1. Digital Medicines
Hospital Pharmacy Transformation Programme

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

3. 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…

4. 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

5. 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

6. 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

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

8. 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

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

10. 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

11. 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

12. 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

13. 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