Professor Ian Maidment is a professor in clinical pharmacy at Aston Pharmacy School
His inaugural lecture will explain why patients struggle with taking medication and present possible solutions to the problem
Professor Maidment is a former practising pharmacist and an expert in medication optimisation and management in mental health and dementia.
Professor Ian Maidment, professor in clinical pharmacy at Aston Pharmacy School, will give a public lecture about his life’s work on 5 February 2025.
In his inaugural lecture, Professor Maidment will reflect on his journey from a childhood in Kent to becoming a leading researcher in clinical pharmacy. After more than two decades working in the NHS, in community pharmacy, mental health, dementia care, and leadership roles, he joined Aston University in 2012. His research focuses on the real-world challenges of medication optimisation for patients, carers, and healthcare professionals.
The title of Professor Maidment’s lecture is ‘Medication adherence: Why it matters and how we can improve it’. Every year, the UK spends nearly £21 billion on medicines. Yet up to half of people with long-term conditions do not take their medication as prescribed—a problem known as non-adherence. This has profound clinical consequences and significant financial implications for the NHS.
Professor Maidment will draw on his experience to explore how factors such as medication burden and side-effects influence adherence, the challenges posed by conditions such as dementia and severe mental illness, the role of pharmacy in supporting adherence and why tackling non-adherence requires a system-wide approach. He will also offer practical solutions to one of healthcare’s most persistent problems.
Professor Maidment said:
“We need to understand why patients struggle to take their medication and then develop and test solutions that work well.”
The lecture on Thursday 5 February 2026 will take place at Aston Business School. In-person tickets are available from Eventbrite. The public lecture will begin at 18:00 GMT with refreshments served from 17:30 GMT. It is free of charge and will be followed by a drinks reception. The lecture will also be streamed online.
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2 min
The e-learning resource, Supporting people living with long COVID, was developed by the Centre for Pharmacy Postgraduate Education (CPPE) It is designed to help community pharmacy teams build their skills, knowledge and confidence The programme offers video and audio resources, practical consultation examples and strategies for supporting individuals. Professor Ian Maidment at Aston Pharmacy School has been involved in a project with the Centre for Pharmacy Postgraduate Education (CPPE) to develop a new e-learning programme for community pharmacists, called Supporting people living with long COVID. The programme is designed to help community pharmacy teams build their skills, knowledge and confidence to support people managing the long-term effects of COVID-19. It was developed with researchers undertaking the National Institute for Health and Care Research (NIHR)-funded PHARM-LC research study: What role can community PHARMacy play in the support of people with long COVID?
During the development of the e-learning resource, as well as with Professor Maidment, CPPE worked in collaboration with researchers from Keele University, the University of Kent, Midlands Partnership University NHS Foundation Trust and lechyd Cyhoeddus Cymru (Public Health Wales). The research draws on lived experience of long COVID, as well as the views of community pharmacy teams on what learning they need to better support people living with the condition.
This new programme offers video and audio resources, practical consultation examples and strategies for supporting individuals through lifestyle advice, person-centred care and access to wider services.
Professor Maidment said:
“As an ex-community pharmacist, community pharmacy can have a key role in helping people living with long COVID. The approach is in line with the NHS 10 Year Health Plan, which aims to develop the role of community pharmacy in supporting people with long-term conditions.”
Professor Carolyn Chew-Graham, professor of general practice research at Keele University, said:
“Two million people in the UK are living with long COVID, a condition people are still developing, which may not be readily recognised, because routine testing for acute infection has largely stopped. For many, the pharmacy is the first place they seek advice about persisting symptoms following viral infection. The pharmacy team, therefore, has the potential to play a really important role in supporting people with long COVID. This learning programme provides evidence-based information to develop the confidence of pharmacy staff in talking to people with long COVID. Developed with people living with long COVID, the programme’s key message is to believe and empathise with people about their symptoms.”
Visit www.cppe.ac.uk/programmes/l/covid-e-01 to access the e-learning programme.
This project is funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number NIHR205384).
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4 min
The HOPE-AO project led by the University of Plymouth will look at the potential harms of overprescribed pain medication in older people in the UK Aston University’s Professor Ian Maidment will bring his expertise in pharmacy and work with patient groups on medicine optimisation The project has been funded by the National Institute for Health and Care Research (NIHR) A new study led by the University of Plymouth will explore chronic pain prescribing in older adults across the UK, with the aim of understanding whether current treatments and processes meet their needs.
The HOPE-AO: Helping to Optimise Pain control in the Elderly experiencing Analgesic Overprescribing project is being supported by the National Institute for Health and Care Research (NIHR) and includes Aston University’s Professor Ian Maidment. It will investigate whether certain groups of the older population are more likely to have analgesic (pain relief) medication overprescribed to them, and any side effects or other harms these medications can pose if taken for long periods.
It aims to identify alternative treatment solutions to reduce the use of unnecessary pain medicines, working with patients to develop a list of acceptable strategies that could be tested and implemented across the UK.
Around 4m older people across the UK live with varying degrees of chronic pain as a result of conditions including arthritis, diabetes or frailty. While some people benefit from pain relief medicines, many end up receiving long-term repeated prescriptions – for medications ranging from paracetamol and ibuprofen to opioids and antidepressants – for weeks, months or years at a time.
The project is being led by researchers from the University of Plymouth, working with colleagues at the University of Exeter, Aston University, University of Aberdeen and the North East London Foundation NHS Trust. It is funded by through a Programme Development Grant from the National Institute for Health and Care Research (NIHR).
The project team comprises experts in the care of older people – including healthcare researchers, nurses, consultants, GPs, pharmacists and psychiatrists working across the UK – as well as medical statisticians and health economists. It also involves an advisory group of patients with lived experience of receiving repeat prescriptions for pain medication.
During the project, the team will speak to patients aged 65 and over with a history of chronic pain for which they are taking, or have taken, medication and families who cared for and supported relatives with chronic pain. They will also speak to healthcare professionals who are either prescribing or supporting older adults taking medication for chronic pain management.
Alongside this work, the team will analyse anonymised healthcare data to understand more about older adults who are prescribed medication for chronic pain. This includes patterns in prescribing, health and demographic factors associated with pain medication use, and potential health outcomes, and will help identify those likely to benefit most from support.
Professor Maidment, from Aston Pharmacy School, will bring his expertise in pharmacy, medication use in day-to-day clinical practice and working with diverse groups of patients to support medication optimisation.
He said:
“From my experience in community pharmacy, the use of pain medicines is very common in older people. We need to work with older people to understand how we can help older people to use other potentially safer approaches.”
Patricia Schofield, professor of clinical nursing at the University of Plymouth and one of the study’s chief investigators, said:
“Very often, older people are told by a doctor that the most effective means of treating a health condition is through some form of pain relief. But they often don’t get any form of follow-up appointment and, as a generation, are less likely to seek one as they either feel pain is part of the ageing process or they don’t wish to be seen as a burden. The result is that they end up getting repeat prescriptions, potentially for pain medications they no longer need and also at significant cost to the NHS.
“This study will give us a clearer understanding of the scale of the issue which we can use to develop ways of benefitting patients and their families, and the healthcare professionals working to treat and support them.”
Victoria Abbott-Fleming MBE, founder of the charity Burning Nights CRPS Support, is the chair of the Patient and Public Involvement and Engagement group for the HOPE-AO study. It will be made up of several adults over the age of 65 who live with chronic pain and have received repeat prescriptions for pain medication. Victoria has herself lived for more than 20 years with a chronic pain condition, Complex Regional Pain Syndrome (CRPS), and set up Burning Nights to support those affected by it on a day-to-day basis and their families. She is also chair of the Expert Patient and Carer Committee at the British Pain Society.
She said:
“I’m excited to support this study that places the voices of older adults and their carers at the heart of pain management. All too often, those living with chronic pain – especially older adults – are prescribed medication without regular review or consideration of alternative approaches. This study is a vital step towards more informed and balanced care, helping ensure that older people living with chronic pain are not just treated, but truly heard and supported.”
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Biography
Professor Maidment is an experienced clinical and academic pharmacist and his work is focused on medication use in the real world. His expertise includes community pharmacy, mental health and dementia / healthcare of older people. He is an experienced NIHR researcher; he has led seven NIHR/UKRI research projects and is a NIHR Senior Investigator.
Areas of Expertise
Medication Optimisation
Mental Health
Community Pharmacy
Realist Research Methods
Dementia
Healthcare of Older People
Qualitative Research
Primary Care
Education
Aston University
PhD
Pharmacy
2013
Medication-related adverse events in older people with dementia; causes and possible solutions
Essential Pharma drops plans to withdraw bipolar drug amid competition investigation
The Times online
2020-10-06
A drug company accused of trying to rip off taxpayers has halted plans to withdraw a bipolar drug after the competition watchdog opened an investigation into whether it had broken the law.
Aston Univeristy to research role of community pharmacy during pandemics
Pharmacy Business online
2020-07-31
“With over 11,700 high street locations, community pharmacies can ensure people from different socio-economic groups and black, Asian and minority ethnic (BAME) groups have equal access to vaccination and advice,” academic pharmacist at Aston University Dr Ian Maidment said, adding: “This project will enable us to understand how, why, for whom and when community pharmacy can effectively support the public health response to pandemics such as Covid-19 and other future health emergencies.”
Research tackles hidden 'tablet overload' as COVID isolation fears grow
Medical Xpress online
2020-06-04
The team behind the MEMORABLE (MEdication Management in Older people: Realist Approaches Based on Literature and Evaluation) study, funded by the National Institute for Health Research (NIHR) and led by Dr. Ian Maidment, say a new approach rooted in real-world experience is needed to tackle the "unrivalled complexity" many older people and family carers face.
Patients told not to stop anticholinergic drugs after study links them to dementia
The Pharmaceutical Journal online
2018-05-03
However, Ian Maidment, senior lecturer in clinical pharmacy at Aston University and lead pharmacist on the study, has advised that patients should not panic or stop taking their medication.
'Don't panic' over medicines' link to dementia, says expert
BBC online
2018-04-26
However, Dr Ian Maidment of Aston University, who is one of the investigators, has told people "not to panic" and to consult their doctors as the risks of not taking certain drugs can be outweighed by the benefits of staying on them.
People with dementia need more support managing their medication
Medical Xpress online
2017-01-23
Lead researcher Dr Ian Maidment, Senior Lecturer in Clinical Pharmacy at Aston said: "Our study found incorrect dosing, forgetting to give the medication and taking medicines which should have been stopped."
PERISCOPE: A rapid realist review of community pharmacy support for the public health agenda during the COVID-19 pandemic and future health emergencies
Improving the Management of Behaviour that Challenges associated with dementia in Care Homes: protocol for pharmacy-health psychology intervention feasibility study (MEDREV)
Pharmacy Research UK
Pharmacy Research UK
2014
A qualitative scoping study exploring the role of the community pharmacist in medication management in people with dementia dwelling in the community.
Articles
Neuropathological Correlates of Cumulative Benzodiazepine and Anticholinergic Drug Use
Journal of Alzheimer's Disease
2020
Benzodiazepines and anticholinergic drugs have been implicated in causing cognitive decline and potentially increasing dementia risk. However, evidence for an association with neuropathology is limited.
MEDREV (pharmacy-health psychology intervention in people living with dementia with behaviour that challenges): the feasibility of measuring clinical outcomes and costs of the intervention
BMC Health Services Research
2020
People living with dementia in care homes frequently exhibit “behaviour that challenges”. Anti-psychotics are used to treat such behaviour, but are associated with significant morbidity. This study researched the feasibility of conducting a trial of a full clinical medication review for care home residents with behaviour that challenges, combined with staff training. This paper focusses on the feasibility of measuring clinical outcomes and intervention costs.
How, why, for whom and in what context, do sexual health clinics provide an environment for safe and supported disclosure of sexual violence: protocol for a realist review
BMJ Open
2020
Supporting people subjected to sexual violence includes provision of sexual and reproductive healthcare. There is a need to ensure an environment for safe and supported disclosure of sexual violence in these clinical settings. The purpose of this research is to gain a deeper understanding of how, why, for whom and in what circumstances safe and supported disclosure occurs in sexual health services.
Does the Formulation of Oral Solid Dosage Forms Affect Acceptance and Adherence in Older Patients? A Mixed Methods Systematic Review
Journal of the American Medical Directors Association
2020
Age-related changes mean that the older population can encounter barriers toward taking medication orally. Further work is needed to identify the characteristics of oral solid dosage forms that will improve patient acceptance and adherence. The aim of this systematic review was to identify if and how formulation aspects of oral solid dosage forms affect acceptance and adherence in older people.
Anticholinergic drugs and incident dementia, mild cognitive impairment and cognitive decline: a meta-analysis
Age and Ageing
2020
Dementia affects more than 40 million people with direct healthcare costs of $818 billion in 2015 [1]. Dementia is characterised by irreversible and progressive cognitive impairment, with consequent disability and dependence. ‘Cognitive impairment’ itself refers to problems with cognitive abilities such as memory, problem solving, learning, perception and language.