Medicines optimisation applies to people who may or may not take their medicines effectively. The nice and nrls guidance was issued several years ago, focused on the hospital setting and was aimed at pharmacists. Polypharmacy and medicines optimisation the kings fund. We are grateful to the authors for shining a light on an area of care that deserves more attention. We welcome this guideline that asks pharmacists, doctors and nurses to discuss and pay attention to peoples wishes about treatment. We believe that, as experts in medicines and their use, pharmacy professionals are well placed to support patients to get the best outcomes from their medicines. Defining the role of the pharmacy technician and identifying their future role in medicines optimisation melanie boughen 1, jane sutton 2, tess fenn 3 and david wright 1 1 school of pharmacy, university of east anglia, norwich nr4 7tj, uk.
Medicines optimisation royal pharmaceutical society. Helping patients to make the most of medicines, may 20. This page will help you to find useful resources, standards and guidance to support medicines management. Medicines optimisation looks at the value which medicines deliver, making sure they are clinicallyeffective and costeffective. How can you encourage medicines optimisation to improve. Drivers for medicines optimisation medicines optimisation safe use of medicines access to senior advice chief pharmacist or equivalent on the legal, safe and secure handling of medicines medicines are used safely and patients are protected from avoidable harm clear lines of responsibility and accountability for safe and secure use of medicines. Medication waste, medicines management and polypharmacy. Improving the use of medicines has been a recurring challenge in healthcare for several decades and terms such as quality prescribing, rational prescribing, costeffective prescribing, compliance adherence and concordance have been applied to elements of the process. Medicines optimisation looks at how patients use medicines over time. Aim to understand the patients experience to ensure the best possible outcomes from medicines, there is an ongoing, open dialogue with the. Royal pharmaceutical society guidance necs medicines.
Medicines optimisation briefing this medicines optimisation briefing focuses on patients with asthma and is designed for pharmacy professionals in any sector to use in their practice. Medicines optimisation for aki acute kidney injury. The four principles of medicines optimisation guidance has been published by the royal pharmaceutical society rps to encourage healthcare professionals to ensure medicines are used appropriately. Medicines optimisation briefing dementia the royal pharmaceutical societys model of medicines optimisation describes four guiding principles in the boxes below to achieve three key dementia outcomes. The royal pharmaceutical society rps has published professional standards for hospital. This medicines optimisation briefing focuses on patients with asthma and is. It could also be suggested that the original concepts of. Medicines optimisation is all about supporting patients so that they get the best possible outcomes from their medicines. The four principles of medicines optimisation medacs. Medicines optimisation outreach case management clinics for copd patients article pdf available june 2016 with 97 reads how we measure reads.
Medicines optimisation hub royal pharmaceutical society. The medicines optimisation briefings we have produced are for pharmacy professionals working in all sectors of healthcare. Medicines optimisation is likely to be one of the key focuses of the nhs. By improving safety, adherence to treatment and reducing waste the medicines optimisation approach will help to ensure that by working together we. Safe and secure handling of medicines in hospitals wards, theatres and departments 2 1. Offices in amsterdam and dublin, multidisciplinary staff of hospital. Polypharmacy and medicines optimisation in publishing this paper, the fund hopes both to raise awareness of these issues and to offer practical guidance to clinicians and others in avoiding what the authors describe as problematic polypharmacy. Community pharmacists are well placed to assist in the early identification of dementia, as well as to help patients to manage their medicines. The goal is to optimise the use of medicines by promoting cost effective and evidence based clinical practice and effective risk management. Guiding principles for medicines optimisation widely backed news. The people involved and the guidance development process can be found on the rps website. Medicines optimisation cambridgeshire and peterborough. Article calculations for medicines management and cost.
Medicines optimisation briefing this medicines optimisation briefing focuses on patients with epilepsy and is designed for pharmacy professionals in any sector to use in their practice. Medicines optimisation overview nice pathways bring together everything nice says on a topic in an interactive flowchart. In an exclusive partnership with keele centre for medicines optimisation kcmo, we are one of the few independent organisations on the framework agreement, and we look forward to continuing to support the nhs. As a profession we need to embrace the concept, adapt our way of thinking, and work to ensure patients are always at the centre of their. Development of the swypft medicines optimisation and pharmacy strategy. Helping patients to make the most of medicines outlines the importance of medicine optimisation as part of good patient care. Definition of a medicine, including controlled drugs cds medicines are substances that are introduced into the body, or externally applied to the body, for the purpose of treating disease preventing disease. The rps says that medicines use is too often suboptimal and that a step change is needed in the way health professionals support patients to get.
Personcentred medicines optimisation policy in england. Identifying their future role in medicines optimisation. What does medicines optimisation mean for pharmacy. Medicines optimisation is defined as a personcentred approach to safe and effective medicines use, to ensure people obtain the best possible outcomes from their medicines.
She is also an associate non executive director at the princess alexandra hospital in harlow since july 2018. Driven by the growth of an ageing population and the rising prevalence of multimorbidity, polypharmacy has previously been considered something to avoid. Interven8onsacrosshealthandsocialcareaimedat improvingphysical,mentalandsocial. Polypharmacy and medicines optimisation adverse reactions to medicines a re implicated in up to 6. Changes in the management of controlled drugs affecting pharmacists. Many medications are cleared via the kidneys, so have the potential to accumulate during an episode of aki. Journal of medicines optimisation volume 2 issue 1 march 2016 aim of the jomo medicines optimisation is a person centred approach to safe and effective medicines use to ensure that people obtain the best possible outcomes from their medicines.
It is about ensuring people get the right choice of medicines, at the right time, and are engaged in the process by their clinical team. Medicines optimisation brings together a number of key national strategies including personalising medicines management, various national pharmacy white papers, 4,8 the new medicine service and targeted murs. What does medicines optimisation mean for pharmacy professionals. Summary a draft northern ireland medicines optimisation quality framework was launched for public consultation in 2015, with the aim to support better health and wellbeing for all people in northern ireland through improvements in the appropriate safe and effective use of medicines. In contrast to medicines management, the focus of medicines optimisation is the patient. Summary of the implications for medicines management in older people. Medicines prevent, treat or manage many illnesses or conditions and are the most common intervention in healthcare. Getting the most from medicines for both patients and the nhs is becoming increasingly important as more people are taking more medicines.
Rpsgb org pdfs handlingmedsocialcare pdf guidance produced by rpsgb. Gp perceptions of medicines optimisation principles. Nhs englands lead provider framework, covering medicines management and optimisation commissioning support services. Nhs gets better value from the investment in medicines. Helping patients to make the most of medicines the four guiding principles of medicines optimisation principle 1. Safe and secure handling of medicines in hospital wards. Pdf medicines optimisation outreach case management. The nhs needs pharmacy to drive patient experience. Its about talking and engaging with individuals to understand their beliefs and concerns about their medicines and.
Ukmi and medicines optimisation in england a consultation. Patients admit ted with one drug side e ect are more than. Helen has been the deloitte subject matter expert since 2016 on client facing medicines optimisation and efficiency project support. Integrated medicines management imm or medicines optimisation. A controlled drugs manual including standard operating. The royal pharmaceutical society issued its own guidance on medicines optimisation in 20. Northern ireland medicines optimisation scaling up. Council and latest version of the medicines, ethics and practice issued by the royal pharmaceutical society of great britain rpsgb.
Our learning programmes on consultation skills will enable you to. The focus on improved patient outcomes can help to ascertain that patients and the. Chair south manchester ccg liz bailey lb medicines optimisation lead stockport ccg andrew fry af interim deputy chief finance officer hmr ccg jeanette tilstone jt head of medicines optimisation bury ccg claire vaughan cv head of medicines optimisation salford ccg. It may involve stopping some medicines as well as starting others, and considers opportunities for lifestyle changes and nonmedical therapies to reduce the need for medicines. Polypharmacy the concurrent use of multiple medications by one individual is an increasingly common phenomenon that demands attention at clinical policy and practice level. Medicines optimisation is about helping health professionals and patients make the right treatment choices.
Professional resources there are numerous resources available to support medicines management as well as standards for nursing staff and other health care professionals. Selection and decision support tools to manage the right drugs implemented mo system in northern ireland together with the nhs medicines optimisation innovation centre. Royal pharmaceutical society guidance the rps guidance. Medicines reconciliation medicines optimisation ncbi.
The four principles of medicines optimisation describe how healthcare professionals can enable patients to improve their quality of life and outcomes from. Page 1 of 21 trust board meeting 3rd july 2014 paper reference. Summary the purpose of the document is to provide professional pharmaceutical guidance based on current good practice and legislation for people who are involved in handling medicines in. P3 ensure that all practice relating to medicines optimisation throughout the trust complies with the current legislative framework and, where practice is found to. The handling of medicines in social care sets out principles of good practice and legislation governing the handling of medicines applicable to providers of care services, managers and care workers in many social care settings.