UKMi – today and in the futureUKMi – today and in the future

January 2009January 2009

Peter GolightlyPeter GolightlyDirector – Trent & West MidlandsDirector – Trent & West Midlands Medicines Information Services Medicines Information Services

Who/what is UKMi?Who/what is UKMi?

The network comprises staff atThe network comprises staff at 230 local MI centres230 local MI centres 14 regional centres14 regional centres 2 national centres (Wales and NI)2 national centres (Wales and NI)

Manned byManned by PharmacistsPharmacists TechniciansTechnicians OthersOthers

National leadership provided by UKMi National leadership provided by UKMi ExecutiveExecutive

Our skill mixOur skill mix(WTEs)

Staff mix in MI

Pharmacists, 192

Technicians, 32

Others, 54

UKMi StructureUKMi Structure

Regional/National Regional/National MI Services MI Services (n=14+2)(n=14+2)

Local MI Services Local MI Services (n=230)(n=230)

UKMi

National MINational MI Strategy/Leadership Strategy/Leadership

((UKMI ExecUKMI Exec))

All levels are in touch with each other providing network support and a wide range

of outputs with minimum duplication

Structure of MIStructure of MI IndividualIndividual – personal – MI, clinical – personal – MI, clinical

pharmacists etc pharmacists etc LocalLocal – enquiry answering, advisory enquiry answering, advisory

service, bulletins, D&TC/ service, bulletins, D&TC/ formulary support, training, formulary support, training, local ADR reporting schemes local ADR reporting schemes

RegionalRegional –– support local services, active support local services, active information, PCO support, information, PCO support, co-ordinate regional activities. co-ordinate regional activities. input to national network input to national network

NationalNational – (virtual) – advise on national – (virtual) – advise on national policy, co-ordinate national policy, co-ordinate national network, avoid unnecessary network, avoid unnecessary

duplication, improve standards duplication, improve standards

Local MI CentreLocal MI Centre

Enquiry answering service ~ 500,000 enquiries/year Enquiry answering service ~ 500,000 enquiries/year

– patient focussed– patient focussed

Support clinical pharmacy & clinical staffSupport clinical pharmacy & clinical staff

Support medicines managementSupport medicines management

Hospital formulary/D&TC workHospital formulary/D&TC work

Produce guidelines etc.Produce guidelines etc.

NewslettersNewsletters

TrainingTraining

Regional CentreRegional Centre

Enquiry answering – including primary careEnquiry answering – including primary care

Support of local centres incl trainingSupport of local centres incl training

Bulletins/New product reviewsBulletins/New product reviews

Quality assuranceQuality assurance

Support to NHS DirectSupport to NHS Direct

Strategic support for PCTsStrategic support for PCTs

Regional co-operation/collaborationRegional co-operation/collaboration

National - UKMNational - UKMii

VirtualVirtual

Co-operation, collaboration and co-Co-operation, collaboration and co-

ordinationordination

Reduction in duplication of effortReduction in duplication of effort

Strategy & leadershipStrategy & leadership

National outputs National outputs

What do these Regional centres do?What do these Regional centres do?

1.1. Support Support

2.2. Values and standardsValues and standards

3.3. Liaison with partnersLiaison with partners

4.4. Strategy Strategy

What support do you get?What support do you get?

Peer & personal development supportPeer & personal development support Courses like thisCourses like this Regional centresRegional centres Regional meetingsRegional meetings Peer reviewPeer review Mi-UK e-discussion groupMi-UK e-discussion group Networking opportunities Networking opportunities

WhatWhat resource resource support is provided?support is provided?

Resource supportResource support UKMi negotiated subscriptionsUKMi negotiated subscriptions

MedicinesCompleteMedicinesComplete Natural Medicines DatabaseNatural Medicines Database Adis JournalsAdis Journals eMIMSeMIMS DrugdexDrugdex Renal Drugs HandbookRenal Drugs Handbook

Regional subscriptionsRegional subscriptions Minimum resource standardsMinimum resource standards

What What trainingtraining support is provided? support is provided? TrainingTraining

National training courseNational training course National technician training course (AMITS)National technician training course (AMITS) Training at regional meetingsTraining at regional meetings Training at regional centresTraining at regional centres

Training resourcesTraining resources MI workbookMI workbook MiCalMiCal Pre-registration templatesPre-registration templates

Annual Conference Annual Conference (PDS)(PDS) - CPD - CPD

… … and the and the specialistspecialist support support

Specialist Information and advisory centresSpecialist Information and advisory centres

Drugs in lactation/pregnancyDrugs in lactation/pregnancy Drugs in renal/hepatic diseaseDrugs in renal/hepatic disease Drugs in dentistry/psychiatryDrugs in dentistry/psychiatry Complimentary medicinesComplimentary medicines Drugs in porphyria, AIDsDrugs in porphyria, AIDs Drugs in childrenDrugs in children Fridge stability, latex in medicinesFridge stability, latex in medicines

UKMi Working GroupsUKMi Working Groups

New productsNew products

Education and trainingEducation and training

Clinical GovernanceClinical Governance

MI TechniciansMI Technicians

ITIT

NHS DirectNHS Direct

What about core values?What about core values?

Apply evidence-based principles in provision of Apply evidence-based principles in provision of impartial, evaluated, accurate and timely info to impartial, evaluated, accurate and timely info to promote safe and effective use of medicinespromote safe and effective use of medicines

Provide professional advice to support and Provide professional advice to support and influence clinical decisions with respect to influence clinical decisions with respect to patient carepatient care

… … and more core valuesand more core values

Keep abreast of developments in therapeutics, Keep abreast of developments in therapeutics, professional practice, technology etc to support professional practice, technology etc to support CPD and keep the service provided up-to-dateCPD and keep the service provided up-to-date

Be readily accessible and responsive to user Be readily accessible and responsive to user needsneeds

Network to share information and experience at Network to share information and experience at local, regional and national levelslocal, regional and national levels

StandardsStandardsEducation & TrainingEducation & Training

National Training CoursesNational Training Courses

Training ManualTraining Manual - - MI WorkbookMI Workbook

Facilitated local learningFacilitated local learning (MiCAL) (MiCAL)

Pre-registration training templatePre-registration training template

Competency Framework Competency Framework

Annual ConferenceAnnual Conference

StandardsStandardsClinical governanceClinical governance

QA programme and standardsQA programme and standards Enquiry answering Enquiry answering Essential resource listEssential resource list Education and trainingEducation and training Risk managementRisk management BulletinsBulletins SOPsSOPs

Incident reporting - IRMISIncident reporting - IRMIS

3. Liaison with partners3. Liaison with partners

NHS Direct / NHS24NHS Direct / NHS24

PIPA / ABPIPIPA / ABPI

RPSGBRPSGB

NPSANPSA

NPCNPC

NHSC / SMC / AWMSGNHSC / SMC / AWMSG

MHRAMHRA

NLH / NKS / CfHNLH / NKS / CfH

4. Strategy and leadership4. Strategy and leadership

Current DevelopmentsCurrent Developments

MI strategy MI strategy 2007-? - implementation2007-? - implementation NeLMNeLM

clinical content from UKMi clinical content from UKMi + other stakeholders+ other stakeholders

Research StrategyResearch Strategy Career development – GLF/ALCFCareer development – GLF/ALCF OutputsOutputs

New product evaluations & horizon scanningNew product evaluations & horizon scanning Medicines Q&AsMedicines Q&As

Quality standardsQuality standards MI services & activitiesMI services & activities National IV guideNational IV guide

Information TechnologyInformation Technology

UKMi websiteUKMi website

NeLM websiteNeLM website

UKMi e-mail discussion list (mi-uk)UKMi e-mail discussion list (mi-uk)

Guidance and standards for IT facilitiesGuidance and standards for IT facilities

MiDatabank MiDatabank

New Drugs Online (Horizon scanning)New Drugs Online (Horizon scanning)

Drivers for the futureDrivers for the future PCT developments/Primary care restructuringPCT developments/Primary care restructuring Commissioning Commissioning incl PBCincl PBC

Non-medical prescribingNon-medical prescribing Darzi report / Pharmacy White Paper etcDarzi report / Pharmacy White Paper etc NHS Evidence / NICENHS Evidence / NICE e-Prescribing / EPRe-Prescribing / EPR GP and Community PharmacyGP and Community Pharmacy contractscontracts Social Services & Care of the elderlySocial Services & Care of the elderly Professional regulatory and professional bodiesProfessional regulatory and professional bodies Patient-driven choice/support Patient-driven choice/support (NHS Direct, NHS (NHS Direct, NHS

Choices. NHS24)Choices. NHS24)

……. if you can only remember 2 . if you can only remember 2 thingsthings

www.www.nelmnelm.nhs.uk.nhs.uk

www.www.ukmiukmi.nhs.uk.nhs.uk

UKMi Strategy 2007UKMi Strategy 2007 Replaces 2000 StrategyReplaces 2000 Strategy Launched 31/10/2007Launched 31/10/2007 Takes account of political, Takes account of political,

policy, organisational and policy, organisational and operational NHS changesoperational NHS changes

Takes account of national Takes account of national devolution variations to devolution variations to maintain UK-wide maintain UK-wide relevancerelevance

Defines 5 key strategic Defines 5 key strategic aimsaims

Addresses key issues to Addresses key issues to maintain the crucial value maintain the crucial value of MI servicesof MI services

Key UKMi ElementsKey UKMi Elements

UKMi is an NHS service UKMi is an NHS service provided through an integrated provided through an integrated network of local and regional network of local and regional medicines information centres.medicines information centres.

It is a critical NHS resource for It is a critical NHS resource for medicines management at patient medicines management at patient and organisational levels.and organisational levels.

NHS Change DriversNHS Change Drivers Increased access to health services Increased access to health services

and health information by patients.and health information by patients. Development of intermediate care Development of intermediate care

with transfer of complex cases into with transfer of complex cases into the community.the community.

Development of specialist networks.Development of specialist networks. New non-traditional prescribersNew non-traditional prescribers.. New commissioning arrangements.New commissioning arrangements. Regulatory changes created to Regulatory changes created to

ensure life-long competency of ensure life-long competency of practitioners.practitioners.

Plurality of healthcare providers Plurality of healthcare providers from independent and charitable from independent and charitable sectors (in England).sectors (in England).

The 5 Strategic AimsThe 5 Strategic Aims

Reflect a patient-focused NHSReflect a patient-focused NHS Develop the service to Develop the service to

healthcare providershealthcare providers Develop healthcare staffDevelop healthcare staff Support to NHS commissioning Support to NHS commissioning

and planning bodiesand planning bodies Collaborate effectively with Collaborate effectively with

other organisations at national other organisations at national levellevel

Strategic Aim 1Strategic Aim 1Reflect a patient-focussed NHSReflect a patient-focussed NHS

Local patient helplinesLocal patient helplines Patient information – Patient information –

written and electronicwritten and electronic Patient-focussed Patient-focussed

organisations organisations (NHS Direct/NHS24)(NHS Direct/NHS24)

Strategic Aim 2Strategic Aim 2Develop the service to healthcare providersDevelop the service to healthcare providers

Patient safetyPatient safety - - NHSNHS Injectable Injectable Medicines GuideMedicines Guide

Healthcare professional developmentHealthcare professional development – – Community pharmacists, Independent Community pharmacists, Independent prescribersprescribers

Equitable NHS accessEquitable NHS access NeLM NeLM - - delivery of integrated medicines delivery of integrated medicines

informationinformation

IT utilisationIT utilisation Decision support input Decision support input e-prescribing e-prescribing MI as evidence-based focus for MI as evidence-based focus for

medicines managementmedicines management

Strategic Aim 3Strategic Aim 3Develop healthcare staffDevelop healthcare staff

Develop competent workforce by:Develop competent workforce by: Local education & training Local education & training

initiatives for a range of initiatives for a range of healthcare professionalshealthcare professionalsto find and evaluate informationto find and evaluate information

Develop broad workforce Develop broad workforce strategystrategy MI techniciansMI technicians Consultant MI PharmacistsConsultant MI Pharmacists

Strategic Aim 4Strategic Aim 4Support NHS commissioning & Support NHS commissioning &

planning bodiesplanning bodies Evidence-based outputs to facilitate Evidence-based outputs to facilitate

medicines management and medicines management and formulariesformularies

Medicines management leads in Medicines management leads in PCOsPCOs

Strategic planning and policy making Strategic planning and policy making – horizon scanning/policy scoping– horizon scanning/policy scoping

Service QA to ensure standards and Service QA to ensure standards and value for moneyvalue for money

Audit for other information-Audit for other information-providing healthcare organisations, providing healthcare organisations, e.g. NHS Drcte.g. NHS Drct

Support local implementation of Support local implementation of national guidancenational guidance

Strategic Aim 5Strategic Aim 5Collaborate effectively with other Collaborate effectively with other

organisations at national levelorganisations at national level

Horizon scanning (NHSC, SMC)Horizon scanning (NHSC, SMC) National guidance (NICE, SIGN)National guidance (NICE, SIGN) NeLMNeLM NHS Direct/NHS24NHS Direct/NHS24 NPSANPSA NKS (e-prescribing)NKS (e-prescribing) Pharmacy professional body(ies)Pharmacy professional body(ies) Research organisationsResearch organisations

....all supporting NHS agendaall supporting NHS agenda

Patient safetyPatient safety Patient access to good Patient access to good

quality carequality care Cost-effective Cost-effective

prescribingprescribing A competent work forceA competent work force Value for moneyValue for money

The challengeThe challenge Big agendaBig agenda Covers all aspects of MI – Covers all aspects of MI –

local to nationallocal to national Requires engagement with Requires engagement with

users, stakeholders and users, stakeholders and commissionerscommissioners

Collaborative workingCollaborative working IT & communicationsIT & communications Funding and investmentFunding and investment Information governanceInformation governance

Secret of our successSecret of our success

The networkThe network The enthusiasmThe enthusiasm The leadershipThe leadership The supportThe support

www.ukmi.nhs.ukwww.ukmi.nhs.uk