Care Home Team – Medication Reviews Prina Sahdev – Medway CCG

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Presentation transcript:

Care Home Team – Medication Reviews Prina Sahdev – Medway CCG

(Medway Foundation Trust) Advanced Nurse Practitioners and EoL Facilitators (Medway Community Healthcare) Geriatrician (Medway Foundation Trust) Pharmacist (Medway Clinical Commissioning Group) The Integrated Care Home Team

Patient Care Consultant Geriatrician (Medway Hospital) Nursing Home Staff (Including Carers) Care Home Team (CHT) Nurses GP Pharmacist (CHT and Community)

The Review Process Examine MARR chart Speak to patient Speak to Nurses and Carers Check Patient notes within Nursing Home Attempt to fill in blanks with GP notes Consolidate notes Liaise with Consultant Geriatrician Make changes / Recommendations Follow up with GP/ Nursing Home/ CHT Nurses

Factors affecting the review process Nursing home notes GP notes Care Home team and community team notes Hospital discharge notes / Outpatient letters Information Everywhere Computer systems Paper files – varies across each home Independent Systems Policies vary Procedures vary Capabilities vary Duplicate information Independent Stakeholders Lack of defined roles Leadership Patchy / Non existent Transfer of Information Who does what? Follow up/ Review

Are there any additional local issues around medicines reconciliation? Where are the main pinch points in the system? What are the possible harms (both direct and indirect) of poor medicines reconciliation? Do you know of any other work going on to address any of these issues?