MEDICINES USE AND SAFETY NETWORK EVENT: FEBRUARY 2020 Shared decision-making (SDM) in medicines use: Making it practical Barry Jubraj Medicines Use & Safety Network, Specialist Pharmacy Services www.sps.nhs.uk 25/02/2020 1
10.00 Arrival, Registration, coffee and poster arranging Barry Jubraj, Associate Director, Medicines Welcome to : 10:30 Welcome and Introductions and housekeeping Use and Safety (MUS) Michelle Mello, Deputy Director: Workforce Development/ National Clinical Lead , 10.40 SDM the strategic picture • Personalised Care Group & Our Holly Loughton, both NHS E/I 11.10 SDM survey, workshop and ‘liveplay’ Barry Jubraj & Nina Barnett, Consultant participants Pharmacist & MUS 11.40 Coffee and networking Rosalind Byrne • Our speakers Lead Pharmacist Anticoagulation 12.10 SDM in anticoagulation for atrial fibrillation King's College Hospital Emma Davies, Advanced Pharmacist Practitioner in Pain Management, Swansea 12.40 SDM in high dose opioid use Bay University Health Board After the event : 13.10 Lunch, networking – a sandwich lunch will be provided Barry Jubraj 14.00 Welcome back and SPS update • Danielle Adams, Specialist Mental Health Blog Pharmacist & Azra Sumar, Specialist Mental 14.10 SDM in mental health and the ‘PINMED’ tool Health Pharmacist, Leicestershire Partnership proceedings NHS Trust • Presentations/ 14:45 Comfort break Paresh Parmar, Lead Care of Older People Emma’s talk 15.00 Applying person-centred care to SDM in and Stroke Pharmacist, Northwick Park dementia and frailty Hospital on website Lesley Grimes & the CPPE team, University of 15.30 How the CPPE training package on SDM will Manchester help to develop your skills Barry Jubraj 15:55 Take away messages and acknowledgements Housekeeping 16.00 Close and optional networking www.sps.nhs.uk 25/02/2020 2
SDM network day – opening thoughts • https://www.england.nhs.uk/shared-decision-making/ • We need to change from a unidirectional flow of information (counselling) to a two-way consultation • Will only happen if we’re sound at clinical decision - making • Will have an emotional consequence on pharmacy staff which we are arguably a) not used to b) not trained for • Is about who we are as well as what we do • Not convinced that as a profession we get this yet - look around you….. www.sps.nhs.uk 25/02/2020 3
SDM network day – opening thoughts So today we are setting out to: • Ask experts to speak on how SDM can work for key medicines-related priorities • Be real about the challenges and what needs to change • Give a taster for the CPPE programme on SDM • Get you thinking about what you might do in your patch • Please give us feedback – evaluation survey/email/in person www.sps.nhs.uk 25/02/2020 4
Thank you and enjoy the day …and the food…. www.sps.nhs.uk 25/02/2020 5
SDM workshop and live play Barry Jubraj Professor Nina Barnett Medicines Use & Safety Network, Specialist Pharmacy Services www.sps.nhs.uk 25/02/2020 6
To start us off….a survey! • Late addition • Purpose and plan for it • Please would you do it for us now? • Thanks to Sue and Martin www.sps.nhs.uk 25/02/2020 7
Four ways to access: tiny.cc/hv19jz https://www.smartsurvey .co.uk/s/J4J6O/ Barry’s crib sheet www.sps.nhs.uk 25/02/2020 8
What we’re going to do next 1. A straw poll 2. A real SDM situation • Nina sharing, Barry facilitating, audience contributing • Planned but deliberately unrehearsed 3. Some reflections • Not showing you how to do SDM, but stepping back and reflecting on an experience shared 4. Your thoughts www.sps.nhs.uk 25/02/2020 9
A real SDM situation Aim: for Nina to share a recent consultation experience and to reflect, ‘live’, what mattered to Nina and her thoughts looking back Nina’s story: a. setting the context www.sps.nhs.uk 25/02/2020 10
A real SDM situation Question for the audience: From what you’ve heard, what do you think mattered most to Nina? www.sps.nhs.uk 25/02/2020 11
A real SDM situation Nina’s story: b. the big issue for you and your options Person-centred may mean: What was important to you may not be the same for others i.e. your patient Next , Nina’s mind map www.sps.nhs.uk 25/02/2020 12
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A real SDM situation Nina’s story: c. two consultations and a shared decision www.sps.nhs.uk 25/02/2020 14
A real SDM situation Nina and Barry’s reflections Models for SDM Elwyn G, Durand MA, Song J, Aarts J, Barr PJ, Berger Z, Cochran N, Frosch D, Galasiński D, Gulbrandsen P, Han PK. A three-talk model for shared decision making: multistage consultation process. bmj. 2017 Nov 6;359:j4891. https://www.bmj.com/content/359/bmj.j4891 www.sps.nhs.uk 25/02/2020 15
A real SDM situation Finally: Thank you Nina Audience thoughts? Questions? Apply what you’ve heard to medicines -related SDM www.sps.nhs.uk 25/02/2020 16
Time for a cuppa! Thanks everyone www.sps.nhs.uk 25/02/2020 17
SPS update: upcoming MUS Events WEBINARS : Wednesday 11 th March Clinical Prioritisation by GP practice pharmacists Wednesday 8 th April Advanced Therapeutic Modalities Wednesday 13 th May Care of people who use illicit drugs in the hospital setting FACE TO FACE EVENTS (London) 5 May 2020 What are the opportunities of CHS within the new Primary Care Networks (PCNs)? www.sps.nhs.uk 25 February 2020 18
Registered on the SPS website? Please do register on our website: www.sps.nhs.uk – complete or update your profile with your network choices from the Medicines Use & Safety Networks list; tick the box to opt in to receive updates and save your profile. Contact LNWH-tr.MUS- SpecialistPharmacyServices@nhs.net for any information about events or networks Or me! barry.jubraj@nhs.net www.sps.nhs.uk 25/02/2020 19
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In advance for the end of today Meeting evaluation will be online via another QR code Joy aboundeth if you complete it for us ☺ Please www.sps.nhs.uk 25/02/2020 21
Thank you. And now: Please ask your mesenteric circulation not to be selfish towards your cerebral circulation for the afternoon ahead www.sps.nhs.uk 25/02/2020 22
Summary and close: 1. Thank you! 2. Next steps 3. Evaluation please: http://tiny.cc/tsjbkz www.sps.nhs.uk 25/02/2020 23
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