Medication in the Community Tamsin Rudolph Lead Project Manager – Medication in the Community Kent County Council Design & Learning Centre Welcome to this workshop I am Tamsin Rudolph and I manage the Medication in the Community Project on behalf ok KCC. I sit in the design and learning centre team to try and make sure that I am not biased to health or social care. Ultimately I work to support providers in how to effectively manage medication in the home care setting.

Medication in the Community Project ‘There is not a joined up approach between health and social care in relation to medications’ Medication Pathway Manageable Sections Medication Administration Guidance Medication Administration Record Charts (MAR Charts) Better discharge processes in relation to medication. Designs high impact solutions Creates the workforce of the future Meets the challenges facing Health & Social Care Innovative use of technology especially digital Works with Global Partners When I first came to post back in January this year the challenge had been set, ‘There is not a joined up approach between health and social care in relation to medications’ They had already explored and worked through issues that were happening out in the community setting and there were a lot, I would like to add that there was also a lot of good things that are happening. Overall they were placed into a medication pathway, ‘Esther’s Medication Pathway’. There were 21 broad issues, I said that it would be unmanageable to look at all of these things and I decided I would pull out three key things that I could deliver fairly quickly that would support providers, care workers and the people receiving care. The three I chose were. Kent guidance for Medication Administration in a domiciliary care setting for care providers. Delivered by October 2018 Kent to have a single Medicines Administration Record Chart (MAR Chart) for patients receiving a domiciliary care package. Delivered by January 2019. Reviewing and improving discharge from hospital in relation to medications. Delivered by January 2019. Innovative use of technology especially digital Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Who is involved in the work? Creates the workforce of the future Meets the challenges facing Health & Social Care Innovative use of technology especially digital Meets the Challenges facing health & social care Works with Global Partners So I wanted to show you all who is involved in the work and as you can see there are a lot. But most importantly I want care workers, providers and the people receiving care to be involved. As you can imagine I cannot have hundreds of people involved so I work with key people who I have met throughout the project to try and gain a fair overview of everything that I am doing. If you are interested in being actively involved in the work please come and see me after the workshop. Innovative use of technology especially digital Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Medication Administration Guidance For Social Care Providers & Workers Meets the challenges facing Health & Social Care So coming back to one of the key areas the project is focusing on – Medication Administration Guidance. I have been working with the NICE to be clear in what medication administration is in the home care setting. The guidance they produce is often fairly generic and I want to firm up what some of the basic terms were and what was expected of people. This is the first draft of the guidance and is currently in the second draft. Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Medication Administration Guidance For Social Care Providers & Workers The guidance aims to support providers and care workers with: Prompting Administration MAR Charts 6 Rights of Administration Discussing Patient Needs Planning & Reviewing Meets the challenges facing Health & Social Care The guidance works to support providers and workers with clear information around. Prompting Administration MAR Charts MDS / Dosette Boxes 6 Rights of Administration Discussing Patient Needs Planning & Reviewing Care workers have such valuable information about people in relation to their medications. Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Medication Administration Guidance For Social Care Providers & Workers ‘preparing and giving of prescription and non-prescription drugs from bottles and boxes’. Providers are responsible for providing the organisational supports and systems necessary for safe medicines administration. Please make sure you are up to date with your providers medicines policy. When undertaking medication administration support a MAR Chart (see below) should be used to assist the care professional. Meets the challenges facing Health & Social Care Read Slide Out. Do you feel this is clear? Now there are a few things in there I know that you may have questions over. ‘Bottles and Boxes’ We are trying to be clear that if a worker is required to administer that they do not use a dosette box/MDS/NOMAD tray. Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Medication Administration Charts (MAR Charts) Working to have MAR Charts provided printed by community pharmacy. Pilot in the Maidstone locality. Set coding for all pharmacies to use. Meets the challenges facing Health & Social Care So the other big change I am looking to implement is in relation to MAR Charts. I am trying to get agreed that MAR Charts will be provided by the community pharmacy. This is a large piece of work and if I can get this agreed would mean that you no longer had to transcribe MAR Charts. I am working on getting a pilot underway in the next couple of months in the Maidstone Locality and this will only be for a specific group of people. After this I can then review the results and put forward to commissioners. Another detail that I have worked on is that pharmacies use a standard coding and that this is automatically in their systems, meaning there is no more multiple codes in use. All these documents will be uploaded to the KCC and Design and Learning Centre Website. Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

NICE Meets the challenges facing Health & Social Care Works with Global Partners I also wanted to share with you some of the things that NICE have. Unfortunately Jade from the field team had another commitment today so can’t be here. However she has shared her slides. Run through putting guidance into practice. Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Social Care homepage The NICE social care home page is a wealth of information at your finger tips.

Quick guides Key information Simple format Co-produced with SCIE Practical support NICE worked to produce guidance in more useable format – quick guides They work with the Social Care Institute for Excellence to make these and they are great. I am using this style for the guidance we are creating and hope to be able to provide files with the guidelines on. Aimed at range of different audiences – tend to come with tools Latest is a quick guide for home care managers providing medicines support – Effective record keeping and ordering of medicines

Managing medicines related quick guides I have a small selection on the design and learning centre stand so please come and have a look at them. You are able to down load them directly from the NICE website if you just type NICE quick Guides into Google.

Staying up to date Website www.nice.org.uk NICE News - monthly e-newsletter NICE in social care – monthly bulletin Update for primary care –monthly newsletter 120,000+ people follow us on Twitter @NICEcomms General enquiries nice@nice.org.uk You can stay up to date with NICE guidelines in many ways, please feel free to photograph this slide. These slides will be shared after the event.

Further Information & Contact Website: https://designandlearningcentre.com/ Get live Updates as they happen by following us on Twitter: @KentDLC Email: designandlearningcentre@kent.gov.uk Please visit our stand to sign up for the Medication in the Community Newsletter So that’s it from me today but please feel free to come and see me later today or come to the Design and Leaning Centre Table to Sign Up for news and updates.