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David Rogalski has been working full time in mental health as a clinical pharmacist since 2009. Initially on inpatient/community wards and developing guidance on prescribing. He has worked in a variety of senior NHS roles reviewing medication treatments using evidence based approaches and being involved in local commissioning and formulary processes. He began his lead role in the practice based mental health team, an advice and assessment team working alongside GPs, in 2015. The team has a psychodynamic ethos which cultivated his own interest, development, and application. The dynamics in prescribing became apparent, where the patients experience and relationship to care is paramount to the patient's response to the medication and care they receive. This shaped his clinical practice, prescribing, and provided richness to the recommendations on prescribing to GPs. It added more meaning to the work and fulfilment in the role. He has taken his experience to deliver training, create thinking space, and develop other clinicians' approach to prescribing to shift the prescribing paradigm.
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