Social Care & Health Working Together to Improve Medicines in the Community Tamsin Rudolph Medicines in the Community Project Manager Website: designandlearningcentre.com Follow us on Twitter: @KentDLC
Setting the scene ‘There is not a joined up approach between health and social care for medicines management for people living in the community’ Website: designandlearningcentre.com Follow us on Twitter: @KentDLC
Esther’s Medication Journey Care providers undertaking medication assessments with no standard protocols Care packages lack being followed. Discharged with Hospital clarity in relation to new and old medication medication support. medications assessment. Definition of MAR Charts, medicines inconsistent administration. practice across Lack of national Kent. Variance clarity, no set in sheets that guidance. can lead to medication errors. The role of community pharmacy. In Kent there is a huge variance in provision.
Esther’s Medication Journey Unclear guidance People paying around privately for controlled drugs support in in relation to roles relation to and medications responsibilities. administration. Medication checks and balances. Over ordering and responsibilities of workers. Difficulties in Training and competence recruitment and Different waste framework for homecare Inconsistent practice retention of staff containers - providers. Sitting in line in the use of dosette due to the different advice with responsibilities of boxes across Kent. A responsibilities held across Kent commissioned services. by carers and low clear East and West (guidance set Currently huge variance Kent divide. remuneration. out by the local in quantity and quality. Council)
Esther’s Medication Journey Clarification of information from the GP ‘as directed’ is not Who is going to help the sufficient enough PEG, Stoma and person with short term when support is providing more medication? If they do not needed by the intimate medication have an existing package patient. support. There is and long term medication. varying practice and more a joined up supportive approach is required. Pathway is flagging up commissioning issues- joint Returning medication, working Health and social what is the practice and care commissioning services roles of providers? together. Person becomes unwell and goes into hospital. May not take medication or be able to communicate about current medication.
Focused Areas of Work ▪ 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. Website: designandlearningcentre.com Follow us on Twitter: @KentDLC
Who is involved in the work? Creates the workforce of the Meets the challenges facing Innovative use of technology Health & Social Care future especially digital Meets the Challenges facing health & social care Works with Global Partners Innovative use of technology especially digital Website: designandlearningcentre.com Follow us on Twitter: @KentDLC
Developing the future Now it’s your chance to get involved to help shape the future……. 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 Website: designandlearningcentre.com Follow us on Twitter: @KentDLC
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
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