1. UKMi – today and in the future January 2009 Peter Golightly Director – Trent & West Midlands Medicines Information Services

2. Who/what is UKMi? The network comprises staff at The network comprises staff at 230 local MI centres 230 local MI centres 14 regional centres 14 regional centres 2 national centres (Wales and NI) 2 national centres (Wales and NI) Manned by Manned by Pharmacists Pharmacists Technicians Technicians Others Others National leadership provided by UKMi Executive National leadership provided by UKMi Executive

3. Our skill mix Our skill mix (WTEs)

4. UKMi Structure Regional/National MI Services (n=14+2) Local MI Services (n=230) UKMi National MI Strategy/Leadership ( UKMI Exec ) All levels are in touch with each other providing network support and a wide range of outputs with minimum duplication

5. Structure of MI Individual – personal – MI, clinical pharmacists etc Individual – personal – MI, clinical pharmacists etc Local enquiry answering, advisory service, bulletins, D&TC/ formulary support, training, local ADR reporting schemes Local – enquiry answering, advisory service, bulletins, D&TC/ formulary support, training, local ADR reporting schemes Regional – support local services, active information, PCO support, co-ordinate regional activities. input to national network Regional – support local services, active information, PCO support, co-ordinate regional activities. input to national network National – (virtual) – advise on national policy, co-ordinate national network, avoid unnecessary duplication, improve standards National – (virtual) – advise on national policy, co-ordinate national network, avoid unnecessary duplication, improve standards

6. Local MI Centre Enquiry answering service ~ 500,000 enquiries/year – patient focussed Enquiry answering service ~ 500,000 enquiries/year – patient focussed Support clinical pharmacy & clinical staff Support clinical pharmacy & clinical staff Support medicines management Support medicines management Hospital formulary/D&TC work Hospital formulary/D&TC work Produce guidelines etc. Produce guidelines etc. Newsletters Newsletters Training Training

7. Regional Centre Enquiry answering – including primary care Enquiry answering – including primary care Support of local centres incl training Support of local centres incl training Bulletins/New product reviews Bulletins/New product reviews Quality assurance Quality assurance Support to NHS Direct Support to NHS Direct Strategic support for PCTs Strategic support for PCTs Regional co-operation/collaboration Regional co-operation/collaboration

8. National - UKMi Virtual Virtual Co-operation, collaboration and co- ordination Co-operation, collaboration and co- ordination Reduction in duplication of effort Reduction in duplication of effort Strategy & leadership Strategy & leadership National outputs National outputs

9. What do these Regional centres do? 1. Support 2. Values and standards 3. Liaison with partners 4. Strategy

10. What support do you get? Peer & personal development support Peer & personal development support Courses like this Courses like this Regional centres Regional centres Regional meetings Regional meetings Peer review Peer review Mi-UK e-discussion group Mi-UK e-discussion group Networking opportunities Networking opportunities

11. What resource support is provided? Resource support Resource support UKMi negotiated subscriptions UKMi negotiated subscriptions MedicinesComplete MedicinesComplete Natural Medicines Database Natural Medicines Database Adis Journals Adis Journals eMIMS eMIMS Drugdex Drugdex Renal Drugs Handbook Renal Drugs Handbook Regional subscriptions Regional subscriptions Minimum resource standards Minimum resource standards

12. What training support is provided? Training Training National training course National training course National technician training course (AMITS) National technician training course (AMITS) Training at regional meetings Training at regional meetings Training at regional centres Training at regional centres Training resources Training resources MI workbook MI workbook MiCal MiCal Pre-registration templates Pre-registration templates Annual Conference (PDS) - CPD Annual Conference (PDS) - CPD

13. … and the specialist support Specialist Information and advisory centres Drugs in lactation/pregnancy Drugs in lactation/pregnancy Drugs in renal/hepatic disease Drugs in renal/hepatic disease Drugs in dentistry/psychiatry Drugs in dentistry/psychiatry Complimentary medicines Complimentary medicines Drugs in porphyria, AIDs Drugs in porphyria, AIDs Drugs in children Drugs in children Fridge stability, latex in medicines Fridge stability, latex in medicines

14. UKMi Working Groups New products New products Education and training Education and training Clinical Governance Clinical Governance MI Technicians MI Technicians IT IT NHS Direct NHS Direct

15. What about core values? Apply evidence-based principles in provision of impartial, evaluated, accurate and timely info to promote safe and effective use of medicines Apply evidence-based principles in provision of impartial, evaluated, accurate and timely info to promote safe and effective use of medicines Provide professional advice to support and influence clinical decisions with respect to patient care Provide professional advice to support and influence clinical decisions with respect to patient care

16. … and more core values Keep abreast of developments in therapeutics, professional practice, technology etc to support CPD and keep the service provided up-to-date Keep abreast of developments in therapeutics, professional practice, technology etc to support CPD and keep the service provided up-to-date Be readily accessible and responsive to user needs Be readily accessible and responsive to user needs Network to share information and experience at local, regional and national levels Network to share information and experience at local, regional and national levels

17. Standards Education & Training National Training Courses National Training Courses Training Manual - MI Workbook Training Manual - MI Workbook Facilitated local learning (MiCAL) Facilitated local learning (MiCAL) Pre-registration training template Pre-registration training template Competency Framework Competency Framework Annual Conference Annual Conference

18. Standards Clinical governance QA programme and standards QA programme and standards Enquiry answering Enquiry answering Essential resource list Essential resource list Education and training Education and training Risk management Risk management Bulletins Bulletins SOPs SOPs Incident reporting - IRMIS Incident reporting - IRMIS

19. 3. Liaison with partners NHS Direct / NHS24 NHS Direct / NHS24 PIPA / ABPI PIPA / ABPI RPSGB RPSGB NPSA NPSA NPC NPC NHSC / SMC / AWMSG NHSC / SMC / AWMSG MHRA MHRA NLH / NKS / CfH NLH / NKS / CfH

20. 4. Strategy and leadership

21. Current Developments MI strategy 2007-? - implementation MI strategy 2007-? - implementation NeLM NeLM clinical content from UKMi + other stakeholders clinical content from UKMi + other stakeholders Research Strategy Research Strategy Career development – GLF/ALCF Career development – GLF/ALCF Outputs Outputs New product evaluations & horizon scanning New product evaluations & horizon scanning Medicines Q&As Medicines Q&As Quality standards Quality standards MI services & activities MI services & activities National IV guide National IV guide

22. Information Technology UKMi website UKMi website NeLM website NeLM website UKMi e-mail discussion list (mi-uk) UKMi e-mail discussion list (mi-uk) Guidance and standards for IT facilities Guidance and standards for IT facilities MiDatabank MiDatabank New Drugs Online (Horizon scanning) New Drugs Online (Horizon scanning)

27. Drivers for the future PCT developments/Primary care restructuring PCT developments/Primary care restructuring Commissioning incl PBC Commissioning incl PBC Non-medical prescribing Non-medical prescribing Darzi report / Pharmacy White Paper etc Darzi report / Pharmacy White Paper etc NHS Evidence / NICE NHS Evidence / NICE e-Prescribing / EPR e-Prescribing / EPR GP and Community Pharmacy contracts GP and Community Pharmacy contracts Social Services & Care of the elderly Social Services & Care of the elderly Professional regulatory and professional bodies Professional regulatory and professional bodies Patient-driven choice/support (NHS Direct, NHS Choices. NHS24) Patient-driven choice/support (NHS Direct, NHS Choices. NHS24)

28. …. if you can only remember 2 things www. nelm.nhs.uk www. nelm.nhs.uk www. ukmi.nhs.uk www. ukmi.nhs.uk

29. UKMi Strategy 2007 Replaces 2000 Strategy Launched 31/10/2007 Takes account of political, policy, organisational and operational NHS changes Takes account of national devolution variations to maintain UK-wide relevance Defines 5 key strategic aims Addresses key issues to maintain the crucial value of MI services

30. Key UKMi Elements UKMi is an NHS service provided through an integrated network of local and regional medicines information centres. UKMi is an NHS service provided through an integrated network of local and regional medicines information centres. It is a critical NHS resource for medicines management at patient and organisational levels. It is a critical NHS resource for medicines management at patient and organisational levels.

31. NHS Change Drivers Increased access to health services and health information by patients. Increased access to health services and health information by patients. Development of intermediate care with transfer of complex cases into the community. Development of intermediate care with transfer of complex cases into the community. Development of specialist networks. Development of specialist networks. New non-traditional prescribers. New non-traditional prescribers. New commissioning arrangements. New commissioning arrangements. Regulatory changes created to ensure life-long competency of practitioners. Regulatory changes created to ensure life-long competency of practitioners. Plurality of healthcare providers from independent and charitable sectors (in England). Plurality of healthcare providers from independent and charitable sectors (in England).

32. The 5 Strategic Aims Reflect a patient-focused NHS Reflect a patient-focused NHS Develop the service to healthcare providers Develop the service to healthcare providers Develop healthcare staff Develop healthcare staff Support to NHS commissioning and planning bodies Support to NHS commissioning and planning bodies Collaborate effectively with other organisations at national level Collaborate effectively with other organisations at national level

33. Strategic Aim 1 Reflect a patient-focussed NHS Local patient helplines Local patient helplines Patient information – written and electronic Patient information – written and electronic Patient-focussed organisations (NHS Direct/NHS24) Patient-focussed organisations (NHS Direct/NHS24)

34. Strategic Aim 2 Develop the service to healthcare providers Patient safety - NHS Injectable Medicines Guide Patient safety - NHS Injectable Medicines Guide Healthcare professional development – Community pharmacists, Independent prescribers Healthcare professional development – Community pharmacists, Independent prescribers Equitable NHS access Equitable NHS access NeLM - delivery of integrated medicines information NeLM - delivery of integrated medicines information IT utilisation IT utilisation Decision support input e-prescribing Decision support input e-prescribing MI as evidence-based focus for medicines management MI as evidence-based focus for medicines management

35. Strategic Aim 3 Develop healthcare staff Develop competent workforce by: Local education & training initiatives for a range of healthcare professionals to find and evaluate information Local education & training initiatives for a range of healthcare professionals to find and evaluate information Develop broad workforce strategy Develop broad workforce strategy MI technicians MI technicians Consultant MI Pharmacists Consultant MI Pharmacists

36. Strategic Aim 4 Support NHS commissioning & planning bodies Evidence-based outputs to facilitate medicines management and formularies Evidence-based outputs to facilitate medicines management and formularies Medicines management leads in PCOs Medicines management leads in PCOs Strategic planning and policy making – horizon scanning/policy scoping Strategic planning and policy making – horizon scanning/policy scoping Service QA to ensure standards and value for money Service QA to ensure standards and value for money Audit for other information-providing healthcare organisations, e.g. NHS Drct Audit for other information-providing healthcare organisations, e.g. NHS Drct Support local implementation of national guidance Support local implementation of national guidance

37. Strategic Aim 5 Collaborate effectively with other organisations at national level Horizon scanning (NHSC, SMC) Horizon scanning (NHSC, SMC) National guidance (NICE, SIGN) National guidance (NICE, SIGN) NeLM NeLM NHS Direct/NHS24 NHS Direct/NHS24 NPSA NPSA NKS (e-prescribing) NKS (e-prescribing) Pharmacy professional body(ies) Pharmacy professional body(ies) Research organisations Research organisations

38. ..all supporting NHS agenda Patient safety Patient safety Patient access to good quality care Patient access to good quality care Cost-effective prescribing Cost-effective prescribing A competent work force A competent work force Value for money Value for money

39. The challenge Big agenda Big agenda Covers all aspects of MI – local to national Covers all aspects of MI – local to national Requires engagement with users, stakeholders and commissioners Requires engagement with users, stakeholders and commissioners Collaborative working Collaborative working IT & communications IT & communications Funding and investment Funding and investment Information governance Information governance

40. Secret of our success The network The network The enthusiasm The enthusiasm The leadership The leadership The support The support

41. www.ukmi.nhs.uk