Reducing Inappropriate Antipsychotic Prescribing General Practice Pilot Medicines Management Targets % dementia patients on antipsychotic % on antipsychotic> 9 months % reviewed in the last 3 months Project Aims Multidisciplinary team approach agreed key improvements that will: Reduce unnecessary drug treatment Help carers to identify triggers and manage behaviour without need for antipsychotic drugs Improve quality of life for patients Improvement Methods Training modules for care home staff on challenging behaviour Being rolled out across BCUHB from 2013 2. Tool to help identify, document and resolve challenging behaviour http://www.careforumwales.co.uk/uploads/champions_document.pdf 3. Communication of treatment & review plan from secondary care Circulated to OPMH consultants for use across BCUHB 4. GP guidelines &education to support & communicate patient review http://howis.wales.nhs.uk/sites3/page.cfm?orgid=475&pid=37817 Baseline data from two pilot General Practices Several patients identified from GP were not known / open to Mental Health services. Data after initial review demonstrated 30% reduction in patients on antipsychotic. Liz Bond, MH Pharmacist BCUHB Dr Rajagopal, Consultant Psychiatrist Kerry Mc Donald, Nurse Specialist, Memory clinic Dr Close, Dr Murphy, General Practitioners Elaine Coulton, Steve Ford, Pembroke Care Home Managers Trudy Anderton, Gill Boothman, Pharmacy Practice Support