Dressings Training Event 1 2 th February 2014

1. Dressings Training Event12th February 2014 Catherine Butler Medicines Management Pharmacist

2. Introduction • This is the second of two events on dressings linked to the prescribing incentive scheme. • In your packs you will find: • Agenda • Woundcare formulary • Ostomy accessories formulary • Quick reference guides to stoma and continence products, woundcare, and emollients and barriers creams. • Slides from all the sessions today • Woundcare prescribing data for your practice • Evaluation form

3. Agenda Part One:

4. Agenda Part Two:

5. Prescribing of Ostomy Products

6. Wound Care Formulary In Practice 12thFebruary 2014 Stacey-Anne Penny Community Team Lead Pamela Quinn District Nurse • A service delivered on behalf of the NHS by Serco, South Essex Partnership University NHS Foundation Trust and Community Dental Services CIC.

8. Why use a formulary • Products reflect best practice • Staff engagement ensures live and trusted document • Readily available • Quick, easy and efficient • Continuity of care • Guide / support for new or inexperienced staff • Wide knowledge base / information available for products

9. Why use a formulary • Negates need for multiple prescriptions • Cost effective • Dissemination of good practice • User friendly with products grouped in categories, price and quantity easily identified • Timely – no wait for prescriptions

10. How it works within SCH • All areas have identified products within the formulary (favorites) that they use with set stock levels updated on a weekly basis – this system may differ for practice nurses • Anything within the formulary can be ordered without FP10 • Stock is delivered to base and used as required

11. Exception Reporting • Estimated 20% of product use off formulary / secondary formulary • Preserves practitioner autonomy • All exceptions reviewed with a view to adding to formulary • Enables reflection on practice • Promotes best practice • Facilitates central review from Head of Nursing

14. TIAG group • Meets 3 monthly • Facilitated by Head of Nursing • Review of formulary including exception reporting • Sharing of good practice and experiences – peer support • Education / demonstrations from Reps around new products • Qualified nurses of all bands • Representation from all areas • Practice nurse involvement • Representation from Both CCG meds management dept • Representation from TVNs at WSH and IHT

15. Clinically Governance • TIAG group • Regular review • Process ensures continuous assurance and improvement in quality incorporating both the engagement of clinical staff and local, regional and national guidance • Enables consistent approach • Promotes shared learning • Reflects best practice

16. Any Questions ?? Many thanks for your time

17. CCG Update Woundcare: • New look wound care formulary with FP10 prices • Work underway to completely review formulary format • Primary care woundcare formulary review group • To review formulary and provide recommendations to the Tissue Integrity and Appliance Group (TIAG) • If you are interested in participating please let me know during the break or email me (catherine.butler@ipswichandeastsuffolkccg.nhs.uk)

18. CCG Update Other related work: • Miscellaneous formulary • List of continence products out of date and needs reviewing • Need to set up a MDT continence review group – please see me if you are interested in participating • Stoma accessories • Technician support available to review deodorant prescribing • Stoma accessories formulary to be included into the miscellaneous formulary • Joint formulary • Dermatology section underway

19. CCG update • Current spend on woundcare products YTD (April – November) is £921,806.79 • FP10 spend: £527,264.92 • NHS supply chain: £394,541.87 • This is a decrease of £180,830.89 (16%) compared to last year • Well done to all practices for the work put in so far. • Individual practice data is in your packs

20. Practice Awards Category: Greatest improvement in formulary adherence: Third prize: • Felixstowe Road Medical Practice Second prize: • HadleighHealth First prize: Ixworth Surgery

21. Practice Awards Category: Most improvement in spend per 1000 patients: Third prize: • Walton Surgery Second prize: • Peninsula Practice First prize: Wickham Market Medical Centre

22. Practice Awards Category: Lowest spend per 1000 patients: Third prize: • Ravenswood Medical Practice Second prize: • Orchard Street Medical Practice First prize: Eye Health Centre

23. Useful resources • IESCCG medicines management website (http://www.ipswichandeastsuffolkccg.nhs.uk/GPpracticememberarea/Clinicalarea/Medicinesmanagement.asp) • Quick reference guides • Woundcare • Emollients and barrier creams • Ostomy and continence • Wound care formulary (also available on SystmOne) • Adult primary care formulary (also available on SystmOne) • Miscellaneous formulary • Ostomy formulary • Shelf life of in-use products • Woundcare prescribing data

24. Useful resources • PresQIPP website (http://www.prescqipp.info/) • Continence and Stoma toolkit • Wound care: Silver dressings – coming soon (February) • Top Tip QIPP messages for prescribing dressings (http://www.medicinesresources.nhs.uk/en/Download/?file=MDs3NzQ0NDE7L3VwbG9hZC9kb2N1bWVudHMvQ29tbXVuaXRpZXMvU1BTX0VfU0VfRW5nbGFuZC9Ub3BfVGlwc19RSVBQX21lc3NhZ2VzX2Zvcl9wcmVzY3JpYmluZ19kcmVzc2luZ3NfVnMzX1NlcDEzX0xPLnBkZg__.pdf) • SCH website (http://nww.suffolkch.nhs.uk/Home/QualityGovernance/MedicinesMgmt/TissueViability.aspx)

25. Break for tea/coffee Start next session at 3.45 pm • If you are not staying for the clinical woundcare talk, please make sure you have signed in and completed your evaluation form before leaving. Thank You

26. Close • Thank you for coming and for all your hard work on wound care • If you are interested in either the primary care woundcare formulary review group or the continence formulary review group please let me know • Before you leave, please make sure you have : • signed in • completed you evaluation form