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Health

Leading pharmacies demand tougher regulation on online sale of weight-loss jabs

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PHARMACIES are calling for stricter regulation of online sales of weight-loss injections, warning of risks to patient safety amid predictions of a surge in demand this year.

The National Pharmacy Association (NPA), representing independent community pharmacies, has urged the General Pharmaceutical Council (GPhC) to require more thorough consultations with patients before dispensing weight-loss injections and other high-risk medications online.

The NPA cautioned that existing regulations allow medicines to be supplied without adequate consultation or access to patient records, leaving patients vulnerable. They called for a mandatory two-way consultation process to ensure prescribers have a full understanding of patients’ medical histories before issuing such treatments.

Greater safeguards needed

Responding to draft GPhC guidelines, the NPA criticised the proposed safeguards, stating they “still leave the door open for medicines to be prescribed and supplied without appropriate two-way patient consultation or access to a full clinical picture, particularly with high-risk medicines.”

The association recommended prescribers engage in direct dialogue with patients—either in person or via telephone—before offering weight-loss medications such as Mounjaro injections. The NPA also stressed the importance of obtaining comprehensive medical histories, rather than relying solely on online questionnaires.

Nick Kaye, Chair of the National Pharmacy Association, said:
“Obesity is one of the biggest challenges facing our country, and pharmacies want to play their part in helping patients achieve and maintain a healthy weight.
“Weight-loss injections can be effective when prescribed as part of a carefully managed programme, but the current regulations allow some patients to access these medications inappropriately, without proper consultation or examination of medical records.”

Addressing rising demand

The call for tighter regulations comes as demand for weight-loss treatments is expected to rise, with the government planning to expand the rollout of such medications. Many pharmacies already dispense weight-loss treatments or include them in private weight-loss programmes, emphasising a need for best practices to prioritise patient safety.

The NPA highlighted cases of patients who had been inappropriately prescribed weight-loss injections, including individuals with eating disorders or those with body mass indexes (BMI) outside the licensed range. Such cases increase the risk of severe adverse effects.

Kaye added:
“Medicines are not like ordinary goods for sale; they must be handled with great care because they have the power to harm as well as to heal. We urge the GPhC to make a full consultation compulsory for high-risk medicines and ensure supply is prioritised for those with the greatest clinical need, including those with type 2 diabetes.”

Warning against unregulated sellers

The NPA and the Medicines and Healthcare products Regulatory Agency (MHRA) have also warned against purchasing weight-loss injections from unregulated sources, such as beauty salons or social media platforms. Counterfeit medications from these suppliers pose significant health risks.

The NPA advised patients to consult a pharmacist if they are unsure about weight-loss treatments, ensuring they receive safe and effective care as part of a programme to achieve sustainable lifestyle changes.

Education

Calls for all Pembrokeshire schools to have EpiPens on site

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A CALL to develop a group to look at a Pembrokeshire-wide policy on schools stocking potentially life-saving EpiPens has been deferred, awaiting the outcome of a Welsh Government scoping exercise.

The current Welsh Government position on emergency adrenaline auto-injectors, commonly known as EpiPens, is different from England, where it was mandatory for schools to hold a stock.

EpiPens are commonly used in the emergency treatment of Anaphylaxis, a severe allergic reaction that can be life-threatening.

Welsh Government guidance allows schools to obtain adrenaline auto-injectors (AAIs) without prescription for emergency use, with Pembrokeshire favouring a school-led decision rather than an authority-led one, replicating Welsh Government guidance.

A call to review the county policy was heard at the April meeting of Pembrokeshire County Council’s Schools and Learning Overview committee following a request from Independent Group leader Cllr Huw Murphy.

Cllr Murphy had said: “Ysgol Bro Ingli H&S Committee met on April 1 to review existing policies, one of which was the First Aid policy. The document provided is the Ysgol Bro Ingli First Aid Policy, which appears to be an adaptation of a generic PCC First Aid document sent to all PCC schools to adapt/implement as appropriate.

“It was highlighted at this meeting that the subject of ‘EpiPens’ was absent, and it appears that PCC may not have developed a county-wide policy on this subject to date, which I think needs scrutiny. At present the stocking of EpiPens is a matter for the Head of a School & Governing Body.

“As was the case when we as an O&S Committee moved to support the introduction of a mobile phone ban in schools, I think we as councillors should provide political leadership to also move to develop a county-wide policy on schools stocking EpiPens (possibly inhalers for asthmatics) and that PCC should fund this cost. It cannot be assumed every child with an allergy will always bring their EpiPen to school and furthermore this does not cover other potential severe allergic reactions eg bee stings.

“I was going to submit an NoM to council but with hindsight feel that the Schools O&S would be the appropriate forum for the matter to be given a thorough airing from where we can hopefully move a recommendation to council.”

Cllr Murphy’s call was backed by Cllr Micheal John, saying: “If there’s a chance of one person dying due to a lack of policy it’s something we have to consider,” moving for a working group to be established to obtain more data ahead of any formal decision.

Another supporter was Cllr Anji Tinley, herself an EpiPen user, compared the provision in schools with defibrillators, saying: “You don’t know you’re going to have a heart attack,” later adding: “£70 to save a life, I don’t think that’s a lot of money.”

Members heard a scoping exercise was currently taking place in Wales, with members agreeing to write to Welsh Government to for an update on its position ahead of any formal group being created.

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Business

Changes proposed at children’s care home near Haverfordwest

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A CALL to change a mixed-use therapy centre to a children’s care home classification has been submitted to Pembrokeshire planners.

Skybound Therapies Ltd, through agent Carl Bentley Architectural Services, seeks permission for the change of use of the Skybound Care Farm & Therapy Centre, Campbell Farm, Wiston, near Haverfordwest.

A supporting statement says: “Situated in a discrete rural setting in Pembrokeshire, the Therapy Centre is at the heart of a family-owned Care Farm. It is a working beef and forestry farm, providing a unique and tranquil environment for their services,” adding: “Skybound Care Farm offers a variety of services for both children and young adults. From young adult day opportunities to week-long intensive programmes. The forestry fields provide an ideal setting for practicing walks. Visitors can interact with animals, learn about water safety near their ponds, and immerse themselves in the peaceful beauty of the working farm. Vegetable growing and harvesting is a recent addition to the Care Farm.

“Skybound welcome clients from the local area as well as those travelling from all over the UK and abroad. There is a variety of accommodation types close to the farm and centre, including a holiday village, caravan parks, holiday cottages and log cabins. Many clients like to combine visits to the care farm / therapy centre with exploring local beaches, amenities and attractions.

“The Care Farm HQ and Therapy Centre are in Southwest Wales, but they also cover many locations across the UK, including Cardiff, Newport, Bristol, Birmingham, Leeds, Yorkshire and Norfolk. Skybound are taking on new locations all of the time.”

It says the original Therapy Centre which was constructed in 2012/13 when it “began its journey as a leading national and international therapy centre providing behaviour analysis, positive behaviour support, occupational therapy, speech and language therapy for children and young adults with special needs and behavioural issues”.

In August 2022 planning permission was granted to extend the therapy centre, completed in 2024; the business currently employs 45 staff on a full time and part time basis, a small number of staff are located at the Care Farm & Therapy Centre and at other locations across Wales and the UK.

“Whilst the centre has been running since February 2024 the applicant and business has found that the use of the centre is changing from previously planned and consented usage,” the statement says.

It says that since then discussions have taken place with council planners to clarify the centre’s current planning use class, along with “other opportunities and ideas for the expansion of the business and services to potentially use other existing buildings at the site are currently being investigated, which will no doubt take further time to consider”.

“There is a long-term plan to expand the Care Farm & Therapy Centre activities within the whole of the site and this full planning application is the third stage of the plan. The long-term plan is to provide more ‘settings’ to provide more training, utilising more of the farm setting for example with further interactions with small farm animals and to perhaps house some therapy sessions within other existing farm buildings to provide different types of training settings.”

Late last year, the site was granted permission to extend staff facilities through a temporary building.

The current application will be considered by planners at a later date.

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Health

NHS charity funds innovative surf therapy programme

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FOLLOWING generous donations, Hywel Dda Health Charities – the official charity of Hywel Dda University Health Board – has funded a Tonic Surf Therapy programme worth £4,000. The funding paid for ten young people receiving support from mental health services to take part in the ten-session programme.

The Tonic Surf Therapy programme provides structured surf instruction and gives young people the opportunity to experience the joy and wellbeing that comes from engaging with the marine environment.

The sessions provide an effective way for Specialist Child and Adolescent Mental Health Service (sCAMHS) practitioners to engage with service users in a positive way and help prevent mental health issues from developing or continuing into adulthood.

Alastair Wakely, Service Delivery Manager (sCAMHS), said: “We are so grateful that kind donations from our local communities have funded the Tonic Surf Therapy sessions.

“The sessions are an effective intervention for young people with mental health problems, delivering positive outcomes including improvements in mood, a reduction in thoughts of self-harm and suicide, reduced social anxiety and improved self-esteem.

“The project has also allowed us to evaluate and explore the potential of surf therapy as an effective intervention for young people with mental health problems.”

Nicola Llewelyn, Head of Hywel Dda Health Charities, the official charity of Hywel Dda University Health Board, said: “It’s great to see really ambitious and creative programmes like this being delivered thanks to charitable donations.

“We are deeply grateful for the support of our local communities which allows us to offer services beyond what the NHS can normally provide in the three counties of Hywel Dda.”

For more details about the charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk

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