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A pharmacist clinician model as part of a collaborative clinical workforce: a philosophical critique.

Rushworth, Gordon F.; Forsyth, Paul; Radley, Andrew; Duggan, Catherine; Sampson, Rod; Cunningham, Scott; Maguire, Barry


Gordon F. Rushworth

Paul Forsyth

Andrew Radley

Catherine Duggan

Rod Sampson

Barry Maguire


The term "clinician" is not reserved for any healthcare professional group. However, there is a general acceptance that a clinician would have the knowledge, skills and behaviours to enable them to clinically assess and manage a patient autonomously. The expectation, in a modern collaborative healthcare system, is that this work would be completed as a part of a planned and integrated multi-disciplinary care delivery structure, where any given clinician delivers a devolved element of that patient's care. Forthcoming changes to regulation and professional development pathways in the UK will have a profound impact on pharmacist professional identity and practice. From 2026, all new UK pharmacist registrants will have full independent prescribing rights. A paradigm shift is expected to enable the development of a Pharmacist Clinician Model, incorporating pharmaceutical care needs with wider clinical assessment, diagnostic, and clinical management responsibilities. Consideration is given to this model and its implications. Changes to regulation, policy, education, and the governance required to deliver safe and effective pharmacist clinicians are outlined. A philosophical critique on the nature of being a clinician, and the differentiation of pharmacist clinician roles compared to other healthcare professions, is given. A further examination of the projected risks and expected benefits of this transformative practice model are then explored.


RUSHWORTH, G.F., FORSYTH, P., RADLEY, A., DUGGAN, C., SAMPSON, R., CUNNINGHAM, S. and MAGUIRE, B. [2024]. A pharmacist clinician model as part of a collaborative clinical workforce: a philosophical critique. Research in social and administrative pharmacy [online], Articles in Press. Available from:

Journal Article Type Article
Acceptance Date Jun 10, 2024
Online Publication Date Jun 15, 2024
Deposit Date Jun 18, 2024
Publicly Available Date Jun 18, 2024
Journal Research in social and administrative pharmacy
Print ISSN 1551-7411
Electronic ISSN 1934-8150
Publisher Elsevier
Peer Reviewed Peer Reviewed
Keywords Clinical pharmacy; Pharmacy; Pharmacist education; Competency
Public URL


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