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When patients have come to harm we find time and again that they have been incorrectly reassured by a health professional of some sort.”","type":"text"},{"_id":"6X7WGB6FM5CFRKAQY7EUMF7MSI","alignment":"left","content":"Dr Daniels argued that encouraging people to use their community pharmacy – at a time when the NHS is overstretched – was “sensible guidance”, but added: “This [advice] should have been caveated”, and that parents instead should “trust their instincts” if they have a child with symptoms of an infection and are concerned.","type":"text"},{"_id":"MBPG65NAMFDQXA3ZGZTRI3ZMAY","alignment":"left","content":"The Stay Well Pharmacy campaign also drew criticism from the charity Meningitis Now. Its chief executive Dr Tom Nutt was quoted by the Daily Mail as saying: “We are concerned that putting another step in the process of diagnosis for something like meningitis could result in valuable time lost.”","type":"text"},{"_id":"QF4QQJQD3BFUNNNCPROJEVSNRY","content":"\"Could it be sepsis?\"","level":6,"type":"header"},{"_id":"TFBA5ENOANHOXPI2XZL46M7DU4","alignment":"left","content":"C+D approached both charities to clarify their concerns about community pharmacists’ clinical skills, and ability to differentiate between minor and more serious illnesses.","type":"text"},{"_id":"3MIYHXSBHJAHRPDWJNH7UKNJLI","alignment":"left","content":"A spokesperson for the UK Sepsis Trust said community pharmacists are capable of spotting sepsis symptoms. They recommended community pharmacists use the screening and action tools, available on the trust’s website, for out-of-hours and telephone triage, as suitable guides.","type":"text"},{"_id":"KCZTZ7VJJRG7FB5YFOOUVFIQDE","alignment":"left","content":"Chief executive Dr Daniels also told C+D: “Community pharmacists have a vital role to play in encouraging early diagnosis. As the first point of healthcare contact for many people, pharmacists are crucially placed to catch and treat infections as early as possible before they worsen, or recommend that patients in danger of developing sepsis seek other medical attention urgently.","type":"text"},{"_id":"USLX3KDFKBCYTIEXCJ7O7TKCR4","alignment":"left","content":"“Community pharmacists have it in their power to encourage members of the public all over the country to ask: ‘Could it be sepsis?’.”","type":"text"},{"_id":"N5ZGAUI6QFCQBLGN5LMIHGX3PI","content":"Meningitis red flags","level":6,"type":"header"},{"_id":"RITOXY5G25FXRIKEAUK5R7XLDA","alignment":"left","content":"A spokesperson for Meningitis Now told C+D the charity recognises that community pharmacists “are highly trained in managing minor illness”. But the charity's Dr Nutt added that while freeing up GP time “is a positive initiative”, he still has “concerns”.","type":"text"},{"_id":"ZGB7VMAOYVBYDBXDWSI6JLEOZ4","alignment":"left","content":"“In its early stages meningitis can easily be mistaken for far less serious illnesses. The sooner it is correctly diagnosed and treated, the better the outcome for those who contract it.","type":"text"},{"_id":"FLZEMNQPDJB7ZO5ZHIVI2V4PFM","alignment":"left","content":"“Introducing another possible route for diagnosis through well-meaning pharmacists could result in valuable time being lost before treatment begins. In the case of suspected meningitis, the appropriate medical intervention is to visit a GP or the local A&E as soon as possible, rather than a pharmacist.”","type":"text"},{"_id":"O455WRRMENFHDMDR5KSOOPQ2OY","alignment":"left","content":"Dr Nutt called for “clear signposting for parents on when it is appropriate to take their sick child to a pharmacist, rather than a GP or A&E”.","type":"text"},{"_id":"VWDVEM3RXBHRJMSO6VB33S7TWU","alignment":"left","content":"“We always urge parents to learn the signs and symptoms of the disease and to trust their instincts,” he added. “We would offer the same advice to pharmacists; make yourself familiar with these and display information, such as our signs and symptoms cards, in your pharmacy.”","type":"text"},{"_id":"LH23FXFLTRCT5NGFPYRPZRTK24","alignment":"left","content":"Whether the media scare stories worked to the detriment of the Stay Well Pharmacy campaign remains to be seen. The Royal Pharmaceutical Society declined to comment for this article, directing C+D to English pharmacy board chair Sandra Gidley's statement at the campaign's launch: “Pharmacists are healthcare experts, and are the right people to see if you need clinical advice for a minor health concern.”","type":"text"},{"_id":"T5GCBT75ONDFNIUJONSBAOUJZI","alignment":"left","content":"To read the National Institute for Health and Care Excellence (Nice) guidance on bacterial meningitis and meningococcal septicaemia, click here","type":"text"},{"_id":"G44U5VGIGJFGDEONI2735NSD2A","alignment":"left","content":"Sponsored: Metanium launches new guide to nappy rash","type":"text"},{"_id":"VRZRMR4MQFCQPDTVUE24UGCN5Y","referent":{"id":"QI647OQ24VJ3JHVB5F376JB3EI","referent_properties":{"_id":"QI647OQ24VJ3JHVB5F376JB3EI","additional_properties":{"originalName":"","originalUrl":"https://ubmidrupalcandd.s3.amazonaws.com/public/CD%20Image%20Library/Editorial/Metanium%202.jpg","published":true,"storyId":"CD005005","version":0},"address":{},"alt_text":"","caption":"","image_type":"photograph","source":{"name":"","source_id":"https://ubmidrupalcandd.s3.amazonaws.com/public/CD%20Image%20Library/Editorial/Metanium%202.jpg","system":"CD"},"subtitle":"","type":"image","version":"0.10.10","auth":{"1":"d32cab76c90b7ae366c14f0a45dc7d81301e4194bbb760475b346054a6253421"}},"type":"image"},"type":"reference"},{"_id":"5SJCI7DQIRFIRL5QARXDWVDVYA","alignment":"left","content":"Thornton & Ross has launched a new guide to nappy rash via its infant skincare brand Metanium.","type":"text"},{"_id":"43YEIK2XINDVVIXCPRMYZRF5TE","alignment":"left","content":"The guide is available to all members of the brand’s Your Baby Club digital platform, and is being “promoted extensively through social media”, the manufacturer says.","type":"text"},{"_id":"2TYZ7KDQTNAJHO643NRVQYGNZY","alignment":"left","content":"The brand plans to roll out “extensive sampling at key baby shows”, as well as “advertising with major parenting titles”, ongoing partnership and promotions with “leading baby websites”, and regular reader offers and competitions.","type":"text"},{"_id":"E2UHIXNKMNH27AITJYGPPOZUNE","alignment":"left","content":"Rash prevention option Metanium Everyday Barrier Ointment retails for £3.25 for 40g and £5.49 for 80g, while Metanium Everyday Easy Spray Barrier Lotion retails at £5.49 for 60ml.","type":"text"},{"_id":"TN35POBICFE7FCWPSXQCX274KA","alignment":"left","content":"Metanium Nappy Rash Ointment is “specifically licensed to treat nappy rash” and retails at £3.99 for 30g, the manufacturer adds.","type":"text"},{"_id":"KEO3SHLFDVE5NPWFR64CMYXNF4","alignment":"left","content":"For resources, visit metanium.co.uk. To order, contact Thornton & Ross on 01484 842217","type":"text"},{"_id":"EJBY4ZTDUBH6JEVITFNA73CEB4","alignment":"left","content":"Sponsored: Colief Infant Drops are 'only product supported by clinical studies'","type":"text"},{"_id":"76W3AYSMLFBXBKQWXF74LH3P3M","referent":{"id":"P7UAFNUK2VPIRLYE4YF74IG5IQ","referent_properties":{"_id":"P7UAFNUK2VPIRLYE4YF74IG5IQ","additional_properties":{"originalName":"","originalUrl":"https://ubmidrupalcandd.s3.amazonaws.com/public/CD%20Image%20Library/Editorial/Colief%20Infant%20Drops%207ml%20and%2015ml%20resize.jpg","published":true,"storyId":"CD005005","version":0},"address":{},"alt_text":"","caption":"","image_type":"photograph","source":{"name":"","source_id":"https://ubmidrupalcandd.s3.amazonaws.com/public/CD%20Image%20Library/Editorial/Colief%20Infant%20Drops%207ml%20and%2015ml%20resize.jpg","system":"CD"},"subtitle":"","type":"image","version":"0.10.10","auth":{"1":"8efe9cb1c7a6273c8b4340ea598200be3abb3df53a84f912bc615d1472612b5d"}},"type":"image"},"type":"reference"},{"_id":"ZQ3D6NN5UJFYPBLLBG4Q4OYYVY","alignment":"left","content":"Colief Infant Drops are the “only [colic] product supported by clinical studies”, its manufacturer claims.","type":"text"},{"_id":"6ZF2KK7PQ5FTPPUBXAI4IZAZQ4","alignment":"left","content":"The drops are the “original scientifically proven lactase drops for reducing the symptoms of colic associated with temporary lactose intolerance”, according to manufacturer Crosscare Limited, and have been “on the market for 20 years”.","type":"text"},{"_id":"3PQMO4VPZFGPXPVD57RSE27ZOI","alignment":"left","content":"Colief is “the most commonly prescribed colic remedy”, and is “safe to use from birth”, it claims. The drops contain lactase to “help break down lactose”, which “makes it easier to digest, allowing parents to rule out temporary lactose intolerance” in babies with symptoms of colic.","type":"text"},{"_id":"GZEQV3ZOZVBTJJEUELQKXVUT7Y","alignment":"left","content":"Colief Infant Drops retail at £11.99 for 7ml and £15.99 for 15ml.","type":"text"},{"_id":"XEMD2VRWRRFQNLR6YSMWGXHQHE","alignment":"left","content":"For resources, visit colief.com. 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Is the Stay Well Pharmacy campaign putting young children ‘at risk’?

14 Mar 2018

• By Lilian Anekwe

C+D goes behind the headlines to analyse claims made in the media that NHS England's campaign puts young children with serious illnesses at risk of misdiagnosis

Is the Stay Well Pharmacy campaign putting young children ‘at risk’?

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