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NSW Pharmacy Trials Expand Access to Care for UTIs, Contraceptives, and Skin Conditions

  • Pharmacy-led trials in NSW, Australia, have successfully expanded healthcare access for uncomplicated UTIs, allowing trained pharmacists to manage and treat the condition.
  • A trial resupplying oral contraceptives through pharmacies has shown positive feedback, leading to an expansion of patient age eligibility from 18-35 to 18-49 years.
  • Dermatology trials have commenced, enabling pharmacists to provide consultations and treatments for skin conditions like impetigo, herpes zoster, mild atopic dermatitis, and mild plaque psoriasis.
  • These trials aim to improve healthcare accessibility and inform policy decisions, emphasizing collaboration between pharmacists and general practitioners for optimized patient care.
Pharmacy Trials in New South Wales (NSW), Australia, are demonstrating improved healthcare accessibility by allowing pharmacists to manage and treat uncomplicated urinary tract infections (UTIs), resupply oral contraceptives, and address certain skin conditions. These initiatives aim to alleviate pressure on general practitioners and provide immediate care for patients.

UTI Management by Pharmacists

The uncomplicated UTI trial proved highly successful, with 18,143 women aged 18-65 seeking pharmacist consultations. Only approximately 7% of these patients required referral to a doctor. As a result, the NSW and ACT Governments have integrated the management of uncomplicated UTIs into the standard practice of appropriately trained pharmacists since June 1st of this year.

Oral Contraceptive Resupply

Since September 2023, over 500 pharmacies across NSW have conducted more than 2,000 consultations for women needing continued access to oral contraceptives. Patient and pharmacist feedback has been overwhelmingly positive, highlighting the convenience of obtaining care directly from local pharmacies. The NSW Government expanded patient age eligibility from 18-35 years to 18-49 years on September 26, 2024, enabling women aged 40-49 to access extended supplies for up to three months without a doctor's prescription, subject to meeting specific criteria.

Dermatology Consultations

A dermatology trial, which began on July 19, 2024, has facilitated approximately 200 consultations for conditions such as impetigo, herpes zoster, mild atopic dermatitis, and acute mild plaque psoriasis. This trial is scheduled for completion in February 2025.

Expert Insights

Dr. Sarah Dineen-Griffin, a researcher at the University of Newcastle and HMRI Healthcare Transformation, leads these pharmacy trials. She stated, "The expansion of pharmacy services in NSW represents a step forward in improving healthcare accessibility. The research evidence generated from the three trials will assist the NSW Government in policy decision-making." Dr. Dineen-Griffin also emphasized the importance of collaboration with general practitioners to optimize patient care and safety.

Accessing Medical Help During Holidays

During holiday seasons when many GPs and allied health providers are on leave, accessing medical care can be challenging. Pharmacists can provide general healthcare guidance and support overall health and wellbeing. They offer services including resupplying oral contraceptive pills, managing UTIs, and treating mild to moderate eczema, impetigo, mild plaque psoriasis, and shingles. Additionally, they provide medication advice, vaccination programs, wound care, and screening for health conditions like blood pressure and blood sugar checks.
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Reference News

[1]
Pharmacy prescribing trials provide access to immediate care - HMRI
hmri.org.au · Dec 26, 2024

Dr Sarah Dineen-Griffin leads NSW and ACT Pharmacy Trials, training pharmacists to manage UTIs, resupply contraceptives,...

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