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National ‘Do Once’ system for organisational medicines governance Carina Livingstone

Implementing a national 'do.once' system for organisational medicines governance, including standardised policies, patient group directions, and essential governance documents.

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National ‘Do Once’ system for organisational medicines governance Carina Livingstone

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  1. National ‘Do Once’ system for organisational medicines governanceCarina Livingstone

  2. National ‘Do Once’ System Carter 1- Recommendations on efficiency and productivity Carter 2- Recommendation 11 – Medicines and Pharmacy Optimisation states: NHS England’s Specialist Pharmacy Services and the regional medicines optimisation committees developing a national ‘do once’ system for organisational medicines governance, including national standardised medicines policies, patient group directions and other essential organisational governance documents during 2018/19. Medicines Value Programme

  3. Patient Group Directions (PGDS) Patient Group Directions provide a legal framework that allows some registered health professionals to supply and/or administer specified medicines to a pre-defined group of patients, without them having to see a prescriber (such as a doctor or nurse prescriber). Supplying and/or administering medicines under PGDs should be reserved for situations in which this offers an advantage for patient care, without compromising patient safety.

  4. PGD Background SPS provide PGD advisory service Pan-London initiative – standardisation of PGDs for sexual health services PHE national template PGDs for vaccinations SPS scoping exercise antimicrobial therapy 18 trusts with 199 PGDs Duplication of effort Variation in quality Could reduce to 33 PGDs (reduction by 83%)

  5. Short-life Working Group (SLWG) – Example Ambulance Trusts Engagement by trusts Subject Matter Experts (SMEs) – pharmacists, doctors, paramedics SPS will lead the development of system and process but is a collaborative programme with all stakeholders e.g. College of Paramedics, JRCALC, other groups Rationalisation Prioritisation

  6. Implementation Year 1 of the 3 year programme; start with PGDs Look at areas where PGDs are not required: ‘Over-the-counter’ medicines and special exemptions Template PGD focus Ambulance trusts Sexual health/family planning Antimicrobials Year 2 – start medicines policies

  7. RMOC endorsement and oversight Endorse the proposed development of a suite of medicines governance documents Provide oversight for the national programme of work to produce these documents Note availability of published outputs, endorse the implementation of these documents as a single source and ensure integration into other relevant work programs eg antimicrobial resistance

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