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Implementation of NHS E guidance

Learn how Rushall Medical Centre implemented NHS guidance on OTC items not routinely prescribed, impacting patient care and cost savings. Includes practice demographics, implementation plan, GP perspective, barriers faced, and data analysis.

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Implementation of NHS E guidance

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  1. Implementation of NHS E guidance • Dr Satvinder Sandilands, Senior GP Partner • Mr Bharat Patel, Clinical Pharmacist Rushall Medical Centre, Walsall

  2. Implementation of NHS E guidance for OTC items not to be prescribed routinely in primary care • Practice demographics • How we implemented guidance • GP perspective • Barriers • Impact – data analysis

  3. Rushall Medical Centre “working in partnership to provide high quality personal medical care in a one stop centre”

  4. Practice demographics • Large multi-partner practice • List size approximately 14,700 patients across 2 sites • Large multidisciplinary team with GPs, Nurses, HCAs and Clinical Pharmacist supported by administration staff

  5. Implementation plan • Review the guidance • Discussion at clinical and admin staff meetings • Staff training • Letter to community pharmacies • Identification of patients • Removal of medicines from medication list by: • admin staff • Clinicians – at point of authorising EPS requests, f-2-f or telephone consultations, CCG pharmacists • Laminated summaries for clinicians • Reinforce self care by use of patient information leaflets

  6. GP perspective • How to engage with patients • Dealing with patient or representative concerns • Discussion of cost implications with patients • Use of medication review • Repeat medication requests • Liasion with admin team

  7. Barriers • Consistency of advice from other HCPs – ongoing education • Age restrictions on OTC medicines – may have to prescribe if there is a clinical need • Local commissioned services, e.g. minor ailments, minor eye conditions services – contacted Commissioners and LOC • Demand from schools/nurseries for “labelled” medicines – letter sent • Patient expectations - manage concerns on individual basis

  8. Data analysis • Vitamins • Antihistamines • Eye drops • Analgesics

  9. Spend on OTC vitamins and minerals (NIC per 1,000 ASTROPU), rolling year trends.

  10. Spend on OTC vitamins and minerals by BNF chemical name for Rushall Medical Centre, rolling year trends. Other category includes: ascorbic acid, calcium supplements, multivitamins, phosphate supplements, pyridoxine hydrochloride, vitamin A, vitamin E and zinc sulfate.

  11. Spend on OTC vitamin D (NIC per 1,000 ASTROPU), rolling year trends.

  12. Spend on OTC vitamins D by BNF chemical name for Rushall Medical Centre, rolling year trends.

  13. Spend on OTC antihistamines (BNF 3.4.1) NIC per 1,000 ASTROPU, rolling year trends.

  14. Spend on OTC antihistamines (BNF 3.4.1) by chemical name for Rushall Medical Centre, rolling year trends.

  15. Spend on OTC eye drops (BNF 11.8.1) NIC per 1,000 ASTROPU, rolling year trends.

  16. Spend on OTC eye drops (BNF 11.8.1) for selected chemicals for Rushall Medical Centre, rolling year trends.

  17. Spend on OTC analgesics (BNF 4.7.1, 10.1.1 & 10.3.2) NIC per 1,000 ASTROPU, rolling year trends.

  18. Spend on OTC analgesics (BNF 4.7.1, 10.1.1 & 10.3.2) for selected chemicals for Rushall Medical Centre, rolling year trends. Other category includes: aspirin, benzydamine hydrochloride, diclofenac sodium, diethylamine salicylate, heparinoid and methyl salicylate.

  19. Spend and volume of selected OTC areas for Rushall medical centre, rolling year trends. Potential annual savings for Walsall CCG.

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