Pharmacy & Medicines Management
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Pharmacy & Medicine Management

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Pharmacy & Medicine Management

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Pharmacy & Medicine Management

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.

Our Aims

  • 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…

  • Optimising the use of medicines
  • Antimicrobial Use review
  • Procurement Monitoring of Service contracts
  • Management of stock
  • Reduce medicines waste
  • Audit
  • Development of guidance policy, procedure and standard operating procedures
  • Access to professional advice and information
  • Management of pharmaceutical waste

Inpatient Units:

  • Clinical pharmacy
  • Self-administration of medicines
  • Medicines reconciliation
  • 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
  • Controlled Drugs
  • 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
  • Medicines Reconciliation
  • Transcribing
  • Induction
  • 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:

Medicines Management Strategy 2015-18

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.

Medicines Optimisation Strategy 2015-18

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.

Non-Medical Prescribing Strategy

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.

Patient Documents

The Audit And Evaluation

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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