Altaz Dhanani Medicines Management Pharmacist, Supplementary Prescriber.
1 Medicines Management Report 2005/6 David Taylor Chief Pharmacist.
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Transcript of 1 Medicines Management Report 2005/6 David Taylor Chief Pharmacist.
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
3
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
4
Policies and Documents
MM PolicyMM programme
• 23 objectives– 16 achieved– 5 partly achieved
Prescribing Guidelines
5
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
7
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
12
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.
13
Progress with NVQ requirements
3 members of staff currently training as assessors.
1 qualified assessor.
14
Progress with Technician Registration
2 technicians are currently on the voluntary register.
Overseas trained pharmacists are not eligible to register at the moment.
15
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)
