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Hemant Patel has criticised the €archaic€ professions-led care systems in community, hospitals and care homes, which he says fail to provide personalised care planning.

Patients must be involved in reducing future risks, wastage, and feel empowered, said the North-East London LPC secretary in response to a Cochrane Review which concluded that current medicines adherence methods are ineffective. €Pharmacy has failed. And so has the Government! If pharmacists cannot get adherence right then what role do they aspire for in the outcomes based future?€

People with long-term conditions, in particular, were being short-changed by the NHS.

€I strongly believe that pharmacists' future roles depend on getting 'the whole person care' right by considering patient's bio-psycho-social factors as well as the medicines aspects.€

Future job opportunities depended on pharmacists getting a number of things right at the same time and demonstrating a sense of urgency. They must improve:

• Safety in use (safe clinical outcomes as well as safe dispensing) of prescribed and sold medicines
• Effectiveness of medicines 
• Patient experience
• Cost-effectiveness of the system and individuals' treatment.

Non-adherence occurred because the system was based on biomedical QOF indicators linked to a dispensing system that led to low patient expectations, not on bio-psycho-social assessment of patients' needs as in NE London's SelfCare Pharmacy practice model.

NE London LPC has trained over 110 pharmacists to use psychological tools (health coaching) to combine with clinical tools to produce more predictable outcomes. €We hope to provide sound evidence base to secure a professional future for all professionally minded pharmacists.€