Managing care for patients with multimorbidities Patient Led Clinical Medicines Reviews Presentation to NICE Annual Conference 2018 A novel approach Steve Turner Developed with Elaine Broadbridge (Pharmacist) Mike Thomas (Specialist Nurse) www.patientled.education @MedicineGovSte #MedLearn [email protected]
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Managing care for patients with multimorbidities · 2019. 2. 7. · Managing care for patients with multimorbidities Patient Led Clinical Medicines Reviews Presentation to NICE Annual
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Managing care for patients with multimorbidities
Patient Led Clinical Medicines ReviewsPresentation to NICE Annual Conference 2018
A novel approachSteve Turner Developed with Elaine Broadbridge (Pharmacist) Mike Thomas (Specialist Nurse)
‘In the support session you listened to me, and helped me work out what I needed to say. I gave the notes to my G.P. who changed my medicines and made the referrals you suggested. I now no longer walk with a stick, and feel a lot better. I thoroughly recommend these sessions’ Martin, Shepton Mallet, May 2016
More patient stories• ‘I’ve made a plan for the pain with my Dr, using the info and help given…’ Attendee Nov
2015.
• ‘The course helped me solve a (health) problem I’ve had for ages. Its’ gone now!’Attendee March 2015.
• “My counsellor says my anxiety and depression have improved. My confidence levels have gone up a lot. I’m better at talking on the phone, more assertive. I’m more proactive, for example, I dealt with my referral to the pain clinic straight away rather than leave it. I’ve made a plan for the pain with my doctor, using the information and help given by Care Right Now. I was able to be more assertive when booking my appointments and it got the results; I was put on medication for my pain and referred to the pain clinic. Other people have noticed the positive difference in me”. Attendee. March 2016
• ‘The great thing about the course is that it’s not mandatory and it’s not just given by a couple of people. The trainers were genuine people who listened and who we can trust. You didn’t have a list of things to get through with us you concentrated on what we asked and listened. Once the word gets around everyone will want this.’ Attendee April 2015.
• ‘You should listen to those guys. You will learn something’ April Attendee 2015.
• ‘Gives you the courage to question’ May Attendee 2015.
• ‘We all have different illnesses but we experience the same things and need to talk about it’ May Attendee 2015.
• ‘…really helpful…you need to think about what you’re going to say to the GP before you get there and make the time count…so I can get my point across’ May Attendee 2015.
Care Right Now CIC
4. Evidence to dateFor an outline of results to date click here (NICE Shared Learning example)
1. WEMWBS
2. Patient stories and testimonials ( examples shown)
• Warwick Edinburgh Mental Wellbeing [WEMWBS] Scale scores shows mental wellbeing improved over the course of the project
• Our study showed an average increase of 6.3 points. N= 30. Time period covered Jan to March 2016.
• A difference of 3 to 8 points is considered meaningful, demonstrating that ‘mental wellbeing improved over the course of the project’.
Reference: Using WEMWBS to measure the impact of your work on mental wellbeing: A practice-based user guide (2015) NHS Scotland. WWW: http://www.healthscotland.com/documents/6074.aspx (accessed 3/4/2016)
SUICIDAL IDEATION WITH METHODBENEFITS ADVICE NEEDED
HOUSING ISSUEGUIDELINE MISSED
BORROWED MEDICINES
Issues brought up by patients. As noted in reflective log (individual sessions). n= 27/35
Cost savings?Our pilot work was part of a Condition Management programme commissioned by the Department of Work and Pensions.
This was measured by progress back to employment, where it was successful in its aims.
We asked people who had a medicines review to feed back on progress. In one cohort (of 15 people) two patients indicated that they no longer see the G.P. weekly as their condition is more stable. A reduction from weekly to monthly visits to the GP. Saved £2,895 per year.