Pharmacy in Practice on-demand content


Inhaler technique masterclass

There have been numerous research studies that have attempted to identify and quantify the issue of inhaler technique errors. Inhaler technique remains a pressing issue for all people who require an inhaled medication delivered through an inhaler.

Dr Toby is a Consultant Pharmacist with an interest in respiratory medicine and is widely published in this area. He has a passion for teaching professionals and patients about inhaler techniques. He is affectionately known by many in the profession as the ‘Inhaler Jedi’.

It is in this context that we were very pleased to welcome Toby to conduct a concise masterclass on inhaler technique followed by a live question and answer session.

During this course he covers the following learning objectives:

  • We will learn how to navigate the inhaler market.
  • We will appreciate the importance of good inhaler technique & adherence on maximising asthma and COPD control.
  • We will understand how to effectively use inhalers to maximise drug delivery to the lungs.
  • We will understand the evidence behind how healthcare professionals can instruct patients on inhaler technique
  • We will find out about the seven steps of inhaler technique.
  • We will recognise how the whole pharmacy team can support people in using their inhalers more effectively.

About Dr Toby Capstick

After qualifying in 2000 Toby has had a number of hospital pharmacy jobs including roles in professional development and advanced clinical pharmacist in rheumatology. He currently works as an advanced clinical pharmacist in respiratory medicine in Leeds teaching hospitals NHS trust. In this role, he provides advanced and highly specialist pharmaceutical care to patients with respiratory diseases in both an inpatient and outpatient setting. I am an independent pharmacist prescriber at ward and clinic level. His current interests include asthma, COPD, tuberculosis, inhaler technique training, medicines optimisation and adherence.

His current role involves working in the Leeds Difficult Asthma Clinic, where he is currently researching the role and effectiveness of pharmacists across the primary and secondary care interface in improving asthma control and quality of life in patients with difficult asthma. He has worked with clinicians in the Leeds Tuberculosis clinic since 2007, where he promotes patient education and adherence to ensure that antituberculosis drugs are used effectively.

Previous research has centred around scoping problems concerning the availability of suitable drugs for treating tuberculosis and identifying measures to ensure consistent drug supplies with a multi-disciplinary working group. He has provided education to a wide range of healthcare professionals across primary and secondary care on a regional and national level on a range of subjects, included inhaler technique, asthma, COPD, pharmacology and tuberculosis. He has been chair of the UK Clinical Pharmacy association respiratory group since 2014.

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Consultant pharmacist respiratory update

Professor Anna Murphy has for many years now demonstrated the highest level of leadership in pharmacy in the respiratory field. Anna is a Consultant Pharmacist with an interest in respiratory medicine and is widely published in this area. She has a passion for teaching professionals and patients about all things respiratory.

We were therefore very proud to welcome Anna to share another respiratory update.

Learning objectives

  • Inhaled corticosteroid.
  • The use of low dose inhaled corticosteroid in the treatmetn of asthma.
  • An update on SABA overuse.
  • Anna’s view on nebulisers.
  • Maintenance and reliever therapy.
  • The respiratory green agenda.
  • How changes in inspiratory respiratory flow affect output.
  • Do COPD patients have insufficient inspiratory flow.
  • Recycling of inhalers.
  • Question and answer session.

About Professor Anna Murphy

Anna Murphy is a consultant respiratory pharmacist at University Hospitals of Leicester NHS Trust and honorary visiting professor at DeMontfort University. The clinical aspect of her post offers assessment, medicines optimisation, monitoring and advice to people with respiratory disease, working both in hospital and across the interface. Anna currently works with several national groups and organisations on issues surrounding prescribing in respiratory disease. Anna has published widely and produced the “7-Steps to Success” education materials. Research interests include medicine adherence in people with respiratory disease and pharmacy practice research.

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A structured approach to respiratory assessment

This session is designed to support you to add structure to the process of assessing respiratory symptoms. Pharmacy in Practice Clinical Director will take you through a range of ways to begin to structure your approach to caring for this patient group.

  • Learn about how to develop a structured approach to respiratory clinical assessment.
  • Understand how to assess vital signs.
  • Find out about how to inspect the chest.
  • Learn about chest palpation.
  • Gain an understanding of auscultation.

If you complete the courses you will receive a certificate of achievement for your records.

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Community pharmacy respiratory tips

We were incredibly proud to welcome a friend and colleague of PIP Darush Attar-Zade to deliver this interactive session. This session is now available to view on demand.

During this webinar, Darush discussed all things respiratory pharmacy. He shared his insights on how pharmacists can get involved and addressed some of the issues raised in the National Review of Asthma deaths. After his talk, we had a question and answer session and discussed a number of recent coroner’s reports relating to cases where the care of people with asthma, in the view of the coroner, could have been improved.

Learning objectives for this module include the following:

  • Learn about interventions relevant to community pharmacists to support with the care of people with COPD.
  • Find out about the relative impact of a range of COPD interventions.
  • Find out about the relative impact of a range of asthma interventions.
  • Understand what factors contribute to the overuse of short acting beta agonist medicines.
  • Understand how to engage with the wider multidisciplinary team to address complex respiratory cases.
  • Learn about the hospital discharge process, how to effectively communicate across settings and how to pre-empt problems.
  • The second half of this course involves a discussion around a fatal asthma related coroner’s report.

Please read our CPD disclaimer before enrolling.


Consultant pharmacist insights on how to address polypharmacy

This session is designed to support you to build your knowledge of Polypharmacy. We are very fortunate to have Consultant Pharmacist Lelly Oboh to lead this course.

Learning objectives for this module include the following:

  • Learn about a range of real world case studies highlighting how polypharmacy can occur.
  • Find out about common polypharmay patient problems.
  • Understand what factors contribute to ad therefore conrribute to polypharmacy.
  • Understand how to engage with the wider multidisciplinary team to address complex polypharmacy cases.
  • Learn about the hospital dischaege process, how to effectively communicate across settings and how to pre-empt problems.
  • Understand how how the complexity of drug interactions contributes to polypharmacy problems.
  • Find out about high risk or ‘red flag’ drugs in the elderly.
  • Learn about consultation skills relevant to care of the elderly person on multiple medications.

Please read our CPD disclaimer before watching.


An update on heart failure

We were incredibly proud to welcome a friend and colleague of PIP pharmacist Paul Forsyth to deliver this interactive session.

This session was targeted at a multidisciplinary audience of healthcare professionals with an interest in heart failure. We covered recent clinical and therapeutic updates and also to what extent the pandemic has had an impact.

Learning objectives for this module include the following:

  • Learn about the epidmiology of heart failure.
  • Find out about the different presentations of heart failure.
  • Understand from Paul how to assess your own competence and make a plan to build your competence in the area of heart failure.
  • Understand how to take a heart failure specific history.
  • Learn about the different processes involved in heart failure.
  • Understand how to treat heart failure.
  • Find out the current heart failure treatrments and the evidence that underpins them.
  • Learn about ‘the four pillars of heaet failure’.

Paul Forsyth currently works at the Department of Pharmacy, NHS Greater Glasgow and Clyde. Paul’s research interests include Clinical Pharmacy (including advanced practice development) and Cardiology (specifically heart failure and acute coronary syndrome). He has an interest in the education of pharmacists and in particular competency-based learning as a progression towards advanced practice.

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Emerging trends in anticoagulation

We are incredibly proud to welcome friends and colleagues of PIP Sotiris Antoniou to deliver this educational session.

Sotiris discusses the current and emerging trends in anticoagulant use.

Sotiris is Head of Pharmacy at Bart’s Hospital, Consultant Pharmacist, Cardiovascular. He is an NHS St Bart’s Board member, ESC and ACNAP. He has a passion for clinical pharmacy and patient care.

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An introduction to assessing stroke risk

Charlie has a particular interest in two key areas of cardiology; the early management of acute coronary syndrome and embolic stroke prevention in Atrial Fibrillation. He established one of the first nurse-led thrombolysis practices in Scotland in 1990 and soon after arriving in NHS Highland in 2008 he developed the pre-hospital ECG support service that has significantly increased early delivery of life-saving thrombolysis treatment by Paramedics. His work around embolic stroke prevention in Atrial Fibrillation won First Place at the coveted Thrombus 2012 Awards.

BSc RN NDN ITU cert. Charlie graduated from the University of Edinburgh in 1984 and subsequently pursued a career in Acute Cardiac Nursing. He has been particularly proactive in Cardiac Education and has authored over 50 interactive educational programmes to date. His work in cardiac CPD earned him The British Journal of Cardiac Nursing ‘Innovation in Education’ Award in 2008.

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An introduction to ECG