1. Dressings Training Event 12 th February 2014 Catherine Butler Medicines Management Pharmacist

2. Introduction This is the second of two events on dressings linked to the prescribing incentive scheme. In your packs you will find: –Agenda –Woundcare formulary –Ostomy accessories formulary –Quick reference guides to stoma and continence products, woundcare, and emollients and barriers creams. –Slides from all the sessions today –Woundcare prescribing data for your practice –Evaluation form 2

3. Agenda Part One: 3 14:00 – 14.10Welcome and introductionCatherine Butler 14.10 – 14.40Stoma products Debbie Cooper and Sarah Skingley 14.40 – 15.10Wound care formularyStacey-Anne Penny 15.10 – 15.30CCG updateCatherine Butler 15:30 – 15:45Break

4. Part Two: 4 15:45 – 16.45Clinical training session on wound care Edwin Chamanga Tissue Viability Service Lead, IHT 16.45CloseCatherine Butler Agenda

5. Prescribing of Ostomy Products 5

6. A service delivered on behalf of the NHS by Serco, South Essex Partnership University NHS Foundation Trust and Community Dental Services CIC. Wound Care Formulary In Practice 12 th February 2014 Stacey-Anne Penny Community Team Lead Pamela Quinn District Nurse

8. Why use a formulary Products reflect best practice Staff engagement ensures live and trusted document Readily available Quick, easy and efficient Continuity of care Guide / support for new or inexperienced staff Wide knowledge base / information available for products

9. Negates need for multiple prescriptions Cost effective Dissemination of good practice User friendly with products grouped in categories, price and quantity easily identified Timely – no wait for prescriptions Why use a formulary

10. How it works within SCH All areas have identified products within the formulary (favorites) that they use with set stock levels updated on a weekly basis – this system may differ for practice nurses Anything within the formulary can be ordered without FP10 Stock is delivered to base and used as required

11. Exception Reporting Estimated 20% of product use off formulary / secondary formulary Preserves practitioner autonomy All exceptions reviewed with a view to adding to formulary Enables reflection on practice Promotes best practice Facilitates central review from Head of Nursing

14. TIAG group Meets 3 monthly Facilitated by Head of Nursing Review of formulary including exception reporting Sharing of good practice and experiences – peer support Education / demonstrations from Reps around new products Qualified nurses of all bands Representation from all areas Practice nurse involvement Representation from Both CCG meds management dept Representation from TVNs at WSH and IHT

15. Clinically Governance TIAG group Regular review Process ensures continuous assurance and improvement in quality incorporating both the engagement of clinical staff and local, regional and national guidance Enables consistent approach Promotes shared learning Reflects best practice

16. Any Questions ?? Many thanks for your time

17. CCG Update Woundcare: New look wound care formulary with FP10 prices Work underway to completely review formulary format Primary care woundcare formulary review group –To review formulary and provide recommendations to the Tissue Integrity and Appliance Group (TIAG) –If you are interested in participating please let me know during the break or email me (catherine.butler@ipswichandeastsuffolkccg.nhs.uk)catherine.butler@ipswichandeastsuffolkccg.nhs.uk 17

18. Other related work: Miscellaneous formulary –List of continence products out of date and needs reviewing –Need to set up a MDT continence review group – please see me if you are interested in participating Stoma accessories –Technician support available to review deodorant prescribing –Stoma accessories formulary to be included into the miscellaneous formulary Joint formulary –Dermatology section underway 18 CCG Update

19. CCG update Current spend on woundcare products YTD (April – November) is £921,806.79 FP10 spend: £527,264.92 NHS supply chain: £394,541.87 This is a decrease of £180,830.89 (16%) compared to last year Well done to all practices for the work put in so far. Individual practice data is in your packs 19

20. Practice Awards Category: Greatest improvement in formulary adherence: Third prize: Felixstowe Road Medical Practice Second prize: Hadleigh Health First prize: Ixworth Surgery 20

21. Category: Most improvement in spend per 1000 patients: Third prize: Walton Surgery Second prize: Peninsula Practice First prize: Wickham Market Medical Centre 21 Practice Awards

22. Category: Lowest spend per 1000 patients: Third prize: Ravenswood Medical Practice Second prize: Orchard Street Medical Practice First prize: Eye Health Centre 22 Practice Awards

23. Useful resources IESCCG medicines management website (http://www.ipswichandeastsuffolkccg.nhs.uk/GPpracticememberarea/Clinicalarea/Medicinesmanagement.asp)http://www.ipswichandeastsuffolkccg.nhs.uk/GPpracticememberarea/Clinicalarea/Medicinesmanagement.asp –Quick reference guides Woundcare Emollients and barrier creams Ostomy and continence –Wound care formulary (also available on SystmOne) –Adult primary care formulary (also available on SystmOne) –Miscellaneous formulary –Ostomy formulary –Shelf life of in-use products –Woundcare prescribing data 23

24. 24 PresQIPP website (http://www.prescqipp.info/)http://www.prescqipp.info/ –Continence and Stoma toolkit –Wound care: Silver dressings – coming soon (February) Top Tip QIPP messages for prescribing dressings (http://www.medicinesresources.nhs.uk/en/Download/?file=MDs3NzQ0NDE7L3VwbG9hZC9kb2N1bWVudHMvQ2 9tbXVuaXRpZXMvU1BTX0VfU0VfRW5nbGFuZC9Ub3BfVGlwc19RSVBQX21lc3NhZ2VzX2Zvcl9wcmVzY3JpYml uZ19kcmVzc2luZ3NfVnMzX1NlcDEzX0xPLnBkZg__.pdf)http://www.medicinesresources.nhs.uk/en/Download/?file=MDs3NzQ0NDE7L3VwbG9hZC9kb2N1bWVudHMvQ2 9tbXVuaXRpZXMvU1BTX0VfU0VfRW5nbGFuZC9Ub3BfVGlwc19RSVBQX21lc3NhZ2VzX2Zvcl9wcmVzY3JpYml uZ19kcmVzc2luZ3NfVnMzX1NlcDEzX0xPLnBkZg__.pdf SCH website (http://nww.suffolkch.nhs.uk/Home/QualityGovernance/MedicinesMgmt/TissueViability.aspx)http://nww.suffolkch.nhs.uk/Home/QualityGovernance/MedicinesMgmt/TissueViability.aspx Useful resources

25. Break for tea/coffee Start next session at 3.45 pm If you are not staying for the clinical woundcare talk, please make sure you have signed in and completed your evaluation form before leaving. Thank You 25

26. Close Thank you for coming and for all your hard work on wound care If you are interested in either the primary care woundcare formulary review group or the continence formulary review group please let me know Before you leave, please make sure you have : –signed in –completed you evaluation form 26