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?
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