UKMi – today and in the future January 2009 Peter Golightly

1. UKMi – today and in the future January 2009 Peter Golightly Director – Trent & West Midlands Medicines Information Services

2. Who/what is UKMi? • The network comprises staff at • 230 local MI centres • 14 regional centres • 2 national centres (Wales and NI) • Manned by • Pharmacists • Technicians • Others • National leadership provided by UKMi Executive

3. Our skill mix(WTEs)

4. UKMi Structure Local MI Services (n=230) All levels are in touch with each other providing network support and a wide range of outputs with minimum duplication UKMi National MIStrategy/Leadership (UKMI Exec) Regional/National MI Services (n=14+2)

5. Structure of MI • Individual– personal – MI, clinical pharmacists etc • Local–enquiry answering, advisory service, bulletins, D&TC/ formulary support, training, local ADR reporting schemes • Regional–support local services, active information, PCO support, co-ordinate regional activities. input to national network • National– (virtual) – advise on national policy, co-ordinate national network, avoid unnecessary duplication, improve standards

6. Local MI Centre • Enquiry answering service ~ 500,000 enquiries/year – patient focussed • Support clinical pharmacy & clinical staff • Support medicines management • Hospital formulary/D&TC work • Produce guidelines etc. • Newsletters • Training

7. Regional Centre • Enquiry answering – including primary care • Support of local centres incl training • Bulletins/New product reviews • Quality assurance • Support to NHS Direct • Strategic support for PCTs • Regional co-operation/collaboration

8. National - UKMi • Virtual • Co-operation, collaboration and co-ordination • Reduction in duplication of effort • Strategy & leadership • National outputs

9. What do these Regional centres do? • Support • Values and standards • Liaison with partners • Strategy

10. What support do you get? • Peer & personal development support • Courses like this • Regional centres • Regional meetings • Peer review • Mi-UK e-discussion group • Networking opportunities

11. What resource support is provided? • Resource support • UKMi negotiated subscriptions • MedicinesComplete • Natural Medicines Database • Adis Journals • eMIMS • Drugdex • Renal Drugs Handbook • Regional subscriptions • Minimum resource standards

12. What training support is provided? • Training • National training course • National technician training course (AMITS) • Training at regional meetings • Training at regional centres • Training resources • MI workbook • MiCal • Pre-registration templates • Annual Conference (PDS) - CPD

13. … and the specialist support Specialist Information and advisory centres • Drugs in lactation/pregnancy • Drugs in renal/hepatic disease • Drugs in dentistry/psychiatry • Complimentary medicines • Drugs in porphyria, AIDs • Drugs in children • Fridge stability, latex in medicines

14. UKMi Working Groups • New products • Education and training • Clinical Governance • MI Technicians • IT • NHS Direct

15. What about core values? • Apply evidence-based principles in provision of impartial, evaluated, accurate and timely info to promote safe and effective use of medicines • Provide professional advice to support and influence clinical decisions with respect to patient care

16. … and more core values • Keep abreast of developments in therapeutics, professional practice, technology etc to support CPD and keep the service provided up-to-date • Be readily accessible and responsive to user needs • Network to share information and experience at local, regional and national levels

17. StandardsEducation & Training • National Training Courses • Training Manual - MI Workbook • Facilitated local learning (MiCAL) • Pre-registration training template • Competency Framework • Annual Conference

18. StandardsClinical governance • QA programme and standards • Enquiry answering • Essential resource list • Education and training • Risk management • Bulletins • SOPs • Incident reporting - IRMIS

19. 3. Liaison with partners • NHS Direct / NHS24 • PIPA / ABPI • RPSGB • NPSA • NPC • NHSC / SMC / AWMSG • MHRA • NLH / NKS / CfH

20. 4. Strategy and leadership

21. Current Developments • MI strategy 2007-? - implementation • NeLM • clinical content from UKMi + other stakeholders • Research Strategy • Career development – GLF/ALCF • Outputs • New product evaluations & horizon scanning • Medicines Q&As • Quality standards • MI services & activities • National IV guide

22. Information Technology • UKMi website • NeLM website • UKMi e-mail discussion list (mi-uk) • Guidance and standards for IT facilities • MiDatabank • New Drugs Online (Horizon scanning)

27. Drivers for the future • PCT developments/Primary care restructuring • Commissioning incl PBC • Non-medical prescribing • Darzi report / Pharmacy White Paper etc • NHS Evidence / NICE • e-Prescribing / EPR • GP and Community Pharmacycontracts • Social Services & Care of the elderly • Professional regulatory and professional bodies • Patient-driven choice/support (NHS Direct, NHS Choices. NHS24)

28. …. if you can only remember 2 things www.nelm.nhs.uk www.ukmi.nhs.uk

29. UKMi Strategy 2007 • Replaces 2000 Strategy • Launched 31/10/2007 • Takes account of political, policy, organisational and operational NHS changes • Takes account of national devolution variations to maintain UK-wide relevance • Defines 5 key strategic aims • Addresses key issues to maintain the crucial value of MI services

30. Key UKMi Elements • UKMi is an NHS service provided through an integrated network of local and regional medicines information centres. • It is a critical NHS resource for medicines management at patient and organisational levels.

31. NHS Change Drivers • Increased access to health services and health information by patients. • Development of intermediate care with transfer of complex cases into the community. • Development of specialist networks. • New non-traditional prescribers. • New commissioning arrangements. • Regulatory changes created to ensure life-long competency of practitioners. • Plurality of healthcare providers from independent and charitable sectors (in England).

32. The 5 Strategic Aims • Reflect a patient-focused NHS • Develop the service to healthcare providers • Develop healthcare staff • Support to NHS commissioning and planning bodies • Collaborate effectively with other organisations at national level

33. Strategic Aim 1Reflect a patient-focussed NHS • Local patient helplines • Patient information – written and electronic • Patient-focussed organisations (NHS Direct/NHS24)

34. Strategic Aim 2Develop the service to healthcare providers • Patient safety - NHSInjectable Medicines Guide • Healthcare professional development – Community pharmacists, Independent prescribers • Equitable NHS access • NeLM - delivery of integrated medicines information • IT utilisation • Decision support input e-prescribing • MI as evidence-based focus for medicines management

35. Strategic Aim 3Develop healthcare staff Develop competent workforce by: • Local education & training initiatives for a range of healthcare professionalsto find and evaluate information • Develop broad workforce strategy • MI technicians • Consultant MI Pharmacists

36. Strategic Aim 4Support NHS commissioning & planning bodies • Evidence-based outputs to facilitate medicines management and formularies • Medicines management leads in PCOs • Strategic planning and policy making – horizon scanning/policy scoping • Service QA to ensure standards and value for money • Audit for other information-providing healthcare organisations, e.g. NHS Drct • Support local implementation of national guidance

37. Strategic Aim 5Collaborate effectively with other organisations at national level • Horizon scanning (NHSC, SMC) • National guidance (NICE, SIGN) • NeLM • NHS Direct/NHS24 • NPSA • NKS (e-prescribing) • Pharmacy professional body(ies) • Research organisations

38. ..all supporting NHS agenda • Patient safety • Patient access to good quality care • Cost-effective prescribing • A competent work force • Value for money

39. The challenge • Big agenda • Covers all aspects of MI – local to national • Requires engagement with users, stakeholders and commissioners • Collaborative working • IT & communications • Funding and investment • Information governance

40. Secret of our success • The network • The enthusiasm • The leadership • The support

41. www.ukmi.nhs.uk