1. Medicines Optimisation Putting Patients at the Centre of their Care Jabeen Egan Lead Pharmacist

2. Who are we? Dr J Hall DR B Bora Jabeen Egan Fouad Lawal G.P Clinical Advisor GP CCG Chair Pharmacists Amy Clarke Michelle Dutton Pharmacy Technicians Lynne Williams Medicines Optimisation Assistant

3. What is Medicines Optimisation? CCG Commitment to you is to “Put Patients at centre of their care and help the System get better outcomes from Medicines”

4. How do we support this? Involve Patients in making informed decisions about Treatments at CCG Level & individual Level Work collaboratively with Clinical Colleagues across Hospital & Community Trusts Develop patient centred Care Pathway(s) & Care plans – Patient owned that can work for individual patients needs Improved Safety, Improved self Care & adherence to Medicines, Reduced medicines waste = Better Value from NHS Investment in Medicines

5. 1. Understanding Patient Experience Open dialogue with patients/Carer about choice and experience in managing their condition with or without need for a medicine Understand patients beliefs and preferences & discuss openly their experience of taking or not taking medicines – How it impacts on their life, allows patients to be confident & empowered

6. 2. Evidence Based choice of Medicines Optimum patient outcomes from clinically effective Medicines NICE Guidance & Local Medicines Formularies Decisions about access to Medicines are Transparent Medicines No longer required are stopped Treatments of Limited value NOT used.

7. How do we decide what Medicines to Commission? We scan new Medicines and NICE Guidance/Appraisals - using a priority framework We review current evidence, cost effectiveness impact & safety with input from various Health professionals We make decisions at Local level through Medicines groups and recommendations across Kent & Medway – using ethical decision making process We ensure resources are re-invested from Medicines with limited evidence base

8. What is a Medicines Formulary? List of medicines that can be prescribed within the CCG – not exhaustive Joint working with local Hospital formulary Pharmacist Legal requirement for all NICE TA drugs list to be publicly available www.dgsformulary.co.uk

9. 3. Ensure Medicines Use if safe Responsibility of ALL professionals, Orgs. & Patients Patients feel they can ask if they have a query or are having difficulty with their medicine Patients remain well and there is decrease in hospital admission/re- admission Patients discuss side effects and there is an increase in reporting to MHRA Patients take unused medicines to Comm. Pharmacies for SAFE disposal

10. 4. Making Medicine Optimisation part of routine practice Patients receive consistent messages because the healthcare Team liaise effectively Becomes routine practice to signpost patients for further help with their medicines and to support groups Medicines Wastage is REDUCED NHS gets greater value for money invested Medicines optimisation outcomes are routinely measured

11. Are we making the most of Medicines?

12. Thank you for Listening