Big Tobacco has muscled in on the e-cigarette business and smoking cessation services have seen take-up fall, so is harm reduction better than no action at all, asks Terry Maguire

I agree that medicines optimisation is a core role for pharmacy, writes John D'Arcy. But pharmacists' ability to deliver this is predicated on getting hold of medicines in the first place

A vacancy has opened up at Xrayser Pharmacy for the position of Customer. This applicant is vague, argumentative and thinks he knows it all. He's a perfect fit

Change can be uncomfortable, writes Jennifer Richardson, but if you can make a difference to your practice that focuses on what your customers need, not just what you can offer them, then the returns will be worth it

For every one of the Department of Health's Big Ideas there's a downside, writes Dr Livingstone, and it usually involves GPs mopping up the mess