Pharmacists warn drug shortage affecting cancer patients
Pharmacists have warned that "one of the worst" examples of medicine shortages is affecting cancer patients.Creon, a pancreatic enzyme replacement therapy (Pert), helps digestion and is required by patients with pancreatic cancer, cystic fibrosis, and chronic pancreatitis. It is thought more than 61,000 patients in the UK need the medicine.Some patients are said to be "skipping meals" to ration their medication due to a shortage of it, according to the National Pharmacy Association (NPA).A Department of Health and Social Care spokesperson said there were "European-wide supply issues" and it was "working closely with industry and the NHS" to mitigate the impact on patients.
Without the drug, patients lose weight and strength, which means their ability to cope with treatment such as chemotherapy is reduced.Some experts have predicted shortages continuing until next year.The Department of Health and Social Care has extended a serious shortage protocol for Creon which has already been in place for a year. This indicates concern about shortages of a medicine and allows pharmacists to give patients an alternative - though they argue other drugs are also in short supply.A spokesperson for the department said the "European-wide supply issues" were caused by manufacturing supply constraints.
'Extra layer of stress'
The National Pharmacy Association said more than three quarters of members covered in a recent survey felt the current arrangements for managing the shortages were inadequate. Some reported that patients were skipping meals and travelling long distances to get hold of the medication, according to the NPA.One said it was the "worst stock shortage" they had ever had to deal with.BBC News highlighted the issue in February after a woman got in touch saying it was impossible for her husband, who has pancreatic cancer, to digest his food without Creon. That month, leading pancreatic clinicians and charities wrote to the prime minister, saying the absence of Pert can have a "devastating impact on people's lives".They called for a national strategy to tackle the shortage.Alice from Birmingham was diagnosed with pancreatic cancer in 2023 and initially got 15 boxes of Creon capsules every month to help her tolerate chemotherapy. She can now get only six or seven and is having to skip snacks. The 64-year-old said the shortage had profoundly affected her mental health. She told the BBC: "Each day I'm trying to balance: what shall I eat, shall I have a more substantial meal, shall I take my supplements and that creates an extra layer of stress and worry whilst I'm trying to put my life together again after having this diagnosis."
'Taking desperate measures'
Alfie Bailey-Bearfield of Pancreatic Cancer UK said the charity had been raising concerns with the government and suppliers for more than a year and it was vital that officials intervened to try to boost supply."Thousands of people affected by pancreatic cancer rely on taking Pert tablets every time they eat simply to digest their food and absorb nutrients – something most of us take for granted," he said."It's totally unacceptable that they are still taking desperate measures which puts their health, wellbeing and their eligibility for treatment at risk," he added.Dr Leyla Hannbeck, chief executive of the Independent Pharmacies Association said it was very difficult for her members to obtain supplies from the wholesaler."The shortages with Creon has been ongoing for so long and it seems no effective attempts are being made by officials to make the process easier for pharmacies and patients and to put robust plans in place to prioritise the availability of this product," she said."Instead they continue prolonging the current processes."A Department of Health and Social Care spokesperson said it knew "how frustrating and distressing" medicine supply issues can be for patients and clinicians caring for them.They added: "The European-wide supply issues with Creon are caused by a limited availability of raw ingredients and manufacturing capacity constraints."We are working closely with industry and the NHS to mitigate the impact on patients and resolve the issues as quickly as possible."
Hashtags
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
The Independent
15 minutes ago
- The Independent
The real reason fewer men may be choosing to become vets
If you take your dog, cat or fish to see a vet in the UK, the person who treats them is likely to be a woman. According to the Royal College of Veterinary Surgeons, 61 per cent of current UK vets are female. University admissions are even more skewed. Among vets who had recently qualified, nearly 80 per cent were female. This wasn't always the case. In the 1930s, when James Herriot – author of books including All Creatures Great and Small and for many the iconic British vet – was practising, almost all vets were male. The women's liberation movement of the 60s and 70s saw an influx of female vet students. You might expect a levelling of the playing field to lead to a profession now equally split between genders, but that isn't so. I teach veterinary clinical communication skills to veterinary students. My research relates to developing communication strategies that are effective across a wide range of cultures and social groups. However, vets are not very culturally diverse: as well as the majority being female, nearly all are heterosexual and white. This can limit their experience and understanding of different perspectives. As part of a wider piece of research into student experience of communication, I have reviewed the history of veterinary demographics, with some surprising results. Historically, vets worked mainly on farms with large animals, for which clients perceived physical strength to be crucial. Increasing pet ownership means most vets now work with small animals. This change in focus has altered society's perception of veterinary work from 'practical' to 'caring', and it has been suggested that this has discouraged boys from considering the profession. Veterinary salaries have also stagnated for some time, which may make the job less attractive to men. There is very little research to support any of these theories, but the most relevant and largest study available comes from the US in 2010. When applications to vet schools across the country from the 1960s to early 2000s were reviewed, one factor predicted student choice: the more female students there were, the less likely males were to apply. This is an understudied sociological phenomenon called 'male flight' or 'gender flight'. It seems that, in some professions at least, men lose interest once the number of women rises above 60 per cent. Another study of UK workplaces found the same thing when modelling various reasons for gender disparities. Men not choosing professions such as pharmacy and accountancy due to the increased female presence was the best explanation. These findings are concerning when connected with a UK study from 2018 called Drawing the Future. Thirteen thousand UK school children aged between seven and 11 were asked to draw pictures of their dream job. Researchers found that – perhaps unsurprisingly – dream jobs were strongly gendered, and that this happens from a young age. 'Vet' was third overall, a very popular job choice. But when you split that by gender, it was the second most popular job for girls, but only ninth for boys. This very much matches the gender balance of vet school applicants, so we can hypothesise that attitudes to being a vet are set early in life. Need for diversity Most diversity initiatives aim to reduce barriers for underrepresented groups. The veterinary profession isn't nearly as diverse as it could be – only around 4 per cent of vets come from Black and ethnic minority backgrounds, compared to 18 per cent of people in the UK population overall. Various reasons for this have been suggested, including a lack of representation and financial barriers. But we actually don't know why this is; applications to veterinary medicine by non-white students are lower than for other degrees. But in the case of gender, boys can become vets. They simply don't want to. There's value in diversity in general within the veterinary profession. Vets don't just work in clinics with pets: they also play a key public health role, preventing disease in animal populations and ensuring the health and welfare of farm animals. There are many animal charities that rely on vets to help support the human-animal bond, such as rescuing and rehoming animals, working with pets belonging to homeless people, or caring for the pets of people fleeing domestic violence. This means working with people from all over the UK, from all backgrounds. Many studies of stress in the veterinary profession identify difficulties with communication as a key problem. Indeed, communication is highlighted as a key skill for veterinary students by the Royal College of Veterinary Surgeons and many studies of veterinary education. But there lies a challenge common to homogeneous professions. Learning to communicate effectively with others is more difficult when there is less diversity. This issue of gender flight has broader social implications. When men leave a profession due to increased numbers of women, wages tend to stagnate, which is a serious issue for students who frequently leave their five-year vet degrees with substantial debt. One place to start might be looking at how young children view vets – and what might make it a profession to choose as a result of personal ability and preference, rather than social pressure.
Daily Mail
16 minutes ago
- Daily Mail
Clint Eastwood, 95, says his viral interview is 'phony' as he never spoke to the publication
Legendary actor and director Clint Eastwood wants to set the record straight. The 95-year-old movie icon spoke to Deadline about headlines about himself - specifically an 'interview' with Kurier - a German-language Austrian newspaper. Clint told Deadline the interview with Kurier never happened and that the entire 'interview' they published is 'phony.' 'A couple of items about me have recently shown up in the news. I thought I would set the record straight. I can confirm I turned 95. I can also confirm that I never gave an interview to an Austrian publication called Kurier, or any other writer in recent weeks, and that the interview is entirely phony,' Clint told Deadline. Clint, who turned 95 on May 31, was quoted by Kurier in the faux interview as saying: 'We live in an era of remakes and franchises. I've shot sequels three times, but I haven't been interested in that for a long while. My philosophy is: do something new or stay home.' Clint's career has spanned decades, with his first movie role in Revenge of the Creature in 1955. He starred in iconic projects over the years, including Man with No Name, For A Few Dollars More, The Good, the Bad and the Ugly, Dirty Harry, High Plains Drifter, The Outlaw Josey Wales and Escape From Alcatraz - just to name a few. Clint has also served as a director in a number of projects including Pale Rider, Unforgiven, Mystic River, Million Dollar Baby, Letters from Iwo Jima, Gran Torino and Flags of Our Fathers and more. He also starred in Pale Rider, Unforgiven, Million Dollar Baby, Gran Torino in addition to directing. His most recent project, Juror No. 2 - which he directed - was released in November 2024 and starred Nicholas Hoult. J.K. Simmons and Toni Collete. The last film he appeared in (which he also directed) was Cry Macho in 2021. Clint's son Scott Eastwood spoke out about his father recently. The 39-year-old actor - who is the spitting image of his father - was asked by People how his father was doing nearly a year after Ciint's girlfriend of 10 years, Christina Sandera died at age 61 following a heart attack. Scott said he was 'doing good' and said that 'he's a survivor, a trouper,' explaining that his father doesn't complain; from left to right: Kyle Eastwood, Alison Eastwood, Clint and Scott in December 2018 Scott said he was 'doing good' and said that 'he's a survivor, a trouper,' explaining that his father doesn't complain. 'He was born coming out of the Great Depression, and then he was young during World War II. He saw a lot of struggle.' Last year, Scott told People some advice his dad Clint told him in regards to his acting career.
Daily Mail
16 minutes ago
- Daily Mail
Black schoolgirl, 15, was 'physically violated' by Met Police officers who strip-searched her on suspicion of carrying cannabis while on her period, misconduct hearing is told
A black schoolgirl was 'physically violated' by three Met Police officers who strip-searched her after wrongly suspecting she was carrying cannabis, a misconduct hearing was told. The 15-year-old girl, known as Child Q, had arrived at the school in Hackney, East London, for a mock exam when she was taken to the medical room to be strip-searched while teachers remained outside. The hearing was told the search involved having to undress herself, including her underwear, leading to the 'exposure of her intimate parts'. This is despite the schoolgirl telling officers she was menstruating, the hearing was told. Her bag and blazer were also searched, and after this did not lead to any drugs being found, she then had her hair combed, revealing no signs of cannabis. Breaches of the Met's standards of professional behaviour amount to gross misconduct and can lead to dismissal. Elliot Gold, representing the Independent Office for Police Conduct, which is bringing the case, said the search formed part of a 'no stone unturned' approach, despite it being an incident that, he argued, 'could never have justified such intrusion, namely the possible discovery of a small amount of cannabis'. Trainee Detective Constable Kristina Linge, PC Victoria Wray and PC Rafal Szmydynski all deny gross misconduct over their treatment of the girl. All three officers were PCs at the time of the search, which caused outrage over Child Q's treatment and led to protests outside Stoke Newington Police Station. Today, Mr Gold told the hearing the point where Child Q said she was on her period should have been the 'opportunity' for the 'officers to reconsider the necessity and proportionality of the search' but they instead told her 'we are all women here' and thereby treated Child Q as an adult rather than a child'. The incident happened in December 2020 when the school's safeguarding deputy alerted police, saying that Child Q smelled of cannabis, could potentially be bringing drugs into the school, and she might be at risk of exploitation in the community. The police went to the school after Child Q's teachers raised concerns about her smelling of cannabis that morning, just a few weeks after a similar incident. PCs Linge and Szmydynski carried out a search that exposed the girl's intimate areas, despite the act being described as 'disproportionate in all the circumstances,' according to the allegations. PCs Linge and Wray are also accused of carrying out, or allowing, the search in a manner seen as 'unjustified, inappropriate, disproportionate, humiliating and degrading.' All of this happened without authorisation, without an appropriate adult and no adequate concern being given to Child Q's age, sex, or the need to treat her as a child, it is also alleged. PCs Szmydynski and Linge are also accused of giving a misleading account of the incident afterwards. No formal record of the search was made at the time, neither in the officers' pocket notebooks nor on the standard stop-and-search form, which would typically be required for any street-level stop and search. The IOPC asked the panel to think of 'why the officers overreacted to such an extent and why their actions fell so far below what was required of them'. Mr Gold said that any suggestion by the officers that the safeguarding deputy was acting as the appropriate adult, even though she was not present during the search, should be rejected. He said: 'It was, or should have been, obvious to these officers that the safeguarding deputy could not act as the appropriate adult. 'On the officers' own accounts, the safeguarding deputy was the person who had summoned the police to the school, was Child Q's "accuser", was adamant that the officers would find cannabis on Child Q's person and, so, was not a person who could reasonably be expected to challenge the police in their actions.' Black people were more likely to be stopped and searched than white people, and discrimination is a 'contributing factor' in stop and search, it was suggested. Mr Gold also told the panel 'black schoolchildren are more likely to be treated as older and less vulnerable or in need of protection and support than their white peers'. He said: 'She was treated as being older than she was, more likely to be involved in criminality, and subjected to a more intrusive search, than she would have been had she been a white schoolgirl in the same situation, arriving at school, smelling of cannabis.' Mr Gold said that sacking the officers would be 'justified' if the allegations are proved, adding: 'Their actions and omissions have resulted in Child Q suffering harm to her mental health and feeling physically violated. 'They have caused Child Q and her mother to feel demeaned and disrespected. 'They have brought discredit on the Metropolitan Police and upset race-relations yet further between the police and minority communities.' The panel heard that this 'most intrusive' form of search of a child should only be used where 'necessary and reasonable', must have authorisation from a sergeant, and involve an appropriate adult if it concerns a child. It must be recorded, and two same sex officers are needed if intimate parts will be exposed. When no drugs were found after the strip search, Child Q's hair was also scoured. He told the panel: 'Child Q is black. It is the director general's case that this kind of gross overreaction by the police - to strip search a school pupil on suspicion of something relatively minor, possession of cannabis - would not have happened to a white pupil and is, regrettably, explained by Child Q's race, whether or not the officers were consciously aware of this at the time.'
