NHS Specialist Pharmacy Service

NHS Specialist Pharmacy Service

NHS Specialist Pharmacy Service serves healthcare professionals across the NHS who are involved in all aspects of buying, making and using medicines. Our motto is 'do once and share'.

  1. 24 February: Procurement in Secondary Care, Spironolactone monitoring, & updated switching guidance

    11H AGO

    24 February: Procurement in Secondary Care, Spironolactone monitoring, & updated switching guidance

    Dav Manku Associate Regional Pharmacy Procurement Specialist at SPS presents, a summary of the resources published by SPS between 14th and 20th February. To easily find a list of newly published pages go to sps.nhs.uk, select ‘search’, click in the search bar, and press enter. Quick links to highlighted resources:    Procurement of medicines and services for NHS secondary care An overview of procurement arrangements for medicines and pharmaceutical products and services for NHS secondary care providers in England. https://www.sps.nhs.uk/articles/procurement-of-medicines-and-services-for-nhs-secondary-care/ Spironolactone monitoring Updated monitoring guidance. https://www.sps.nhs.uk/monitorings/spironolactone-monitoring/ Specific Medicine Switches for Solid Dose and Liquid Formulations Certain medicines require additional monitoring and dose adjustments when switching between solid dose and liquid formulations. https://www.sps.nhs.uk/articles/specific-medicine-switches-for-solid-dose-and-liquid-formulations/ Prescribing Co-codamol and Switching Analgesics for Pain Relief The supply of co-codamol 30mg/500mg tablets is limited until early June 2026. Actions are being taken nationally and locally to manage the shortage. https://www.sps.nhs.uk/articles/prescribing-co-codamol-and-switching-analgesics-for-pain-relief/ Next events – forthcoming webinars and conferences           https://www.sps.nhs.uk/home/events/next-events/          Join our new WhatsApp channel to stay up to date with our latest news and updates     https://whatsapp.com/channel/0029VbBslvuJpe8aH3n7Zu1i     Podcast description:         NHS Specialist Pharmacy Service serves healthcare professionals across the NHS who are involved in all aspects of buying, making and using medicines. Our motto is 'do once and share'.

    4 min
  2. 17 February: Assessing risks with injectable medicines, breastfeeding updates & upcoming events

    FEB 17

    17 February: Assessing risks with injectable medicines, breastfeeding updates & upcoming events

    Penny Daynes, Associate Regional Pharmacy Procurement Specialist at SPS presents, a summary of the resources published by SPS between 7th and 13th February. To easily find a list of newly published pages go to sps.nhs.uk, select ‘search’, click in the search bar, and press enter Quick links to highlighted resources:      Assessing risks when reconstituting injectable medicines  Assess risks of error and contamination when choosing the appropriate location for aseptic manipulation of injectable medicines. https://www.sps.nhs.uk/articles/assessing-risks-when-reconstituting-injectable-medicines/ Using chloramphenicol during breastfeeding Topical chloramphenicol can be used with caution and monitoring. Systemic chloramphenicol is not recommended. Advice applies to full term and healthy infants. https://www.sps.nhs.uk/articles/using-chloramphenicol-during-breastfeeding/ Administering medicines through an enteral feeding tube Learn about how to give medicine through an enteral feeding tube, including water type, syringe size, and key steps for administration. https://www.sps.nhs.uk/articles/administering-a-medicine-through-an-enteral-feeding-tube/ Managing the risks of using effervescent tablets in children  Careful use of effervescent or soluble tablets to deliver part tablet doses for children and neonates can minimise risks of toxicity or suboptimal therapy. https://www.sps.nhs.uk/articles/managing-the-risks-of-using-effervescent-tablets-in-children/ Next events – forthcoming webinars and conferences           https://www.sps.nhs.uk/home/events/next-events/          Join our new WhatsApp channel to stay up to date with our latest news and updates     https://whatsapp.com/channel/0029VbBslvuJpe8aH3n7Zu1i      Podcast description:         NHS Specialist Pharmacy Service serves healthcare professionals across the NHS who are involved in all aspects of buying, making and using medicines. Our motto is 'do once and share'.

    5 min
  3. 10 February: Polypharmacy resources, aflibercept biosimilars, & upcoming events

    FEB 10

    10 February: Polypharmacy resources, aflibercept biosimilars, & upcoming events

    See Mun Wong, Digital and Quality Improvement Specialist at SPS presents, a summary of the resources published by SPS between 31st January and 6th February.   To easily find a list of newly published pages go to sps.nhs.uk, select ‘search’, click in the search bar, and press enter Quick links to highlighted resources:   SMRs in problematic polypharmacy Recordings of case-based discussions about structured medication reviews (SMRs) in problematic polypharmacy, each focussing on a different condition. https://www.sps.nhs.uk/articles/smrs-in-problematic-polypharmacy-case-based-discussions/ Polypharmacy explainer videos These animated videos explain the 7 steps of structured medication review, using a person-centred approach to managing polypharmacy https://www.sps.nhs.uk/articles/polypharmacy-and-structured-medication-review-explainer-videos/ Using antihistamines during breastfeeding Cetirizine and loratadine are preferred antihistamines when breastfeeding full-term, healthy infants. Chlorphenamine is the preferred sedating antihistamine. https://www.sps.nhs.uk/articles/using-antihistamines-during-breastfeeding/ Aflibercept biosimilar update Aflibercept 2mg biosimilars for use in ophthalmology are available for NHS use. We offer general information and implementation advice. https://www.sps.nhs.uk/articles/preparing-to-use-aflibercept-2mg-biosimilar/ New Medicines News New Medicines News is produced by the SPS Horizon Scanning Service. It highlights recent new product launches and significant medicines regulatory changes. https://www.sps.nhs.uk/articles/new-medicines-news/ Next events – forthcoming webinars and conferences          https://www.sps.nhs.uk/home/events/next-events/         Join our new WhatsApp channel to stay up to date with our latest news and updates    https://whatsapp.com/channel/0029VbBslvuJpe8aH3n7Zu1i    Podcast description:        NHS Specialist Pharmacy Service serves healthcare professionals across the NHS who are involved in all aspects of buying, making and using medicines. Our motto is 'do once and share'.

    4 min
  4. Liver Transplant

    12/15/2025

    Liver Transplant

    Kieran Reynolds talks to Fatema Jessa about liver transplant. Discussion includes what liver transplant is, why it is performed, how patients are managed post liver-transplant and the role of pharmacy professionals (both secondary and primary care) in managing these patients. Fatema Jessa - Consultant Pharmacist – Hepatology and Liver Transplant and NCL Digital Pharmacy Network at the Royal Free London NHS Foundation Trust Kieran Reynolds - Advanced Specialist Pharmacist (Medicines Governance), SPS Useful links: The British Liver Trust’s information on Liver transplant https://www.nhsbt.nhs.uk/organ-transplantation/liver/living-with-a-liver-transplant/liver-transplant-medicines/%22HYPERLINK%20%22https://britishlivertrust.org.uk/information-and-support/liver-transplant/ The British Liver Trust’s information on life after liver transplant https://britishlivertrust.org.uk/information-and-support/liver-transplant/life-after-liver-transplant/%22%20/l%20%22Immunosuppression%20medicines The NHS Blood and Transplant’s information on liver transplantation medicines https://www.nhsbt.nhs.uk/organ-transplantation/liver/living-with-a-liver-transplant/liver-transplant-medicines/ SPS Drug monitoring tool https://www.sps.nhs.uk/home/tools/drug-monitoring/ The Pharmaceutical Journal (PJ) article on medicines management in adult patients undergoing liver transplantation https://pharmaceutical-journal.com/article/ld/medicines-management-in-adult-patients-undergoing-liver-transplantation The Green Book: information on vaccines for vaccine preventable diseases  https://www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book#the-green-book NHS Business Services Authority information on NHS Prescription Prepayment Certificate (PPC) https://www.nhsbsa.nhs.uk/help-nhs-prescription-costs/nhs-prescription-prepayment-certificate-ppc

    22 min
  5. Alcohol related liver disease (ARLD)

    12/15/2025

    Alcohol related liver disease (ARLD)

    Kieran Reynolds talks to Leslie Wong, Advanced Clinical Pharmacist in Hepatology in the Eastern Liver Network and Communications Officer at the British Hepatology Pharmacy Group (BHPG) about alcohol related liver disease (ARLD). Discussion includes what ARLD is, screening tools to help identify possible alcohol misuse, treatment of ARLD; including medicines used in medically assisted alcohol withdrawal and medicines used to help support abstinence, as well as long term vitamin supplementation. Leslie Wong - Advanced Clinical Pharmacist in Hepatology in the Eastern Liver Network and Communications Officer at the BHPG Kieran Reynolds - Advanced Specialist Pharmacist (Medicines Governance), SPS Useful links: The British Liver Trust’s information on alcohol and liver disease https://britishlivertrust.org.uk/information-and-support/risks-and-causes/alcohol/#:~:text=Regularly%20drinking%20over%20the%20recommended%20limit%20increases%20the,their%20health.%20Alcohol%20is%20broken-down%20by%20the%20liver. The British Liver Trust’s information on alcohol-related liver disease (ARLD) https://britishlivertrust.org.uk/information-and-support/liver-conditions/alcohol-related-liver-disease/ MD+CALC AUDIT-C calculator https://www.mdcalc.com/calc/2021/audit-c-alcohol-use Drinkaware’s Drinking Check https://www.drinkaware.co.uk/tools/drinking-check/#/overview DrinkAware information on Cutting your drinking with alcohol-free or low alcohol drinks https://www.drinkaware.co.uk/advice-and-support/alcohol-free-drinks/cutting-your-drinking-with-alcohol-free-or-low-alcohol-drinks/ SPS article on using and prescribing thiamine in alcohol dependence https://www.sps.nhs.uk/articles/using-and-prescribing-thiamine-in-alcohol-dependence/ Regional Medicines Optimisation Committee (RMOC) position statement on oral vitamin B supplementation in alcoholism (PDF) https://www.wyicsapc.co.uk/wp-content/uploads/2020/02/RMOC-Position-Statement-Oral-Vitamin-B-supplementation-in-alcoholism-November-2019.pdf NICE Clinical Guideline 115 on Alcohol-use disorders: diagnosis, assessment and management of harmful drinking (high-risk drinking) and alcohol dependence https://www.nice.org.uk/guidance/CG115 UKHSA Alcohol structured advice tool https://khub.net/web/phe-national/public-library/-/document_library/v2WsRK3ZlEig/view_file/377334553?_com_liferay_document_library_web_portlet_DLPortlet_INSTANCE_v2WsRK3ZlEig_redirect=https%3A%2F%2Fkhub.net%3A443%2Fweb%2Fphe-national%2Fpublic-library%2F-%2Fdocument_library%2Fv2WsRK3ZlEig%2Fview%2F261816192%3F_com_liferay_document_library_web_portlet_DLPortlet_INSTANCE_v2WsRK3ZlEig_redirect%3Dhttps%253A%252F%252Fkhub.net%253A443%252Fweb%252Fphe-national%252Fpublic-library%252F-%252Fdocument_library%252Fv2WsRK3ZlEig%252Fview%252F174103489 e-learning for healthcare Alcohol Identification and Brief Advice programme https://www.e-lfh.org.uk/programmes/alcohol/

    30 min
  6. Hepatitis B

    12/15/2025

    Hepatitis B

    Kieran Reynolds talks to Helen Boothman, Lead Hepatology Pharmacist and past chair of the British Hepatology Pharmacy Group (BHPG) about hepatitis B. Discussion includes what hepatitis B (hep B) is, incidence, link with hepatitis D, risk factors, diagnosis and treatment. Helen Boothman - Lead Hepatology Pharmacist, St. George’s University Hospitals NHS Foundation Trust London and previous char of the BHPG Kieran Reynolds - Advanced Specialist Pharmacist (Medicines Governance), SPS Useful links: The British Liver Trust’s information on how hepatitis B is passed on and who is risk https://britishlivertrust.org.uk/information-and-support/liver-conditions/hepatitis-b/risk/ The British Liver Trust’s information on how to test for hepatitis B https://britishlivertrust.org.uk/information-and-support/liver-conditions/hepatitis-b/hepatitis-b-tests/ NICE Clinical Knowledge Summaries information on which tests can help make a diagnosis of hepatitis B https://cks.nice.org.uk/topics/hepatitis-b/diagnosis/how-to-test-for-hepatitis-b/ The British Liver Trust’s information on treatment for hepatitis B https://britishlivertrust.org.uk/information-and-support/liver-conditions/hepatitis-b/treatment/ The Hepatitis B Foundation information on patient support groups https://www.hepb.org/resources-and-support/online-support-groups/ The British Liver Trust’s information on patient support https://britishlivertrust.org.uk/information-and-support/support-for-you/ Information on Hep B Companion - a peer led hepatitis B organisation https://www.hepbcompanion.org/

    19 min

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NHS Specialist Pharmacy Service serves healthcare professionals across the NHS who are involved in all aspects of buying, making and using medicines. Our motto is 'do once and share'.

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