Implementing QIPP in care homes Hounslow PCT approach - Delivering positive clinical and cost effective outcomes

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Implementing QIPP in care homes Hounslow PCT approach - Delivering positive clinical and cost effective outcomes"

Transcription

1 Implementing QIPP in care homes Hounslow PCT approach - Delivering positive clinical and cost effective outcomes Unoma Okoli Care Home Pharmacist, Hillingdon PCT

2 Background CHUMS-Care Home Use of Medicines Study report (October 2009) raised significant issues in care homes that additional support could improve care, reduce risks and improve cost effectiveness. Hounslow PCT issues Limited medicines management support solely to care homes. Higher Cost/APU for GP practices with care home patients leading to pressure on their prescribing budgets. Key drivers being Specials, dressings and oral nutritional supplements. How best to support care homes and GP practices manage patients with complex medication needs. How to deliver QIPP in care homes.

3 Business Case Proposal To recruit a Care home pharmacist for one year. ( wte) Care home pharmacist role: medication reviews for patients in care homes in partnership with the patient s GP practice, other healthcare professionals and other stakeholders. support the development and delivery of QIPP initiatives in care homes. Funding- top sliced from the prescribing budget. Key Performance indicators primary & secondary outcomes and measures

4 Medication Review Outcome Background 12 Nursing homes with 520 residents covered by Hounslow GPs. 88% of the residents are under the care of 5 GP practices and reside in 8 nursing homes. 7 nursing homes (334 patients) reviewed. The residents are mixed client groups; whilst the majority of the residents in these care homes are frail and elderly, a proportion are the elderly mentally ill, high dependency & those requiring palliative care.

5 Medication Review Outcome Care homes Patients notes reviewed Total* interventions actioned Annualised prescribing savings Average savings per patient reviewed NH , NH , NH , NH , NH , NH , NH , Total , Note:* Total intervention actioned represents 60 85% of total interventions recommended RIP & respite patients are excluded from data

6 Medication Review Outcome Some practical examples

7 NH 1 NH 2 NH 3 NH 4 NH 5 NH 6 NH 7 Medication Review Outcome Intervention levels by care homes * RIO scoring method developed by Croydon PCT was used to measure the effect of the interventions on potential unplanned hospital admission Level 3 Level 2 Level 1 Scoring system* Level 1- Intervention unlikely to have avoided a future hospital admission. Level 2- Intervention may have avoided a future hospital admission. Level 3- Intervention has probably avoided a future hospital admission. It assumes that 1 in 10 of level 2 interventions would have resulted in hospital admission, hence 10% of the number of level 2 s are counted as level 3 s Of the 334 medication reviews actioned, there were 839 level 1 interventions 201 level 2 interventions ( equivalent to 20 level 3) and 46- level 3 interventions

8 Medication Review Outcome Results 1086 interventions were actioned with an annualised savings of 162,578 ( 486/patient) Approximately 70% of the interventions accounted for the annualised savings while 30% relates to quality and safety issues. Additional 16,002 estimated savings for rationalising inappropriate use of dressings in two of the nursing homes. Estimated cost of hospital avoidance is 51, ,498 ( based on average cost of 2-7days stay)

9 Emerging themes Risk due to varying levels of nursing skill and competence. Nurses unable to change catheters leading to A&E attendance. Patients on BP drugs - GP not informed despite BP readings of 150/90 & greater or 95/60 & lower. Medicines stored in fridges with temperatures out of range for up to 1 year and recorded.( c) Inadequate or lack of relevant information provided to GP during home visit. Poor MAR recording and documentation. Lack of clarity on dressings used per resident.

10 Emerging themes Drugs related and GP prescribing issues Lack of implementation of MHRA drug safety updates. e.g. domperidone risk of VA or sudden death, strontium risk of VTE, citalopram greater than 20mg in over 65yrs Reluctance to challenge the continuation of medications initiated in Hospital e.g. 2-3 antidepressants in dementia, memantine combined use with AChEIs( not approved) Reluctance to initiate trial stoppage of antipsychotics or sedatives without support of CPNs or specialist. Low BP leading to unplanned hospital admissions due to falls BP 94/53 and patients on Atenolol 10mg od and amlodipine 5mg od. Long term prescribing of silver dressings (3-6 months)

11 Emerging themes Drugs related and GP prescribing issues Multiple use of emollients, barrier creams, PPIs + H2 antagonist+ gaviscon, laxatives sometimes leading to loose stool and request for antidiarrheal. Patients prescribed incontinence medications and using pads. Inappropriate prescribing of Specials - some initiated in hospital. Inappropriate prescribing of ONS/SIP feeds. Post prescribing of incontinence appliances and stoma products.

12 Emerging themes Drug incidents/errors Same drug given twice as stated on MAR ( versicare and solifenacin) Double dose of risperidone administered in error as stated on MAR. Paracetamol and codydramol administered leading > 2g paracetamol /day. Midazolam prescribed PRN for seizure Fentanyl patches with 2 different dosages for same patient. Oramorp oral solution omitted on MAR yet administered.

13 Emerging themes Poor Nursing home processes leading to wastage Inadequate check by NH and practice staff involved in the repeat prescribing process. Continuous reordering of PRN medications despite non adherence e.g. laxative, analgesics etc No clear protocol for ordering incontinence and stoma appliances leading to wastage. Ordering of dressings in isolation of the review periods. Others NH and GP s not always aware of specialist services that are available to residents in the community. NH nurses not aware of training provided by PCT- incontinence specialist nurse training etc.

14 Challenges Care home pharmacist role what is the remit? Managing expectations of stakeholders. Lack of clarity on how to resolve issues uncovered as there may not be protocol/procedure to refer to. Dealing with multiple stakeholders and multidisciplinary teams who may at times be defensive. Uncharted terrain with uncertainties. Balancing cost pressure and quality issues. Continued pressure to justify the role of care home pharmacist. Pressure to resolve all incidents and issues identified. Sometimes feeling of working in isolation and not adequately supported.

15 Successes Cost effective outcomes: annualised savings of 162,578 from review of 334 patients. 16,002 estimated savings for rationalising inappropriate use of dressings in two of the nursing homes. estimated cost of hospital avoidance is 51, ,498 CCG to fund the role of care home pharmacist for an additional 3 years fixed term. GP LES commissioned for the local authority funded residential home due to care home pharmacist work which identified medicines management and clinical risks. LA care home service specifications to be amended to reflect the recommendation from the care home medication reviews outcome Routine minimum training for nurses in nursing home Medicines reconciliation and review for new residents or on discharge from hospital with timeline by pharmacist/gp or nurse LA to review monitoring standards for care homes.

16 Impact and Benefits Support additional capacity to provide quality medicines management initiatives within care homes. Target top 10 prescribing areas by utilising the work undertaken by East and South East England Specialist Pharmacy Services in relation to implementing QIPP in medicines management in Care Homes. Deliver net value savings and support End of Life Care. Support implementation of the MHRA drug safety Alert. Reduce the risk of inappropriate hospital admissions and support planned discharge.

17 Impact and Benefits Support good practice across Outer North West London. Support CHUMS report recommendations. Support Service redesign- care home in reach specialist service for dementia? Partnership working with local authority to reduce medication errors in care homes.

18 Integration into the wider health care Support additional capacity to provide quality medicines management initiatives within care homes. Local Authority engagement Influence service redesign/ specifications e.g. community stoma care nurses, in reach specialist services in care homes Support National priorities NSF for Older People published in Specifically, standard 2, Person Centred Care. Government s 2008 white paper Pharmacy in England: Building on Strengths - delivering the future. Compliance with the 16 regulations (out of the 28) that come within Part 4 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010

19 Tips Write a Business Case Define the care home pharmacist remit process or clinical review or both? Pharmacist right skills, knowledge and experience willingness to learn Know the Evidence Engage and work closely with the GPs with homes Work closely with other stake holders local authority, tissue viability, incontinence nurses, dieticians, CPNs, dementia specialist in secondary care etc. Work closely with MMT- identified prescribing trend in care home is likely happening in the general GP population as well.

20 Tips Understand what governance process is in place within the organisation and how incidents identified will be handled. Medication review process Agree the process and how interventions will be actioned with the GP prior to commencing the reviews. no blame and non judgemental approach required. Balance cost benefit vs quality. Balance time spent on administrative vs clinical reviews. Professional support shadow other colleagues and clinicians. join the RPS care home group. Share your findings with key stakeholders. A learning organisation culture facilitates success.

21 My Experience Community pharmacist PCT Practice Pharmacist Pharmaceutical Adviser Former PCT NPC Associate Pharmacovigiliance and pharmacoepidermology certification - LSHTM CPD s ongoing Updating my clinical skills. relevant courses, training, shadowing etc literature review and journals

22 Appreciation Sangeeta Sharma, Senior Commissioning Medicines Adviser, Hounslow PCT and Medicines Management Team. Cherise Howson, Senior Care Home and Practice Support Pharmacist Croydon PCT. Lelly Oboh, Consultant Pharmacist, Care of Older People, Guys & St Thomas Community Health Services East and South East NHS Specialist Pharmacy Services.

JOB DESCRIPTION. Pharmacy Technician

JOB DESCRIPTION. Pharmacy Technician JOB DESCRIPTION Pharmacy Technician Issued by AT Medics Primary Care Pharmacy Technician Job Description Job Title: Reporting to: Location: Salary: Job status: Contract: Notice Period: Primary care pharmacy

More information

Pharmacist (Palliative Care) December 2014 Page 1

Pharmacist (Palliative Care) December 2014 Page 1 Job Profile Job Title: Department: Main Location: Hospice Palliative Care Pharmacist 7 NHS (8SRC) Less than full time(0.8) Full time equivalent around 36,300 Head of Clinical Services 1. Main Purpose of

More information

Care homes - Improving the effectiveness of multidisciplinary working

Care homes - Improving the effectiveness of multidisciplinary working B151. October 2016 2.0 Community Interest Company Care homes - Improving the effectiveness of multidisciplinary working The British Geriatrics Society (BGS) report Quest for Quality called for integrated

More information

JOB DESCRIPTION. Progressive: A learning organization, encouraging innovation and continuous improvement.

JOB DESCRIPTION. Progressive: A learning organization, encouraging innovation and continuous improvement. JOB DESCRIPTION Job Title: Medicines Management Support Assistant Pay Band: Band 3 Hours of Work: Responsible to: Accountable to: Base Point: Contract Type 37.5 hours per week Prescription Order Line Manager

More information

Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1

Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1 Managing medicines in care homes Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).

More information

Developing primary care in Barnet

Developing primary care in Barnet Developing primary care in Barnet Introduction In January 2012, the Joint Boards of NHS North Central London (NCL) approved a NCL Primary Care Strategy, which describes development of the primary care

More information

London Councils: Diabetes Integrated Care Research

London Councils: Diabetes Integrated Care Research London Councils: Diabetes Integrated Care Research SUMMARY REPORT Date: 13 th September 2011 In partnership with Contents 1 Introduction... 4 2 Opportunities within the context of health & social care

More information

NHS community pharmacy advanced services Briefing for GP practices

NHS community pharmacy advanced services Briefing for GP practices NHS community pharmacy advanced services Briefing for GP practices August 2013 This document has been developed jointly by NHS Employers, the Pharmaceutical Services Negotiating Committee (PSNC) and the

More information

Chairing the Barking and Dagenham Medicines Management Committee, providing advice to the Board on the safe and efficient use of medicines;

Chairing the Barking and Dagenham Medicines Management Committee, providing advice to the Board on the safe and efficient use of medicines; Job Role Medicines Management Barking and Dagenham Clinical Commissioning Group Job Title: Accountable to: Hours: Remuneration: Clinical Lead Medicines Management Chair Clinical Commissioning Group Two

More information

Medicines Reconciliation: Standard Operating Procedure

Medicines Reconciliation: Standard Operating Procedure Clinical Medicines Reconciliation: Standard Operating Procedure Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation

More information

Moving the Green Medicines Bag from the Safety Agenda to QIPP

Moving the Green Medicines Bag from the Safety Agenda to QIPP Moving the Green Medicines Bag from the Safety Agenda to QIPP Jane Hough (ESEE Specialist Pharmacy Services) Fiona Eccleston (PSF Project Manager) Ed England ( Ambulance Service) Facts and figures 97%

More information

Transforming Primary Care

Transforming Primary Care Transforming Primary Care Co-commissioning - a new local way for designing and providing Primary Care Services What will it mean for me and my family? Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth

More information

JOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes

JOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes JOB DESCRIPTION Job Title: Grade: Team: Accountable to: Joint Commissioning Manager for Older People s Residential Care and Nursing Homes HAY 14 / AfC 8b (indicative) Partnership Commissioning Team Head

More information

JOB DESCRIPTION. 1 year fixed term. Division A Pharmacy. University Hospitals Birmingham. Advanced Clinical Pharmacist Trials.

JOB DESCRIPTION. 1 year fixed term. Division A Pharmacy. University Hospitals Birmingham. Advanced Clinical Pharmacist Trials. JOB DESCRIPTION JOB TITLE: Pharmacy Technician Haematology Clinical Trials PAY BAND: Agenda for change - Band 5 TERMS AND CONDITIONS DEPARTMENT/DIVISION: BASED AT: REPORTS TO: PROFESSIONALLY RESPONSIBLE

More information

Wolverhampton Clinical Commissioning Group - Care Home Document

Wolverhampton Clinical Commissioning Group - Care Home Document Wolverhampton Clinical Commissioning Group - Care Home Document 1 Contents Page 1. Purpose 2. Workstreams Completed 3. 2014/15 Workstreams 4. Future Workstreams 2 1. Purpose 1.1. Introduction 1.1.1. This

More information

To contact us please

To contact us please Issue 13, June 2015 Newsletter for Care Home staff, General Practitioners and Community Pharmacists The Caring for Care Homes team produced The Medicines Management Checklist in 2010 to provide care homes

More information

Winter Plans and Arrangements for Primary Medical Care Services during the Christmas and New Year Period

Winter Plans and Arrangements for Primary Medical Care Services during the Christmas and New Year Period NHS England South West E mail: england.primarycaremedical@nhs.net 10 November 2017 Dear Colleague, Winter Plans and Arrangements for Primary Medical Care Services during the Christmas and New Year Period

More information

Once on the site, log into MyBpac & create an account for yourself follow the prompts or contact BPAC directly for help

Once on the site, log into MyBpac & create an account for yourself follow the prompts or contact BPAC directly for help FRQUENTLY ASKED Q &A s for new & no so new NPs ACC NPs can sign ACC initial assessment M45 s and ARC 18 s for on-going time off work related to an approved ACC claim - either claim can include Sensitive

More information

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18 Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community

More information

Improving General Practice for the People of West Cheshire

Improving General Practice for the People of West Cheshire Improving General Practice for the People of West Cheshire Huw Charles-Jones (GP Chair, West Cheshire Clinical Commissioning Group) INTRODUCTION There is a growing consensus that the current model of general

More information

JOB DESCRIPTION. Specialist Nurse - Asthma (Paediatrics) Children s Specialist Community Nursing Service (CSCNS)

JOB DESCRIPTION. Specialist Nurse - Asthma (Paediatrics) Children s Specialist Community Nursing Service (CSCNS) JOB DESCRIPTION Job Title: Division/Department: Responsible to: Accountable to: Specialist Nurse - Asthma (Paediatrics) Children s Specialist Community Nursing Service (CSCNS) Shabnam Sharma - General

More information

Tackling barriers to integration in Health and Social Care

Tackling barriers to integration in Health and Social Care Viewpoint 69 Tackling barriers to integration in Health and Social Care The drivers for greater integration of health and social care are wellknown: an increasing elderly population, higher demand for

More information

Appendix 2 to NMP policy Prescribing Governance Framework Standards for Supplementary and Independent Non-Medical Prescribers at SCH

Appendix 2 to NMP policy Prescribing Governance Framework Standards for Supplementary and Independent Non-Medical Prescribers at SCH Appendix 2 to NMP policy Prescribing Governance Framework Standards for Supplementary and Independent Non-Medical Prescribers at SCH All prescribers and their managers/professional leads should ensure

More information

Iron infusions in the community

Iron infusions in the community i NOTIFICATION Iron infusions in the community 11 September 2017 What we re doing Eligible people will now be able to receive ferric carboxymaltose iron infusions in some general practitioners clinics

More information

Mental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities

Mental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities Mental Health (Wales) Measure 2010 Implementing the Mental Health (Wales) Measure 2010 Guidance for Local Health Boards and Local Authorities Januar y 2011 Crown copyright 2011 WAG 10-11316 F6651011 Implementing

More information

Nurse prescribing in substance misuse February 2005, updated May 2005

Nurse prescribing in substance misuse February 2005, updated May 2005 Nurse prescribing in substance misuse February 2005, updated May 2005 1. Introduction This briefing aims to clarify the current situation in relation to nurse prescribing in the substance misuse sector.

More information

Personal Budgets and Direct Payments

Personal Budgets and Direct Payments Personal Budgets/Direct Payments Date of resource : April 20 Page 1 of Learning Aims The learning aims of this briefing are to enable you to 1 Understand how personal budgets can be requested for special

More information

North West London Sustainability and Transformation Plan Summary

North West London Sustainability and Transformation Plan Summary North West London Sustainability and Transformation Plan Summary Being well, living well: a sustainability and transformation plan for North West London November 2016 Have your say We want to hear your

More information

Pharmacy Workforce Summit Report: right place, right time, right number positioning the workforce for patients

Pharmacy Workforce Summit Report: right place, right time, right number positioning the workforce for patients Pharmacy Workforce Summit Report: right place, right time, right number positioning the workforce for patients March 2017 Contents 1. Introduction.2 2. Background..2 3. Emerging themes and considerations..3

More information

Are you responding as an individual or on behalf of an organisation?

Are you responding as an individual or on behalf of an organisation? Response form Address: 407 St John Street, London, EC1V 4AD Are you responding as an individual or on behalf of an organisation? If as an individual, are you responding as: a) a doctor? b) a patient? c)

More information

Transformation of Services and Care Pathway Redesign in the NHS: Further Reforms in Health Policy

Transformation of Services and Care Pathway Redesign in the NHS: Further Reforms in Health Policy Transformation of Services and Care Pathway Redesign in the NHS: Further Reforms in Health Policy Mike Mallinson Access Partnership ISPOR May 2013 London Philadelphia Singapore Agenda Objective Approach

More information

Medication Administration Policy Community Health & Social Care

Medication Administration Policy Community Health & Social Care Medication Administration Policy Community Health & Social Care Social Care Workers Version 2 April 2016 For review April 2018 NHS SHETLAND DOCUMENT DEVELOPMENT COVERSHEET* Name of document Medication

More information

Mid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016

Mid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016 Mid and South Essex Success Regime Overview and next steps Andy Vowles, Programme Director 18 April 2016 What s in this briefing Part 1 overview Background to the Success Regime Action to date The challenge

More information

Guidelines for Developing or Updating a Repeat Prescribing Protocol

Guidelines for Developing or Updating a Repeat Prescribing Protocol Guidelines for Developing or Updating a Repeat Prescribing Protocol Version: 3 Ratified by: GMS/PMS Committee Date ratified: 26 th April 2012 Name of originator/author: Anne Kingham, Senior Pharmaceutical

More information

Overall rating for this service Good. Quality Report. Ratings. Are services safe? Good. Are services effective? Good. Are services caring?

Overall rating for this service Good. Quality Report. Ratings. Are services safe? Good. Are services effective? Good. Are services caring? Bridge Medical Quality Report Shiremoor Resource Centre Earsdon Road Shiremoor Newcastle upon Tyne Tyne and Wear NE27 0HJ Tel: 0191 253 2578 Website: http://bridgemedical.nhs.uk/ Date of inspection visit:

More information

Top tips for prescribing in palliative care. Dr Stephanie Lippett

Top tips for prescribing in palliative care. Dr Stephanie Lippett Top tips for prescribing in palliative care Dr Stephanie Lippett contents Tips Pain management Anticipatory prescribing DNACPR 3 things that primary care can do to improve things for patients/themselves

More information

NHS and LA Reforms Factsheet 5

NHS and LA Reforms Factsheet 5 NHS and LA Reforms Factsheet 5 Supply of medicines for public health commissioned services a factsheet for local authorities 1. Introduction As of April 2013, local authorities have responsibility for

More information

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008 End of Life Care LONDON: The Stationery Office 14.35 Ordered by the House of Commons to be printed on 24 November 2008 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1043 Session 2007-2008 26 November

More information

Home administration of intravenous diuretics to heart failure patients:

Home administration of intravenous diuretics to heart failure patients: Quality and Productivity: Proposed Case Study Home administration of intravenous diuretics to heart failure patients: Increasing productivity and improving quality of care Provided by: British Heart Foundation

More information

Coventry and Warwickshire PNA

Coventry and Warwickshire PNA Premises Details Contractor Code (ODS Code) Coventry and Warwickshire PNA Community Pharmacy Survey Name of contractor (i.e. name of individual, partnership or company owning the pharmacy business) If

More information

Short Break (Respite ) Care Practice and Procedure Guidance

Short Break (Respite ) Care Practice and Procedure Guidance Short Break (Respite ) Care Practice and Procedure Guidance 1 Contents 1. Introduction 2. Definition 2.1 Definition of a Carer 3. Legislation 3.1 Fair Access to care Services and the Duty to Provide 4.

More information

Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice. Innovation Showcase Series Effective Leadership

Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice. Innovation Showcase Series Effective Leadership Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice Innovation Showcase Series Effective Leadership July 2015: Showcase Seven About PMCF In October 2013, the Prime Minister announced

More information

Administering Medicine Policy

Administering Medicine Policy Administering Medicine Policy Date Agreed: November 2015 Review Date: November 2016 Hove Junior School is committed to safeguarding and promoting the welfare of children and young people and expects all

More information

Medicines Management for Dietitians. Sue Kellie Head of Education and Professional Development The British Dietetic Association

Medicines Management for Dietitians. Sue Kellie Head of Education and Professional Development The British Dietetic Association Medicines Management for Dietitians. Sue Kellie Head of Education and Professional Development The British Dietetic Association Aim of presentation. To give an overview of the current legislation surrounding

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

Integration Scheme. Between. Glasgow City Council. and. NHS Greater Glasgow and Clyde

Integration Scheme. Between. Glasgow City Council. and. NHS Greater Glasgow and Clyde Integration Scheme Between Glasgow City Council and NHS Greater Glasgow and Clyde December 2015 Page 1 of 60 1. Introduction 1.1 The Public Bodies (Joint Working) (Scotland) Act 2014 (the Act) requires

More information

abcdefghijklmnopqrstu

abcdefghijklmnopqrstu Healthcare Policy and Strategy Directorate Quality Division Dear Colleague INTRODUCTION AND AVAILABILITY OF NEWLY LICENSED MEDICINES IN THE NHS IN SCOTLAND Dear Colleague This guidance sets out the policy

More information

Online Non-prescription Ordering Service (ONPOS) By Jayne Marie Lucas Senior Medicines Management Technician Central Essex Community Services

Online Non-prescription Ordering Service (ONPOS) By Jayne Marie Lucas Senior Medicines Management Technician Central Essex Community Services Online Non-prescription Ordering Service (ONPOS) By Jayne Marie Lucas Senior Medicines Management Technician Central Essex Community Services The Background (where it all began) 2002 Successfully piloted

More information

Outcomes Based Commissioning Improving the health and independence of older people in Croydon

Outcomes Based Commissioning Improving the health and independence of older people in Croydon Wednesday 24 June 2015 Outcomes Based Commissioning Improving the health and independence of older people in Croydon 1 Purpose of this meeting 1. To review why we re looking at these services 2. To share

More information

Introducing a 7-day service: the benefits of increased consultant presence

Introducing a 7-day service: the benefits of increased consultant presence Introducing a 7-day service: the benefits of increased consultant presence This Future Hospital Programme case study comes from Wrightington, Wigan & Leigh NHS Foundation Trust (WWL). Here, Dr Stephen

More information

Overall rating for this service Good

Overall rating for this service Good Dr Rajesh Sarafaf Quality Report Moorside Medical Centre 681 Ripponden Road Oldham OL1 4JU Tel: 0161 909 8388 Website: www.doctorsatmoorside.co.uk/saraf Date of inspection visit: 09/06/2016 Date of publication:

More information

Responding to a risk or priority in an area 1. London Borough of Sutton

Responding to a risk or priority in an area 1. London Borough of Sutton Responding to a risk or priority in an area 1 London Borough of Sutton October 2017 Contents Contents... 2 Introduction... 3 Scope and activity... 4 What did we do?... 5 Framework... 6 Key findings...

More information

THE CODE. Professional standards of conduct, ethics and performance for pharmacists in Northern Ireland. Effective from 1 March 2016

THE CODE. Professional standards of conduct, ethics and performance for pharmacists in Northern Ireland. Effective from 1 March 2016 THE CODE Professional standards of conduct, ethics and performance for pharmacists in Northern Ireland Effective from 1 March 2016 PRINCIPLE 1: ALWAYS PUT THE PATIENT FIRST PRINCIPLE 2: PROVIDE A SAFE

More information

National Primary Care Cluster Event ABMU Health Board 13 th October 2016

National Primary Care Cluster Event ABMU Health Board 13 th October 2016 National Primary Care Cluster Event ABMU Health Board 13 th October 2016 1 National Primary Care Cluster Event - ABMU Health Board Introduction The development of primary and community services is a fundamental

More information

Application Pack: Applicants for Transformation Manager

Application Pack: Applicants for Transformation Manager Application Pack: Applicants for Transformation Manager Contents 1.0 Information about NHS Eastern Cheshire Clinical Commissioning Group and the Eastern Cheshire Healthcare Economy 2.0 Job Description

More information

REPORT 1 FRAIL OLDER PEOPLE

REPORT 1 FRAIL OLDER PEOPLE REPORT 1 FRAIL OLDER PEOPLE Contents Vision f-3 Principles / Parameters f-4 Objectives f-6 Current Frail Older People Model f-8 ABMU Model for Frail and Older People f-11 Universal / Enabling f-12 Specialist

More information

Do you suffer from diabetes? Do you want to shape the future of diabetes care?

Do you suffer from diabetes? Do you want to shape the future of diabetes care? Do you suffer from diabetes? Do you want to shape the future of diabetes care? MSD has fully funded this project which is a collaboration between MSD, Heart of England Foundation Trust, Lloyds Pharmacy

More information

Alert. Patient safety alert. Actions that can make anticoagulant therapy safer. 28 March Action for the NHS and the independent sector

Alert. Patient safety alert. Actions that can make anticoagulant therapy safer. 28 March Action for the NHS and the independent sector Patient safety alert 18 Alert 28 March 2007 Immediate action Action Update Information request Ref: NPSA/2007/18 Actions that can make anticoagulant therapy safer Anticoagulants are one of the classes

More information

Southwark s Primary and Community Care Strategy

Southwark s Primary and Community Care Strategy Southwark s Primary and Community Care Strategy 2013/2014 2017/2018 Southwark Primary and Community Care Strategy 2013/2014 2017/2018 Table of Contents Section Page Number Executive Summary 3 1. Introduction,

More information

Corporate. Visitors & VIP s Standard Operating Procedure. Document Control Summary. Contents

Corporate. Visitors & VIP s Standard Operating Procedure. Document Control Summary. Contents Corporate Visitors & VIP s Standard Operating Procedure Document Control Summary Status: Version: Author/Owner: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation Date:

More information

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17 Enhanced service specification Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17 NHS England INFORMATION READER BOX Directorate Medical Commissioning

More information

Milton Keynes CCG Strategic Plan

Milton Keynes CCG Strategic Plan Milton Keynes CCG Strategic Plan 2012-2015 Introduction Milton Keynes CCG is responsible for planning the delivery of health care for its population and this document sets out our goals over the next three

More information

Healthy Ageing in the 21 st Century Angela Bradford Commissioning & Healthy Lifestyle Director, The ExtraCare Charitable Trust

Healthy Ageing in the 21 st Century Angela Bradford Commissioning & Healthy Lifestyle Director, The ExtraCare Charitable Trust Healthy Ageing in the 21 st Century Angela Bradford Commissioning & Healthy Lifestyle Director, The ExtraCare Charitable Trust Wellbeing Service Prior to the introduction of the Wellbeing service a survey

More information

Trust Monitored Dosage System 0115 949 5421 email: mds@boots.co.uk 104628 12/05 Boots Monitored Dosage Service Group home service offer Trust contents Summary of offer 3 Monitored Dosage System 5 The Boots

More information

JOB PURPOSE MAIN DUTIES AND RESPONSIBILITIES

JOB PURPOSE MAIN DUTIES AND RESPONSIBILITIES Job Title: Medicines Management Technician Band: Band 6 Responsible to: Community Health Services Pharmacist Accountable to: Head of Medicines Management Base: Parsons Green JOB PURPOSE Work as an active

More information

MODULE 5: RECORDING & ERRORS

MODULE 5: RECORDING & ERRORS MODULE 5: RECORDING & ERRORS 5.1 Recording Administration Using a Medication Administration Record (MAR) Chart Care providers are responsible for maintaining an up-to-date record of medication administered.

More information

Critical success factors that enable individuals to die in their preferred place of death

Critical success factors that enable individuals to die in their preferred place of death Critical success factors that enable individuals to die in their preferred place of death A report based on contributions from End of Life Care commissioners and providers of services within seven PCTs

More information

Medicines Management in the Domiciliary Setting (Adults)

Medicines Management in the Domiciliary Setting (Adults) Medicines Management in the Domiciliary Setting (Adults) DOCUMENT NO: Lead author/initiator(s): (enter job titles) Developed by: (enter Team/Group etc.) Approved by: (enter management group/committee)

More information

Accountable to: Chief Clinical (Accountable) Officer

Accountable to: Chief Clinical (Accountable) Officer Role Title: Clinical Commissioning Practice Manager Responsible to: Chief Clinical Officer & To GPs in North Somerset through agreed mechanism Accountable to: Chief Clinical (Accountable) Officer Clinical

More information

Working Together With Carers Strategy

Working Together With Carers Strategy Working Together With Carers Strategy for the Isle of Wight 2013 to 2016 F - 7 Contents Foreword...3 Am I a carer?...4 Our commitment...5 Background...9 Caring for our future...9 A national carers strategy...9

More information

Appendix 5. Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to the Safeguarding Adults Procedures

Appendix 5. Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to the Safeguarding Adults Procedures Appendix 5 Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to the Safeguarding Adults Procedures Safeguarding Adults and Pressure Ulcer Protocol: Deciding whether to refer to

More information

Appendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18.

Appendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18. Appendix 1: South Lanarkshire H&SCP Improvement Plan 2017/18. South Lanarkshire - Whole System Pathway Indicators identified capture key data across the whole H&SC system, primarily based around supporting

More information

Administration of Medications and Use of Medical Equipment (Employees - Homecare)

Administration of Medications and Use of Medical Equipment (Employees - Homecare) Administration of Medications and Use of Medical Equipment (Employees - Homecare) Policy, Purpose and Scope The cornerstone of this policy is the provision of appropriately trained, competent staff to

More information

Urgent Treatment Centres Principles and Standards

Urgent Treatment Centres Principles and Standards Urgent Treatment Centres Principles and Standards July 2017 NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Commissioning

More information

Bedfordshire and Luton Mental Health Street Triage. Operational Policy

Bedfordshire and Luton Mental Health Street Triage. Operational Policy Bedfordshire and Luton Mental Health Street Triage Operational Policy 1 1. Introduction Mental Health Street Triage (MHST) is a collaborative service between mental health professionals (MHPs) paramedics

More information

JOB DESCRIPTION. 2. To participate in the delivery of medicines administration depending on local need and priorities.

JOB DESCRIPTION. 2. To participate in the delivery of medicines administration depending on local need and priorities. JOB DESCRIPTION JOB TITLE: Clinical Pharmacy Technician PAY BAND: 5 DEPARTMENT/DIVISION: BASED AT: REPORTS TO: PHARMACY/A5 University Hospitals Birmingham Pharmacy Support Manager PROFESSIONALLY RESPONSIBLE

More information

Monthly Delayed Transfer of Care Situation Reports. Definitions and Guidance

Monthly Delayed Transfer of Care Situation Reports. Definitions and Guidance Monthly Delayed Transfer of Care Situation Reports Definitions and Guidance Version Date issued 1.00 18 December 2006 1.01 31 March 2008 1.02 18 January 2010 Changes made Indicator of response to pressures

More information

NHS Ayrshire and Arran. 1. Which of the following performance frameworks has the most influence on your budget decisions:

NHS Ayrshire and Arran. 1. Which of the following performance frameworks has the most influence on your budget decisions: A: Budget setting process Performance budgeting 1. Which of the following performance frameworks has the most influence on your budget decisions: National Performance Framework Quality Measurement Framework

More information

Presentation to the Federal, Provincial and Territorial (FPT) Deputy Ministers of Health Meeting

Presentation to the Federal, Provincial and Territorial (FPT) Deputy Ministers of Health Meeting Presentation to the Federal, Provincial and Territorial (FPT) Deputy Ministers of Health Meeting Gatineau, Quebec June 10, 2011 (Amended for Project Web Page) Canadian Pharmaceutical Bar Coding Project

More information

Section 2 Medication Orders

Section 2 Medication Orders Section 2 Medication Orders 2-1 Objectives: 1. List/recognize the components of a complete medication order. 2. Transcribe orders onto the Medication Administration Record (MAR) correctly use proper abbreviations,

More information

VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES

VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES VNAA Blueprint for Excellence PATHWAY TO BEST PRACTICES Patient Safety: Medication Reconciliation and Management VNAA Best Practice for Hospice and Palliative Care Medication Reconciliation and Adherence

More information

Tess Fenn. President APTUK

Tess Fenn. President APTUK Tess Fenn President APTUK RPS: Pharmacy Workforce Summit Right place, right time, right number: positioning the workforce for patients Thursday 12th January 2017 Leading pharmacy technicians to deliver

More information

1. Introduction. Page 2 of 9

1. Introduction. Page 2 of 9 Working in Partnership with other Professionals in Health and Social Care Practice: A comparison of multi-disciplinary working in mental health and older person s services Page 1 of 9 1. Introduction The

More information

Primary & Secondary Care Interface Issues. Safety In Practice Learning Session 4 27th June 2016

Primary & Secondary Care Interface Issues. Safety In Practice Learning Session 4 27th June 2016 Primary & Secondary Care Interface Issues Safety In Practice Learning Session 4 27th June 2016 GPs feel that some referrals are not dealt with appropriately Barriers to admitting a patient acutely Long

More information

The LTC Year of Care Funding Model

The LTC Year of Care Funding Model The LTC Year of Care Funding Model Team A Team B Team C Team D? Integrated neighbourhood Care Team Primary drivers Systematic risk profiling of population Integrated locality care teams including social

More information

Overall rating for this service Good

Overall rating for this service Good Withymoor Surgery Quality Report Withymoor Surgery Squires Court Brierley Hill DY5 3RJ Tel: 01384884031 Website: www.awsurgeries.co.uk Date of inspection visit: 24 March 2016 Date of publication: 11/05/2016

More information

Sustaining and developing the role of the nurse in care homes. Karen Spilsbury Professor of Nursing

Sustaining and developing the role of the nurse in care homes. Karen Spilsbury Professor of Nursing Sustaining and developing the role of the nurse in care homes Karen Spilsbury Professor of Nursing k.spilsbury@leeds.ac.uk @SpillersK http://www.rcnfoundation.org.uk/latest_news/ 2015-news/care-home-research

More information

Policy Statement Medication Order Legibility Medication orders will be written in a manner that provides a clearly legible prescription.

Policy Statement Medication Order Legibility Medication orders will be written in a manner that provides a clearly legible prescription. POLICY POLICY PURPOSE: The purpose of this policy is to provide a foundation for safe communication of medication and nutritional orders in-scope, thereby reducing the potential for preventable medication

More information

Patient Group Direction for Aspirin 300mg Version: 02 Start Date: 1 st October 2017 Expiry Date: 30 th September 2019

Patient Group Direction for Aspirin 300mg Version: 02 Start Date: 1 st October 2017 Expiry Date: 30 th September 2019 THIS PATIENT GROUP DIRECTION HAS BEEN AGREED BY THE FOLLOWING ORGANISATIONS: CLINICAL COMMISSIONING GROUP: Doncaster CCG, Lancashire CCGs including East Lancashire, Fylde and Wyre and North Lancashire

More information

DELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL

DELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL DELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL 1. Introduction The Strategic Outline Case (SOC) and subsequent developing Outline Business Case (OBC) for the reconfiguration of acute hospital

More information

Transparency and doctors with competing interests guidance from the BMA

Transparency and doctors with competing interests guidance from the BMA Transparency and doctors with competing interests British Medical Association bma.org.uk British Medical Association Transparency and doctors with competing interests 1 Introduction The need for transparency

More information

Palliative Care Anticipatory Prescribing

Palliative Care Anticipatory Prescribing Palliative Care Anticipatory Prescribing Guidelines Gippsland Region Palliative Care Consortium Clinical Practice Group Policy No. Title Keywords Ratified GRPCC-CPG008 Anticipatory Prescribing Guidelines

More information

The Community Based Target Model

The Community Based Target Model 1 The Community Based Target Model Integrated Single System Leadership and Management The Core (as a minimum all LCNs should encompass) Working with High Impact Changes Lambeth Serving geographically coherent

More information

Adult Discharge Policy

Adult Discharge Policy Adult Discharge Policy This document is uncontrolled once printed. Please check on the Trust s Intranet site for the most up to date version. Version: 2 Ratified by: Trust Patient Safety and Quality Committee

More information

Joint Statement on the Application of Good Clinical Practice to Training for Researchers

Joint Statement on the Application of Good Clinical Practice to Training for Researchers Joint Statement on the Application of Good Clinical Practice to Training for Researchers HRA, MHRA, Devolved Administrations for Northern Ireland, Scotland and Wales v1.1 12/10/17 Summary This joint statement

More information

Safeguarding Vulnerable People in the Reformed NHS - Accountability and Assurance Framework

Safeguarding Vulnerable People in the Reformed NHS - Accountability and Assurance Framework Policy Briefing May 2013 88 Safeguarding Vulnerable People in the Reformed NHS - Accountability and Assurance Framework Practice Areas Affected: Safeguarding children, young people and vulnerable adults

More information

Integrated respiratory action network for patients with COPD

Integrated respiratory action network for patients with COPD Integrated respiratory action network for patients with COPD In this Future Hospital Programme case study Dr Helen Ward describes how a team from The Royal Wolverhampton NHS Trust established a respiratory

More information

The use of Homely Remedies in Care Homes

The use of Homely Remedies in Care Homes Good Practice Guidance: The use of Homely Remedies in Care Homes The aim of this guidance is to: Support and advise care homes in the development of a homely remedy policy that adheres to the NICE good

More information

COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP

COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP COVENTRY AND RUGBY CLINICAL COMMISSIONING GROUP Report To: Governing Body 11 September 2013 Report From: Title of Report: Purpose of the Report: Jacqueline Barnes, Executive Nurse The Nursing and Quality

More information

Unlicensed Medicines Policy Document

Unlicensed Medicines Policy Document Unlicensed Medicines Policy Document Effective: February 2002 (Intranet 2006) Review date: February 2007 A. Introduction In order to ensure that medicines are safe and effective the manufacture and sale

More information