Devon LPC Diabetes Support Service: Supporting patients to achieve - - PowerPoint PPT Presentation

Devon LPC Diabetes Support Service:

Supporting patients to achieve the best

• utcomes from their medicines

Mark Stone, Pharmacist & Project Lead Devon LPC Michael Wilson, Sanofi Diabetes Mathew Robinson, Pharmacist Boots The Chemist

WHO 2003 -

“that increasing the effectiveness of adherence interventions may have far greater impact on health of the population than any other improvement in specific medical treatments”

ADHERENCE TO LONG-TERM THERAPIES

Diabetes Therapy - Challenges

Cost of diabetes medicines:

£764.1 million 12-13 (49% increase since 05-06)

Wasted diabetes medicines:

£30.5 million (thrown away)

Missed Positive Outcomes From Diabetes Medicines:

53% of patients have good adherence to diabetes medicines Over £100 million per yr (800,000 individuals with type 2 diabetes) A US Study showed missed outcomes from non-adherence to diabetes medicines at $24.4bn (0.9% of total health spend)

MS Institute for Healthcare Informatics. June 2013 Avoidable Costs in U.S. Healthcare

Diabetes Therapy - Challenges

Development of life-expectancy tables for people with type 2 diabetes Jose Leal, European Heart Journal (2009)

Why Can Pharmacists Help?

Community Pharmacy

• Accessibility
• 99% people can access in 20 minutes car, 96% can walk
• No appointment
• Long opening hours
• High footfall (of both well and ill). 3.5x more visits than GP

practice (1.8 million per day)

• Pharmacist
• Knowledgeable (4 year MPharm degree)
• Recognised as the experts in medicines
• Are one of the most trusted professionals

The Project Journey

Stakeholder diabetes event hosted by Rt Hon Adrian Sanders MP, Torbay (Friday 3rd December 2010)

Working group: Graham Cooper (Diabetes UK), Michael Wilson (Sanofi Diabetes),Fawz Farhan (MediaPharm), Mark Stone Devon LPC. Reference group: Diabetes UK, Torbay CCG (Diabetes C2C), Patrick English (Diabetologist), Torbay Diabetes Nurse Practitioner, Devon LPC Pharmacists, PSNC, NPA .

Devon LPC – Pharmacist Diabetes Medicines Support Service

Aim: To improve a patient’s self management of their condition and to increase adherence to the diabetes medicine regimes

Service: Two consultations, identify adherence issues, enhance patients knowledge and management of their condition, understanding of medicines, influence beliefs of benefits and overcome medicine issues.

The Evaluation Results

Service Activity

• Twelve pharmacies,186 consultations,109 patients
• Medicines adherence; good 57.8%, medium 21.1%, poor 21.1%
• 18.3% experienced hypoglycaemia in past 2 months
• Pharmacists provided up to 3 recommendations to 96.3% patients
• On follow up 88.5% adhering to all/some pharmacist recommendations

Service Outcomes ( From independent researcher interview)

• “I appreciated receiving the service from the pharmacist”
• Strongly agree/agree = 100%
• “The service motivated me to stay in control of my diabetes”
• Strongly agree/agree = 82% Neutral 18%
• “I am more compliant with my medications since participating in the service”
• Strongly agree/agree = 76% Neutral = 17% Disagree = 6%

The Next Steps

Project Learning

• Industry, health professionals (multi-disciplinary), patients can

co-design effective programmes to address self management and adherence issues. Patient Awareness

• Raise awareness among diabetes patients’ of support

pharmacists can provide. Diabetes UK to help communicate? Commissioners Awareness

• Raise awareness of the waste and lost positive outcomes of

adherence and poor self management, and methods to tackle Build the evidence base

• Larger study, refine service.