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Medicines Management Update. Leigh Lord Locality Lead MM Pharmacist 3 rd July 2013. Overview. Team & how we can support practices CCG Medicines Management priorities Recent clinical guidelines Communication PGDs & related issues Amber drugs & monitoring
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Medicines Management Update Leigh Lord Locality Lead MM Pharmacist 3rd July 2013
Overview • Team & how we can support practices • CCG Medicines Management priorities • Recent clinical guidelines • Communication • PGDs & related issues • Amber drugs & monitoring • NMP – governance & workforce development issues • Contact details
Medicines Management Team • Lead pharmacist • Three clinical pharmacists • Four technicians • Key areas of work; • Practice work – clinical & technical • Medicines Information • Specialist areas – e.g. Scriptswitch, mental health, funding requests and commissioning panel, GMMMG, PGDs, safety & governance • Commissioning Support Unit & local area team
Support for practices • Clinical Audit • Medicines Information • Repeat prescribing • Key areas from priorities • QoF • PGDs • NMP • Interface
CCG Medicines Management Priorities • Integration – interface, secondary care liaison & shared care • Clinical audit – care homes, respiratory, osteoporosis & non oral analgesia • Repeat prescribing – safety, governance & waste • Referrals – clinical guidelines, Map of Medicine • Admissions – audit, interface, clinical review & review of repeat prescriptions • QoF • No Medicines Management targets • Medication reviews – bloods, BP, respiratory review & support with disease prevalence registers
Clinical guidelines • COPD • Lipid Modification • Oral Nutrition Supplements • Dermatology • Antibiotics • Hypertension • Prescribing alerts
Communication • Annual practice visits • Regular prescribing alerts • Guidelines • Email – e.g. budget performance, MHRA updates – require up to date contact list • Education Day
Communication continued • CCG website • Under development • Medicines Management section • All relevant documentation there under sub headings • Practice pack – pack of recent guidance, alerts, emails either paper or electronic • Practice managers forum • Any other ideas welcomed
Patient Group Directions (PGDs) • Responsibilities for vaccines and immunisations changed • NHS England - National vaccines & immunisations programme • CCGs – Travel vaccines & immunisations & others e.g. Salbutamol reversibility • NHS England keen for practices to use Patient Specific Directions (PSD) • PGDs only in certain circumstances • However, this is unworkable • PGDs will be available as before • Team are co-ordinating
Near Patient Testing – Amber drugs • Near Patient Testing LES • Any “AMBER” drug can be claimed for • Monitoring required as per the relevant Shared Care Protocol (SCP) • Available on GMMMG website or via team • Different levels that can be claimed
Specialist Commissioning • High cost drugs (HCDs) now assigned by commissioner • Most of these prescribed by secondary care • Number that are the responsibility of the CCG • Prescribing of some AMBER medicines will change e.g. nebulised antibiotics for CF, immunosuppressants for graft rejection • Twelve months for this changeover • Keep practices updated
Non Medical Prescribing (NMP) • Many sound reasons for having a NMP within your practice • Governance • Access to medicines • Free up GPs time • Fits in with integration • Patients access • Triage • More skilled workforce • Wider range of services?
Non Medical Prescribing continued • New NMP • CCG can assist with accessing courses • Support from MM team & nurse facilitators • Register with NHSBSA (formerly PPA) • Policy for prescribers • Monitoring prescribing data • Linked to competencies • NMP education
Contact details • Leigh Lord, leigh.lord@trafford.nhs.uk, 0161 873 9507 • Wendy Williams, wendy.williams@trafford.nhs.uk, 0161 873 9506 • Absar Bajwa, absar.bajwa@nhs.net, 0161 873 9506 • Hannah Dirania, h.dirania@nhs.net, 0161 873 9506 • Karen Johnson, karen.johnson9@nhs.net, 0161 873 9585 • Cal Cowen, cal.cowen@nhs.net, 0161 873 9585 • Michelle Bradburn, michelle.bradburn@nhs.net, 0161 873 9585 • Fowzia Owaisi, 0161 873 9585
Thank you • Any questions?