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Prudent Healthcare Prescribing Workshop April 2014

Prudent Healthcare Prescribing Workshop April 2014. Howard Rowe Clinical Director: head of medicines management. Introduction and Aims. Aims Format Set the Scene. Aims. Understanding of Prudent Healthcare and its application to Prescribing

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Prudent Healthcare Prescribing Workshop April 2014

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  1. Prudent Healthcare Prescribing Workshop April 2014 Howard Rowe Clinical Director: head of medicines management

  2. Introduction and Aims • Aims • Format • Set the Scene

  3. Aims • Understanding of Prudent Healthcare and its application to Prescribing • Produce recommendations for Change in prescribing arrangements • Identify where more work is needed • Capture lessons on "the workshop process"

  4. Format • Presentations • Understanding Prudent Healthcare and the underpinning Principles • To test the current arrangements for Prescribing against those Principles • Patients' perspective • Clinicians' perspective • Group Work • Define "what would good look like?" • Test and Prioritise the Ideas that emerge • Next Steps

  5. Set the Scene: use of medicines • 14,000 prescribed doses in a lifetime • Age and Use of Medicines Percentage of adults who reported being on regular prescribed medication (for a year or more), by age and sex

  6. Set the Scene Use of three or more prescription drugsin the past 30 days

  7. Set the Scene 65+ 10% of Population, Account for 30% of Medicines Expenditure in Primary Care

  8. Set the Scene • Use of Medicines: Prescribing Volume Primary Care • 7.6 million items per annum • 200 million doses per annum or • 550, 000 doses per day • Primary Care: rate of increase • Volume: Wales 2.62%, Cwm Taf 1.52 (gold)

  9. Set the Scene • Medicines Expenditure • Primary Care • £56 million per annum • £220,000 every working day (like today) • Primary Care: rate of increase • Spend: Wales 2.05%, Cwm Taf 1.72% (bronze)

  10. Set the Scene • Medicines Expenditure • Secondary Care (within Cwm Taf) • £20 million per annum • £6 million arising from NICE/AWMSG • 2014-2015 need £1m (26%) to £2.5m (42%) for NICE/AWMSG

  11. Set the Scene • Do No Harm • Prescribing: Lithium “Grandfather wins £1m drug blunder payout” (at East Glamorgan Hospital)

  12. Set the Scene • Do No Harm • Dispensing: Peppermint Water Wednesday, 1 March, 2000, 18:31 GMT “Chemists fined after baby death” • Administration: Penicillin Allergy 30th October 2013 “Grandmother, 61, 'died after nurse gave her penicillin despite SEVEN warnings that she was allergic to it‘ “

  13. Set the Scene • Culture in the Community

  14. Set the Scene • Quality: Prescribing Indicators

  15. Set the Scene • Quality • Realising potential from being Integrated Health Board • Diclofenac

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