1. Care At Home Pharmacy Service
Pamela Macintyre – Lead for Prescribing and Clinical Pharmacy
Lynne Meldrum – Pharmacy Technician
Pharmacy technician service,
Enablement and Support
Marion McLaren – Pharmacy Technician
Pam 1

2. - Background - Structure - Referral process - Assessment tool
Introduction
- Background
- Structure
- Referral process
- Assessment tool
- Interventions
- Evaluation
- Training
- Future
Lynn 2

3. Reduce “preventable” admissions due to medication
Background
In order to implement the Reshaping Care Agenda, the Scottish Government made time limited (3 year) funding available to all local authority areas (the “Change Fund”).
Target population – 65 years plus receiving Care at Home recently discharged from hospital.
Reduce “preventable” admissions due to medication
Maintain independence around medicines administration
Lynn 3

4. Background
Why?
Right person
Right dose
Right time
Right way
Lynn 4

5. Structure – Greater Glasgow and Clyde
Lynn 5

6. Structure - Dundee Dundee City Council NHS Tayside CCOPS Service
Enablement
Pharmacy Technician
Pharmacy technician
Enablement and
Support Team Leader
Locality Pharmacy
Team leader
CCOPS Service
Manager
Organisers
Social Care
Workers
Locality Pharmacists
and Technicians
Lynn 6

7. Basics - Dundee
Marion 7

8. Referrals come directly via Care First IT system and generic email box
Route of Referral – Greater Glasgow and Clyde
Referrals come directly via Care First IT system and generic box
SPOA
Generally about 125 referrals a month
50% receive an intervention (with the remaining 50% being seen by other teams or declining/failed discharge)
Lynne 8

9. Locally developed assessment tool Patient counselling/education
Assessment tool – GGC and Dundee
Locally developed assessment tool
Patient counselling/education
Dosage/formulation adjustment
MDS box initiated (where client is unable to manage independently after assessment)
Reduction in prompts where possible
Lynne 9

10. Interventions – GGC and Dundee
Lynne 10

11. Lynne 11

12. Evaluation - Greater Glasgow and Clyde
Lynne 12

13. “I'm on a lot of medication, pharmacy technician helped with this”
Evaluation - Dundee
“I'm on a lot of medication, pharmacy technician helped with this”
“Beneficial, made a great difference... can phone any time there’s a problem, quick response”
“Extremely beneficial, patient's feel reassured about their care and their ability to look after themselves when appropriate”
Marion 13

14. Training – Medication training with carers:
Training/ the future – Greater Glasgow and Clyde
Training – Medication training with carers:
Small group learning/discussion
Workshops – practical session
Evaluation – feedback – 100% positive so far
The Future
Development of Health and Social Care Partnerships
The need to expand the service to clients with multi-morbidity regardless of age
Lynne 14

15. Run a session at SCW induction Train SCWs to administer medication
Training/ the future – Dundee
Run a session at SCW induction
Train SCWs to administer medication
Secondary care
Marion 15

16. Similarities and differences Worthwhile Challenging
Conclusion
Similarities and differences
Worthwhile
Challenging
Marion/Lynne 16

17. Thank you for listening!
Any questions?
Marion/Lynne 17