Practice pharmacists and their influence on prescribing in UK general practice: a cross-sectional study

Mary Carter, Sarah Chapman, Philip Rogers, Margaret Watson

Research output: Contribution to journalArticlepeer-review

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Abstract

Objectives:
At the time of the survey, just over 2000 pharmacists were employed in UK general practice. Little is known about their influence on prescribing, and more specifically, the extent of their use of Audit and Feedback (A&F), an evidence-based method for behaviour change. This study aimed to explore pharmacists’ current influence on prescribing in UK general practice.

Methods:
A cross-sectional, online survey was open to general practice pharmacists in England, Northern Ireland, Scotland, and Wales between 9 September 2021 and 31 October 2021. The survey comprised 36 items, informed by the literature, including multiple choice and free-text questions about pharmacist responsibilities, involvement in prescribing audits (including use of A&F), use of prescribing guidelines, beliefs about influence on prescribing, and access to training and support. Descriptive statistics and frequencies were generated, and parametric analyses were conducted.

Key findings:
In total, 155 responses were received from pharmacists in diverse practice locations, with a wide range of practice pharmacist experience. The majority (80%, n = 121) conducted prescribing audits, but only 21% (n = 32) reported undertaking A&F. Most respondents (90%, n = 140) used guidelines to inform their work, and 75% (n = 116) would welcome training on influencing prescribing. Pharmacists using A&F were more likely to believe in their ability to influence prescribing and to acknowledge this activity as part of their role.

Conclusion:
Despite substantial evidence of its effectiveness, A&F is under-used by practice pharmacists. An increased awareness and enablement of practice pharmacists in effective techniques might promote greater evidence-based prescribing in general practice.
Original languageEnglish
Article numberriad075
Pages (from-to)69-75
Number of pages7
JournalInternational Journal of Pharmacy Practice
Volume32
Issue number1
Early online date25 Nov 2023
DOIs
Publication statusPublished - 31 Jan 2024

Bibliographical note

Funding: This work is supported by a PhD Studentship awarded to the lead author (reference 189447056) by the University of Bath. The funding source had no involvement or restrictions regarding publication.

Data Availability Statement

The data underlying this article will be shared on reasonable request to the corresponding author. M.C. has complete ongoing access to the survey data.

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