1

Medicines Management Report 2005/6

David TaylorChief Pharmacist

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Background

Building a safer NHSA Spoonful of SugarAn Organisation with a MemoryCNST

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Trust structures

* Committees concerned solely with Medicines Management

Trust Board

Governance Executive

Drug & TherapeuticsCommittee*

Non-MedicalPrescribingCommittee*

MedicinesManagementCommittee*

Clinical Risk &Policy Monitoring

Committee

Clinical Audit andEffectivenessCommittee

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Policies and Documents

MM PolicyMM programme

• 23 objectives– 16 achieved– 5 partly achieved

Prescribing Guidelines

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Medicines-related audit and research

Study Outcome CommentsUndiagnosed diabetesin patients takingantipsychotics

19 of 166 patients testedhad diabetes – none ofthese were previouslyknown to be diabetic

Now published in Journal ofPsychopharmacology

Prescription errors inmental health trusts(22,000 patients)

SLAM similar to othertrusts. Serious error rateless than 5% of allerrors.

Accepted for publication

Predictors of outcomewith risperidoneinjection

Prior poor adherenceand higher dose predictbetter outcome

Published in InternationalJournal ofNeuropsychopharmacology

Effect of risperidoneinjection on use of NHSresources

No effect on trend forincreased bed stay

Accepted for publication

Effect of race onprescribing ofantipsychotics

Race had no effect onprescribing quality

Accepted for publication

Contribution of patientsto choice ofantipsychotic

Few made anyworthwhile contribution

Published in PsychiatricBulletin

Reporting ofantidepressantwithdrawal symptomsto patient helpline

Confirmed problemswith paroxetine andvenlafaxine

Submitted for publication

Antipsychotics – whichwould healthcareprofessionals use?

Professionals’ choicediffers from prescribingpractice

Nearing completion

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Pharmacy Services

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Pharmacy Workload

0

50000

100000

150000

200000

250000

300000

2001 2002 2003 2004 2005Year

No. of Tra

nsa

ctio

ns

Workload

8

Community patientsCommunity Patients Workload

0

500

1000

1500

2000

2500

3000

Jun.04 Dec. 04 Jan.05 Feb.05 Mar.05 Apr-05 May-05 Jun-05 Jul-05 Aug-05 Sep-05 Oct-05

Month

No

. of

Pat

ien

ts

Series1

9

Number of WTE

0

10

20

30

40

50

60

2001 2002 2003 2004 2005

Year

WT

E

No. of WTE

10

Staff Budget of Pharmacy

£0

£200,000

£400,000

£600,000

£800,000

£1,000,000

£1,200,000

£1,400,000

£1,600,000

£1,800,000

2001 2002 2003 2004 2005Year

11

Drugs expenditure

0

2,000,000

4,000,000

6,000,000

8,000,000

10,000,000

12,000,000

2001 2002 2003 2004 2005

Year

Yea

rly

spen

d FP10

DRUGS

SLAs

GRAND TOTAL

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Number of recalls

Numbers - 24

Date received – Jan/Dec.05

Date completed – with in 24hrs.

Class – 1 (2), 2 (6), 3(8), 4 (8)

Action by – Dispensary Mngr.

What action taken – All Class recalls are actioned in house and ONLY Class 1 is cascaded down the chain to Queen Elizabeth Hosp., Woolwich.

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Progress with NVQ requirements

3 members of staff currently training as assessors.

1 qualified assessor.

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Progress with Technician Registration

2 technicians are currently on the voluntary register.

Overseas trained pharmacists are not eligible to register at the moment.

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Response to Delivering Excellence Procurement Initiative

New pharmacy accounting system (JAC)Member of South London ConsortiaSouth London Consortium meetings

every 2 months.Participation in adjudication process of

Regional PaSA contracts.Purchasing manager is a member of

Chartered Institute of Purchasing and Supply (MCIPS)