Social Care & Health Working Together to Improve Medicines in - - PowerPoint PPT Presentation

Social Care & Health Working Together to Improve Medicines in the Community

Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Tamsin Rudolph Medicines in the Community Project Manager

‘There is not a joined up approach between health and social care for medicines management for people living in the community’ Setting the scene

Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Discharged with new and old medications Hospital medication assessment. Care packages lack clarity in relation to medication support. Care providers undertaking medication assessments with no standard protocols being followed. The role of community

• pharmacy. In Kent there is a

huge variance in provision. Definition of medicines administration. Lack of national clarity, no set guidance. MAR Charts, inconsistent practice across

• Kent. Variance

in sheets that can lead to medication errors.

Esther’s Medication Journey

Unclear guidance around controlled drugs in relation to roles and responsibilities. Medication checks and

• balances. Over
• rdering and

responsibilities

• f workers.

People paying privately for support in relation to medications administration. Training and competence framework for homecare

• providers. Sitting in line

with responsibilities of commissioned services. Currently huge variance in quantity and quality. Difficulties in recruitment and retention of staff due to the responsibilities held by carers and low remuneration. Inconsistent practice in the use of dosette boxes across Kent. A clear East and West Kent divide. Different waste containers - different advice across Kent (guidance set

• ut by the local

Council)

Esther’s Medication Journey

Who is going to help the person with short term medication? If they do not have an existing package and long term medication. Clarification of information from the GP ‘as directed’ is not sufficient enough when support is needed by the patient. PEG, Stoma and providing more intimate medication

• support. There is

varying practice and more a joined up supportive approach is required. Pathway is flagging up commissioning issues- joint working Health and social care commissioning services together. Returning medication, what is the practice and roles of providers? Person becomes unwell and goes into hospital. May not take medication or be able to communicate about current medication.

Esther’s Medication Journey

▪ MAR Charts, inconsistent practice across Kent. Variance in sheets that can lead to medication errors. Standard MAR Chart criteria has been

created and work has been completed with the community pharmacy network. Pilot of a MAR Chart from Maidstone Hospital at point of discharge due to start. Currently working on an LGA Digital Accelerator to digitise MAR Charts for home care providers collaborating with 4 other authorities.

▪ Definition of medicines administration. Lack of national clarity, no set guidance. The booklet ‘Social Care Medicines Administration’ guidance for

Home Care Providers and Care Workers.

▪ Inconsistent practice in the use of dosette boxes across Kent. A clear East and West Kent divide. Scoping current services and working to

pilot medicines review services that domiciliary care staff can refer into.

▪ Pathway is flagging up commissioning issues- joint working Health and Social Care commissioning services together. Working to improve

joint commissioning of services.

Focused Areas of Work

Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Meets the challenges facing Health & Social Care Innovative use of technology especially digital Creates the workforce of the future Meets the Challenges facing health & social care Innovative use of technology especially digital Works with Global Partners

Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Who is involved in the work?

Developing the future

Now it’s your chance to get involved to help shape the future…….

Website: designandlearningcentre.com Follow us on Twitter: @KentDLC

Electronic Medicines Administration Record (eMAR) questionnaire https://forms.office.com/Pages/ResponsePage.aspx?id=DaJTMjXH_kuotz5qs39fkI DRHmyyzTRMoxoQkIcCqzJUMklLWUpONklVU1VGU0UyTFBaMElRNkJMRy4u Medicines Administration Training for Domiciliary Care https://forms.office.com/Pages/ResponsePage.aspx?id=DaJTMjXH_kuotz5qs39fkI DRHmyyzTRMoxoQkIcCqzJUQzdPS0lURDlURDIwNUZZVkROWkJCWk9TTi4u

Moving Forward

Thank you Please contact us if you would like to be involved more within the project. thedesignandlearningcentre@kent.gov.uk

Website: designandlearningcentre.com Follow us on Twitter: @KentDLC