Medicines Management in long term conditions

1. Medicines Managementin long term conditions Key Slides

2. Definition “Delivering improvements for people with long term conditions isn’t just about treating illness, its about delivering personalised, responsive, holistic care in the full context of how people want to live their lives.” Dr. David Colin-Thome National Clinical Director for Primary Care

3. Epidemiology QOF 2006/7 data Source: Department of Health. Chronic disease management. A compendium of information. DH (2008), London Gateway reference: 8734

4. Problems that people face • Mix of medical conditions leading to complex medicines regimens • Social needs • May feel isolated from their family • Non life-threatening problems cause the greatest difficulties • Co-morbidities are often missed or ignored.

5. Common problems • Untreated conditions • Inappropriate medicine selection • Sub-therapeutic dose or overdose • Medicines prescribed without an indication • Side effects andadverse drugs reactions • Drug interactions • Access to medicines • Compliance & concordance • Multiple medicines and complex regimens.

6. The inevitable outcomes • Harm not help • Failure of treatment • Avoidable ill health • drug interactions • unwanted effects • Unnecessary wastage of medicines • Demands on scarce resources • Time • Money.

7. Risk and patient safety Effective Use of medicines Shared decision making Working together across boundaries Access to medicines Basis of good medicines management

8. Obvious goals • Right drug • Right dose • Right patient • Right time • Every time!

9. Medicines-taking in context Me My medical condition My Treatment My Medicine Source: Management of medicines. A resource to support implementation of the wider aspects of medicines management for the National Service Frameworks for Diabetes, Renal Services and Long Term Conditions. Department of Health (2004): London