Keating. Margaret O’Leary, Carla Lawlor, Nicola Conlon, Grainne Burke and Catherine Kelly. Pictured are the graduates of the Pharmacy Technician Course from Offaly: Pictured are the graduates of the Pharmacy Technician Course from Sligo: Amanda Kinahan, Aisling Donnelly, Agnieszka Nieporek and Pamela Handy. Claudia Cardarelli, Katie Rogers, Yvonne McSharry and Liise Siim. IPUREVIEW JUNE 2018 23
IPU Pharmacy Technicians Graduation Ceremony 2018 / continued Pictured are the graduates of the Pharmacy Technician Course from Galway: Pictured are the graduates of the Pharmacy Technician Course from Tipperary: Linda Patricia O’Brien, Shauna Lenihan, Claire Garvey and Brenda Moroney. Bryan, Michelle Minihan, Maria Minehan, Emma Sweeney and Geraldine Phealan. Pictured are the graduates of the Pharmacy Technician Course from Wicklow: Lisa Wolohan, Sarah Sheppard, Amy Phibbs, Martha Finnerty and Bernie Kelly. Pictured are the Assessors of the IPU Pharmacy Technician Course: Sheila O’Loughlin MPSI, Louise Begley MPSI, Elizabeth Lang MPSI, Ronan Ward MPSI, Anne Clohessy MPSI, Rosemarie McCauley MPSI, Connor Ward MPSI, Sheila O’Driscoll MPSI, Patrick Hollingsworth MPSI, Bernard Duggan MPSI, Noel Stenson MPSI, Sarah Magner MPSI and Regina Kennelly MPSI. 24 IPUREVIEW JUNE 2018
R T S I N AUGUST
A
Y EAR 1 ST g applica
acceptin
tions
e nt ly u.ie
We are c u r r
m t o t r a ining@ip
pleted for
Email com 406 1556
.
or fax 01
Application Form
IPU Pharmacy Technician Course - Year 1
(Edexcel Pharmacy Services Level 3 Diploma, QCF)
Pharmacy Details
Name of Tutor Pharmacist:
IPU Membership Number: GMS Number:
Pharmacy Name:
Pharmacy Address:
Telephone: Email:
Student Details
Mr/Mrs/Miss/Ms: Forename(s): Surname:
Date of Birth: Mobile: Email:
Cost for Year 1
€1,650 to IPU Members - €2,050 to Non-Members.
Pharmacy Training Grant
The IPU Technician Course (Edexcel Pharmacy Services Level 3 Diploma – QCF) is one of the approved courses claimable under
the Pharmacy Training Grant. Up to €1,270 per pharmacy, per year, is reimbursable for training from the PCRS under the Pharmacy
Training Grant Scheme. For further information on claiming the grant and the courses included go to www.ipu.ie > Training.
Please Return Completed Form to:
IPU Training Unit, Irish Pharmacy Union, Butterfield House, Butterfield Avenue, Rathfarnham, Dublin 14, D14 E126, with a cheque made
payable to IPU Services Ltd. Payment is also accepted by credit or debit card on 01 493 6401, Direct Dial: 01 406 1555, Fax: 01 406 1556,
Email: training@ipu.ie.VIEW FROM THE DISPENSARY Caitriona O’Riordan MPSI
The hardship of
the Hardship File
A few weeks ago, being the only person in West Cork not
at the Ed Sheeran concert, I had some time to think and I
decided to catch up on some paperwork. So I found myself
in a dusky dispensary, blowing the dust off my Hardship
File (a loose term really, as file implies some level of
organisation) and facing an evening with the world’s most
aptly named scheme. (I know it’s an old joke!)
I
often toy with the yourself approval, probably for sleep in your house. You had in my hardship, I’ll pay any
idea of sorting it out, a month for a start. a prescription last week for money (well a fiver anyway,
optimistically writing Prescription, application quetiapine and the pharmacy that way I’d break even).
Hardship in block form, approval – you are filled it in a matter of minutes. So what it boils down to is
capitals at the top really making progress here. This week, you call in and the that the Hardship Scheme
of Monday’s to-do list, or So, super quick you dig out pharmacist starts explaining is not working for anyone. I
making a 4pm coffee on a the Unified Claim Forms and what would be involved in know huge work went into
Saturday and spreading the invoices, fill in another form accessing this medicine on the ‘Not Black-Black List’, and
chaos out before me, but I just with the cost (didn’t you put your child’s medical card. Do even that has been hugely
never seem to have enough this in the application and get you care? Do you understand helpful, but I think we need
serotonin to dive in and do it. approval at this price?), and why this is the case? No, you to throw it all out and start
It is like a black comedy bung that in the post. If you simply want the medicine, and again. Firstly, give a code to
version of Super Mario – so are me, you might like to spice you want it now. And I, as a melatonin and be done with
many levels to graduate it up a bit and forget either the pharmacist, cannot disagree; it; I know a company has to
through before you can finally invoice or the UCF; this only I want what is best for the apply for inclusion on the
say you got that fiver you drags it out another few weeks. patient too so I try my best not GMS list, but many ULMs
earned way back when. Level I especially like to forget to to compound their distress. now have codes, so surely it
1 is the prescription, a given print the UCF or to get it Now, a group you may have is possible? Secondly, we have
you would imagine, but very signed, mainly because this is forgotten about in all of this, online approval schemes that
often with renewals the need a new step my brain just never but whom I believe to be we may love to hate, but I
to receive a prescription in accepted. equally suffering under this think sticking Hardship online
good enough time to make an So what happened to the system, are the employees would be met with universal
application depends on a Child patient? Did they wait in whose job it is to process this joy. Upload the script and
and Adolescent Mental Health suspense for a few weeks for paperwork. Lads, it can’t be get approval, or otherwise,
Services (CAMHS) appointment approval for their essential easy opening thick brown fairly quickly. Assign a specific
in the distant future. Once you medication that their envelopes stuffed with ancient code, i.e. like the 77 drugs, to
get the prescription, there is physician wanted them to claims liberally doused in those drugs currently being
the application form. Again start immediately on that Tipp-Ex. Can you imagine approved, and let us transmit
it may be that a consultant long-ago day? Not at all, you working in an office where those claims with all our
wrote to the GP to suggest the gave them the medication on phone calls go something like normal scripts. I know it seems
treatment, and the GP wrote the first day of course, and this . . . “you know the approval utopian, but really it is just
the Rx, but life is so much now you have a cramp from I got in March for the drugs I using current processes for a
easier if you can get your six weeks of finger-crossing dispensed in December that I new category of patient/drug.
hands on a nice crisp shiny and hoping to be paid. In all invoiced in June, that need to As for me, was my evening
consultant’s prescription to fairness though, imagine you be back-dated to 2017 because well spent? I have no idea. I
satisfy the application process. are on your way home from I reapplied in April for a March moved a lot of pages around in
Once you have the prescription a CAMHS appointment with prescription dispensed in circles and did a little rocking
and the form, now all you need your ill child; you have spent February . . .?” By the way, if and thumb sucking in the
is approval – so pop it in the an hour with a psychiatrist anyone out there has some sort corner, and I’m fairly sure I
post and in the short space of who has suggested that of an App or Siri or something posted something in the end!
six or eight weeks you will have melatonin may restore a bit of for figuring out where I’m at
26 IPUREVIEW JUNE 2018No.1 Selling
Rehydration
Treatment1
Rehydrate STOCK
NOW
right with
Are your customers suffering from diarrhoea?
If yes, they may be dehydrated. Trusted by Pharmacists for over 30 years
Dehydration is a serious side effect of acute Meets ESPGHAN2 and NICE3 guidelines
diarrhoea especially in children and the elderly. for oral rehydration
Suitable for children aged 12 months and up*
can help your customers to
Available to stock in a convenient CDU
rehydrate right and recover fast.
References: 1. Data on File - Dioralyte Sales in Ireland (IE.OTC.14.02.03(1)a) 2. ESPGAN Working Group. J Pediatr Gastroenterol Nutr 1993;14:113-115.
3. NICE, Diarrhoea and vomiting caused by gastroenteritis in under 5s: diagnosis and management. Clinical guideline [CG84]. Published date: April 2009.
* Under 12 months old administer under medical advice.
TO PLACE AN ORDER WITH YOUR SANOFI REPRESENTATIVE CALL:
Padhraic Speight Colm Moran Laurence O’Carroll
Tel: 086 0456 817 Munster Tel: 086 0470 989 Midlands, North West Tel: 086 0456 816 East Coast
PRESCRIBING INFORMATION indicated in pregnancy or lactation. Interactions and Adverse Effects: None stated. Overdose:
DIORALYTE™ NATURAL, BLACKCURRANT AND CITRUS, POWDER FOR ORAL SOLUTION In the event of significant overdose, serum electrolytes should be evaluated as soon as possible,
Presentation: Sachet containing the active ingredients Sodium Chloride 0.47g, Potassium correct any abnormalities and monitor levels until return to normal, especially in the very young
Chloride 0.30g, Glucose 3.56g and Disodium Hydrogen Citrate 0.53g. Indications: Oral and in cases of severe hepatic or renal failure. Precautions for Storage: Do not store above
correction of fluid and electrolyte loss and the management of watery diarrhoea in infants, 25°C. The reconstituted solution should be used immediately but may be stored for up to
children and adults. Dosage and Administration: Each sachet should be reconstituted in 200ml 24 hours in a refrigerator at 2-8°C. Marketing Authorisation Holder: Sanofi Ireland Ltd.,
(approximately 7 fluid ounces) of fresh drinking water. For infants where fresh drinking water is Citywest Business Campus, Dublin 24. Marketing Authorisation No. PA 540/98/1 (Blackcurrant),
unavailable the water should be freshly boiled and cooled. The solution should be made up PA 540/98/2 (Citrus), PA 540/99/1 (Natural) Legal Category: P Further information: Available
immediately before use. If refrigerated, the solution may be stored for up to 24 hours, otherwise from Sanofi Ireland Ltd., Citywest Business Campus, Dublin 24 or contact IEmedinfo@sanofi.
any solution remaining an hour after reconstitution should be discarded. The solution must not com. Please refer to Summary of Product Characteristics which can be found on IPHA at
be boiled after reconstitution. Daily intake may be based on a volume of 150ml/kg body weight http://www.medicines.ie/ before prescribing. Date of Preparation: January 2016
for infants and 20-40 mg/kg body weight for adults and children. A reasonable approximation
is: Infants – One to one and a half times the usual feed volume. For infants under 12 months, use Reporting suspected adverse reactions after authorisation of the medicinal
only under medical advice. Children – One sachet after every loose motion. Adults (including product is important. It allows continued monitoring of the benefit/risk balance of
elderly) – One or two sachets after every loose motion. More may be required initially to ensure the medicinal product. Healthcare professionals are asked to report any suspected
early and full volume repletion. Contraindications: None known. Warnings and Precautions: adverse reactions via HPRA Pharmacovigilance, Earlsfort Terrace, IRL - Dublin 2;
The solution must not be reconstituted except with water at the volume stated. Solutions of Tel: +353 1 6764971; Fax: +353 1 6762517. Website: www.hpra.ie; E-mail: medsafety@hpra.ie.
greater concentration may result in hypernatraemia. Those of greater dilution may result in Suspected adverse events can also be reported to Sanofi Ireland Ltd. directly by emailing
inadequate replacement. If there is no improvement within 24-36 hours, consult the physician. IEPharmacovigilance@Sanofi.com or calling 01 403 5600.
If nausea and vomiting are present with the diarrhoea, small but frequent amounts of dioralyte
should be drunk at first. No specific precautions are necessary in the elderly. However, caution
is required in cases of severe renal or hepatic impairment or other conditions where the normal Date of Preparation: March 2017
electrolyte balance may be disturbed. Pregnancy and Lactation: Dioralyte is not contra- SAIE.DIO.17.01.0010bPROFESSIONAL Margaret Mullett, Chairperson, Irish Haemochromatosis Association
Haemochromatosis
– are we pumping
too much iron?
National Haemochromatosis Awareness What is
haemochromatosis?
Day is on Thursday 7 June. The Irish Iron overload, or
Haemochromatosis Association (IHA) is haemochromatosis, is a
serious condition in which too
a support group for haemochromatosis much iron is absorbed and
stored in the body. It can cause
patients and their families, and it will be liver cirrhosis, liver cancer,
arthritis, diabetes and general
running events across 27 venues around fatigue.
Ireland from 4 – 10 June to raise awareness Haemochromatosis is
hereditary and is more
of haemochromatosis, both in the medical common in Ireland than
anywhere in the world.
and the general population. About 1 in 200 people of
European origin have the
genetic predisposition for
haemochromatosis, but in
Ireland it is 1 in 83.
28 IPUREVIEW JUNE 2018You can also read
