Digital Medicines Hospital Pharmacy Transformation Programme

An overview Keith Farrar, SRO, Digital Medicines, NHS England

NHS Digital Vision To empower patients to take greater control of their own health and care To reduce the administrative burden on health and care professionals To equip the NHS with the technology and information that will transform care and ensure the workforce gets the most out of it To improve the quality, availability and integrity of health data, so that frontline staff, researchers and decision makers are better informed Tech is all about facilitating better ways of doing things… releasing staff to more effective activities – but it is NOT about TECH – it is about what you DO as a consequence of the tech…

Our Opportunity Minimise the use of paper in medicines optimisation Enhance information flows into and out of pharmacy Energise the electronic management of medicines in secondary care Safely, securely gather medicines data, analyse, conclude and inform the future Provide patients with greater control of their medicines

Our Programmes Digital Medicines Domain organised in to three programmes: Digitising Community Pharmacy and Medicines Pharmacy Supply Chain and Secondary Uses Integrating Pharmacy across Care Settings

Digitising Community Pharmacy and Medicines Electronic Prescription Service (EPS) Real Time Exemption Checking (RTEC) Pharmacy Systems IT (Contract) Securing Excellence in Pharmacy IT Patient Enablement

Integrating Pharmacy across Care Settings Summary Care Record Pharmacy Integration Transfer of Information across Care Settings EPS Tracker into NHS 111

Integrating Pharmacy across Care Settings Summary Care Record Pharmacy Integration Transfer of Information across Care Settings EPS Tracker into NHS 111 Formal and informal digital, secure transfers of information Minimum national dataset available for the recording of clinical care within community pharmacy This is to facilitate ‘clinician to clinician’ communication Referral has been shown to reduce readmission

Pharmacy Supply Chain and Secondary Uses Transforming Pharmacy Supply Chain Implementing the Falsified Medicines Directive Single Identifier for Prescribers Medicines Information for Secondary Uses

Pharmacy Supply Chain and Secondary Uses Transforming Pharmacy Supply Chain Implementing the Falsified Medicines Directive Single Identifier for Prescribers Medicines Information for Secondary Uses The digitisation of the hospital pharmacy supply chain - including the supply for homecare patients - to support business changes identified in the Carter Review This involves dm+d upgrade, GS1 (available through dm+d), Peppol Pilot of Homecare hub functionality

Pharmacy Supply Chain and Secondary Uses Transforming Pharmacy Supply Chain Implementing the Falsified Medicines Directive Single Identifier for Prescribers Medicines Information for Secondary Uses Facilitating the system supplier and business change associated with the introduction of 2D barcodes on medication packs to allow unique identification FMD minimises opportunity for counterfeit Also offers opportunity for Scan4Safety and other benefits

Pharmacy Supply Chain and Secondary Uses Transforming Pharmacy Supply Chain Implementing the Falsified Medicines Directive Single Identifier for Prescribers Medicines Information for Secondary Uses Deliver the capability to collect, link and analyse information about the use of medicines across all care settings; making this information available securely, efficiently and appropriately

Key messages Scheduled update of systems for dm+d Pilot of homecare hub to inform ‘strategic solution’ Establishing ‘clinician to clinician’ communication Transfer of care Referral Using standard NHS communication mechanisms Ensuring medication safety through FMD Reviewing, refining and improving the information available from the secondary uses of medicines data