Medicines Optimisation Presented by Sue Mulvenna Pharmacist Lead

Medicines Optimisation Presented by Sue Mulvenna Pharmacist Lead SW Strategic Clinical Networks November 2014

The four principles of medicines optimisation • Aim to understand the patient’s experience • Evidence based choice of medicines • Ensure medicines use is as safe as possible • Make medicines optimisation part of routine practice 2 NHS | Presentation to SW SCN Oversight Group November 2014

So what is medicines optimisation? • An approach to the use of medicines endorsed by NHSE and all the national health organisations • A term that can mean different things in different settings e. g. specialised commissioning MO CRG, and Health Wealth and Innovation • Patient centred medication which is safe and effective, getting the best outcomes from medicines for patients, public and society 3 NHS |Presentation to SW SCN Oversight Group November 2014

What are the problems with medicines? • Up to half of patients in England don’t take their medicines as recommended, wasting £ 500, 000 a year in lost patient benefits • Uptake of NICE approved medication is patchy • Most patients moving between hospital and home experience medication errors on transfer • 6% of emergency readmissions caused by avoidable adverse reactions to medicines • 70% of care home residents experience medication errors 4 NHS |Presentation to SW SCN Oversight Group November 2014

Community Medicines Optimisation projects - why? • SCN has brought together a network of SW CCG and hospital trust pharmacist leads • Huge pool of pharmacist expertise in community– in CCGs, hospitals and community pharmacy • Many of the problems related to poor use of medicines are happening in community settings 5 NHS |Presentation to SW SCN Oversight Group November 2014

Proposed solution to addressing MO in SW SCNs • A range of community focussed SW SCN medicines optimisation projects to be piloted in 14/15 • Aiming to promote joint working across different healthcare organisations to improve patient experience with medicines • Successful projects to be considered for integration into SW SCN work streams in 15/16 6 NHS |Presentation to SW SCN Oversight Group November 2014

Community medicines optimisation projects • SW CCG Pharmacist Leads, LPCs and Pharmacy LPNs asked for MO project ideas fitting with SCN work plans • 13 applications received, covering both Community and specialist pharmacist services • Proposed projects cover all of the SCNs plus cross cutting themes urgent care, parity of esteem • 7 out of 11 SW CCGs involved • Projects aiming to support improved MO for more than 1000 patients in 2014/15 7 NHS |Presentation to SW SCN Oversight Group November 2014