Controlled Drug Monitoring Local Intelligence Network 24 th January - - PowerPoint PPT Presentation

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Aug 22, 2022 17 likes •107 views

Controlled Drug Monitoring Local Intelligence Network 24 th January 2018 Claire Dearden Quality & Governance Lead Medicines Optimisation Team Commissioning Quality Care Commissioning Quality Care Background Started in April 2014

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Commissioning Quality Care Commissioning Quality Care

Controlled Drug Monitoring

Local Intelligence Network 24th January 2018

Claire Dearden Quality & Governance Lead Medicines Optimisation Team

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Commissioning Quality Care

Background

Started in April 2014
Formalised in July 2014
Standard Operating Procedure

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Commissioning Quality Care

Process

Monthly downloads of ePACT schedule 2 & 3 Tags
Review of data and highlight queries
Queries reconciled with previous responses
Queries raised in a letter and sent to GP practice
Reminders sent after 10 working days.
Unsatisfactory or no responses received then the

escalation process begins.

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Commissioning Quality Care

Criteria for raising a query

Excessive quantities – Exceeding 30 days supply
Unusual Controlled drugs or quantities prescribed
Non-formulary Controlled drugs prescribed
Controlled drugs intended for short-term
Shared –Care Controlled Drugs e.g. Methadone

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Commissioning Quality Care

Controlled Drugs Report 2016/17

Reviewed 8544 Schedule 2 drugs
Reviewed 8012 schedule 3 drugs
1297 queries had been identified
174 letter sent to the GP practices

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Commissioning Quality Care

Common Themes from 2016/17

Palliative care patients
Recommended by St Giles
Started by specialists/Secondary Care/ Pain teams
Complex patients
Tolerance and adherence to previous prescribed

medicines

Patients transferring from one GP practice to another
Specialist requesting prescribing doses outside drug

licences

Chronic pain relief

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Commissioning Quality Care

Prescribing changes during 2016/17

Doses reviewed and quantities changed inline with 30

days good practice

Non-formulary preparations changed to formulary choice
ptions
Pharmacy dispensary errors reported
NHSBA transcription errors
Medicines stopped
Practice nurse non-medical prescribing process

reviewed

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Commissioning Quality Care

Any Questions ?

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Commissioning Quality Care

Claire Dearden Quality and Governance Lead Medicines Optimisation Team East Staffordshire Clinical Commissioning Group Tel 01283 507135 Email : claire.dearden@northstaffs.nhs.uk

Contact Details