The Pharmaceutical Care of Patients with Long Term Conditions - PowerPoint PPT Presentation

View by Category
About This Presentation
Title:

The Pharmaceutical Care of Patients with Long Term Conditions

Description:

The Pharmaceutical Care of Patients with Long Term Conditions – PowerPoint PPT presentation

Number of Views:267
Avg rating:3.0/5.0
Slides: 17
Provided by: alison126
Learn more at: http://www.shiftingthebalance.scot.nhs.uk
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: The Pharmaceutical Care of Patients with Long Term Conditions


1
The Pharmaceutical Care of Patients with Long
Term Conditions
  • Deirdre Watt
  • Team Leader, Community Pharmacy
  • Scottish Government

2
Objectives
  • Set out community pharmacy role
  • Define concept of pharmaceutical care
  • Describe the Chronic Medication Service
  • Consider clinical benefits
  • Outline timetable for delivery

3
(No Transcript)
4
Community Pharmacy Role
  • Developing the role of the pharmacist
  • Address health inequalities
  • Make better use of the workforce
  • Maximise clinical outcomes
  • Public Health Service
  • Services and information
  • Smoking cessation clinics, sexual health advice
  • Minor Ailment Service
  • Free for those who do not pay for prescriptions
  • Over 600,000 registered treat or refer

5
The Patient Journey
  • Patient has GP appointment
  • Prescription taken to pharmacy
  • At least 5.2 of items not dispensed
  • Patient takes medication
  • 30-50 non-adherence
  • 2.7 - 6.5 hospital admission due to Adverse
    Drug Reaction (ADR)
  • Outpatients
  • 5 of medicines not added to the GP record

6
Minor Ailment Service
  • Over 600,000 patients registered
  • 90,000 consultations per month
  • Extremely positive patient feedback

7
MAS Trends
  • Prescribing
  • Paracetamol (18)
  • Ibuprofen (7)
  • Chloramphenicol (5)
  • Malathion (4)
  • Clotrimazole (4)
  • Registration
  • Over 60 - 40
  • Under 16 - 33
  • Income related - 19
  • Maternity / HBE - 7
  • 16-18 (education) - 1

8
Unscheduled Care PGD
  • Provision of medicines under a national Patient
    Group Direction (PGD) when a GP is unavailable
  • Pharmacist can give up to one prescribing cycle
    of a patients medicines
  • PGD covers all medicines in the British National
    Formulary (BNF) with exceptions detailed (e.g.
    controlled drug, hospital only treatments)

9
Unscheduled Care PGD usage
10
Chronic Medication Service (CMS)
  • Description
  • Personalised pharmaceutical care for patients
    with long term medical conditions.
  • Purpose
  • Maximise clinical outcomes for patients
  • Minimise predictable undesirable effects
  • Increase patient understanding of their medicine
    increase compliance, reduce waste

11
Three Stages
12
CMS Outline
  • Stage 1
  • Patient registers with a community pharmacy of
    their choice
  • Voluntary register with one pharmacy only
  • Underpinned by patient consent
  • Stage 2
  • Pharmacist assesses patient
  • Pharmacist develops a pharmaceutical care plan
  • Stage 3
  • GP issues a serial prescription 24 or 48 weeks
  • Pharmacist dispenses prescription at agreed
    intervals
  • Feedback to GP practice end of care treatment
    summary
  • Review or repeat

13
Improved Concordance Stage 2 Pharmaceutical care
planning
  • Patient and pharmacist
  • Discuss and assess the patients condition/s,
    medicine/s and general health
  • Identify any issues / problems
  • Establish desired outcomes
  • Agree any actions to address them
  • Pharmacist
  • Documents the issues, desired outcomes and
    actions in a pharmaceutical care plan
  • Monitors and reviews the care plan

14
Timetable to CMS
  • Early adopter testing in Fife
  • Develop toolkit for implementation
  • 8 week consolidated end to end testing
  • Registration
  • Serial prescription
  • End of care treatment summary
  • Roll out from October
  • Full CMS for patients with exemptions
  • Complete roll out to all April 2011

15
Summary CMS Benefits
  • Improved clinical outcomes
  • Improved concordance
  • Reduced wastage
  • Easier patient journey
  • Promotion of self care
  • Better utilisation of the workforce
  • Encourage team working

16
New Community Pharmacy Contract Benefits
  • Improved access
  • Medicines
  • Pharmaceutical advice
  • Managing demand
  • GP practice
  • NHS 24
  • AE
  • Addressing health inequalities
  • Shifting the balance of care
About PowerShow.com