صفحه 1:
5 طبايع
صفحه 2:
GP Homeopathic
اانا شدك ذا
00 RV teen os
صفحه 3:
Objective
‘To introduce and encourage
homeopathic dispensing
in Primary Care setting;
صفحه 4:
Current situation in NHS
homeopathy nationally
= 9 NHS Hospital Consultants,
= 34 NHS Hospital Clinical Assistants /
Specialist Doctors
= 692 GP with homeopathic training
صفحه 5:
Homeopathy in NHS
Primary Care
Delivery options:
= Homeopathic advice only
= Homeopathic FP10 prescription
issued
= Homeopathic medicine dispensed
صفحه 6:
Homeopathic dispensing
Benefits to:
ا 0
= Practitioners
" NHS hospitals
= Faculty of Homeopathy
صفحه 7:
Benefits to Patients
= Immediate treatment - no delay in first
aid and acute situations
= Effective alternative to conventional
medicine - no treatment / failed
treatment / contraindicated / side-effects
= Patient education - scope of homeopathy
= Holistic approach
= Pharmacy not involved
صفحه 8:
Pharmacy associated
problems
= Most pharmacists don’t have
homeopathic knowledge
= Unreliable information / advice on
homeopathic usage
= Don’t stock full range of medicines /
potencies
= Have to make special order for
medicine — takes time and effort for
patient
صفحه 9:
Pharmacy problems
= Incorrect advice given to patient
= Fobbed off with an incorrect potency
/ another OTC remedy / herbal.
alternative / conventional alternative
= Pt looses heart / gives up / reaches
for OTC conventional medicine
" Net effect: Missed homeopathic
opportunity
صفحه 10:
Benefits to practitioner
= Personal satisfaction - ease suffering
particularly with failed conventional
treatment
= More effective practitioner - more to
offer patients - homeopathy
complements conventional treatment
= Knowledge utilisation
= Learning opportunity
= Reinforcing homeopathic knowledge
صفحه 11:
Benefits to NHS
hospitals
= Increased referral rates from
primary care for more complex
problems that require more than 10
۱۱۱۱۱۱۱
= Support of NHS homeopathic
hospitals indirectly supports
teaching centres that are linked to
وامازمو0ظ و
صفحه 12:
Benefits to the Faculty of
Homeopathy
= Retention - increased use of
homeopathy leads to reduced disuse /
disinterest / disengagement
= Recruitment — increased patient
demand for homeopathy encourages
training of our colleagues. Personal
success stories shared with
colleagues may also lead to pursuit of
99-۹
صفحه 13:
practitioners dispense
Reon ene eg
= Never had time to research it / think it
through.
= Setting it up - what medicines / bottles /
161
= Where from? What cost? Who pays?
= Time constraints - 10 minutes.
= Prefer FP10 - issue and out!
= Too much to explain in too little time.
= Just not possible in 10 minutes.
صفحه 14:
0 10 = ee 3
= GP / | ا ا ا gnosis
= Key notes / specific condition / modalities
= و medicine decided
" Offer homeopathic or conventional
een tae nothing to loose’ /
‘conventional fall back’ etc
= Record notes - HRX / RHRX
= Write / print prescription
= Print instruction sheet
= Make-up homeopathic medicine
صفحه 15:
Make up homeopathic
medicine
= Pill bottle - 7 gram - pre-filled with pillules
= Magic Box - index - medicating potencies
= Add potency - 2 drops / shake / chat -
instructions / frequency / stop advice
= Give instruction sheet to patient
= Give bottle of pillules to patient
= Label = from dispensary or apply directly
" Review - make appointment for 4 weeks
صفحه 16:
How are you going to set-up
your dispensary?
To be considered:
= Medicines
= Box
= Pillules
= Bottles
= Labels
= Instruction sheet.
صفحه 17:
Medicines
= Many or few?
= Suggested ‘start-up’ box of 30)
medicines - based on:
= Cost - to make it affordable
= Basic ‘must have’ medicines
" Gives scope to add further medicines
according to personal perceived need
صفحه 18:
Medicine choice justified
= Common medicines and conditions
as demonstrated by my 12 months
audit
= National 15 GP study of Primary
Care homeopathy
= Gut instinct with review of my 252
potencies - medicines and potencies
that I wouldn’t be without!
صفحه 19:
Dr Tim’s Magic Box
medicines
= Aconite 30c = Colocynth 30c
= Allium Cepa 30c = Cup Met 30c
= Arg Nit 30c = Gelsemium 30c
= Arnica 30c = Hayfever 30c
= Ars Alb 30c = Hep Sulph 30c
= Belladonna 6c = Ignatia 30c
= Belladonna 30c = Lachesis 6c
= Carcinosin 30c = Lachesis 30c
= Cocculus 30c = Lycopodium 30c
صفحه 20:
Dr Tim’s Magic Box
medicines
" Mag Phos 30c = Rhus Tox 6c
" Mix Grass Pollen _" Rhus Tox 30¢
ار فان
« ۱۵۲ ۲ 60 «۰ ۵ 30c
" Nux Vom 30c 3 Baia 21
= Phosphorus 30c ۳ 1
۳1115511115 6 ee
Total 30 medicines
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صفحه 21:
Comments on choice of
medicines
= Polycrests - all there!
= Potencies - more than one potency
in some e.g. Belladonna 6c / 30c
= All familiar medicines - no high brow
(Lac Meerkcat) or small medicines
(Teucrium)
" Most covered in first year of
homeopathic training to PHCC level
صفحه 22:
Medicating potency
= Dropper bottle - containing potency
with 95% alcohol
= Quantity - 5ml = 100 droplets = 50
bottles of each medicine dispensed
(2 drops each bottle)
" Cost: £4.65 - £7.00
صفحه 23:
Dispensing box
= Box - better than loose. Quicker to select
and pick-out
= Move between surgeries / practices /
home.
= Choice of materials:
- Cardboard box with holed insert - £4.84
for box of 28.
ae box with handle - £34.50 for box
1۱ oA عوط ج102 0 0.
صفحه 24:
Pillules
= Pillules 3mm or 4 mm diameter.
= Suggest 4mm as patients find this size
easier to tip a single pillule into the cap of
the bottle.
= 3mm are too small and fiddly. Less wasted.
Less chance of patient taking more than
one which adds to confusion on dosage.
= Tablets don’t medicate so easily when
shaken compared with pillules.
= Cost: £12 for bag of 1kg.
صفحه 25:
Bottles
= 7 gram size. Brown glass for sun
protection. White cap.
= Contain 50 pillules (4mm diameter).
= Easy to handle for the patient to tip
one single pillule out into the cap.
" Easy for me to handle to medicate
while in conversation with the patient.
" Cost: £70 for tray of 405 bottles.
صفحه 26:
Bottles - preparation
= Pre-fill bottles - at home or surgery
receptionist
= Fill with care - مج contamination of
the unmedicated pillules.
= Use funnel to channel pillules into
bottles.
" Judge with eye - neck of bottle = 7
9-۱ د
صفحه 27:
Labels
DS Joel -la ym eles ات ا
dispensary.
= Label printer - stand alone label printer on
desk in consulting room,
۴ نات of pre-printed labels with spaces for
‘name’, ‘medicine / potency’, dosage
frequency / كت ا
Gwe
very labels size 63.5mm x 38.1mm wray
Been 7 gram bottle eee Longer
can be recent to leave a flap.
صفحه 28:
Instruction sheet
= Instruction sheet - 2 sections:
- basic instructions for taking medicine
- general information about homeopathy
= Write your own or use mine
= Download it from the Faculty website
= Save it as a shortcut icon on your desktop
- 2 clicks and it’s printed
= Another version with instructions on how
to make up LM potencies available
صفحه 29:
Instruction sheet - reasons
for use
= Too much information for me to give in
the limited 10 minute consultation.
= Too much information for patient to
take in within a 10 minute
consultation.
= Patient can read and re-read
instructions at their own leisure.
= Instructions in clear plain English - no
confusion, Pitched at basic level.
صفحه 30:
for ca ets اد
۱
Aggravation ۳ and how to manage it. =
Practical aspect of not touching pills. =
Clear advice about antidoting medicine with =
coffee and toothpaste.
Contact details for any queries or adverse =
reactions.
Clear advice on timing of taking medicine =
with respect to meal times.
Practical advice on how to give to a baby and =
صفحه 31:
information 7 ِ
= Evidence base td
= Facts about safety profile of homeopathy.
= Conditions treated by homeopathy.
= Subtle advert about homeopathy.
Increases exposure and stimulus for
patient to learn more about homeopathy.
= Patient able to share handout with other
family members and friends.
صفحه 32:
The bottom line - what does
it cost?!
= Without a box £292.
= With a cardboard box £302.
= With a wooden box £332.
= Tax deductible.
= Who pays? You (= £332) or Practice (4
= £83 each or 6 partners =
0 عم
9 a ba Oo ae
patents percent area م
صفحه 33:
Summary - benefit to
patients
Benefits to patients:
= Immediate - ideal for first aid / acute
situations.
= Pharmacy not involved.
= Effective png دس to conventional
treatments.
= Increased 1۱۳۲6 1۵ 2 thy -
22016 ee ne 0
= Holistic approach to medical care.
صفحه 34:
Summary - benefits to
practitioners
= Increased use = increased learning
= Increased use = knowledge
maintenance - no disuse atrophy
= Increased use = increased
experience = increased effectiveness
as a homeopath
= Increased use = increased job
satisfaction and personal rewards
صفحه 35:
Summary - benefits to NHS
Homeopathic hospitals
= Increased use = increased referrals
- supports business case for
hospitals.
= Increased use = generates need for
postgraduate education - supports
training centres.
صفحه 36:
Summary - benefits to
Faculty of Homeopathy
= Member retention — increased usage prevents
disuse atrophy / builds onal experience /
benefits patients and GP - net effect is continued
use of homeopathy and hence member retention.
= Member recruitment - increased patient.
patent of spree leads to increased)
patient deman r homeo} - May encourage
GP homeopa' en,
a ea homeopathic case
ses shared with GP colleagues — eee
pane GP to undertake homeopathic training.
صفحه 37:
What now?!
= Buy your own Magic Box / pillules /
bottles. Use my list of potencies or use
it as a suggestion list and adapt it to
your instinctive needs:
= Download the patient instruction sheet.
= Go forward, go ahead - go dispensing.
= Think benefits.
= Think recruitment.
= Think retention.
صفحه 38: