’ (Pharmacist-10) This was compounded by concerns over working with accuracy checking technicians (ACTs) ‘I’m a bit nervous…it’s still the pharmacist’s responsibility even though

it’s the ACT that has checked it.’ (Pharmacist-3). Essentially, pharmacists are taking on work unnecessarily whilst simultaneously disempowering their staff from taking responsibility for their work. This creates an impasse where neither pharmacist, staff or ultimately, customers benefit. Pharmacists delegate, but often incompletely; they also allow ‘reverse delegation’. Acknowledging that this behaviour potentially creates a workload problem Selleck BIBF1120 is essential. Better workload management could be achieved if pharmacists were only involved with tasks that specifically required them. Delegation could be a valuable tool in easing pharmacist workload pressures; effective FXR agonist staff planning and behaviour changes from the whole pharmacy team are requisites. Observation has given a unique insight into how effectively pharmacists delegate and manage their work albeit in a small sample of pharmacies. 1. Gidman W. Increasing community pharmacy workloads in England: causes and consequences. Int J Clin Pharm 2011; 33:

512–520. 2. Bond C, Blenkinsopp A, Inch J, Celino G, Gray, N. The effect of the new community pharmacy contract on the community pharmacy workforce. The Pharmacy Practice Research Unoprostone Trust 2008:1–34. Rachel Urban1,2, Nooresameen Rana1, Evgenia Paloumpi1, Julie Morgan1 1University of Bradford, Bradford, UK, 2Bradford Institute For Health Research,

Bradford, UK, 3Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK To determine which health care providers (HCPs) communicate with community pharmacy regarding changes to patients’ medication using semi-structured interviews. Community pharmacies receive information regarding changes to patients’ medication infrequently and inconsistently. Communication to community pharmacies in England must be increased to improve seamless care and reduce medication errors. Lack of communication to community pharmacy is a longstanding issue. Recently measures to improve communication have been introduced including guidance from the Royal Pharmaceutical Society (RPS)1 and the introduction the Discharge Medicines Review (DMR) service in Wales. Previous studies have shown that communication with community pharmacies can contribute toward effective, seamless care and reduce error, 2 however, there is little evidence which examines the range of different HCPs who currently liaise with community pharmacy. This study explored which HCPs communicate with community pharmacies regarding medication changes, the extent of the communication and solutions for improvement.