Barnet CEPN Prescribing Clerk Training Session 7 Barnet

Barnet CEPN Prescribing Clerk Training Session 7

Barnet Plan � Feedback from pharmacy visits � Roles and relationships � What have you learnt? � Roles going forward CEPN

Barnet Community Pharmacy Visits � In your groups of 3 -4 please discuss for 10 minutes �What you learnt about the role/roles of staff in the pharmacy? � 3 things that surprised you? � 3 things you will now do differently as a result of your visit? �How has your relationship with your community pharmacist changed since visit? �If there is one thing from your time spent in the community pharmacy that could be shared with other Barnet community pharmacies, what would it be? CEPN

Barnet Roles and relationships within the surgery Spend 2 minutes thinking about your relationship with your colleagues � In the last month, give an example of a query/issue you have discussed with each staff member listed below? What went well and what can be improved? � �Admin team, �Practice manager, �Practice based Pharmacists, �GPs Prescribing leads- GPs �CCG Practice Support Pharmacists �How have the skills you have learnt from the training enhanced your communication skills? CEPN

Barnet Changes to practice � � � � � Form 2 circles, 1 minute per topic to discuss How could you encourage more use of EPS in your practice ? Which three new things about e. RD have you learnt that could change how you work? What EMIS tips have you / will you share with your practice colleagues? If you had one thing you could share about Medication reviews – what would it be? Safe prescribing: What in the next month could you do to influence safer prescribing in your practice? Vulnerable Groups: Name 3 vulnerable patient groups Wastage: What changes could you share to reduce medication wastage in your practice? Communication skills: When dealing with challenging situations with patients regarding scripts what one thing have you / will you do differently? CEPN

How can you encourage more use of ‘EPS’ or ‘Patient Access’ in your practice ?

Which three new things about e. RD have you learnt that could change how you work?

What EMIS tips have you / will you share with your practice colleagues?

If you had one thing you could share about Medication reviews – what would it be?

Safe prescribing: What in the next month could you do to influence safer prescribing in your practice?

Vulnerable Groups: Name 3 vulnerable patient groups

Wastage: What changes could you share to reduce medication wastage in your practice?

Communication skills: When dealing with challenging situations with patients regarding scripts, what one thing have you / will you do differently?

Barnet EPS and ERD � 2/3 of prescriptions are repeat prescriptions � Based on patient on choice � Use of prescription tracker to send script back to spine if necessary � Educate patients on the benefits/work with PPGs � Use of patient access CEPN

Barnet CEPN

Barnet Emis Tips � How to list drugs to prevent errors � Acute/repeat dispensing/variable repeat/hospital only � Use of the grouping tab: acute/repeat/drug/emis drug group CEPN

Barnet CEPN

Barnet CEPN

Barnet Medication reviews CEPN

Barnet Medications reviews � Drugs that need frequent monitoring eg �Lithium, Warfarin INR, Methotrexate � Yearly review is minimum � A repeat is not just for life! � Important to monitor any adverse effects � Important to ensure ongoing effectiveness of medication CEPN

Vulnerable groups Barnet CEPN � � � � � Elderly Dosset boxes / MARS Residential home patients - which are your local residential homes ? Dementia Housebound patients Polypharmacy: More than 6 items on their repeats. People with Mental health Learning Disabilities Others include: Children with long term conditions/ special needs

Barnet Wastage � How to deal with over ordering? �Speak to community pharmacist – who is ordering? �Alert GP (do they need a review? ) �Ask the patient for reason �Tell PSP – they may be able to look into it for you � Care homes – ensure 28 days only � Dosette boxes – 28 days CEPN

Barnet CEPN

Barnet Communication skills � Try not to get angry towards the patient (it can be hard) � Keep your voice calm � Try to find a workable and realistic solution � Sometimes patient may understand the reason for delay – helpful if you can explain � Ask for help when needed � Don’t take it personally CEPN

Barnet Job Role � Following this training how would you describe your ideal job? �What are the essential skills? �What are the desired skills? � How has your role changed since starting the training? � What would help you achieve the desired job role? � What are the barriers? CEPN

Barnet Next Session � Joint session with community pharmacists � Community pharmacist feedback from visits � NHSBSA speaker – ERD and EPS � Summary and further feedback! � Next Steps CEPN