Addiction to Medicines:

Educational solutions for the NHS pharmacy workforce

Addiction to Medicines:Training and support for GPs, pharmacists and other healthcare professionals Dr Ben RileyMedical Director of CurriculumRoyal College of General Practitioners

Michelle StylesRegional Manager, LondonCentre for Pharmacy Postgraduate Education


About the Royal College of GPs

Leading professional body for general practice with over 46,000 members

Sets the training curriculum and assessments and recommends standards for the licensing and revalidation of GPs

Policy development and research in general practice

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The role of the GP in safer prescribing

In the NHS, 90% of medical consultations take place in general practice: over 300 million each year

Each year in England, around 900 million items are prescribed in primary care

GPs write 98.5% of these prescriptions. An estimated 1.5% are written by nurses and other non-medical prescribers (of which 0.6% are by dentists)

Around 70-80% of prescriptions are issued on ’repeat’Sources: The Information Centre, 2009 and Prescribing Support Unit, 2010

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The RCGP CurriculumThis means that as a GP you should: 1.1 Appreciate that drug and alcohol use is common the community and

that harmful use is often unrecognised and can take a range of forms1.2 Recognise the special needs of patients with drug and alcohol problems,

who often have very difficult lives and are frequently marginalised by society

1.3 Ensure that patients with drug and alcohol problems have equal access to care in your practice and are treated with compassion

1.5 Provide evidence-based screening, brief interventions and effective primary care treatments for these patients, where appropriate ..../....

1.6 Make sure that repeat prescriptions are monitored for long-term prescribing of addictive drugs and appropriate action taken if this is happening

1.7 Work in partnership with the wider primary healthcare team including pharmacists, specialist services, the voluntary and criminal justice sectors

1.8 Recognise that older adults can have unrecognised alcohol or drug problems

www.rcgp.org.uk/curriculum

Incorporates Academy of Medical Royal Colleges core competencies

http://www.rcgp.org.uk/curriculum


Future challenges for the NHS

Ageing, multi-morbid population

Avoiding greater fragmentation of care

Growing expectations of access and quality

Increased demand

Outdated organisation and service boundaries

Diverging UK care systems

Focus on process measures/’tick-boxes’

Growing financial pressures

Concept based on Harden and Stamper, 1999 and Dreyfus and Dreyfus, 1986.

Multidisciplinary team-working

From Novice

Towards Expert

Training

System improvement

Consultation skills

CPD & Revalidation


Four-year Enhanced GP Training

Educational solutions for the NHS pharmacy workforce 8

Submitting proposals for enhancing consulting and prescribing skills of all new GPs through a new four-year training programme (subject to Government approval)

Introducing practical quality improvement training for all senior GP trainees

Developing educational tools and resources for the continuing professional development of qualified GPs• e-Learning• Printed materials

Plans to improve GP skills


Online Learning Environment: www.elearning.rcgp.org.uk

RCGP/SMAH blended courses Identification and Brief

Advice for Alcohol Misuse Management of Drug

Misuse (Harm Reduction)

RCGP Certificate in the Management of Drug Misuse

SMMGP AtM GP workshops

Existing resources


Addiction, misuse and dependency:

Focus on prescribed and over-the-counter medicines

E-learning programme



Joint project with the Centre for Pharmacy Postgraduate Education (CPPE) and Royal College of General Practitioners

Key focus is GPs and pharmacists but relevant to others

Project lead by

- Dr Linda Harris, GP and clinical director, RCGP, Substance Misuse and Associated Health

- Professor Christopher Cutts, Director, CPPE

Background


Centre for Pharmacy Postgraduate Education

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- Funded by the NHS via SHA (LETB/HEE) for England - Learning for the whole professional pharmacy workforce in England - Hosted by the University of Manchester


CPPE Quality Assurance process

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Development team Claire Barber, Pharmacist with interest in this substance use

Richard Cooper, Lecturer in public health and course director, University of Sheffield

Colin Fearns, Secure environment pharmacist

Ajay Birly, RCGP substance misuse and associated health unit

Jenny Keen, clinical director, Primary Care Addiction Service Sheffield

Ruth Fleming , Project officer, RCGP

Aileen Bryson, Practice and policy lead for Scotland, Royal Pharmaceutical Society

Simon Butterworth, Community pharmacist with an interest in the area

Cathy Stannard, Chair, British Pain Society

Kate Halliday, Policy and development manager, Substance Misuse Management in GP

Jo Clark, Local pharmacy tutor, CPPE

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External reviewers

Steve Brinksman, GP, regional lead in substance misuse for the West Midlands, RCGP, and clinical director of Substance Misuse Management in General Practice

Matthew Young, GP and London regional lead, RCGP Substance Misuse and Associated Health unit

Andrew Mawdsley, Clinical tutor and clinical pharmacist, Central Manchester University Hospitals NHS Foundation Trust

Graham Parsons, Pharmacist with special interest and pharmacist prescriber (substance misuse), NHS Devon, Plymouth and Torbay

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Learning objectives

Define the term ‘addiction to medicines’ with respect to prescribed and OTC medicines

Interpret key data sources and reports which discuss the public health problem with medicines addiction and misuse

Identify key at-risk groups of people and patients who could become dependent on medicines

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Learning objectives cont’d

Differentiate between prevention and treatment aspects of medicines addiction

Recognise best practice in safe and effective prescribing most likely to reduce the risks and harms from addictive medicines

Describe appropriate services, treatment interventions and care pathways which can support people who have become dependent on medicines

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Structure of the learning

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Build in ‘Storyline’ software

Great look, style and feel

Compatible with PC, iPad, iPhone and Android tablets

Video stories, exploring graphics

Case studies to challenge

Web links & references

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Development, hosting and delivery

Currently at the e-build stage

Hosted on CPPE (www.cppe.ac.uk) and RCGP website

Happy to discuss hosting options with other organisations

Aiming for 1st April 2013 launch

Email: [email protected]

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Completing the learning cycle

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Revalidation requirements for GPs

General information about professional work

Keeping up to date

- CPD activities

- Review of practice

- Quality improvement activity

- Significant events

Feedback on professional practice

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Addiction to Medicines:

Documents

Transcript of Addiction to Medicines: