the pharmaceutical care of patients with long term conditions n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
The Pharmaceutical Care of Patients with Long Term Conditions PowerPoint Presentation
Download Presentation
The Pharmaceutical Care of Patients with Long Term Conditions

Loading in 2 Seconds...

play fullscreen
1 / 16

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


  • 93 Views
  • Uploaded on

The Pharmaceutical Care of Patients with Long Term Conditions. Deirdre Watt Team Leader, Community Pharmacy Scottish Government. Objectives. Set out community pharmacy role Define concept of pharmaceutical care Describe the Chronic Medication Service Consider clinical benefits

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The Pharmaceutical Care of Patients with Long Term Conditions' - payton


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the pharmaceutical care of patients with long term conditions

The Pharmaceutical Care of Patients with Long Term Conditions

Deirdre Watt

Team Leader, Community Pharmacy

Scottish Government

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

the patient journey
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

minor ailment service
Minor Ailment Service
  • Over 600,000 patients registered
  • 90,000 consultations per month
  • Extremely positive patient feedback
mas trends
Registration

Over 60 - 40%

Under 16 - 33%

Income related - 19%

Maternity / HBE - 7%

16-18 (education) - 1%

Prescribing

Paracetamol (18%)

Ibuprofen (7%)

Chloramphenicol (5%)

Malathion (4%)

Clotrimazole (4%)

MAS Trends
unscheduled care pgd
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 patient’s medicines
  • PGD covers all medicines in the British National Formulary (BNF) – with exceptions detailed (e.g. controlled drug, hospital only treatments)
slide10
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

Chronic Medication Service (CMS)

cms outline
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

improved concordance stage 2 pharmaceutical care planning
Patient and pharmacist

Discuss and assess the patient’s 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

Improved ConcordanceStage 2: Pharmaceutical care planning
timetable to cms
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
summary cms benefits
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
new community pharmacy contract benefits
New Community Pharmacy Contract Benefits
  • Improved access

Medicines

Pharmaceutical advice

  • Managing demand

GP practice

NHS 24

A&E

  • Addressing health inequalities
  • Shifting the balance of care