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The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer [email protected]

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Page 1: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

The Changing Role of ATOs in Pharmacy

Calderdale & Huddersfield NHS Foundation Trust

Anita Hill, Medication Safety Officer

[email protected]

Page 2: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

The Start of Our Journey

• To set the scene about the Trust and Pharmacy Service

• Challenges for Pharmacy

• Our response

• Initial Impact

Page 3: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe
Page 4: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Patient

Domestic Support

Pharmacy Assistant technical Officer

Procurement Team

Pharmacy Technician

Admin Support

Pharmacist

Page 5: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Challenges for Pharmacy

Managing Finances and Reducing Costs

Effective & Efficient Services

Supporting Patient Safety

Page 6: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe
Page 7: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

What problems might you expect to find?

Page 8: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

What We Found

Untidy Storage areas

Unsecure medicines (left out, unlocked cupboards, drawers)

Failures with monitoring of cold storage

Expired Medicine

Excess Stock holding

Temporary stock retained

Missed Doses

Delays with medicine administration

Disposal of Medicines by wrong route/inappropriate disposal

Page 9: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe
Page 10: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe
Page 11: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Record Sheet Transfer Bin Return

Ward Medicin

e

Qty Cost Medi

cine

Qty Cost Medici

ne

Qty Cost

TRANSFER £ BIN £ RETURN £

Page 12: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Identified Cost (£ )

Value (£) of Medicines

Medicine Not Transferred or Discharged with Patient 717

Expired Stock 6.30

Incorrectly Stored 3.86

Medicines Inappropriately discarded in waste 72.31

Page 13: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Non –Financial Impact of ATO Role

Medicines available were all within date

For patients still admitted medicines taken to the clinical area to avoid missed and delayed doses and repeat dispensing

Checks on monitoring of cold storage with support and action to resolve issues

Stock orders checked and unpacked releasing ward staff for other duties

Stock & temporary stock unpacked promptly and stored correctly and tidily, making easier to find medicines with medicines stored appropriately

Urgent requests fast tracked (Inpatient/discharge), with support with ordering dispensing and transport of medicines

Support to improve waste management of medicines

Medicine Returns to Pharmacy processed more timely

Page 14: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Missed/Delayed Doses

Page 15: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Missed Doses Monitoring

Not Available

Page 16: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Issue Number

Not Administered 205

Wrong Strength 106

CD Breach of Policy 96

Wrong drug 76

Wrong frequency 54

Datix medicine Reports 2015/16

Page 17: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

In Summary …

Role

Benefit

Training

Page 18: The Changing Role of ATOs in Pharmacy - SPS...The Changing Role of ATOs in Pharmacy Calderdale & Huddersfield NHS Foundation Trust Anita Hill, Medication Safety Officer Anita.hill@cht.nhs.ukThe

Any Questions?