Isle of Wight CCG Quality Assurance Framework Primary

Isle of Wight CCG Quality Assurance Framework – Primary Care Our plans for 2018/19 Tracy Savage, Deputy Director of Quality and Head of Medicines Optimisation 1

Local and National landscape Our approach to Quality Assurance Frameworks Primary Care Homes/Dom Care sector Challenges and Next steps Our role within this challenging landscape Commissioning and delivering ‘person centred, co-ordinated health and social care. ’ The joint aim of the CCG, IOW Trust and IOW Council is to promote longer, healthier lives for the people of the Isle of Wight One CCG One Trust One Council Codependent Our local priorities - These will include: • Considerable emphasis on supporting the IOW NHS Trust in ‘getting to good’ • Delivery of the Local Care Systems’ current 6 initiatives • Improving the visibility of our Assurance and Improvement activities, through creation of sustainable Quality Frameworks

Local and National landscape Our approach to Quality Assurance Frameworks Primary Care Quality within Primary Care Our Vision for Primary Care With the CCG acquiring the delegated authority for Primary Care, we are now responsible for monitoring the quality and responding to concerns from General Practices. As Providers, Practices remain accountable for the quality of their services and must have their own quality monitoring systems in place. However, as commissioners, we are responsible for the oversight of Quality Assurance within this sector. Seamless system based around localities Support PC professionals and reduce bureaucracy Supporting people with urgent needs Patient’s with complex & LTCs receive co-ordinated care Digital access Self management Professionals increasing their skills, knowledge and competence Improving patient outcomes Improving and sustaining access to primary care Practices run as sustainable businesses

COMMUNITY PHARMACY • Point of care in the community • Reduce the demand on GPs • Support patients in the community • Reduce admissions, length of stay shorter stays, reduce readmissions • Primary care team • MOTIVE, PHARMACY FIRST, PGDs 4

MOTIVE • The service will be rolled out from 9 th April • A pharmacist based medicine-related problem risk assessment - coded MOTIVE 0 -4 The number of medicines / complexity of the dosing regimen If high-risk medicines are being taken If the patient has any physical or cognitive impairment If the patient has any known adherence problems If the patient has any compliance or social support. 5

MOTIVE • Pharm. Outcomes notification on discharge • Community pharmacist – accept/reject/complete • MO 1 – Good for pharmacist to check in with patient • MO 2 – Telephone call from 111 Hub • MO 3 – Telephone call, identify patient needs • MO 4 – Domiciliary visit required 6

PATIENT GROUP DIRECTIVES (PGDs) A direction for a pharmacist to supply prescription-only medicines (POMs) to patients using an assessment of patient need, without necessarily referring back to a doctor for a prescription. Trimethoprim Nitrofurantoin Fusidic Acid cream Azithromycin Levonorgestrel Ulipristal Varenicline 7

Need contact for contracts PHARMACY SERVICES Pharmacy First Urgent Supply Just in Case Palliative medicines Not dispensed – decommission 31/03/2018 Return to stock – decommission 31/03/2018 8