Achieving benefits for patients, professionals and the NHS

1. Modernising Medicines Management Achieving benefits for patients, professionals and the NHS ……………………... PCT

2. Content • Policy Context • What is Medicines Management? • Why do we need Medicines Management Services? • Medicines Management in Action • What does this mean for our organisation?

3. Policy Context Pharmacy in the Future - Implementing the NHS plan All PCTs to have access to a range of medicines management services by 2004 Effective Medicines Management: Re-shape care around the patient Commission for Health Improvement (CHI) Reduce risk ‘An Organisation with a Memory’ & National Patient Safety Agency (NPSA) Improve health ‘Saving lives: Our Healthier Nation’ (OHN) Make better use of skills and knowledge of staff local contracts such as PMS and LPS

4. What are Medicines Management Services (MMS)? • Systems for designing, implementing and delivering accessible, appropriate and cost-effective pharmaceutical care to patients based on need • Can include all aspects of the therapeutic use of medicines from organisation to individual patient level

5. Medicines Management can be grouped into five broad types • Clinical • Systems and processes • Health of the public • Interface • Patients and their medicines

6. Why do organisations need MMS? Medicines are important to the public’s health Medicines may not be used as intended Uncertainty about outcome of interventions There is variation in quality of service delivery Systems break down at the interface

7. Evidence of the need for MMS Half of all patients with chronic conditions do not use their medicines as intended Medication problems are implicated in 5-17% of hospital admissions Medication errors have been estimated to cost the NHS £500 million a year in additional days spent in hospital People who could benefit from medicines are not receiving them

8. Questions patients may ask about their medicines 1. Do I need a medicine? 2. How do I find out about different treatments 8. Do I keep taking my medicines or when can I stop? 7. How can I make sure my medicines suit me? 3. Who decides which medicines I get? 6. How do I get my medicines? 4. How am I involved? 5. How do I find out about my medicines?

9. MEDICINES MANAGEMENT IN ACTION:National Medicines Management Initiatives NPC’s Medicines Management Guide (www.npc.co.uk and www.npcrdc.man.ac.uk) National Collaborative MMS Programme(www.npc.co.uk/mms) PSNC-led MM Project (www.psnc.org.uk or www.medicines management.org.uk) Medicines Partnership Programme (www.concordance.org)

10. MEDICINES MANAGEMENT IN ACTION:Common Medicines Management Services • Clinical medication review • Services to residential and nursing homes • Medication monitoring and support • Patient & carer information and education • Review of repeat prescribing systems in GP surgeries • Pharmacist or nurse-led clinics in primary care • Therapeutic priorities • Older people, mental health, CHD, vulnerable groups • NICE guidance • Community pharmaceutical services • Minor ailment referal systems

11. Where does Medicines Management fit with the aims of the PCT? • MMS needs to be linked to other local health programmes • local organisational development • local NHS modernisation agenda • local Health Improvement Programme • National Service Frameworks • Clinical Governance • Commissioning activity • Introduction of New Drugs • Medicines Management across the Interface • NICE Guidance

12. What does all this mean for our organisation? Are we doing MMS already? Professional input is increasing Needs to be more strategic Need to reconsider how many people work Need to stocktake Revise strategy to deliver improvement Link MMS to other programmes of work

13. Learning more about Medicines Management • www.rpsgb.co.ukRoyal Pharmaceutical Society • www.npc.co.uk/mmsNational Collaborative MMS Programme • www.medicinesmanagement.org.uk/index.phpPharmaceutical Services Negotiating Committee Medicines management Project • www.npc.co.ukNational Prescribing Centre