Using Quality Improvement QI methodology to implement the

Using Quality Improvement (QI) methodology to implement the NHSGGC Repeat Prescribing LES Kirsty Thomson, Margaret Nugent, Patricia Mc. Guigan, Kathryn Mac. Cormick, Ray Dorran, Sheila Tennant, Adrienne Fraser North West Locality Glasgow City HSCP Introduction The Repeat Prescribing Locally Enhanced Service (RP LES) was introduced in October 2010 in NHSGGC to promote safe & effective processes for acute and repeat prescribing in GP practice. North West Glasgow took a structured approach to implementing the LES led by the prescribing support technicians in 2018. Method Outcomes • The therapeutics QI framework 1 was adapted to reflect the LES areas for • Practices report feeling better supported with the RPLES, improvement. • Practices keep all RPLES information together either in a folder or the shared drive • Technicians met with practice teams to develop and agree their QI plan to work towards the LES targets. This included identifying for ease of access. • Understanding the causes of over ordering and how to address these has increased. • who would own specific work criteria and • Duplicate prescriptions have reduced. • training / learning needs • Sharing of good practice has seen effective processes shared between practices. • and review of current practice procedures & identifying areas for change. • Progress is reviewed quarterly. Conclusion PRISMS Formulary Report e. Formulary updates • Using QI tools to agree a plan and monitor has seen practices re-engage with the Scottish Therapeutics Utility run charts Objectives • To improve repeat prescribing systems and processes within practices and reduce waste medicines. • To introduce the Quality Improvement (QI) methodology to practice managers in North West Glasgow to improve delivery of the RPLES • To re-engage practices with the RPLES which promotes safe & effective processes for acute and repeat prescribing. • Progress is visible and generates a sense of achievement and positivity with practice staff at review meetings. Supporting tools GGC Prescribing tool RPLES. • Pharmacy technicians feel confident leading the RPLES with this approach. Scriptswitch reports Reference 1. GMS Prescribing a Quality Improvement Approach 2016 https: //www. therapeutics. scot. nhs. uk/resources/ accessed 30082018