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Medicines Resources Update

Explore a range of reputable medicines resources, including the BNF, Evidence.nhs.uk, Specialist Pharmacy Services, and more. Learn how to assess resource quality and relevance to your patient group. Discover tips on safe Google searching and expert assistance available. Stay informed and make informed decisions in your practice.

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Medicines Resources Update

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  1. Medicines Resources Update Dave Abbott Pharmacist, Leeds Medicines Advice

  2. What we are going to cover • What is out there – a refresher • For you • For patients • How to think about the qualities and limitations of resources

  3. Where to go when you’ve forgotten this presentation • www.leedsformulary.nhs.uk

  4. Where can I find a list of reputable resources? • Leeds Formulary • UKMi produce a listquarterly • Available on the Specialist Pharmacy Services (SPS) website – www.sps.nhs.uk

  5. Core Resources

  6. The BNF • Multiple versions • Medicinescomplete • Evidence.nhs.uk • App • Paper copies

  7. Summary of Product Characteristics (SPCs)

  8. Specialist Pharmacy Servicewww.sps.nhs.uk • Lactation database • Medicines Q&As • Lots of stuff, but difficult to navigate • They’re trying to fix it, but in the meantime try googling with “site: sps.nhs.uk” at the end

  9. Where did UpToDate go? • Replaced with BMJ Best Practice • Register for an account whilst on-site, and you can then access it anywhere • Organised by condition

  10. Specialist Topics

  11. Interactions • Don’t forget BNF and SPCs • Medscape Drug Interaction Checker • Very cautious • First Databank through eMEDs “resource viewer” • Slightly less cautious • Think about drug-disease interactions too

  12. Pregnancy and Lactation • UK Teratology Information Service – for HCPs • Monographs available summarising pregnancy data • Phone number available in / on BNF • BUMPS - for patients • UKTIS monographs translated for patients • Lactation database • Via SPS website • Lactmed

  13. Information for Patients • www.nhs.uk • Medicines for Children

  14. Complementary Medicines • Medicines Q&As • Via SPS website • Memorial Sloan-Kettering Cancer Centre

  15. Swallowing difficulties • http://swallowingdifficulties.com/ • By Rosemont so careful about sales • Useful information for healthcare professionals about crushing tablets etc. • Click on ‘Additional information for Healthcare Professionals’

  16. Trip Database • Turning Research Into Practice – access to evidence • Funded by Health Education England for 1 year

  17. Thinking about resources

  18. What order should I use resources in? • Do we have local guidance? • Leeds Health Pathways / Leeds Formulary • It’s what we do in Leeds, so everyone’s doing the same thing • Things will have been reviewed already and streamlined / simplified • Is there NHS guidance? • NICE / CKS • It’s the right thing to do, but may give multiple options • Is there non-NHS guidance? • Royal Colleges / BMJ Best Practice • Many more options • Do I have to “make it up” myself?

  19. What makes a good resource? • Accurate • Right level of information • Reputable • Available

  20. How do I assess if a resource is reputable? • Use the UKMiResource Assessment Tool as guidance • Has someone else you trust done an assessment already? If not… • Is it an appropriate person/organisation providing the information? Relevant qualifications / experience etc. • Is the information referenced to sensible resources? Is there a publication date and review date? Is the editorial policy clear? • Is the information relevant to your patient group? Does the cohort the resource covers match your patient? If a non-UK product, does their practice match ours, and are the products available in the UK?

  21. What’s wrong with Google? • Google helps you find things. Some of these are really good - some of them less so. • It isn’t Google’s job to help you tell the difference • Google is very good at finding things. • Just because someone somewhere has done it before you doesn’t mean you should do it as well. • Google works by algorithms, but you don’t know what these are. • Pragmatic review of published evidence and research – not necessarily comprehensive • Pragmatic review of published evidence and research – not necessarily comprehensive

  22. How to Google safely • Be aware of what it does • Use a structured search • Search wider than [drug – condition] – search for general guidance too • Search for uk or nhs guidance (site: nhs.uk) • Google Scholar? • If you’re trying to find everything, combine it with a search of a structured database (Embase)

  23. Who can help you? • Your ward/ specialist pharmacist • The Leeds Formulary • Leeds Medicines Advisory Service • 65377 • Medicines.information@nhs.net • Patient helpline

  24. Questions

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