1. Medicines Optimisation Presented by Sue Mulvenna Pharmacist Lead SW Strategic Clinical Networks November 2014

2. The four principles of medicines optimisation Aim to understand the patient’s experience Evidence based choice of medicines Ensure medicines use is as safe as possible Make medicines optimisation part of routine practice NHS | Presentation to SW SCN Oversight Group November 20142

3. So what is medicines optimisation? An approach to the use of medicines endorsed by NHSE and all the national health organisations A term that can mean different things in different settings e.g. specialised commissioning MO CRG, and Health Wealth and Innovation Patient centred medication which is safe and effective, getting the best outcomes from medicines for patients, public and society NHS |Presentation to SW SCN Oversight Group November 20143

4. What are the problems with medicines? Up to half of patients in England don’t take their medicines as recommended, wasting £500,000,000 a year in lost patient benefits Uptake of NICE approved medication is patchy Most patients moving between hospital and home experience medication errors on transfer 6% of emergency readmissions caused by avoidable adverse reactions to medicines 70% of care home residents experience medication errors NHS |Presentation to SW SCN Oversight Group November 20144

5. Community Medicines Optimisation projects - why? SCN has brought together a network of SW CCG and hospital trust pharmacist leads Huge pool of pharmacist expertise in community– in CCGs, hospitals and community pharmacy Many of the problems related to poor use of medicines are happening in community settings NHS |Presentation to SW SCN Oversight Group November 20145

6. Proposed solution to addressing MO in SW SCNs A range of community focussed SW SCN medicines optimisation projects to be piloted in 14/15 Aiming to promote joint working across different healthcare organisations to improve patient experience with medicines Successful projects to be considered for integration into SW SCN work streams in 15/16 NHS |Presentation to SW SCN Oversight Group November 20146

7. Community medicines optimisation projects SW CCG Pharmacist Leads, LPCs and Pharmacy LPNs asked for MO project ideas fitting with SCN work plans 13 applications received, covering both Community and specialist pharmacist services Proposed projects cover all of the SCNs plus cross cutting themes urgent care, parity of esteem 7 out of 11 SW CCGs involved Projects aiming to support improved MO for more than 1000 patients in 2014/15 NHS |Presentation to SW SCN Oversight Group November 20147