Alpana Mair
Alpana Mair

Dr Alpana Mair FFRPharmS, MRPharmS, MSc, PhD, IP

Associate Professor

Biography

Research interests

Alpana is an internationally renowned academic and expert policy adviser in the field of medication optimisation and patient safety with a particular focus on polypharmacy and safety and effective use of medicines in the context multimorbidity and health inequalities. She was awarded the title of Associate Professor in August 2021.

She has led EU projects with over 10 countries as the PI and project coordinator, totalling over £4.5M, SIMPATHY and iSIMPATHY. Outputs from these EU projects resulted in adoption of recommendations as DG Sante, European Commission level. and also invitation by WHO to be an expert adviser on medication safety for and commissioned to lead and action group on European Innovation Partnership on Active and Healthy Ageing (EIP AHA) for the European Commission on Polypharmacy and Adherence as part of the European commission's aims to improve the healthy life years of the older person by two years. Alpana’s research in innovation in the management of polypharmacy through the years is complemented by research into change management approaches needed to implemented large scale change, so translating research into policy and practice. Alpana was also awarded funding building on her work as a Scottish Quality and Safety Improvement Fellow for developing healthcare services for Homeless people addressing prescribing and outreach service with partnership working with pharmacists and support workers. Through she developed collaborative working with colleagues at Harvard and at Brigham women's hospital and at Johns Hopkins. she continues to undertake research and publish with the special interest group on falls and deprescribing of the European Society of Geriatric medicine and is undertaking work on patients perspective on adherence with the university of Geneva, and Utrecht.

The iSIMPATHY project for which Alpana was the PI won the Causeway award in the Health and Well-being category, by the Royal College of Surgeons, Edinburgh. In recognition of her experience, she is an Honorary Senior clinical fellow at University of Edinburgh and affiliate at the Usher Institute, and hold honorary positions at Strathclyde, Robert Gordon University and positions with Denmark are in the process of being established.

Alpana is working with new international partners across 4 EU countries and developed research applications involving colleagues in ENU for EU digital and technology funding. She has also submitted applications with colleagues in the school and also from School of applied science on environmental impact of pharmaceuticals on health and CSO application for cardiovascular research. Alpana is working with the Substance Use Research network and also Older peoples network within ENU to build up research applications. As part of her strategic leadership role, Alpana has established a multidisciplinary special interest group across the SHSC to explore the translation of research into policy and practice.

Alpana is also working with Colleagues across the EU to explore how pharmacogenomics can play a role in medication safety and improve outcomes with medicines.

External Roles, Research and Strategic Leadership

Alpana has continued to expand her Global and international collaborative work as part of the scientific committee and executive board of International Foundation of Integrated Care and also ESPACOMP and is on the international editorial board of Journal of Patient Safety and Risk, as well as a reviewer of Journal of Integrated care and Frontiers in Pharmacy. Alpana leads work for WHO on Polypharmacy and an expert adviser for WHO on patient and medication safety and worked to develop the Third Global Patient Safety Challenge, Medication without Harm. She was asked to contribute to leading a subgroup on Systems and Practice of Medication Safety. For International Foundation of Integrated Care (IFIC), she coordinates the Special Interest Group on Appropriate polypharmacy & Adherence and is EU coordinator for work on Active and Healthy Aging on polypharmacy and adherence to treatment.

Alpana has been external supervisor for PhD and Masters at Edinburgh and UCL respectively and also been asked to be an external examiner for PhD. Through her international key notes, she had been asked to teach Masters and undergraduate Students for European universities for multiprofessional teams, including Eastern European countries

Alpana has reviewed grants both international and in the UK and has also provided mentorship and support for staff developing their teaching skills and students developing professional practice in the areas of prescribing.

Professional Practice & and Research impact on Policy Development

Through her international work on SIMPATHY, iSIMPATHY , WHO and EIP AHA, Alpana established wider links across global partners including South America, America, Australia and South east Asia. She was asked to lead EU discussions to develop strategies to address improving healthy life years of the older person and also to represent DG Sante, European Commission at a WHO meeting in Japan. WHO asked her to lead a technical report as lead author on addressing polypharmacy Globally, Medication Safety in Polypharmacy and she was asked to lead on sections of the WHO Patient Safety Action Plan 2030. Alpana continues to serve as an expert adviser for WHO and has undertaken mission work to regions in the WHO working with their ministries of Health.

Alpana has been working with European and International Professional bodies to develop policy on addressing Medication Safety and the role of the wider MDT in doing this work. This includes the European Directorate for the Quality of Medicines and HealthCare, who have called for the work of iSIMPATHY and SIMPATHY to be translated across the EU. Alpana’s work on SIMPATHY and iSIMPATHY has been translated into policy across Scotland and she is working with colleagues across the UK to translate this into mainstream practice.

Alpana has a substantive role at Scottish Government where she is responsible for coordinating delivery of Governments work programme, advising Ministers on Quality, Prescribing, safety and effective use of medicines, and leading international work on medication safety with Malawi and Zambia. She is responsible for development of National Polypharmacy guidance, and quality prescribing guidelines, patient app and shared decision-making tools.

Career History
Alpana has had a portfolio career working across multiple sectors in pharmacy including academia at Sunderland, Nottingham and Aberdeen Universities. She holds a masters in Clinical pharmacy practice from Kings College London and Advanced Leadership Masters from Harvard and ENU. She has a PhD from University of Dundee Medical School and Diplomas in advanced practice in Diabetes, Substance misuse and respiratory. She qualified as an independent prescriber over 15 years ago and continues to work as a prescriber in the Homeless Practice, supporting safety and effective use of medicines for a vulnerable population. Alpana was previously the Deputy Chief Pharmaceutical Officer for Scotland.

Themes

Esteem

Advisory panels and expert committees or witness

  • Expert Adviser MEDSAFE Research project, University of Copenhagen, DENMARK
  • Member of Scottish Science Group Working Group on Role of Science in Policy Making
  • Expert Adviser BEAMER EU £11.6 M Funded Project on Adherence
  • Expert Adviser for WHO Patient Safety Action Plan
  • Expert Member Royal Pharmaceutical Society of Great Britain Polypharmacy position paper
  • Executive Board member, ESPACOMP, European Society of Persistence Adherence & Compliance
  • Expert Adviser WHO Patient Safety Flagship
  • Expert member Prescribing Competencies : Royal Pharmaceutical Society Great Britain
  • Expert Adviser to develop WHO Global Patient Safety Challenge: Medication Without Harm
  • European Lead for European Commission DG Sante EU Innovation Partnership Polypharmacy and Adherence Lead
  • Board Member Royal Pharmaceutical Society of Great Britain

 

Conference Organising Activity

  • Member of WHO Scientific committee & session Chair International Conference in Patient Safety
  • Scientific Committee member International Foundation of Integrated Care,
  • Scientific committee Lead, ESPACOMP
  • Chair, Polypharmacy & Adherence SIG, International Foundation on Integrated Care

 

Editorial Activity

  • Editorial Board, Journal of Patient Safety and Risk Management

 

Fellowships and Awards

  • Honorary Senior Clinical Fellow, University of Edinburgh
  • Affiliate Usher Institute
  • Scottish Patient Safety and Quality Fellow
  • Faculty Fellow Royal Pharmaceutical Society of Great Britain

 

Grant Reviewer

  • Review of Medication without harm Challenge grant
  • Grant Reviewer-Pharmacy Research UK funding

 

Invited Speaker

  • Key Note: WHO challenge and Polypharmacy : European HealthCare Alliance
  • Key Note: Polypharmacy and Adherence: BEAMER
  • Improving Quality Prescribing: NES Education Conference
  • Key Note: SIMPATHY and iSIMPATHY,Intereg France :Spain_Optimage
  • Implementing the WHO Third Global Patient Challenge: Flagship Reports, WHO Patient Safety Collaborative
  • Addressing Polypharmacy and Medication Safety , Oman Ministry of Health
  • Medication Safety in Low income countries: CMO Global Health Conference
  • Implementing The WHO challenge in Scotland: Policy to Practice, WHO & Imperial College London
  • Person Centred Approach to Address Medication Use : EU DigiHealth Conference, Paris
  • Key Note: Delivering from Policy to practice: iSIMPATHY project, PresQuiPP
  • Findings from SIMPATHY and moving to iSIMPATHY, OPTIMAGE, France
  • Addressing Medication Safety in Adversity & the COVID 19 pandemic, WHO & Imperial College Global Collaborative
  • Implementing Polypharmacy and Adherence programmes : IFIC, Oxford, Dublin
  • Key Note:Polypharmacy and age related Disease: Croatian Government
  • Patient Safety : Improving polypharmacy across Europe: International Federation of Pharmacists, Hague
  • Digital solutions to address person centred medicines use: Ageing Fit, Nice
  • Addressing Polypharmacy by targeting High Risk medicines : International Society of Pharmacovigilance, Brazil
  • Vaccination Safety: International Federation of Pharmacists, Hague
  • Key Note: Pharmacotherapy management systems in Scotland: University of Seville
  • Health and ageing in the XXI century: University Egas Moniz, Portugal
  • WHO Flagship reports to Address Medication without Harm, WHO, Geneva
  • Pharmacovigilance, prescribing in the Elderly and Polypharmacy , WHO Asia Pacific, India
  • Key Note: Adherence and Ageing: Royal College of Physicians Edinburgh
  • WHO Global Medication Safety Challenge; WHO Uppsala and WHO Asia Pacific, Mysore, India
  • Polypharmacy and Pharmacovigilance: WHO Uppsala Monitoring Centre
  • Key Note: Scottish Polypharmacy guidance and SIMPATHY, Association of UK Pharmacy Hospitals Edinburgh
  • Drug Development and Appropriate Polypharmacy; Association of Pharmaceutical Sciences ,International Federation of Pharmacists, Glasgow
  • Findings from SIMPATHY: European Geriatric Medicines Society, Berlin
  • Scottish Polypharmacy Guidance : UK Medicines Information
  • Management of Polypharmacy at Scale, Doha, Ministry of Health/ School of Pharmacy Qatar
  • Outcomes of the A1 Action Group: Conference of Partners, European Commission, Brussels ,
  • Integrated Care and Polypharmacy Management, School of Public Health ,University of Lisbon
  • Patient Safety and Appropriate Polypharmacy; International Federation of Pharmacists, Hague
  • Key note speaker: Findings from SIMPATHY: ESPACOMP conference, Dublin
  • Not another pill : Institute of Healthcare Improvement, Boston, USA
  • Aging Pharmacists Role: International Federation of Pharmacists, Seoul, South Korea
  • Implementing SIMPATHY findings in Portugal, Ministerial meeting, University of Lisbon
  • Key note: Policy, Polypharmacy and Adherence, ESPACOMP, Budapest
  • WHO Ministerial Launch of Global Patient Safety Challenge: Medication, Bonn without Harm
  • SIMPATHY implementation ; European Clinical Pharmacists Society, Heidelberg
  • Sustainable Implementation Of Polypharmacy Reviews : IFIC, Dublin
  • Polypharmacy as a Flagship project: WHO Eastern Mediterranean Ministerial Launch, Oman
  • SIMPATHY project, CHAFEA, Odense, Denmark
  • Polypharmacy and pharmacists role: International Federation Pharmacist, Seoul, South Korea
  • A1 Action Group achievements: SIMPATHY, European Commission Conference of Partners, Brussels
  • Polypharmacy as a Patient Safety issue:, WHO Patient Safety Conference, Florence, Italy
  • SIMPATHY : European Geriatrics Medicines Group, Lisbon
  • Inappropriate polypharmacy, Adherence & SIMPATHY, ESPACOM, Lisbon
  • Undertaking Polypharmacy and SIMPATHY, European Clinical Pharmacists Society, Oslo
  • SIMPATHY: International Foundation of Integrated Care, Barcelona
  • Change Management & Polypharmacy, Health Economics and Policy, Athens, 2016
  • Scottish Model of implementing Polypharmacy: International Society of Social Pharmacy ,Aberdeen, 2016
  • Pharmacist role in Pharmacovigilance, MHRA
  • Pharmacists Role and polypharmacy, European Commission, Brussels
  • Inappropriate Polypharmacy and Adherence, WHO, Japan.
  • Raising the professional bar and Polypharmacy, RPSGB Annual conference,, Birmingham, 2014
  • Management of Polypharmacy, UKMI, Birmingham
  • Prescription for Excellence , Scottish Prescribing Advisers Association Stirling, 2014
  • Prescription for Excellence, European Commission , Brussels
  • Dangers of Polypharmacy ,University of Naples

 

Membership of Professional Body

  • Royal Pharmaceutical Society of Great Britain

 

Public/Community Engagement

  • iSIMPATHY ministerial Launch
  • SIMPATHY Ministerial Launch

 

Reviewing

  • Editorial Team & Reviewer International Journal of Integrated Care
  • Editorial Board & Reviewer Journal of Patient Safety and Risk Management
  • Reviewer :Journal of Patient Safety

 

Visiting Positions

  • Senior Lecturer , School of Pharmacy, Robert Gordon University, Aberdeen
  • Pharmacy, University of Strathclyde

 

Date


40 results

The use of PESTEL as a change management tool to inform change management of polypharmacy and adherence within SIMPATHY program

Journal Article
Geitona, M., Vontetsianos, T., Mair, A., Mc Kenzie, D., Michael, N., Kousoulakou, H., …Balasopoulou, A. (2016)
The use of PESTEL as a change management tool to inform change management of polypharmacy and adherence within SIMPATHY program. International journal of integrated care, 16(6), A52. https://doi.org/10.5334/ijic.2995
Introduction: Polypharmacy and medication adherence in the older populationwith multiple chronic conditionsare significant public health issues across all the European Union (...

Guidance to manage inappropriate polypharmacy in older people: systematic review and future developments

Journal Article
Lewek, P., MacLure, K., McIntosh, J., Alonso, A., Kardas, P., Wilson, M., …Stewart, D. (2016)
Guidance to manage inappropriate polypharmacy in older people: systematic review and future developments. Expert Opinion on Drug Safety, 16(2), 203-213. https://doi.org/10.1080/14740338.2017.1265503
Introduction: Single disease state led evidence-based guidelines do not provide sufficient coverage of issues of multimorbidities, with the cumulative impact of recommendation...

Polypharmacy management: an under recognized public health issue

Journal Article
McIntosh, J., Alonso, A., Codina, C., & Mair, A. (2016)
Polypharmacy management: an under recognized public health issue. European Journal of Public Health, 26(suppl_1), https://doi.org/10.1093/eurpub/ckw174.050
Background Multiple chronic diseases in individuals increase the risk of inappropriate polypharmacy, an under recognised public health issue. SIMPATHY (Stimulating Innovation ...

Scaling up strategies of the chronic respiratory disease programme of the European Innovation Partnership on Active and Healthy Ageing (Action Plan B3: Area 5)

Journal Article
Bousquet, J., Farrell, J., Crooks, G., Hellings, P., Bel, E. H., Bewick, M., …Mercier, J. (2016)
Scaling up strategies of the chronic respiratory disease programme of the European Innovation Partnership on Active and Healthy Ageing (Action Plan B3: Area 5). Clinical and Translational Allergy, 6, https://doi.org/10.1186/s13601-016-0116-9
Action Plan B3 of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) focuses on the integrated care of chronic diseases. Area 5 (Care Pathways) was ...

Prescribing to fit the needs of older people – the NHS Scotland Polypharmacy Guidance, 2nd edition

Journal Article
Wilson, M., Mair, A., Dreischulte, T., & Witham, M. (2015)
Prescribing to fit the needs of older people – the NHS Scotland Polypharmacy Guidance, 2nd edition. Journal of the Royal College of Physicians of Edinburgh, 45(2), 108-113. https://doi.org/10.4997/jrcpe.2015.204

Polypharmacy: Manage Medicines App

Digital Artefact
Mair, A. (2015)
Polypharmacy: Manage Medicines App. [App]

Integrated care pathways for airway diseases (AIRWAYS-ICPs)

Journal Article
Bousquet, J., Addis, A., Adcock, I., Agache, I., Agusti, A., Alonso, A., …Zuberbier, T. (2014)
Integrated care pathways for airway diseases (AIRWAYS-ICPs). European Respiratory Journal, 44(2), 304-323. https://doi.org/10.1183/09031936.00014614

Prescription For Excellence

Report
Scottish Government. (2013)
Prescription For Excellence. Edinburgh: Scottish Government
Policy document setting out the vision for pharmacy. A vision and action plan for the future of NHS pharmaceutical care in Scotland through integrated partnerships and innovat...

Prescribing and Safety Monitoring in Elderly Care

Book Chapter
Mair, A., Mair, A., Hilmer, S., & Kouladjian O’Donnell, L. (in press)
Prescribing and Safety Monitoring in Elderly Care. In Pharmacovigilance and Drug Safety in Clinical Practice. Springer

Cochrane EPOC Protocol Providing medication adherence feedback to healthcare providers. The effect on care and outcomes. Protocol for a Cochrane review update Authors

Working Paper
Hassett, R., Sabatier, B., Savoldelli, V., Mair, A., Hanley, J., Dima, A., & Paterson, R. (2022)
Cochrane EPOC Protocol Providing medication adherence feedback to healthcare providers. The effect on care and outcomes. Protocol for a Cochrane review update Authors
This is a protocol for a Cochrane Review (update). Background Key barriers to effectively supporting adherence include poor awareness amongst healthcare professionals (HCPs),...

Pre-Napier Funded Projects

  • iSIMPATHY
  • Pharmacist Street Outreach for Homeless people
  • Lead for EU funded Joint Action on Frailty subgroup: polypharmacy
  • Chief Investigator/ Project coordinator CHAFEA: SIMPATHY Public Health Funded project

Current Post Grad projects

Non-Napier PhD or MSc by Research supervisions

  • Polypharmacy
  • Impact of a National Formulary