Medicines OptimisationPresented by Sue MulvennaPharmacist Lead

SW Strategic Clinical Networks November 2014

The four principles of medicines optimisation

• Aim to understand the patient’s experience

• Evidence based choice of medicines

• Ensure medicines use is as safe as possible

• Make medicines optimisation part of routine practice

NHS | Presentation to SW SCN Oversight Group November 20142

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So what is medicines optimisation?• An approach to the use of medicines endorsed by

NHSE and all the national health organisations

• A term that can mean different things in different settings e.g. specialised commissioning MO CRG, and Health Wealth and Innovation

• Patient centred medication which is safe and effective, getting the best outcomes from medicines for patients, public and society

NHS |Presentation to SW SCN Oversight Group November 2014

What are the problems with medicines?• Up to half of patients in England don’t take their medicines as

recommended, wasting £500,000,000 a year in lost patient benefits

• Uptake of NICE approved medication is patchy

• Most patients moving between hospital and home experience medication errors on transfer

• 6% of emergency readmissions caused by avoidable adverse reactions to medicines

• 70% of care home residents experience medication errors

NHS |Presentation to SW SCN Oversight Group November 20144

NHS |Presentation to SW SCN Oversight Group November 2014

Community Medicines Optimisation projects - why?

• SCN has brought together a network of SW CCG and hospital trust pharmacist leads

• Huge pool of pharmacist expertise in community– in CCGs, hospitals and community pharmacy

• Many of the problems related to poor use of medicines are happening in community settings

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NHS |Presentation to SW SCN Oversight Group November 2014

Proposed solution to addressing MO in SW SCNs

• A range of community focussed SW SCN medicines optimisation projects to be piloted in 14/15

• Aiming to promote joint working across different healthcare organisations to improve patient experience with medicines

• Successful projects to be considered for integration into SW SCN work streams in 15/16

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NHS |Presentation to SW SCN Oversight Group November 2014

Community medicines optimisation projects

• SW CCG Pharmacist Leads, LPCs and Pharmacy LPNs asked for MO project ideas fitting with SCN work plans

• 13 applications received, covering both Community and specialist pharmacist services

• Proposed projects cover all of the SCNs plus cross cutting themes urgent care, parity of esteem

• 7 out of 11 SW CCGs involved• Projects aiming to support improved MO for more

than 1000 patients in 2014/157