The Role of the Neurology Specialist Pharmacist In the management of Parkinson's Disease. Janine Barnes PhD
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1 The Role of the Neurology Specialist Pharmacist In the management of Parkinson's Disease Janine Barnes PhD
2 Medicines Management Innovation Ageing population with complex medication needs 2 specialist pharmacist roles developed Patient Elderly Care Neurology
3 My background Pharmacist with PhD in Neuropharmacology Post doctoral lectureship at Bradford, Aston and Birmingham Universities Working as prescribing support role in GP practices Accredited as first UK Pharmacist with Special Interest in Neurology Independent Prescriber 2007 Neurology Specialist Pharmacist role introduced 2009 Awarded Clinical Pharmacist of the year 2012/13 HSJ Finalist 2013
4 Current Position Role initially 2 days per week Increased to 4 days per week Clinical Weekly clinics at community location and GP practices Writing guidelines and getting drugs to formulary Educational Medicines management leadership for community neurology service and GPs Education sessions for GPs and other healthcare professionals, patients and carers Commissioner Voting member of MTRAC & AMMC
5 The Multidisciplinary Neurology Team Other support services: Dudley Rehabilitation Specialist Pharmacist Virtual ward Community Rapid Response Community Nurses Social workers Expert patient panel Wheelchair Service Speech and Language Therapists Public Health
6 Community Neurology Service Patients 18 years and above Have a Dudley GP Have a diagnosis of a long term Neurological Condition except for conditions seen by other teams e.g stroke / ABI
7 How the community Neurology Service operates Weekly MDT meetings for complex reviews and patient allocation Patients can self-refer or be referred by a Consultant, GP or other healthcare professional
8 Successes to date Quantified: 34,810 saved over last 12 months by improving formulary adherence and generic prescribing Excellent patient feedback questionnaires Close to complying with NICE guidance on 6 monthly specialist review for patients Still to be costed: Saving of consultant time as longer time between consultant reviews Reducing GP contacts Reduction in hospital admissions by improved prescribing of complex medication
9 Examples of patient feed-back following Neurology Specialist Pharmacist Clinics 1) Do you feel that as a result of attending the clinic, you have a better understanding of your condition and treatment? 2. Did you agree with any changes that were made? 3. Do you prefer this community location for the clinic rather than a hospital?
10 Examples of patient feed-back following the Neurology Specialist Pharmacist Clinics Janine has provided a 'lifeline' through her contact. It is difficult to deal with problems when contact with a consultant may be only once every months. I feel very happy having a Pharmacist led clinic as Pharmacists are the experts in medicines and I trust what my Specialist Pharmacist tells me. These clinics are like a breath of fresh air and I have learnt more about my condition today than during the last ten years since diagnosis..
11 Future Plans Improved database of patients IT developments for elimination of paper records Resolving the incompatibility between primary and secondary care records to move towards open access for clinicians
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