Medicines Management Tips & Preparing for your CQC Inspection with Gerry Devine Practice Management Advisor

What is medicines management? Medicines management supports better and more cost-effective prescribing in primary care, as well as helping patients to manage medications better. Good medicines management can help to reduce the likelihood of medication errors and patient harm.

Patient safety is central to…

Controlled Drugs Do you have an SOP? Trained staff Ordering Storing Administering Recording Destruction Trained staff Awareness of how staff should raise any concerns Awareness of Area Team CDAO

Hospital Discharge Letters Process for clinical review of discharge and advisory letters Any changes to be reviewed and checked by an independent prescriber before those changes are made to a patient's record

Clinical Audit Demonstrate on-going quality improvement and effective care through completed audit cycle. All GPs need to do a two cycle audit for their revalidation portfolio. All audits should have a clear action plan. Actions having owners and a timeframe. Audit should be completed to evidence improvement where necessary.

Emergency Drugs Can practice respond immediately to needs of a person who becomes seriously ill? Has provision of emergency drugs been risk assessed in light of: Practice location? Ambulance response times? Access to pharmacy services? If clinicians take medicines out of practice is there an overt audit trail?

Medicines Safety Alerts There must be a system in place for cascading alerts to appropriate staff. Evidence is collated if practice chooses not to comply with any alert recommendations. An SOP detaining what to do in response to a medicines safety alert.

Repeat Prescribing Has a repeat prescribing policy Awareness of policy Designated staff members trained to issue repeat prescription Protocols on handling of: Repeat requests for controlled drugs Repeat request for drugs that require monitoring Patient who do not attend for medication reviews

Safety Learning From Incidents Safety issues identified Record incidents, concerns and near misses Report and respond internally and externally, as appropriate Evidence of significant event reviews and theme identification Evidence of process awareness and activity

Clinical Audit Toolkit Cold Chain Policy …And here’ some links to some FPM protocols that may also help Clinical Audit Toolkit Cold Chain Policy Controlled Drugs (Handling, Storage and Destruction) Protocol Emergency Drugs (Checking) Policy Infection Control Policy Prescribing Compliance

Thank you for watching! For further information please visit our website: www.firstpracticemanagement.co.uk For details on Thornfields’ training courses visit: www.thornfields.co.uk