Medicines Management is a system of processes and behaviours that determines the way that medicines are used by patients in the NHS. Getting medicine use “right” has the potential to not only improve patient outcomes but also contribute to patient safety.
It’s estimated that up to £150 million worth of medicines are wasted unnecessarily every year within the NHS.
Up to 50% of patients do not take the medicines they have been prescribed.
Provide strives to be an organisation which has up-to-date policies, procedures and systems in place to ensure safe, high-quality and accessible medicines management services are provided within new and redesigned patient services, and where appropriate consideration is given to reducing risks and waste associated with medicines use. We work with our services to ensure that our patients can get the best outcomes from the medicines they are taking.
Be patient focused – aiming to ensure that patients get the maximum benefit from their medicines.
Offer equity of access – aiming to ensure that all patients using Provide services have equal access to medicine.
Minimise clinical risk – aiming to ensure the safety of both pharmacy services and medicine use within Provide, through clinical governance and risk management.
Maximise the efficient use of resources – aiming to ensure that medicine use is both clinically appropriate and cost effective.
As a patient, or member of the public, it is important to make sure that you are aware of information available to you and how this can help ensure you make the most of the medicines you are taking.
What We Do
Our Medicines Management Team offers a wide range of support services to our community hospitals, services and teams assisting patients at home. These include…
Development of guidance policy, procedure and standard operating procedures
Access to professional advice and information
Management of pharmaceutical waste
Self-administration of medicines
Management of stock
Multidisciplinary team meetings
Pharmaceutical care plan
Review of discharge summaries and liaising with providers where necessary
Liaising with GPs and nursing staff over prescribing issues and monitoring requirements
My Medicines booklet
Post discharge care plan with patient to optimise medicines use
Referral to community pharmacy where appropriate
Safe and Secure Handling of Medicines
Patient Group Directions - Train the Trainer
Accredited Insulin Course
Medication Safety: learning from incidents and improving quality of reporting
Non-Medical Prescribing (NMP) Conference for NMP’s and Health Visitor NMP’s
Controlled Drug Destruction
Advisory service for prescribing
Support services for the development of Patient Group Directions (PGDs)
Working with services to ensure optimal patient outcomes
Identify opportunities for Quality, Innovation, Productivity and Procurement
Contribution to PrescQIPP Strategic Oversight Group
Support effective and optimal use of medicines to reduce waste
Safe and secure systems for the management of controlled drugs
Development of policies related to the management of medicines and controlled drugs
Raising awareness of National Patient Safety / Medicines Health Regulatory alerts and implantation within services
Monthly Audit of antibiotic prescribing
Investigation of patient safety incidents and monitoring via the Medication Safety Group, including feedback of lessons learnt
Risk assessments and audits
Impact on service delivery
Integration of medicines into services, creating a culture of safe practices
Professional Leadership and Accountability
Supporting submission and delivery of new contracts
Procurement of medicines
Use of ONPOS (Online Prescription Ordering Service) to monitor the use of dressings
Management of sip feeds on community hospital wards
Formulary compliance monitoring
Provision of medicines management support and advice
How We Report Our Performance
The Board monitors medicines management through the bi-monthly Quality and Safety Board Report.
The Medicines Management Team is actively involved in ensuring the safe use of medicines across the organisation and this is monitored via the Medicines Management Committee, Medication Safety Group and the Quality and Safety Committee. We engage with our staff to ensure that medicines are used safely and effectively across our organisation. By developing strategies to improve and support the safe and effective use of medicines within our services we have developed a programme of audit. The strategies we have developed are:
This document describes the framework for the delivery of pharmacy and medicines management services across Provide and prioritises key themes for the development of the Medicines Management Service over the next three years.
This document assures our Board of the safe and effective use of medicines, and includes the contribution that Provide can make to reduce medicine waste wherever possible across the local health economy.
This document identifies a clear framework for the ongoing development of NMP within Provide, and ensures that we have a competent workforce to support safe prescribing whilst maintaining a clear governance framework.
The Medicines Management Team audits and evaluates the use of medicines within our services by undertaking audits with feedback reports, actions, progress and compliance monitoring. The audits review the safe and appropriate use of medicines and ensure that this is in line with current best practice guidance. Where necessary, actions are taken to identify areas of improvement which are monitored and reported to local teams, the Medicines Management Committee, Quality and Safety Committee and the Board. We produce quarterly and annual reports which reflect on our practice and identify key themes for learning and improvement.
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COVID-19 Coronavirus Outbreak: Impact on our services
In response to the outbreak and following the latest government guidance we are reviewing how we deliver all our services, and will be stopping all but the most clinically essential face to face appointments.
Our services are currently reviewing their lists and we will update our service users if this will affect them. Where possible alternative ways of delivering care or supporting people will be put in place, but as our capacity changes we will, out of necessity, suspend delivery of some services completely.
Our organisation is part of the My Care Record approach which is supporting the work of health and care organisations across the East of England as they respond to the coronavirus (COVID-19) pandemic. For example, we are working to make sure doctors, nurses and co-ordination staff at places you may receive advice or treatment can see important information from your patient record. This could include NHS treatment centres such as the London NHS Nightingale Hospital. This will make it easier and faster for them to deliver effective care.
For more information, including the Privacy Notice, please visit the My Care Record website.