Medicines Use and Procurement

1. Medicines Use and Procurement What CCGs will learn having visited our stall, and what they can expect to discuss • Many GPs will probably have a good handle on what is required to manage the primary care prescribing budget. But the Medicines use and Procurement QIPP workstream covers all aspect of the medicines pathway. Come along and find out what you don’t know about medicines and how this workstream plans to address medicines optimisation! • We would like your views on how best to involve patients and the public more in optimising medicines. • GPs attending this session will leave with a clear understanding of the breadth of the medicine use and procurement QIPP work and also signposts to who is leading this work in their local area. Each session will introduce the concept of Medicines Optimisation and will allow GPs to share their views about how CCGs engage with this important work in the future.

2. Medicines Use and Procurement Emerging CCGs can expect to increase their understanding of the following: • In secondary care, about 60% of the medicines expenditure is on high cost medicines that are excluded from the national payment by results tariff. GPs will need to understand the levers that need to be in place to ensure that secondary care is actively managing these medicines to ensure value for money for patients and the NHS. The Medicines Use and Procurement QIPP work stream has developed innovative local solutions to this issue. • In 2007, 86,000 medication errors were reported to the NPSA; 100 of these caused death or sever harm. In 2008/9 over 542, 000 bed days in England and Wales were attributed to adverse events caused by medicines costing the NHS in excess of £235 million bed days. Find out how the medication safety aspects of the QIPP programme aim to reduce medication errors and support effective medicines pathways across primary and secondary care. • Up to 50% of patients do not take their prescribed medicines as intended. Find out how the Medicines Use and Procurement QIPP project supports patients in improving their medicines taking. • Approximately £300 million of medicines are wasted in primary care each year. Up to half of this may be avoidable. The Medicines Use and Procurement work stream is working on a range of activities across health and social care sectors to address avoidable waste and make better use of NHS resources. • GPs attending this session will also learn about the Home Care market, how the community pharmacy contract has changed to support patients taking new medicines, initiatives to reduce the use of low dose antipsychotics in older patients with dementia as well as how proposed changes to the ePACT system will improve primary care prescribing benchmarking capabilities.