Whilst the problem frequently results in non-adherence and medication tampering, healthcare professionals are not regularly enquiring about swallowing ability. Patients who had received an adherence based community pharmacy service were more likely

to have been asked about swallowing ability. Community pharmacists can offer guidance on the importance of adherence, safe medication tampering and suggest alternative formulations. This study was limited by the number of responses due to being a small-scale study and by the convenience sampling of participating pharmacies. Further studies are warranted with a larger number of pharmacies across the UK. 1. Wilkins T, Gillies RA, Thomas AM, Wagner PJ. The prevalence of dysphagia in primary care patients: a HamesNet Research Network study. Journal of the American Board of Family Medicine: JABFM 2007; 20: 144–150. 2. Schiele J, Quinzler R, Klimm HD, Pruszydlo MG, Haefeli WE. Difficulties LDK378 swallowing solid

oral dosage forms in a general practice population: prevalence, causes, and relationship to dosage forms. Eur J Clin Pharmacol 2012; 29: 29. Majid Ali, Kunal Gohil, Zoe Aslanpour University of Hertfordshire, Hatfield, UK Hertfordshire PCT commissioned targeted MURs for falls from community pharmacies but the service received a poor BTK inhibitor uptake by community pharmacists This study explored the drivers and barriers for the service uptake by interviewing community pharmacists The findings highlighted that the service logistics were the main barrier Key recommendations included need to involve main stake holders else in designing the logistics & piloting of similar services before commissioning Falls in elderly population pose a challenge to the UK healthcare system. Community pharmacy has been identified as key public healthcare provider in reducing

frequency and severity of falls in the elderly (1). Hertfordshire PCT has commissioned a hybrid of advanced and enhanced service since March 2012 through community pharmacies. This service is an extension of MURs targeting elderly patients who are at risk of falls. The service comprises of structured intervention in addition to usual MUR. Initial evaluation of this service showed a poor uptake by pharmacists. Considering the potential benefit medically to the public and economically to the NHS (2), this study aimed to explore drivers and barriers to delivering the service through the experiences of pharmacists. Themes related to driver and barriers for delivering pharmaceutical services for chronic disease management identified from literature were used to develop an interview guide. Interview guide was piloted with two teacher practitioners (experienced in providing MURs and chronic disease management services) and appropriate changes were made. The interview guide after changes was then again reviewed by two different teacher practitioners.