engagement within the new system

Engagement within the new systemPaul McManus, Lead Pharmacist | Specialised Commissioning

Engagement within the new systemPaul McManusLead pharmacist - specialised servicesSouth Yorkshire and Bassetlaw Area Team

ABPI Regional event June 2013

NHS | Presentation to [XXXX Company] | [Type Date]3

Opportunities for engagement

Product specificNational

• research

• pipeline

• commissioning

• value

• price

• placement4

Local• implementation

• price

• priorities

• problems

Medicines optimisation

Medicines still most common therapeutic intervention and biggest cost after staff,

but, for example:

•30 to 50% not taken as intended

•Patients have insufficient supporting information

• UK Literature suggests 5 to 8% of hospital admissions due to preventable adverse effects of medicines

•Medication errors across all sectors and age groups at unacceptable levels

•Medicines wastage in primary care: £300M pa with £150M pa avoidable

•Relatively little effort towards understanding clinical effectiveness of medicines in real practice

•The threat of antimicrobial resistance

Source: NHS Prescription Services of the NHS Business Service Authority

National Reporting and Learning System for England and WalesTypes of incidents 2005-10

Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012

NRLS in England and Wales medication incident reports 2005 - 10

Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012

NRLS – who is reporting incidents?

8 Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012

NRLS – Critical medicines

Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012

NRLS – Critical medicines

NRLS – Error category

Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012

Medicines Optimisation Principles

A strategy might include…• Patient engagement • Collaborative working across health economies• Improving outcomes• Value for money • Partnership with industry• Medicines pathway• Safety and assurance

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Information and technology

What can we do?

•Be an active commissioner

•Ensure contact at right level and make meetings productive for all

• Look for ways to best use skills and resources available

•Think beyond individual products

•Start talking13

Engagement within the new systempaulmcmanus@nhs.net

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