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The role of community pharmacists and their position in the delivery of diabetes care: an update for medical professionals
  1. Sarah Brewster1,
  2. Richard Holt2,
  3. Jane Portlock3,
  4. Hermione Price1
  1. 1 Research and Development, Southern Health NHS Foundation Trust, Southampton, UK
  2. 2 Division of Human Development and Health, University of Southampton, Southampton, UK
  3. 3 School of Life Sciences, University of Sussex, Brighton, UK
  1. Correspondence to Dr Sarah Brewster, Research and Development, Southern Health NHS Foundation Trust, Southampton SO40 8DX, UK; sarah.brewster{at}


Pharmacists are the third largest group of healthcare professionals worldwide, but are underused in the delivery of diabetes care. The aim of this narrative was to describe how integration of community pharmacy services into existing healthcare models may improve diabetes care. Relevant literature exploring pharmacy-led interventions for diabetes were identified from a search of Medline, Embase and Cinahl online databases. This review highlights that community pharmacists are accessible, experts in medicine management, trusted by the public and able to achieve financial savings. They are poorly integrated into existing healthcare models, and commissioning arrangements can be poorly perceived by the public and those working in primary care. Community pharmacy interventions in type 2 diabetes have similar, if not greater effects compared to those delivered by other healthcare professionals. It was concluded that community pharmacy interventions in diabetes are feasible, acceptable and deliver improved health outcomes. Future work should build public recognition of pharmacists and improve communication between them and other healthcare professionals.

  • general diabetes
  • health services administration & management
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  • Twitter Sarah Brewster @drsarahbrewster

  • Collaborators Alison Freemantle.

  • Contributors All authors (SB, RH, JP and HP) conceived the paper. SB wrote the search strategy which she discussed with a research engagement librarian. SB undertook the literature search and reviewed the titles and abstracts of the identified articles. SB wrote the first draft of the narrative literature review which was then discussed with all authors (RH, JP and HP). All authors (RH, JP and HP) provided critical feedback and helped shape the final manuscript which was approved by all authors (SB, RH, JP and HP) before submission.

  • Funding This study was funded by NHS England South (Wessex).

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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