Care At Home Pharmacy Service Pamela Macintyre – Lead for Prescribing and Clinical PharmacyLynne Meldrum – Pharmacy Technician

Pharmacy technician service,Enablement and Support

Marion McLaren – Pharmacy Technician

- Background - Structure - Referral process- Assessment tool- Interventions- Evaluation- Training - Future

Introduction

Background

In order to implement the Reshaping Care Agenda, the Scottish Government made time limited (3 year) funding available to all local authority areas (the “Change Fund”).

Target population – 65 years plus receiving Care at Home recently discharged from hospital.

-Reduce “preventable” admissions due to medication-Maintain independence around medicines administration

Background

Why?

-Right person

-Right dose

-Right time

-Right way

Structure – Greater Glasgow and Clyde

Head of Health and Care Service

Lead for Pharmacy & Prescribing

Integrated Operations Manager

Care at Home Service

Senior Pharmacy Technician

Pharmacy Technicians

Prescribing Support Pharmacists

Care at Home Service Managers

Home Help Organisers

Home Carers

Structure - Dundee

Dundee City Council NHS Tayside

EnablementPharmacy Technician

Pharmacy technician

Enablement andSupport Team Leader

Locality Pharmacy Team leader

CCOPS ServiceManager

EnablementOrganisers

Social Care Workers

Locality Pharmacists and Technicians

Basics - Dundee

Route of Referral – Greater Glasgow and Clyde

- Referrals come directly via Care First IT system and generic email box

- SPOA

- Generally about 125 referrals a month

- 50% receive an intervention (with the remaining 50% being seen by other teams or declining/failed discharge)

Assessment tool – GGC and Dundee

- Locally developed assessment tool

- Patient counselling/education

- Dosage/formulation adjustment

- MDS box initiated (where client is unable to manage independently after assessment)

- Reduction in prompts where possible

Interventions – GGC and Dundee

Evaluation - Greater Glasgow and Clyde

Average Change in Compliance following intervention

Improvement

independent

No change

other

Percentage of clients who felt they received enough information about how

to manage their medicines at visit

Yes No

N/A

“Beneficial, made a great difference... can phone any time there’s a problem, quick response”

“I'm on a lot of medication, pharmacy technician helped with this”

“Extremely beneficial, patient's feel reassured about their care and their ability to look after themselves when appropriate”

Evaluation - Dundee

Training/ the future – Greater Glasgow and Clyde

Training – Medication training with carers: Small group learning/discussionWorkshops – practical session

Evaluation – feedback – 100% positive so far

The Future-Development of Health and Social Care Partnerships-The need to expand the service to clients with multi-morbidity regardless of age

- Run a session at SCW induction

- Train SCWs to administer medication

- Secondary care

Training/ the future – Dundee

- Similarities and differences

- Worthwhile

- Challenging

Conclusion

Thank you for listening!

Any questions?