Women in Pharma leadership are not only surviving but thriving in NHS in UK-Nadia Bukhari


 Pharma Summit proceedings-III
Women in Pharma leadership are
not only surviving but thriving
in NHS in UK-Nadia Bukhari
Using advanced Robotics, Line and Machine
intelligence is combined which optimize
production flow- Gianluca Cocuzzo

KARACHI: Dr. Nadia Bukhari Member National Pharmacy Board from UK was one of the invited guest speakers at the Fourth Pakistan Pharma Summit 2019 organized by Pakistan Pharmaceutical Manufacturers Association on 23-24th April 2019. In her presentation on Moving to Digital Pharmacy, she shared the way things are working in National Health Service in UK where women in Pharma leadership are not only surviving but thriving as well. N3, she said is the biggest private network in Europe. It is the national broadband network that connects all the NHS organizations. Some of the important point she highlighted included Patient Engagement, Self-Care and Prevention, Urgent and Emergency Care, Transforming General Practice, Digital Medicines, Integrated care and Social care, Effective care, Paper free environment at the point of care, Data availability for outcomes for research and oversight, Infrastructure besides Public Trust and Security. She also pointed out that there are 31, 6632 items in Directory of Medicine and Devices. Safety.

Continuing Dr. Nadia Bukhari said that GS1 stands for Global Standards. It is a unique identifier numbers used in bar-codes and RFID etc. It supports supply-chain and healthcare. These systems are also used for patient and staff identification, location numbering as well as catalogue management. By using technology and automation, it enables linking prescribing to robotics with the result that there are zero dispensing errors. It has led to 83% reduction in missed doses, 11% reduction in ward drug spending, it has reduced length of patient stay in the hospital, it frees up the nursing time to care. It is a robust financial audit trail which gives returns on investment in just three years’ time, she added.

Giving details of Pharmacy Supply Chain and Secondary Uses programme Dr. Nadia Bukhari referred to different NHS projects. One of them was Falsified Medicines Directive. It reduces the possibility of counterfeit medications entering the system and avoid the associated safety issues in case any such drug is prescribed. Supply Chain/medicine optimization improves tracking and stock control of medicines in secondary care in such a way that the supply meets the demand more efficiently. Secondary uses of prescribing data identifies how medicines data can be safely collected and analyzed which helps in better information strategy and policy. Yet another project named Single Identifier enables each prescriber to be allocated a unique identifier allowing each prescription to be accurately attributed to an individual. The current medication expenditures in NHS, she said, was over 15.6 Billion Pound sterling and it is increasing by 3.5% every year. Each General Practitioner writes three hundred seventy five prescriptions every week and it is also increasing by 5% every year. Almost 50% of the population covered by NHS receives repeat prescriptions. According to WHO almost 30-50% repeat prescriptions are not taken as intended. It is also a well- known fact that the more medicines a patient takes, the more are the chances of side effects and greater chances of hospitalization which is increasing due to these side effects. At present there is a minimum use of paper in medicine management. Patients are provided with greater control and better data collection.

`She also talked about Electronic Prescription Services, Real time exemption checking, Patient enablement, Use of IT in pharmacy systems and securing excellent in pharmacy information technology. Electronic Prescription Services are extensively used to improve service efficiency. E Referral services and Summary Care Record were also discussed in detail. NHS Spine, she remarked, is the backbone of National Health Service. Some of the challenges which the NHS Digital Transformation is facing include digital maturity at existing NHS locations, maturity of patient engagement, patient expectations of services offered, work development and proper funding. In short, Health Informatics, Dr. Nadia Bukhari remarked is playing a greater role in transforming care to achieve better patient outcome.

She then briefly talked about National Alliance for Women in Pharmacy and pointed out that men also benefit from gender equality. Women are now working as a driving force on Women’s issues as gender equality has a strong impact on their daily lives. Both men as well as women should be aware of these benefits of gender equality. There are some male gender specific issues like lower life expectancy, bad health. Hence it is important to engage more men and make them understand how gender equality is relevant for them as well. Changing world has high healthcare needs but women are under paid or even unpaid. There are issue of sexual harassment at workplace. We must recognize the role of women pharmacists, provide them better working environment and also provide them mentorship opportunities. At present one hundred forty four national organizations are members of Federation of International Pharmacy, she added.

Last Session

In the last session Gianluca Cocuzzo Area Sales Manager of SEA Vision spoke about Beyond Serialization: Data analysis and integrity. He pointed out that there are over thousand T&T lines deployed worldwide and over five thousand Vision Systems are installed globally. Serial numbers to an item allow it tracking along the supply. IT system has vertical integration. He also referred to the Pakistan Track and Trace System and the Industry 4.0 opportunities from serialization. Using advanced Robotics, Line and Machine intelligence is combined which optimize production flow and also improves the process according to what takes place in the plant.

Giving details of SEA Vision Integrated IT System with machines and vision control he said, intelligent machines are incorporated in intelligent production lines. He was of the view that new technology and artificial intelligence will drive disruption and new solutions will emerge for the manufacturing process. He then shared details of Vertical Integration and Line Management. Using Smart SCADA and Dashboard data is collected from vision systems and machines, line data is monitored and processed and it also enables gathering of the data in real time.

Mr. Khurram Hamid Chief Marketing and Strategy Officer Investec talked about Block chain and Artificial Intelligence and opportunities for Healthcare in Pakistan. He started his presentation with a short video depicting the Fourth Industrial revolution and pointed out that business model of every industry will be transformed in the days to come.

Big Data is the new oil and intelligent information is the new currency hence Data and Intelligence driven enterprises will win. He then discussed the opportunities of Block chain the Digitalization of Trust and what are the opportunities for healthcare and gave details of some healthcare related block chain projects.

He further stated that now there was a growing acceptance of Block chain in the Pharma industry. There are greater opportunities for pharma in Medical Supply Chain, Electronic Medical Records, Clinical Trials Management and scientific data sharing. The only problem is that once written in the system, data cannot be changed. Now Digital Healthcare Super APPs are emerging in Pakistan as well as in many other countries like Indonesia and Malaysia. It offers patient access to GP services. However Digital Healthcare instruments needs regulatory sandbox. Recently Pfizer and UAE government have established a Healthcare Laboratory, he added.

 Daniel ghinn

Daniel Ghinn was the last speaker in this session who discussed in detail how the pharmaceutical industry can engage healthcare professionals on Social Media. Presenting an analysis of three thousand online healthcare professionals in Pakistan, he pointed out that they have so far posted 1.6 million messages. Pakistani healthcare professionals mentioned each other online over twenty thousand times in the last fifteen months. About twelve thousand two hundred thirteen Pakistani healthcare professionals are followed by HCP peers globally. IPhone use is increasing among the healthcare professionals in Pakistan and 53% use English for their post while 25% post in Urdu. Pharmaceutical industry should endeavour to be where their customers are on Social Media. HCPs in Pakistan converse on Twitter with both peers and patients about pharmaceuticals and healthcare activity. Pharma industry should look after the customer’s needs, add value to the communication, collaborate with international colleagues and respond to customer’s concerns.

Pharma Industry should deploy resources for Mobile Apps, choose the right social media channel, identify the digital healthcare professional leaders and listen to their customer needs. There are enormous ways to transform your pharmaceutical brand strategy, he added.

Concluding remarks
by Mr. Haroon Qasim

In his concluding remarks, Mr. Haroon Qasim said that it was a great event for two days. Apart from the local speakers we managed to have some speakers from overseas on SKIPE. Most of the sessions were interactive. It will help the pharmaceutical industry in healthcare management. Dr. Musadik Malik was very honest in his views. Chairman PPMA Mr. Zahid Saeed told us how to prepare ourselves. We need to face challenges once the dust settles down. Mr. Suhail Zindani told us how to engage with other people. We also heard some real innovations and the industry is already working on some projects. He thanked Dr. Kaiser Waheed Sheikh, Mr. Hamza of TerraBiz who also suggested the Theme of the conference, Akhai Family, the distinguished speakers and all those who extended their valuable help and assistance in this event.

Some of the presentations during the conference were very informative and interesting which did attract the attention of the participants. However, a few did not and one could see many participants on different tables busy with their mobiles while some were seen wandering outside the hall. Time management during the conference was very poor with the result that at times the speakers took too much time or the moderator, chairpersons failed to monitor the session efficiently. Hence, the programme was pushed through to make up time allowing just two questions after over half a dozen presentations. The organizers must realize that any academic activity which does not allow time for discussion and interaction with the participants becomes useless and fail to achieve the desired objective.

The data system is a new revolutionary thing which will go a long way in transformation of the pharma industry but the question remains is the pharma industry in Pakistan ready to implement it because once written in the system, data cannot be changed. I have my doubt if a vast majority of the drug manufacturers are ready for that at present. However, it is nice to know about all these developments and get ready for it which naturally calls for more investments. Pharmaceutical Trade and Industry of Pakistan should be grateful to the organizers of this Summit for providing them an opportunity to keep them abreast with the latest developments in this field.