International Journal of Clinical Pharmacy

, Volume 35, Issue 5, pp 688–691 | Cite as

Clinical pharmacy services in a London hospital, have they changed?

  • Gayle CampbellEmail author
  • Vivian Auyeung
  • Duncan McRobbie
Short Research Report


Background The development of clinical pharmacy, has created a need for pharmacists to demonstrate the service they provide to hospital boards. Objectives To describe and compare the type and frequency of clinical pharmacy contributions to individual patients admitted to a large teaching hospital within a 1 week study period over four consecutive years 2009–2012. Method This study was a prospective 1 week study over 4 years (2009–2012). Pharmacists used data collection sheets to record the primary reason and outcome of interventions made. Results The most frequent reasons for pharmacists intervening in patient care have been due to efficacy of medication and for safety to prevent an adverse drug reaction. The percentage of accepted interventions by the medical team was similar ranging from 85 to 92 %. Conclusions Pharmacists consistently carried out interventions to patient care over a 4 year period and provide the Trust with a service that focuses on ensuring safety and efficacy of the medications administered. Impact of findings on practice Daily clinical pharmacy services in a UK teaching hospital allow pharmacists to contribute to protecting patients from the adverse effects of medications. Pharmacists most frequently intervene to patient care for the reasons of medication efficacy and safety and to prevent adverse drug reactions.


Clinical pharmacists Clinical pharmacy services Interventions Teaching hospital United Kingdom 



Thank you to the clinical pharmacy staff at Guy’s and St Thomas’ for their help with the data collection. Lisa Salemi, the clinical pharmacy administrator for entering the raw data and Peter Milligan departmental statistician.

Conflicts of interest



  1. 1.
    Calvert RT. Clinical pharmacy: a hospital perspective. Br J Clin Pharmacol. 1999;47:231–8.PubMedCrossRefGoogle Scholar
  2. 2.
    Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47:533–43.PubMedGoogle Scholar
  3. 3.
    National Institute for Health and Clinical Excellence & National Patient Safety Agency: technical patient safety solutions for medicines reconciliation on admission of adults to hospital 2007 (PSG001).Google Scholar
  4. 4.
    Lewis PJ, Dornan T, Taylor D, Tully MP, Wass V, Ashcroft DM. Prevalence, incidence and nature of prescribing errors in hospital inpatients: a systematic review. Drug Saf. 2009;32:379–89.PubMedCrossRefGoogle Scholar
  5. 5.
    Dornan T, Ashcroft D, Heathfield H, Lewis P, Miles J, Taylor D, Tully M, Wass V. An in depth investigation into causes of prescribing errors by foundation trainees in relation to their medical education. EQUIP study. Accessed on the 15/11/12.
  6. 6.
    Campbell F, Karnon J, Czoski-Murray C, Jones R. A systematic review of the effectiveness and cost effectiveness of interventions aimed at preventing medication error (medicines reconciliation) at hospital admission. National Institute of Clinical Excellence 2007.Google Scholar
  7. 7.
    Hospital Episode statistic via Accessed on the 16/1/13.
  8. 8.
    Klopfer JD, Einarson TR. Acceptance of pharmacists’ suggestions by prescribers: a literature review. Hosp Pharm. 1990;25:830–2.PubMedGoogle Scholar
  9. 9.
    National Health Service Litigation. Risk Management Standards 2012–2013. Risk Management Standards 2012–2013. Accessed on 25/3/13.
  10. 10.
    Surugue J, Vulto AG. Workforce of EU hospitals and pharmacy services: a direct patient safety issue. Eur J Hosp Pharm Prac. 2006;12:31–4.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Gayle Campbell
    • 1
    Email author
  • Vivian Auyeung
    • 2
  • Duncan McRobbie
    • 1
  1. 1.King’s Health Partners, Guy’s and St Thomas’ NHS Foundation TrustSt Thomas’ HospitalLondonUK
  2. 2.Institute of Pharmaceutical ScienceKing’s College LondonLondonUK

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