1. KSS Antimicrobial Pharmacy Network Update
Rakhee Patel
December 2018

2. Meetings & Membership Inaugural meeting on 18/4/18
Meetings quarterly & chaired by Lead AMP, Dartford & Gravesham NHS Trust
Membership - pharmacy representatives from acute hospital Trusts, community hospitals & primary care organisations including clinical commissioning groups
Last meeting October 2018, next scheduled in January 2019

3. Benchmarking
Benchmark around the AMR CQUIN/QP performance data (RAG rating)
Collation of 18/19 data in progress quarterly
Define® training deemed necessary to facilitate data capture – teleconference session December 18
Benchmark AMS service for member organisations via the network – survey monkey for secondary & primary care devised
Updating and piloting a AMS Peer Review Inspection Tool in conjunction with PHE/NHSI

4. Antifungal stewardship
All acute providers have shared antifungal guidelines with Specialised Commissioning Pharmacist
Sharing antifungal audit toolkits amongst members & Specialised Commissioning Pharmacist
Regional wide audit tool for the antifungal stewardship section of the medicines optimisation CQUIN devised

5. OPAT collaboration
Benchmark exercise of OPAT service provision in network underway as part of survey
Aim to share guidance, formulary applications, and device/stability information to improve uptake

6. Sharing resources
NHS network site used for sharing useful resources to reduce duplication in work of AMS/ABX pharmacists across the region
Facilitate peer review of guidelines and the sharing best practice
The network is collaborating on producing maxillofacial/ENT antimicrobial guidelines

7. Quality Improvement project workstreams
Sharing examples of good practice projects that are currently being undertaken, discussions on how to standardise across the region:
48-hour antimicrobial review on inpatient drug charts QI project
To Dip or Not to Dip – Elizabeth Beech project
Redesign of drug chart for 72 hour review
Automatic stop at 72 hour if no review – prescription is stopped and the doctor contacted by a pharmacist or a nurse
ARK study and principles
Indications on outpatient prescriptions
Electronic AMS development – Microguide DSM

8. Education, Training & Development
RPS Local Professional Development Programme – EKHUFT Infection and AMS Face to Face Training Day on 26th September
Supported by Lead AMP DGS & BSUH
Next year to devise a rolling education & training timetable

9. Kent and Medway Infection Prevention and Control System Leadership
Pilot
Kent and Medway Infection Prevention and Control System Leadership
National ambition to reduce Gram negative Blood Stream Infections (GNBSIs) by 50% by March 2021
More than half of these infections are in community setting
Different approach to reduce these infections required compared to approach in reduction of infections such as Clostridium difficile and MRSA blood stream infections
Gail Locock,
Kent & Medway System DIPC

10. The role of the K&M System DIPC
Be responsible to lead & develop IPC service across K&M system & produce a strategic plan with goals to achieve both local/national targets
Provide strategic vision & leadership in the specialist field of IPC & provide expert knowledge/advice
Lead on the development and innovation in IPC
Raise awareness and actively promote IPC & AMS
Work collaboratively/partnership with external agencies & other practitioners
Ensure providers conform to agreed infection prevention quality measures

11. System Wide IPC and AMR Leadership / DIPC Role
New role
Seconded to the role from 22nd October
IPC Specialist Nurse by background, previous Acting DIPC and Deputy at MTW Trust
Creation of a virtual team of IPC leads and AMR pharmacist (TBC)
Setting up of DIPC / DPH strategic meeting – Kent Infection Prevention & Control and Antimicrobial Stewardship (KIPCAS) Committee
Medical engagement is required
STP recognition

12. Prescribing review by Emma Cramp (QI advisor, GNBSI, NHSI)
Aim:
Highlight strengths and weaknesses within AMS programmes across the system
Generate actions to take forward in order to improve AMS
Reduce healthcare associated Gram negative bacteraemias & inappropriate prescribing
Target: Members of IPC/AMS team
Majority of data used from open access sources, such as PHE AMR Fingertips Portal and PrescQIPP

13. Any Questions?