1. NHS Rushcliffe Clinical Commissioning Group (CCG)

2. About Us Statutory public body - April 2013 Organisation -Population 122,066 -Budget £127m Statutory duties

3. Our Priorities Commission services that improve health of the whole population with better quality of care and outcomes for all patients

4. Our Priorities Three priority areas Supporting people to manage ongoing conditions Improving mental health and wellbeing Promoting prevention and early intervention and supporting people to make healthy lifestyle choices.

5. Plans for the future More support closer to home for patients Right care in the most appropriate place Support and extended access to general practice Support patients in managing own health South Nottinghamshire Transformation Programme

6. Rushcliffe CCG Prescribing Team

7. Who we are… Medicines Management Lead Nayna Zuzarte and Beth Carney Primary Care Pharmacists Stacey Sadler, Gillian Gookey, Karen Chappell Prescribing Technician Sameena Mir Total 2.6 WTE

8. Wider team Shared team across the five Nottinghamshire county CCG’s: Area Prescribing Committee / Interface team Nicky Bird, Amanda Rawlings, James Sutton Clinical Governance and Care Homes Lead Coral Osborn Data Analysts Tim Oxley and Chris Day

9. Our priorities Promote evidence based cost effective prescribing by optimising the use of medicines in primary care and across the interface with secondary care. Improve health outcomes for Rushcliffe patients through medicines optimisation. Advise on the effective use of medicines across the whole patient pathway.

10. Quality, Innovation, Productivity & Prevention (QIPP) Strategy 2014-2015 £15million prescribing budget £376k savings to be made on primary care prescribing budget

11. Quality Reduction in C. Difficile infections through stewardship of antimicrobial prescribing. Reducing harm associated with medicines Using risk stratification and minimising errors where medicines may lead to unplanned admissions.

12. Innovation Procurement of medicines IT systems Service and Pathway improvement

13. Productivity Prescribing cost efficiencies  Respiratory (COPD/Asthma)  Traffic light drugs – Red drugs  Specials  Cost effective preparations  Waste management

14. Prevention Optimise treatment to prevent long term burden of disease and cost pressures  COPD and Asthma  Diabetes  Cardiovascular disease  Frail and elderly  Care homes

15. How can Community Pharmacy Help? National and Local guidelines and formulary http://www.nottinghamshireformulary.nhs.uk http://www.nottsapc.nhs.uk Ensure patients only receive medicines they require Targeted MURs e.g Asthma/COPD Out of stock medicines Specials/unlicensed products

16. How can Community Pharmacy Help? Responding to the National Review of Asthma Deaths 39% of patients who died during the monitoring period had >12 SABA reliever inhalers issued in the year prior to their deaths. 4% of patients had more than 50 inhalers issued in the year prior to their deaths.

17. How can Community Pharmacy Help? Cost effective preparations  Dose optimisation  Tablets and capsules  Oral contraceptives  Branded generics Waste Management  Overordering

18. Any questions?

19. Practices and Pharmacists Karen Chappell  East Leake  Musters  Castle practice (new merged practice) Stacey Sadler  Belvoir Practice  St Georges  West bridgford  Gamston  Orchard, Kegworth  Castle practice

20. Practices and Pharmacists Gillian Gookey  Radcliffe-on-Trent  Ruddington medical centre  East bridgford  Castle practice Sameena Mir  Works across all Nayna Zuzarte  Keyworth