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NHS Rushcliffe C linical Commissioning Group (CCG)

Rushcliffe Clinical Commissioning Group focuses on optimizing medicines use in primary care to enhance health outcomes for patients. Through evidence-based prescribing, the team aims to reduce infections, prevent harm, and drive cost efficiencies.

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NHS Rushcliffe C linical Commissioning Group (CCG)

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  1. NHS Rushcliffe Clinical Commissioning Group (CCG)

  2. About Us • Statutory public body - April 2013 • Organisation • Population 122,066 • Budget £127m • Statutory duties

  3. Our Priorities Commission services that improve health of the whole population with better quality of care and outcomes for all patients

  4. Our Priorities Three priority areas • Supporting people to manage ongoing conditions • Improving mental health and wellbeing • Promoting prevention and early intervention and supporting people to make healthy lifestyle choices.

  5. Plans for the future • More support closer to home for patients • Right care in the most appropriate place • Support and extended access to general practice • Support patients in managing own health • South Nottinghamshire Transformation Programme

  6. Rushcliffe CCGPrescribing Team

  7. Who we are… Medicines Management Lead • NaynaZuzarte and Beth Carney Primary Care Pharmacists • Stacey Sadler, Gillian Gookey, Karen Chappell Prescribing Technician • Sameena Mir Total 2.6 WTE

  8. Wider team • Shared team across the five Nottinghamshire county CCG’s: Area Prescribing Committee / Interface team • Nicky Bird, Amanda Rawlings, James Sutton Clinical Governance and Care Homes Lead • Coral Osborn Data Analysts • Tim Oxley and Chris Day

  9. Our priorities • Promote evidence based cost effective prescribing by optimising the use of medicines in primary care and across the interface with secondary care. • Improve health outcomes for Rushcliffe patients through medicines optimisation. • Advise on the effective use of medicines across the whole patient pathway.

  10. Quality, Innovation, Productivity & Prevention (QIPP) Strategy2014-2015 £15million prescribing budget £376k savings to be made on primary care prescribing budget

  11. Quality • Reduction in C. Difficile infections through stewardship of antimicrobial prescribing. • Reducing harm associated with medicines • Using risk stratification and minimising errors where medicines may lead to unplanned admissions.

  12. Innovation • Procurement of medicines • IT systems • Service and Pathway improvement

  13. Productivity • Prescribing cost efficiencies • Respiratory (COPD/Asthma) • Traffic light drugs – Red drugs • Specials • Cost effective preparations • Waste management

  14. Prevention • Optimise treatment to prevent long term burden of disease and cost pressures • COPD and Asthma • Diabetes • Cardiovascular disease • Frail and elderly • Care homes

  15. How can Community Pharmacy Help? • National and Local guidelines and formulary http://www.nottinghamshireformulary.nhs.uk http://www.nottsapc.nhs.uk • Ensure patients only receive medicines they require • Targeted MURs e.g Asthma/COPD • Out of stock medicines • Specials/unlicensed products

  16. How can Community Pharmacy Help? • Responding to the National Review of Asthma Deaths • 39% of patients who died during the monitoring period had >12 SABA reliever inhalers issued in the year prior to their deaths. • 4% of patients had more than 50 inhalers issued in the year prior to their deaths.

  17. How can Community Pharmacy Help? • Cost effective preparations • Dose optimisation • Tablets and capsules • Oral contraceptives • Branded generics • Waste Management • Overordering

  18. Any questions?

  19. Practices and Pharmacists • Karen Chappell • East Leake • Musters • Castle practice (new merged practice) • Stacey Sadler • Belvoir Practice • St Georges • West bridgford • Gamston • Orchard, Kegworth • Castle practice

  20. Practices and Pharmacists • Gillian Gookey • Radcliffe-on-Trent • Ruddington medical centre • East bridgford • Castle practice • Sameena Mir • Works across all • NaynaZuzarte • Keyworth

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