eRD- The Bigger Picture Tania Farrow & Tony Dean Chief Officers Suffolk & Norfolk LPCs

The Murray Review Independent review undertaken by Richard Murray, Director of Policy at the King’s Fund, was published by NHS England on 14th December 2016. Now significantly informing DH plans for community pharmacy- summary available on PSNC website

“Full use should be made of the electronic repeat dispensing service “Full use should be made of the electronic repeat dispensing service. Except for patients not yet stabilised on their medication, electronic repeat dispensing should become the default for repeat prescribing… This redesign should ensure that they are an integrated part of a multifaceted approach to helping people with long-term conditions that includes medicines optimisation, providing advice and helping people stay well… and have a focus on patients at high risk and those with multiple co-morbidities as well as those with single conditions that are clinical priorities such as diabetes, hypertension and COPD where evidence is already strongest. It should also include consideration of appropriate prescription duration to optimise outcomes and convenience for patients. Ultimately MURs should evolve into full clinical medication reviews utilising independent prescribing as part of the care pathway.”

So Why Here, Why Now? ETP rollout in GY/W has progressed well Recognition of the potential by CCG and many GP surgeries locally Time saving advantages for GPs and Pharmacies alike Simplifies patient journey Potential to better integrate MURs & NMS Increases awareness of importance of medication reviews Standardises process for repeat ordering

The Managed Repeat Concerns Misunderstanding of processes Non-contractual Patients ordering everything “just in case” Variations of process, checks and balances etc. Time between ordering and need Most do it well, but bad news travels fast and far “Bans” in many areas of the country. Some implemented more sensitively than others but all ultimately pejorative in tone and damaging to relationships.

eRD is the future. Success requires: Getting the basics right first Understanding of processes and requirements Good communication with surgeries and patients alike A “ctrl/alt/del” where there are current issues Support for pharmacies & surgeries The journey starts this evening