Canadian Pharmacists Journal - May/June 2019 - 144

EDITORIAL
BOX 1 Right-touch regulation
Right-touch regulation is a term coined by Harry Cayton, formerly the CEO of the Professional Standards Authority in the
United Kingdom.2 The principles state that regulation should aim to be:
* Proportionate: Regulators should only intervene when necessary. Remedies should be appropriate to the risk posed, and costs
identified and minimized.
* Consistent: Rules and standards must be joined up and implemented fairly.
* Targeted: Regulation should be focused on the problem and minimize side effects.
* Transparent: Regulators should be open and keep regulations simple and user-friendly.
* Accountable: Regulators must be able to justify decisions, and be subject to public scrutiny.
* Agile: Regulation must look forward and be able to adapt to anticipate change.

While approximately half of patients with diabetes received a
MedsCheck review, 2/3 only received one annual review over
the study period of 4 years (despite being eligible for yearly
full reviews, paid for by government payors), and 97% never
received any follow-up visits over 4 years (despite being eligible for up to 4 paid follow-ups per year). Should governments
expand the scope of practice of a profession that doesn't currently use the scope it actually has?
Our patients could be our greatest advocates. If we provided the fullest scope of care possible to all of our patients

consistently; if we changed our culture to make it unacceptable
to just dispense; if we used the full extent of the scope of practice we have; if we took the time to explain to our patients what
we are doing for them; if we didn't just wait around for someone else to change things, then it would be easier for governments to unequivocally believe that expanding pharmacists'
scope of practice to a full scope would improve the health of
the public. This would become the standard, rather than the
exception in the country. It certainly isn't the Colleges that are
standing in the way. ■

References
1. Tsuyuki RT, Houle SKD, Okada H. Time to give up on expanded scope of
practice. Can Pharm J (Ott) 2018;151:286-7.
2. Professional Standards Authority. Right-touch regulation. Available: https://
www.professionalstandards.org.uk/what-we-do/improving-regulation/righttouch-regulation (accessed February 28, 2019).
3. Mercatus Center, George Mason University. Permissionless innovation.
Available: https://permissionlessinnovation.org/ (accessed February 28, 2019).
4. Foong EAL, Grindrod KA, Houle SKD. Will I lose my license for that? A
closer look at Canadian disciplinary hearings and what it means for pharmacists' practice to full scope. Can Pharm J (Ott) 2018;151:332-44.
5. Rosenthal M, Austin Z, Tsuyuki RT. Are pharmacists the ultimate barrier to
pharmacy practice change? Can Pharm J (Ott) 2010;143:37-42.

144

6. Frankel GEC, Austin Z. Responsibility and confidence: identifying barriers
to advanced pharmacy practice. Can Pharm J (Ott) 2013;146:155-61.
7. Gregory PAM, Whyte B, Austin Z. How do community pharmacists make
decisions? Results of an exploratory qualitative study in Ontario. Can Pharm
J (Ott) 2016;149:90-8.
8. MacCallum L, Consiglio G, MacKeigan L, Dolovich L. Uptake of community pharmacist-delivered MedsCheck diabetes medication review service in
Ontario between 2010 and 2014. Can J Diabetes 2017;41:253-8.
9. MacCallum L, Dolovich L. Follow-up in community pharmacy should be
routine, not extraordinary. Can Pharm J (Ott) 2018;151:79-81.

C P J / R P C * M ay / J u n e 2 0 1 9 * V O L 1 5 2 , N O 3


https://www.professionalstandards.org.uk/what-we-do/improving-regulation/right-touch-regulation https://www.professionalstandards.org.uk/what-we-do/improving-regulation/right-touch-regulation https://www.professionalstandards.org.uk/what-we-do/improving-regulation/right-touch-regulation https://www.permissionlessinnovation.org/

Canadian Pharmacists Journal - May/June 2019

Table of Contents for the Digital Edition of Canadian Pharmacists Journal - May/June 2019

Regulation and innovation in practice – Not a “drug interaction”?
Dietary sodium and the health of Canadians
Professional abstinence: What does it mean for pharmacists?
Canada’s new Healthy Eating Strategy: Implications for health care professionals and a call to action
Report from the 2018 National Summit on Wicked Problems in Community Pharmacy
Medical abortion: A practice tool for pharmacists
Community-based management of epistaxis: Who bloody knows?
The pharmacist’s role in successful deprescribing through hospital medication reconciliation
Pharmacists to improve hypertension management: Guideline concordance from North America to Europe
The patient experience in a community pharmacy mental illness and addictions program
Community pharmacists’ experiences with the Saskatchewan Medication Assessment Program
Cross-Canada updates
The conference experience—Making it yours
Canadian Pharmacists Journal - May/June 2019 - Intro
Canadian Pharmacists Journal - May/June 2019 - Cover1
Canadian Pharmacists Journal - May/June 2019 - Cover2
Canadian Pharmacists Journal - May/June 2019 - 137
Canadian Pharmacists Journal - May/June 2019 - 138
Canadian Pharmacists Journal - May/June 2019 - 139
Canadian Pharmacists Journal - May/June 2019 - 140
Canadian Pharmacists Journal - May/June 2019 - 141
Canadian Pharmacists Journal - May/June 2019 - 142
Canadian Pharmacists Journal - May/June 2019 - Regulation and innovation in practice – Not a “drug interaction”?
Canadian Pharmacists Journal - May/June 2019 - 144
Canadian Pharmacists Journal - May/June 2019 - 145
Canadian Pharmacists Journal - May/June 2019 - 146
Canadian Pharmacists Journal - May/June 2019 - Dietary sodium and the health of Canadians
Canadian Pharmacists Journal - May/June 2019 - Professional abstinence: What does it mean for pharmacists?
Canadian Pharmacists Journal - May/June 2019 - 149
Canadian Pharmacists Journal - May/June 2019 - 150
Canadian Pharmacists Journal - May/June 2019 - Canada’s new Healthy Eating Strategy: Implications for health care professionals and a call to action
Canadian Pharmacists Journal - May/June 2019 - 152
Canadian Pharmacists Journal - May/June 2019 - 153
Canadian Pharmacists Journal - May/June 2019 - 154
Canadian Pharmacists Journal - May/June 2019 - 155
Canadian Pharmacists Journal - May/June 2019 - 156
Canadian Pharmacists Journal - May/June 2019 - 157
Canadian Pharmacists Journal - May/June 2019 - Report from the 2018 National Summit on Wicked Problems in Community Pharmacy
Canadian Pharmacists Journal - May/June 2019 - 159
Canadian Pharmacists Journal - May/June 2019 - Medical abortion: A practice tool for pharmacists
Canadian Pharmacists Journal - May/June 2019 - 161
Canadian Pharmacists Journal - May/June 2019 - 162
Canadian Pharmacists Journal - May/June 2019 - 163
Canadian Pharmacists Journal - May/June 2019 - Community-based management of epistaxis: Who bloody knows?
Canadian Pharmacists Journal - May/June 2019 - 165
Canadian Pharmacists Journal - May/June 2019 - 166
Canadian Pharmacists Journal - May/June 2019 - 167
Canadian Pharmacists Journal - May/June 2019 - 168
Canadian Pharmacists Journal - May/June 2019 - 169
Canadian Pharmacists Journal - May/June 2019 - 170
Canadian Pharmacists Journal - May/June 2019 - 171
Canadian Pharmacists Journal - May/June 2019 - 172
Canadian Pharmacists Journal - May/June 2019 - 173
Canadian Pharmacists Journal - May/June 2019 - 174
Canadian Pharmacists Journal - May/June 2019 - 175
Canadian Pharmacists Journal - May/June 2019 - 176
Canadian Pharmacists Journal - May/June 2019 - The pharmacist’s role in successful deprescribing through hospital medication reconciliation
Canadian Pharmacists Journal - May/June 2019 - 178
Canadian Pharmacists Journal - May/June 2019 - 179
Canadian Pharmacists Journal - May/June 2019 - Pharmacists to improve hypertension management: Guideline concordance from North America to Europe
Canadian Pharmacists Journal - May/June 2019 - 181
Canadian Pharmacists Journal - May/June 2019 - 182
Canadian Pharmacists Journal - May/June 2019 - 183
Canadian Pharmacists Journal - May/June 2019 - 184
Canadian Pharmacists Journal - May/June 2019 - 185
Canadian Pharmacists Journal - May/June 2019 - The patient experience in a community pharmacy mental illness and addictions program
Canadian Pharmacists Journal - May/June 2019 - 187
Canadian Pharmacists Journal - May/June 2019 - 188
Canadian Pharmacists Journal - May/June 2019 - 189
Canadian Pharmacists Journal - May/June 2019 - 190
Canadian Pharmacists Journal - May/June 2019 - 191
Canadian Pharmacists Journal - May/June 2019 - 192
Canadian Pharmacists Journal - May/June 2019 - Community pharmacists’ experiences with the Saskatchewan Medication Assessment Program
Canadian Pharmacists Journal - May/June 2019 - 194
Canadian Pharmacists Journal - May/June 2019 - 195
Canadian Pharmacists Journal - May/June 2019 - 196
Canadian Pharmacists Journal - May/June 2019 - 197
Canadian Pharmacists Journal - May/June 2019 - 198
Canadian Pharmacists Journal - May/June 2019 - 199
Canadian Pharmacists Journal - May/June 2019 - 200
Canadian Pharmacists Journal - May/June 2019 - 201
Canadian Pharmacists Journal - May/June 2019 - 202
Canadian Pharmacists Journal - May/June 2019 - 203
Canadian Pharmacists Journal - May/June 2019 - Cross-Canada updates
Canadian Pharmacists Journal - May/June 2019 - 205
Canadian Pharmacists Journal - May/June 2019 - 206
Canadian Pharmacists Journal - May/June 2019 - The conference experience—Making it yours
Canadian Pharmacists Journal - May/June 2019 - 208
Canadian Pharmacists Journal - May/June 2019 - 209
Canadian Pharmacists Journal - May/June 2019 - 210
Canadian Pharmacists Journal - May/June 2019 - 211
Canadian Pharmacists Journal - May/June 2019 - 212
Canadian Pharmacists Journal - May/June 2019 - Cover3
Canadian Pharmacists Journal - May/June 2019 - Cover4
Canadian Pharmacists Journal - May/June 2019 - CPH1
Canadian Pharmacists Journal - May/June 2019 - CPH2
Canadian Pharmacists Journal - May/June 2019 - CPH3
Canadian Pharmacists Journal - May/June 2019 - CPH4
Canadian Pharmacists Journal - May/June 2019 - CPH5
Canadian Pharmacists Journal - May/June 2019 - CPH6
Canadian Pharmacists Journal - May/June 2019 - CPH7
Canadian Pharmacists Journal - May/June 2019 - CPH8
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https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2020
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https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_august2020
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https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2019
https://www.nxtbook.com/nxtbooks/sage/fai_201909
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_july2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2019
https://www.nxtbook.com/nxtbooks/sage/canadianpharmacistsjournal_05062019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2019
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https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_julyaugust2018
https://www.nxtbook.com/nxtbooks/sage/fai_201807
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2018
https://www.nxtbook.com/nxtbooks/sage/sri_supplement_201803
https://www.nxtbook.com/nxtbooks/sage/slas_discovery_201712
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_november2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_september2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_julyaugust2017
https://www.nxtbook.com/nxtbooks/sage/fai_supplement_201709
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_may2017
https://www.nxtbook.com/nxtbooks/sage/fai_201706
https://www.nxtbook.com/nxtbooks/sage/fai_201607
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