Identifying high-risk patients and preventing readmissions. Nina Barnett, Krupa Dave, Sunaina Kaher, Paresh Parmar and Christine Ward September 2015

Size: px
Start display at page:

Download "Identifying high-risk patients and preventing readmissions. Nina Barnett, Krupa Dave, Sunaina Kaher, Paresh Parmar and Christine Ward September 2015"

Transcription

1 Identifying high-risk patients and preventing readmissions Nina Barnett, Krupa Dave, Sunaina Kaher, Paresh Parmar and Christine Ward September 2015

2 What I will cover Background to readmissions. What is currently happening? What did we do? What did we find? Ways forward..

3 A bit about the team Long history of focus on older people Collaboration across interfaces of care Sustained services through changes

4 What do we know about readmissions? Admissions and readmission -??? Evidence of a problem in the UK

5 Who is at risk? Older people because Complex medical conditions Social vulnerability Transitions of care People with multimorbidity of any age Respiratory Cardiovascular

6 How do you address readmissions? Challenges of data collection Identifying patients Prediction tools Resources to manage identified patients LNWH data Newcastle hospitals

7 What about drugs? What is high risk medicine US data UK papers Number of drugs? MDS, discharge planning, communication with health professionals, organisations, staff, patients and carers..

8 What about the LNWH service History NSF, PCTs and acute trusts Developments in care of older people the multidisciplinary team Integrated Medicines Management Service

9 So, how does the service work? PREVENT guidance (identification) Integrated medicines management services, Scullin et al 2007 (process) Health coaching (patient centred care) Scullin C, Scott MG, Hogg A, McElnay JC. An innovative approach to integrated medicines management. J Eval Clin Pract Oct;13(5): Barnett N, Athwal D and Rosenbloom K. Medicines-related admissions: You can identify patients to stop that happening. The Pharmaceutical Journal. 1 April [assessed 11/08/2015]

10

11 What exactly do we do? Medicines reconciliation Medicine review of long term and new medicines Patient centred medicines consultations, including discussion of newly prescribed, stopped and changed medicines Full documentation of medicines changes Documentation monitoring required on the discharge notification sent to GPs (an electronic process commenced in 2013)

12 What exactly do we do? Medicines discharge planning with patients, carers, health and social care teams in primary and secondary care to support safe and effective transfer of medicines related care. This can include medicines compliance aid assessment if required Communication and documentation of agreed actions with health and social care in secondary care regarding on-going care Pre-discharge referral to primary care health and social care professionals as well as carers where necessary to ensure continuity of pharmaceutical care. This can include referral to community pharmacists for the New Medicines Service or discharge Medicines Use Review where appropriate Post discharge telephone follow-up with patient and / or carers to support medicines related care identify on-going issues for referral and management before discharge from the service

13 Steps to address reducing preventable medicines related readmission Medicines reconciliation Person centred education Shared decision making Follow up in community pharmacy settings

14 How did we know this was useful? Comparison of two sites within LWNH 744 patients at NPH site (oct 2008-oct 2014) 92 patients at CMH site (Feb to oct 2014) CMH used PREVENT checklist to identify patients and then provided usual care Compared 30 day readmission data for PREVENTABLE MEDICINES RELATED READMISSIONS (PMRRs)

15 Results - Readmissions Original submission 589 patients at active NPH site ( ) were compared with 92 at control CMH site (2014) Updated data: 744 NPH patients seen readmissions (30d), 2preventable &medicines related (0.3%) 92 CMH patient seen readmissions (30d), 4 preventable& medicines related (4.4%). The difference was statistically significant (P=0.002). 3 saving for every 1 spent on the service (data peer reviewed)

16 Reasons for readmission NPH site

17 Reasons for readmission CMH site

18 Reasons for referrals hospital A = NPH hospital B = CMH

19 Interventions (NPH site)

20 Cost Provision of one wte pharmacist with consultant support for one year Time to undertake IMMS per pt Number of readmissions prevented For every 1 spent on pharmacist, over 3 saved

21 Case examples Mrs P Dementia Warfarin Mr A Recent stroke No previous medication

22 Learning from readmissions NPH site Dexamethasone patient CMH site Patient with dementia readmitted with seizures Laxatives

23 Findings in line with other centres Newcastle N Ireland Europe Learning from the work Costs saved were less as primary care not included Savings of 5-8 per 1 spent in other studies

24 Medicines adherence Interventions Compliance aid consultations (coaching approach) Cross sector communication Evidence to support importance of this Multidisciplinary working Post discharge communication and support

25 Limitations/Bias Admissions vs readmission Preventable? Medicines related? Standardisation of service Effect of PREVENT on CMH service External validation of PREVENT

26 Sustainability and roll out Sustained at LNWH since 2008 IMMS sites Ireland, Sweden, Norway Netherlands, process and savings demonstrated Local trust rollout with evidence to invest CLAHRC NW London Watford, Cardiff, Scunthorpe Presentations and publication 2011, 2015

27 Summary This is an innovative patient centred service which optimises safe and effective use of medicines Value: demonstrating a cost effective, high quality clinical service to help patients get the most out of their medicines safely Improvement: interdisciplinary and cross sector working and optimisation of skill mix A realistic prospect of rollout which will continue to reduce costs across the health economy

A24/B24: A High Quality Safe Medicines Management System for Patients

A24/B24: A High Quality Safe Medicines Management System for Patients A24/B24: A High Quality Safe Medicines Management System for Patients Michael Scott Head of Pharmacy and Medicines Management Northern Health and Social Care Trust Northern Ireland IHI 25 th Annual National

More information

Nina Barnett Paresh Parmar &Christine Ward

Nina Barnett Paresh Parmar &Christine Ward Nina Barnett Paresh Parmar &Christine Ward From Oct 2010, New Medicines Service reviews became available for patients with Hypertension Anticoagulant/antiplatelets (treatment) Respiratory diseases (selected)

More information

GENERAL PRACTICE BASED PHARMACIST

GENERAL PRACTICE BASED PHARMACIST GENERAL PRACTICE BASED PHARMACIST JOB PURPOSE Provide expertise in clinical medicines review 1 and address public health and social needs of patients in GP practices Reduce inappropriate poly-pharmacy

More information

Pharmacists improving care in care homes

Pharmacists improving care in care homes The Royal Pharmaceutical Society believes that better utilisation of pharmacists skills in care homes will bring significant benefits to care home residents, care homes providers and the NHS. Introduction

More information

Medication safety in transition of care

Medication safety in transition of care 20 th Congress of EAHP Medication safety in transition of care Tamasine Grimes, PhD, MPSI Associate Professor in Practice of Pharmacy Trinity College Dublin and Tallaght Hospital tagrimes@tcd.ie @tagrimes

More information

DISCHARGE PLANNING INPATIENT STANDARDS

DISCHARGE PLANNING INPATIENT STANDARDS STANDARDS TO BE MET (refer also to Appendix 1) 1. Responsibilities 1.1 All relevant health professionals will be involved with discharge planning and will maintain the required discharge documentation.

More information

Commissioning Intentions NHS Brent Clinical Commissioning Group

Commissioning Intentions NHS Brent Clinical Commissioning Group Commissioning Intentions NHS Brent Clinical Commissioning Group 2015-2016 Summary We are in the middle of making big changes to the way that people experience health and social care. We want to carry on:

More information

Breakfast symposium: From hospital to home - the focus on the patient

Breakfast symposium: From hospital to home - the focus on the patient Breakfast symposium: From hospital to home - the focus on the patient Nadya Hamedi DARZI Fellow UCLPartners and Barts Health NHS Trust in collaboration with North Central London Local Pharmaceutical Committee

More information

NEW AND EMERGING ROLES FOR PHARMACY STAFF

NEW AND EMERGING ROLES FOR PHARMACY STAFF NEW AND EMERGING ROLES FOR PHARMACY STAFF Professor Mike Scott Director of the Medicines Optimisation Innovation Centre 21 st EAHP Congress Vienna March 2016 DISCLOSURES Some of the enabling technologies

More information

Getting Medicines Right

Getting Medicines Right South of England Improving Safety in Mental Health Collaborative Getting Medicines Right Driver Diagram and Change Package A driver diagram is used to conceptualize an issue and to determine its system

More information

From December 2011 four national target groups will be introduced. In Wales these will be: Patients taking antihypertensive medication;

From December 2011 four national target groups will be introduced. In Wales these will be: Patients taking antihypertensive medication; CHANGES TO THE MEDICINES USE REVIEW SERVICE Targeted Medicines Use Reviews The introduction of targeted Medicines Use Reviews (MURs) will better utilise the provision of this service and support the care

More information

Acceptance and importance of clinical pharmacists' LIMM-based recommendations.

Acceptance and importance of clinical pharmacists' LIMM-based recommendations. Acceptance and importance of clinical pharmacists' LIMM-based recommendations. Bondesson, Åsa ÅB; Holmdahl, Lydia; Midlöv, Patrik; Höglund, Peter; Andersson, Emmy; Eriksson, Tommy Published in: International

More information

NHS England and Health Education England. Clinical Pharmacists in General Practice Pilot

NHS England and Health Education England. Clinical Pharmacists in General Practice Pilot NHS England and Health Education England Clinical Pharmacists in General Practice Pilot Clinical Pharmacists in General Practice Pilot Version number: 1 First published: 7 July 2015 Prepared by: Rachel

More information

Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital

Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital Improving medicines reconciliation on discharge from surgical services at Ninewells Hospital Shady Botros Lead Clinical Pharmacist for Surgery John Dunn Specialist Pharmacist for Surgery Owain Prys-Jones

More information

Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care

Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Services January 2015 1 IPU Submission to the Department

More information

Keeping patients safe when they transfer between care providers getting the medicines right

Keeping patients safe when they transfer between care providers getting the medicines right PART 1 Keeping patients safe when they transfer between care providers getting the medicines right Good practice guidance for healthcare professions July 2011 Endorsed by: Foreword Taking a medicine is

More information

Service Specification Template Department of Health, updated June 2015

Service Specification Template Department of Health, updated June 2015 Service Specification Template Department of Health, updated June 2015 Service Specification No. : 2 Service: Commissioner Lead: Provider Lead: Period: Anti-coagulation monitoring Date of Review: 31 st

More information

Pharmacist-led care of people with long term. conditions

Pharmacist-led care of people with long term. conditions Pharmacist-led care of people with long term conditions The Royal Pharmaceutical Society believes that utilising pharmacist led care of people with long term conditions will deliver cost-effective services

More information

WLCCG CARE HOME QIPP. Caroline Trevithick: Chief Nurse and Quality Officer Lead: Dr Liz Hepplewhite

WLCCG CARE HOME QIPP. Caroline Trevithick: Chief Nurse and Quality Officer Lead: Dr Liz Hepplewhite J WLCCG CARE HOME QIPP Caroline Trevithick: Chief Nurse and Quality Officer Lead: Dr Liz Hepplewhite 1 Care Home QIPP Integrated Plan commits to developing support for Care Homes. The aim of this is to

More information

DL (2015) 004. Dear Colleague. 15 th April 2015

DL (2015) 004. Dear Colleague. 15 th April 2015 The Scottish Government Healthcare Quality and Strategy Directorate Pharmacy and Medicines Division Dear Colleague Polypharmacy Guidance for the safe and effective use of multiple medicines to manage long

More information

Hospital Dementia Support Service (HDSS) University Hospitals Leicester (UHL)

Hospital Dementia Support Service (HDSS) University Hospitals Leicester (UHL) Hospital Dementia Support Service (HDSS) University Hospitals Leicester (UHL) Caroline Kirkpatrick, East Leicestershire and Rutland CCG Michelle Larke, Services Manager, The Alzheimer s Society Setting

More information

Pan Dorset Hospital Discharge Quality Standards. August 2013

Pan Dorset Hospital Discharge Quality Standards. August 2013 Pan Dorset Hospital Discharge Quality Standards August 2013 1 1.0 Introduction This document sets out the quality standards to which health and social care commissioners and providers in Bournemouth, Poole

More information

Clinical pathway concept - a key to seamless care

Clinical pathway concept - a key to seamless care SECTION 5: PATIENT SAFETY AND QUALITY ASSURANCE 1 Clinical pathway concept - a key to seamless care Audrey Janoly-Dumenil, Hôpital Edouard Herriot, CHU Lyon Marie-Camille Chaumais, Hôpital Antoine Béclère,

More information

COPD: Integrated Care. Sarah Alton Head of Medicines Management Community Services

COPD: Integrated Care. Sarah Alton Head of Medicines Management Community Services COPD: Integrated Care Sarah Alton Head of Medicines Management Community Services The Integrated Care Pharmacy Team Support community nursing, therapy services within the integrated care service Domicillary

More information

Influence of patients and doctors attitudes on prescriptions in elderly people

Influence of patients and doctors attitudes on prescriptions in elderly people Influence of patients and doctors attitudes on prescriptions in elderly people Anne Spinewine MPharm, MSc, PhD Clinical Pharmacy Cliniques Universitaires de Mont-Godinne, and Centre for Clinical Pharmacy

More information

Community Pharmacy Service Specification to support Care Homes in Medicines Management

Community Pharmacy Service Specification to support Care Homes in Medicines Management Community Pharmacy Service Specification to support Care Homes in Medicines Management March 2013 Background 1.1 The pharmacy will provide advice and support to the residents and staff within the care

More information

Community Pharmacy Care Home Service Commissioner Lead

Community Pharmacy Care Home Service Commissioner Lead Service Specification No. 06 Service Community Pharmacy Care Home Service Commissioner Lead Head of Medicines Management Provider Lead Community Pharmacies Period 1 April 2016 to 31 March 2017 Date of

More information

Medicines Reconciliation In Hospital

Medicines Reconciliation In Hospital Medicines Reconciliation In Hospital Author(s) Dr A MacLaren on behalf of NHSGG&C Medicines Reconciliation Oversight Group Responsible Director(s) Dr D Stewart, Lead Director for Acute Medical Services

More information

Job Description. Senior General Practice Clinical Pharmacist. 39,632-47,559 p.a. (depending on qualifications and experience)

Job Description. Senior General Practice Clinical Pharmacist. 39,632-47,559 p.a. (depending on qualifications and experience) Job Description Title of Post: Salary Range: Hours per week: Contract status: Responsible to: Business Unit: Base: Senior General Practice Clinical Pharmacist 39,632-47,559 p.a. (depending on qualifications

More information

Ambulatory care directory for adult patients Provided by: NHS Institute for Innovation and Improvement

Ambulatory care directory for adult patients Provided by: NHS Institute for Innovation and Improvement Ambulatory care directory for adult patients Provided by: NHS Institute for Innovation and Improvement Summary The NHS Institute for Innovation and Improvement has produced a directory of 50 clinical presentations

More information

JOB DESCRIPTION. Designated GP Practice(s) in Federation area

JOB DESCRIPTION. Designated GP Practice(s) in Federation area JOB DESCRIPTION JOB TITLE: LOCATION: ACCOUNTABLE TO: RESPONSIBLE TO: PROFESSIONALLY RESPONSIBLE TO: PRACTICE BASED PHARMACIST Designated GP Practice(s) in Federation area Federation Chair Practice Prescribing

More information

Improving assessment and diagnosis of dementia in the acute hospital setting

Improving assessment and diagnosis of dementia in the acute hospital setting Improving assessment and diagnosis of dementia in the acute hospital setting Michelle Parker Consultant Nurse Older People Dr Laura Madeley Clinical Psychologist Newham 400 bed hospital serving a population

More information

NHS FORTH VALLEY. Medicines Reconciliation Policy

NHS FORTH VALLEY. Medicines Reconciliation Policy NHS FORTH VALLEY Medicines Reconciliation Policy Date of First Issue 13/04/2015 Approved 09/04/2015 Current Issue Date 13/04/2015 Review Date 31/03/2017 Version 1.4 EQIA Yes 13/04/2015 Author / Contact

More information

HEATHERWOOD & WEXHAM PARK HOSPITALS TRUST. Pharmacy Department JOB DESCRIPTION

HEATHERWOOD & WEXHAM PARK HOSPITALS TRUST. Pharmacy Department JOB DESCRIPTION HEATHERWOOD & WEXHAM PARK HOSPITALS TRUST Pharmacy Department JOB DESCRIPTION JOB TITLE: BASED AT: SALARY CLUSTER: HOURS: RESPONSIBLE TO: ACCOUNTABLE TO: Palliative Care Macmillan Pharmacist Thames Hospice

More information

Care Home Support Service Review and Medicines Optimisation

Care Home Support Service Review and Medicines Optimisation Community Pharmacy Wales A Community Pharmacy Enhanced Service Template Care Home Support Service Review and Medicines Optimisation Date April 2015 1 P a g e Care Home Support Service Review and Medicines

More information

The Community Pharmacy Wales. response to the. Healthcare Inspectorate Wales s consultation. Three-Year Programme

The Community Pharmacy Wales. response to the. Healthcare Inspectorate Wales s consultation. Three-Year Programme The Community Pharmacy Wales response to the Healthcare Inspectorate Wales s consultation Three-Year Programme 2011-2014 Date July 2011 Contact Details Russell Goodway Chief Executive Community Pharmacy

More information

Reducing hospital admission rates for people with diabetes: a systematic approach to improving primary care outcomes

Reducing hospital admission rates for people with diabetes: a systematic approach to improving primary care outcomes Reducing hospital admission rates for people with diabetes: a systematic approach to improving primary care outcomes Provided by: NHS Greenwich Publication type: Quality and productivity example Sharing

More information

JOB DESCRIPTION. 2. To participate in the delivery and development of ward based medicines management services

JOB DESCRIPTION. 2. To participate in the delivery and development of ward based medicines management services JOB DESCRIPTION Job Title: Pharmacy Technician Base: Pharmacy Band: 4 ( 19,217-22,458) (Band 4 to 5 development post) Reports to: Team Leader Accountable to: Head of Medicines Management JOB PURPOSE 1.

More information

National Stroke Nursing Forum Nurse Staffing of Stroke Early Supported Discharge Teams A Position Statement for Guidance of Service Developments

National Stroke Nursing Forum Nurse Staffing of Stroke Early Supported Discharge Teams A Position Statement for Guidance of Service Developments National Stroke Nursing Forum Nurse Staffing of Stroke Early Supported Discharge Teams A Position Statement for Guidance of Service Developments Introduction This paper is a position statement from the

More information

Markus Messerli, M Sc pharm Pharmaceutical Care Research Group University of Basel, Switzerland

Markus Messerli, M Sc pharm Pharmaceutical Care Research Group University of Basel, Switzerland The impact of medication review does it work? Structured discussion on the effect of medication review in different settings Markus Messerli, M Sc pharm Pharmaceutical Care Research Group University of

More information

MORIARTY K.J. Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care. Published on behalf of the British Society of

MORIARTY K.J. Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care. Published on behalf of the British Society of MORIARTY K.J. Alcohol Care Teams: to reduce acute hospital admissions and improve quality of care. Published on behalf of the British Society of Gastroenterology. 2011. Quality, Innovation, Productivity

More information

PG Certificate / PG Diploma / MSc in Clinical Pharmacy

PG Certificate / PG Diploma / MSc in Clinical Pharmacy PG Certificate / PG Diploma / MSc in Clinical Pharmacy Programme Information 2010 2011 School of Pharmacy Queen s University Belfast Queen s University Belfast Clinical Pharmacy programme Distance learning

More information

JOB DESCRIPTION. TBC Fixed Location at a (maximum of 2) GP Practice(s) within Bedfordshire. 31,072-40,964 per annum, depending on experience

JOB DESCRIPTION. TBC Fixed Location at a (maximum of 2) GP Practice(s) within Bedfordshire. 31,072-40,964 per annum, depending on experience JOB DESCRIPTION Job Title: Location: Department/Service: Reports to: Salary: Hours: CLINICAL PHARMACIST TBC Fixed Location at a (maximum of 2) GP Practice(s) within Bedfordshire GP Federating Practice

More information

Belfast Breathing Better: A COPD Collaborative. Anne Marie Marley Respiratory Nurse Consultant BHSCT

Belfast Breathing Better: A COPD Collaborative. Anne Marie Marley Respiratory Nurse Consultant BHSCT Belfast Breathing Better: A COPD Collaborative Anne Marie Marley Respiratory Nurse Consultant BHSCT Stage 1a Primary Care Primary prevention Health promotion and education Stage 1b General Practice Accurate

More information

Service delivery interventions

Service delivery interventions Service delivery interventions S A S H A S H E P P E R D D E P A R T M E N T O F P U B L I C H E A L T H, U N I V E R S I T Y O F O X F O R D CO- C O O R D I N A T I N G E D I T O R C O C H R A N E E P

More information

Pharmacist access to the Patient Health Record

Pharmacist access to the Patient Health Record Pharmacist access to the Patient Health Record The Royal Pharmaceutical Society (RPS) believes that all pharmacists should have full read and write access to the patient health record in the interest of

More information

australian nursing federation

australian nursing federation australian nursing federation Submission to Department of Health and Ageing in response to the Home Medicines Review hospital referral pathway consultation paper January 2012 Lee Thomas Federal Secretary

More information

Medication review. The Fleetwood Model of pharmaceutical care: what worked, what didn t work and why

Medication review. The Fleetwood Model of pharmaceutical care: what worked, what didn t work and why Medication review. The Fleetwood Model of pharmaceutical care: what worked, what didn t work and why Carmel M. Hughes School of Pharmacy Queen s University Belfast Outline of talk Overview of issues Development

More information

Clinical pharmacology and therapeutics

Clinical pharmacology and therapeutics Clinical pharmacology and therapeutics i Description of the specialty and clinical needs of patients Clinical pharmacologists employed within the NHS usually combine their specialty with work as a general

More information

Breaking Down the Barriers: how pharmacists and GPs can work together to improve patient care

Breaking Down the Barriers: how pharmacists and GPs can work together to improve patient care Breaking Down the Barriers: how pharmacists and GPs can work together to improve patient care Dear colleague, The Royal College of General Practitioners (RCGP) and the Royal Pharmaceutical Society (RPS)

More information

Executive summary August 2014. Emergency Supply of Prescription-only Medicines (ESoPoMs)

Executive summary August 2014. Emergency Supply of Prescription-only Medicines (ESoPoMs) An evaluation of the role of community pharmacists in optimising safe and appropriate medicines use in response to patient requests for emergency supplies Emergency Supply of Prescription-only Medicines

More information

Improving emergency surgery. Professor Mike Horrocks September 2014

Improving emergency surgery. Professor Mike Horrocks September 2014 Improving emergency surgery Professor Mike Horrocks September 2014 1 Emergency surgery 1.2m people require emergency surgical assessment or treatment per year Approximately 25% of all surgical admissions

More information

Community Pharmacy Medicines Use Review (MUR) Service. Information for GP practices

Community Pharmacy Medicines Use Review (MUR) Service. Information for GP practices Community Pharmacy Medicines Use Review (MUR) Service What is the purpose of a MUR? Information for GP practices The underlying purpose of the MUR service is: To improve patient knowledge, adherence and

More information

Corporate Objectives 2014/15 2015/16

Corporate Objectives 2014/15 2015/16 Corporate Objectives 2014/15 2015/16 1. Quality - excel in the delivery of clinical care, safety and patient experience. Objective and key deliverables Timescale Lead director Group reporting into Key

More information

Improving Urgent and Emergency care through better use of pharmacists. Introduction. Recommendations. Shaping pharmacy for the future

Improving Urgent and Emergency care through better use of pharmacists. Introduction. Recommendations. Shaping pharmacy for the future Improving Urgent and Emergency care through better use of pharmacists The Royal Pharmaceutical Society (RPS) believes that pharmacists are an underutilised resource in the delivery of better urgent and

More information

abcdefghijklmnopqrstu

abcdefghijklmnopqrstu NHS Circular: PCA(P)(2012)19 Finance, ehealth & Pharmaceuticals Directorate Pharmacy & Medicines Division Dear Colleague ADDITIONAL PHARMACEUTICAL SERVICES: CHRONIC MEDICATION SERVICE: HIGH RISK AND NEW

More information

Audit to assess GP awareness and documentation of biologic and DMARD drugs in primary care patient records

Audit to assess GP awareness and documentation of biologic and DMARD drugs in primary care patient records Audit to assess GP awareness and documentation of biologic and DMARD drugs in primary care patient records Queen Elizabeth Hospital Gateshead Shekar P, Goodhead C, Kelly C, Francis G, Bailey AM*, Thompson

More information

BRITISH DERMATOLOGICAL NURSING GROUP

BRITISH DERMATOLOGICAL NURSING GROUP Nurse Led systemic monitoring clinics guidance on setting up this service Introduction Nurse led systemic monitoring clinics are an innovative approach to improving care delivery and maintaining both a

More information

QUM and Continuity of Care A Prescribed Medicines Services and Programs

QUM and Continuity of Care A Prescribed Medicines Services and Programs Community Pharmacy Roadmap Program Development Template Program/Service: Quadrant: 1. Program/Service Description QUM and Continuity of Care A Prescribed Medicines Services and Programs a) Background The

More information

University Hospitals of Leicester NHS Trust Dementia Implementation Plan Work-stream 1: Ensure Governance Arrangements

University Hospitals of Leicester NHS Trust Dementia Implementation Plan Work-stream 1: Ensure Governance Arrangements Work-stream 1: Ensure Governance Arrangements 1. Involvement of the Executive Board with Senior Clinical Lead identified with support roles Trust Board will review quarterly; Information on number of readmission

More information

Driver Diagram and Change Package Leadership and Culture. Primary Drivers

Driver Diagram and Change Package Leadership and Culture. Primary Drivers Aim Driver Diagram and Change Package Leadership and Culture Primary Drivers Promote a culture of reflective learning and improvement. Secondary Drivers Increase awareness of safety issues within practice,

More information

Maximising Ability, Reducing Disability. Dr. Áine Carroll Clinical Lead Valerie Twomey Programme Manager

Maximising Ability, Reducing Disability. Dr. Áine Carroll Clinical Lead Valerie Twomey Programme Manager Rehabilitation Medicine Programme Maximising Ability, Reducing Disability Dr. Áine Carroll Clinical Lead Valerie Twomey Programme Manager 1 Quality, Access and Cost Quality: Reduce morbidity: Reduced pressure

More information

BACKGROUND Making a difference: strengthening the nursing, midwifery and health visitor contribution to health and healthcare (January 1999),

BACKGROUND Making a difference: strengthening the nursing, midwifery and health visitor contribution to health and healthcare (January 1999), SNM 3223 / 624 Nurse / Midwifery Independent / Supplementary Prescribing Course Information Pack (Based on guidelines published by Yorkshire and Humberside Strategic Health Authority (2007)) Included in

More information

learning@lunch flex Parkinson s disease Learning portfolio medicines optimisation learning for healthcare professionals

learning@lunch flex Parkinson s disease Learning portfolio medicines optimisation learning for healthcare professionals learning@lunch flex medicines optimisation learning for healthcare professionals Learning portfolio WTM0214/1 March 2013 Learning with CPPE The Centre for Pharmacy Postgraduate Education (CPPE) offers

More information

Care Coordination: Planning from Admission to Transfer of Care in NSW Public Hospitals

Care Coordination: Planning from Admission to Transfer of Care in NSW Public Hospitals Policy Directive Ministry of Health, NSW 73 Miller Street North Sydney NSW 2060 Locked Mail Bag 961 North Sydney NSW 2059 Telephone (02) 9391 9000 Fax (02) 9391 9101 http://www.health.nsw.gov.au/policies/

More information

MERSEY CARE NHS TRUST HOW WE MANAGE MEDICINES. How Medicines are Reconciled on Admission to the Trust (Local Services) MM03

MERSEY CARE NHS TRUST HOW WE MANAGE MEDICINES. How Medicines are Reconciled on Admission to the Trust (Local Services) MM03 MERSEY CARE NHS TRUST HOW WE MANAGE MEDICINES Medicines Management Services aim to ensure that (i) Service users receive their medicines at times that they need them and in a safe way. How Medicines are

More information

Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1

Medicines reconciliation on admission and discharge from hospital policy April 2013. WHSCT medicines reconciliation policy 1 Medicines reconciliation on admission and discharge from hospital policy April 2013 WHSCT medicines reconciliation policy 1 Policy Title Policy Reference Number Medicines reconciliation on admission and

More information

Medicines Management Driver Diagram and Change Package

Medicines Management Driver Diagram and Change Package Medicines Management Driver Diagram and Change Package The Institute for Healthcare Improvement A driver diagram is used to conceptualise an issue and to determine its system components which will then

More information

2010 National Audit of Dementia (Care in General Hospitals)

2010 National Audit of Dementia (Care in General Hospitals) Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: NHS Trust The 2010 national audit of dementia results for

More information

Crisis and Acute Care. Stephen Watkins and Zoë Page

Crisis and Acute Care. Stephen Watkins and Zoë Page 1 Crisis and Acute Care Stephen Watkins and Zoë Page Overview Introduce crisis pathway data Summarise the benefits of Home Treatment to the acute pathway Case study; Humber NHS FT OATS Restraint Discussion

More information

Seven day working in Hospital Pharmacies

Seven day working in Hospital Pharmacies Holyrood Park House T 0131 556 4386 106 Holyrood Road E scotinfo@rpharms.com Edinburgh EH8 8AS W www.rpharms.com Seven day working in Hospital Pharmacies The Royal Pharmaceutical Society (RPS) understands

More information

Northumberland County Challenging Behaviour Team Profile of Learning Opportunities

Northumberland County Challenging Behaviour Team Profile of Learning Opportunities Northumberland County Challenging Behaviour Team Profile of Learning Opportunities 2011 GUIDANCE FOR STUDENTS, MENTORS(N) AND EDUCATORS(OT) This profile is a comprehensive document, detailing all the learning

More information

Safety indicators for inpatient and outpatient oral anticoagulant care

Safety indicators for inpatient and outpatient oral anticoagulant care Safety indicators for inpatient and outpatient oral anticoagulant care 1 Recommendations from the British Committee for Standards in Haematology (BCSH) & National Patient Safety Agency (NPSA) Address for

More information

Pharmacy Schools Council (PhSC): Response to Health Education England (HEE) Strategic Intent Document

Pharmacy Schools Council (PhSC): Response to Health Education England (HEE) Strategic Intent Document Pharmacy Schools Council (PhSC): Response to Health Education England (HEE) Strategic Intent Document Foreword: The Pharmacy Schools Council (PhSC) represents the collective interests of all 26 UK schools

More information

GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST

GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST MEDICINES MANAGEMENT STRATEGY 2006/07 ANNUAL REPORT 1. Aim An annual report on the Trust s Medicines Management Strategy is part of the requirements for Standards

More information

Implementing an Evidence Based Hospital Discharge Process

Implementing an Evidence Based Hospital Discharge Process Implementing an Evidence Based Hospital Discharge Process Learning from the experience of Project Re-Engineered Discharge (RED) Webinar January 14, 2013 Chris Manasseh, MD Director, Boston HealthNet Inpatient

More information

SOMERSET DEMENTIA STRATEGY PRIORITIES FOR 2013 2016

SOMERSET DEMENTIA STRATEGY PRIORITIES FOR 2013 2016 SOMERSET DEMENTIA STRATEGY PRIORITIES FOR 2013 2016 October 2013 1 CONTENTS PAGE Section Contents Page Somerset Dementia Strategy Plan on a Page 3 1 Introduction 4 2 National and Local Context 5 3 Key

More information

Call for Evidence on induction for doctors new to practising in the UK. 05 March 02 April 2012

Call for Evidence on induction for doctors new to practising in the UK. 05 March 02 April 2012 Call for Evidence on induction for doctors new to practising in the UK 05 March 02 April 2012 Summary The GMC wants to help all doctors new to UK practice understand the ethical and professional standards

More information

Making the components of inpatient care fit

Making the components of inpatient care fit Making the components of inpatient care fit Named nurse roles and responsibillities booklet RDaSH Adult Mental Health Services Contents 1 Introduction 3 2 Admission 3 3 Risk Assessment / Risk Management

More information

Local Enhanced Service for Care of Patients resident in Nursing/Care Homes

Local Enhanced Service for Care of Patients resident in Nursing/Care Homes Local Enhanced Service for Care of Patients resident in Nursing/Care Homes Service Level Agreement Contents: 1. Finance Details 2. Signature 3. Service Aims 4. Criteria 5. Ongoing Measurement & Evaluation

More information

National Clinical Programmes

National Clinical Programmes National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission

More information

PHARMACY PRACTICE RESEARCH GRANTS GUILD/GOVERNMENT COMMUNITY PHARMACY AGREEMENT FUNDING

PHARMACY PRACTICE RESEARCH GRANTS GUILD/GOVERNMENT COMMUNITY PHARMACY AGREEMENT FUNDING PHARMACY PRACTICE RESEARCH GRANTS GUILD/GOVERNMENT COMMUNITY PHARMACY AGREEMENT FUNDING EXECUTIVE SUMMARY Project Title: Project Director: Hypertension: Improving patient compliance and clinical outcomes

More information

Integrated provision of Acute & Community Service and Alternative Workforce Models

Integrated provision of Acute & Community Service and Alternative Workforce Models Integrated provision of Acute & Community Service and Alternative Workforce Models Rosemary Gardiner Associate Director for Operations Emergency Division South Warwickshire NHS Foundation Trust (SWFT)

More information

National Assembly for Wales: Health and Social Care Committee

National Assembly for Wales: Health and Social Care Committee 2 Ashtree Court, Woodsy Close Cardiff Gate Business Park Cardiff CF23 8RW Tel: 029 2073 0310 wales@rpharms.com www.rpharms.com 18 th October 2011 Submission to: Call for Evidence: Response from: National

More information

Neurological Health Services. Local Report NHS Ayrshire & Arran

Neurological Health Services. Local Report NHS Ayrshire & Arran Neurological Health Services Local Report NHS Ayrshire & Arran May 2012 NHS Ayrshire & Arran Summary of findings A summary of the findings from the review, including strengths and recommendations, is shown

More information

BETTER PATIENT CARE THROUGH PHARMACY

BETTER PATIENT CARE THROUGH PHARMACY MORE THAN MEDICINES: BETTER PATIENT CARE THROUGH PHARMACY What the Commission on future models of care delivered through pharmacy means for patients In March 2013 the RPS established the Commission on

More information

Tackling insulin safety using a multifaceted multidisciplinary regional approach

Tackling insulin safety using a multifaceted multidisciplinary regional approach Tackling insulin safety using a multifaceted multidisciplinary regional approach First report from The North East Regional Insulin Safety and Knowledge (RISK) project N. J. Leech 1 G. Johnson 2 R. Nayar

More information

PG Certificate / PG Diploma / MSc in Clinical Pharmacy

PG Certificate / PG Diploma / MSc in Clinical Pharmacy PG Certificate / PG Diploma / MSc in Clinical Pharmacy Programme Information September 2014 Entry School of Pharmacy Queen s University Belfast Queen s University Belfast - Clinical Pharmacy programme

More information

Rotational Clinical Pharmacist

Rotational Clinical Pharmacist Date : June 2014 Job Title : Rotational Clinical Pharmacist Department : Inpatient Pharmacy Location : North Shore and Waitakere Hospitals Reporting To : Clinical Pharmacist Team Leader, Medical, Surgical

More information

Medication Safety in ABMU Health Board. Roger Williams Head of Pharmacy Acute Services June 2014

Medication Safety in ABMU Health Board. Roger Williams Head of Pharmacy Acute Services June 2014 Medication Safety in ABMU Health Board Roger Williams Head of Pharmacy Acute Services June 2014 Aims of presentation To consider: 1. Governance arrangements to provide assurances for medication safety

More information

ProScript User Guide. Medicines Use Review (MUR)

ProScript User Guide. Medicines Use Review (MUR) User Guide Medicines Use Review (MUR) Version 3.0.5 Release Date 01/07/2012 Author Rx Systems Table of Contents Introduction... 3 Accessing the MUR Module... 4 New MUR... 6 Selecting Items for MUR Review...

More information

Standard Multidisciplinary Parkinson's Disease Care. Royal Derby Hospital and London Road Community Hospital. Dr Rob Skelly

Standard Multidisciplinary Parkinson's Disease Care. Royal Derby Hospital and London Road Community Hospital. Dr Rob Skelly Parkinson s Disease Service Standard Multidisciplinary Parkinson's Disease Care Royal Derby Hospital and London Road Community Hospital Dr Rob Skelly Key Drivers NICE guidance NSF for long term conditions

More information

Rapid Response Services: intermediate tier, multi-disciplinary health and social care service

Rapid Response Services: intermediate tier, multi-disciplinary health and social care service Rapid Response Services: intermediate tier, multi-disciplinary health and social care service Provided by: Care Services Efficiency Delivery Programme (CSED - DH) in Partnership with Bristol PCT and Bristol

More information

Experiential learning in the Pharmacy degree

Experiential learning in the Pharmacy degree Experiential learning in the Pharmacy degree Dr Anne Boyter, Professor Philip Winn Strathclyde Institute of Pharmacy and Biomedical Science, University of Strathclyde, 161 Cathedral St, Glasgow, G4 0RE

More information

381 SUPPORT INDIVIDUALS THROUGH DETOXIFICATION PROGRAMMES

381 SUPPORT INDIVIDUALS THROUGH DETOXIFICATION PROGRAMMES Unit overview Elements of competence 381a 381b 381c Induct individuals to detoxification programmes Develop and review detoxification treatment and care plans Manage closure of individuals detoxification

More information

Orthopaedic enhanced recovery programme:

Orthopaedic enhanced recovery programme: Orthopaedic enhanced recovery programme: to reduce length of hospital stay Provided by: NHS South East Coast Publication type: Quality and Productivity example QIPP Evidence provides users with practical

More information

Advanced Nurse Practitioner JD October 2013 East Cheshire Hospice HK

Advanced Nurse Practitioner JD October 2013 East Cheshire Hospice HK EAST CHESHIRE HOSPICE (ECH) JOB DESCRIPTION JOB TITLE: DEPARTMENT: ADVANCED NURSE PRACTITIONER CLINICAL SERVICES PROFESSIONALLLY ACCOUNTABLE TO: HEAD OF CLINICAL & OPERATIONAL SERVICES BAND: 6 / 7 DEPENDENT

More information

Asthma Standards and Pharmacy Campaign

Asthma Standards and Pharmacy Campaign 5 05 Asthma Standards and Pharmacy Campaign Colette Datt Nurse Consultant in Paediatric Asthma Donal Markey Pharmacy Advisor, NHS England Transforming London s health and care together 1 Aims Give an overview:

More information

The Scottish Patient Safety Programme Fellowship:

The Scottish Patient Safety Programme Fellowship: Patient Safety Education Scenario The Scottish Patient Safety Programme Fellowship: Developing Clinical Leadership Capacity across NHSScotland The Scottish Government has set ambitious Health Service targets

More information

CASE STUDY: E-PHARMACY AT CHELSEA AND WESTMINSTER HOSPITAL, UK

CASE STUDY: E-PHARMACY AT CHELSEA AND WESTMINSTER HOSPITAL, UK e-business W@tch European Commission, DG Enterprise & Industry E-mail: entr-innov-ict-ebiz@ec.europa.eu, info@ebusiness-watch.org This document is based on sector studies, special reports or other publications

More information