So what is medicines optimisation

So what is medicines optimisation?Mark Robinson, Medicines Optimisation lead | NHS Alliance

Medicines optimisation

Mark Robinson GPhC

Director

The Medicines Management Partnership

WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

Good Prescribing

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Acknowledgement Professor Nick Barber

Technical issues

Patients’ wants

General good

WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

Medicines optimisation

Understandingand agreeingpatient goals

Delivering patient goals

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

Medicines optimisation requires

• Real engagement with patients• Better understanding of the effects of conditions• Clarity around patients needs

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

What do patients want?

• To feel better• To regain life• To maintain good health

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

How do we review medicines

Adapted from Professor Nick Barber

Efficacy……………………………………………………………………….

Patient experience……………………………………………………………………….

Safety and tolerability……………………………………………………………………….

Cost and cost-effectiveness……………………………………………………………………….

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

The CCG/CSU view

Efficacy……………………………………………………………

Patient experience………………………………………………………

Safety and tolerability………………………………………………………

Cost and cost-effectiveness

……………………………………………… ………………………

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

The Patient’s view

Efficacy……………………………………

………………………

Patient experience ……………………………………………… ………………………

Safety and tolerability ……………………………………………… ………………………

Cost and cost-effectiveness………………………………………………………

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

A medicine is only a medicine

It’s not a package of care

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

The patient medication experience

• Before the medicine is prescribed• When I feel the effects• When I consider the need to take long term• When I decide what to do

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

Helping me to comply?

• Prescribing and dispensing• Containers and labels• Fitting in with my life• Reminders

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

Supported self care

• You want me to look after myself?– What is the plan?– Where do we go?– What help can we get?– Will I meet people there?– Who can guide me?

• Is it commissioned, checked and supported?

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

Achieving the best outcomes

• Understanding patient goals• Offering the right medicines• Delivering better patient medication experience• Supporting compliance• Delivering supported self care

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WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS

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