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Keith Ridge backtracks on hub-and-spoke safety claims

Keith Ridge apologised for being "inadvertently misleading" about error rates

England's chief pharmaceutical officer admits it was not appropriate to draw comparisons with dispensing error rates in Sweden

England's chief pharmaceutical officer has u-turned on his claims about the extent to which hub-and-spoke dispensing could reduce error rates.

Keith Ridge apologised for being “inadvertently misleading” when he used an all-party pharmacy group (APPG) event in March to compare the 3% dispensing error rate in England with a "0.00001%" error rate at "large scale automated dispensing facilities in Sweden". 

It was "not appropriate to draw a direct comparison" between the two countries, because of the way these error rates are recorded, Dr Ridge said in a statement published by the APPG yesterday (May 11).

Dr Ridge said he fully acknowledges that the data he quoted was “from only one" Swedish dispensing hub, but retains the "view that automated centralised dispensing... will improve safety and quality of care".

He added that the experiences of using automated dispensing hubs in Sweden “does serve to illustrate some of the potential benefits”. 

Announcing the planned cuts to pharmacy, the Department of Health (DH) said in December that the hub-and-spoke model would reduce costs and free up pharmacists to deliver more clinical services. In February, Dr Ridge claimed the model had “extraordinary capability”.

Read C+D's analysis of the limitations of the hub-and-spoke model here.

Numark's John D'Arcy has told C+D why the business case for hub-and-spoke has still not been made.

 


Do Keith Ridge's clarifications go far enough? 

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20 Comments

janet maynard, Community pharmacist

Where does the 3% error rate come from? In the pharmacy I work at that would mean we made about 3 mistakes a day- if we get an error back it is a fairly big issue and certainly doesn't happen 3 times a day!

 

N A, Non healthcare professional

All aboard the blunder bus

Farm Assistant, Community pharmacist

When did this guy last do a days work as an actual  pharmacist? He is just a government puppet whose job it is to screw pharmacy into the ground. Hey Keith, did you find out from your Swedish source if Abba are planning a comeback?

Sunil lakhani, Community pharmacist

Dr Ridge, the basis of comparison is on a single robotic dispensing hub, how inaccurate and poor, this man has the agenda of destroying community pharmacy, from his sole perspective and Hospital background. He should not be representing the profession, and making inflammatory comments that are now baseless. The amount of investment required into a Hub is beyond the affordability of most independants and it is this independence that will suffer at its implementation. Why Dr Ridge do you despise all the positive contributions , eg 550 patients per day per community pharmacy so much?

Dodo pharmacist, Community pharmacist

This man is telling blatant lies to acheive his own ends of destroying the community pharmacy network and replacing it with pharmacists in GP surgeries and hub dispensing sites. To say there is a 3% dispensing error rate in community pharmacy is totally disingenuous - that would mean 9 errors PER DAY in every community pharmacy. Thats 54 per week or 2808 per year. At that error rate there would not be a pharmacist left practising in this country who hadn't been struck off. It is time to start discrediting Ridge at every opportunity and exposing him for the liar he is; a man with his own agenda and a zealot who will not listen to opposing opinions. He is not fit to be Chief pharmacist and everyone who has any influence needs to be told this. He should not be making any decisions about community pharmacy in this country and should be replaced with someone who has knowledge and respect for community pharmacy.

Z ZZzzzz, Information Technology

His mate Jeremy Hunt should also go.  He is the only person in this country that is pushing still for prices to be printed on labels in the misguided hope that it will reduce waste.  Must have got his misinformation from Keith Ridge.  What a pair!  Both totally discredited now.  Jeremy Hunt cannot get backing from either pharmacists or doctors and is now consulting with patient groups that will be lead up the garden path with spin after spin until he can get at least one "group" that will be conned into believing his view.  If he gets their backing he will use that "fact" to enact changes to labelling legislation that no-one else wants, despite all other groups being against it.  Come on Mr Hunt can't you see you are flogging a dead horse.

M Elnemy, Non healthcare professional

whats wrong with putting prices of drugs on labels??????? Even if it saves 5 %  of the drugs budget, that could be ploughed back into pharmacy. 

Bal Singh, Locum pharmacist

Can C&D do a objective profile into the career of Keith Ridge? That would surely interest readers, seeing who he is, who he worked with, what he wrote and what he worked as......................................................................... Would certainly show if he had any credentials or credibility.

M Elnemy, Non healthcare professional

What credibility does jeramy Hunt have to be health sec.....he got a first class in bat of ARTS.....his father is nicky hunt who was some kind of commander for the navy....ITS NOT WHAT YOU KNOW BUT WHO YOU KNOW...YOU CANT MAKE THIS UP...!!

,

well look at the Chancellor. He's got a degree in History.  Thats useful.

Fuzzy Wuzzy, Dispenser Manager/ Dispensing Assistant

Keith Ridge....government puppet.  Should be renamed Pinocchio 

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or sami khadera

,

or M Chaudhury

Paul Dishman, Pharmaceutical Adviser

Pretty much what we suspected- Ridge doesn't know what he's talking about and is using misleading or false data to potentially wreck Community Pharmacy

Harry Tolly, Pharmacist

What do you think the error rate would be for Dr Ridge if he had to clinically check 500 items per day together with conducting "essential services" in the target driven community pharmacy culture he has been instrumental in creating ? ??????

Robert Rees, Manager

Clinically check or check for accuracy? All pharmacies should be using ACTs then MURs wouldn't be a problem. The world is now target driven not just pharmacy . We need to get into the 21st century. 

Harry Tolly, Pharmacist

So , Mr Robert Rees, on the basis of you reply, it is possible for a Pharmacist to diligently clinically check 500 items per day ? What do you imagine a diligent clinical check includes ??? I am just curious.

Paul Dishman, Pharmaceutical Adviser

That's just the sort of comment I'd expect from someone who doesn't actually work in a pharmacy

M Elnemy, Non healthcare professional

We Forgive you.....

Harry Tolly, Pharmacist

From APPG website about the APPG meetings : "We do this in public, with an invited audience ..."

Before its used to be open to everyone, tooooo many awkward questions were being asked hence change of format ?? He who pays the secretariat call the tunes !!

 

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The meeting was held in March, obviously noone at the meeting had the intellectual nouse nor the knowledge to challenge him there and then. This is the BIG problem with the APPG. Its become a talking shop to nodding heads for the great and good and the "here here" brigade. No grass root patient facing pharmacists to be found here !!

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The orginal Keith Ridge comment is not even in the official minutes. Follow the links above. Begs the following question : what ELSE is said at the meetings that is unminuted and factually totally incorrect ???????

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http://appg.org.uk/admin/resources/dr-ridge-clarification.pdf

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http://appg.org.uk/admin/resources/appg-meeting-with-alistair-burt-and-keith-ridge.pdf

 

 

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