Lecture 4a - The Pharmacy Workforce | Hospital Pharmacy

The Pharmacy Workforce | Hospital Pharmacy

2 Key components of intergrated care systems (ICSs)

1. Intergrated care board (ICB) - responsibility for NHS services, the board is accountable for ‘health outcomes and financial performance for the ICS area’

2. An intergrated care partnership (ICP) - ‘brings together the NHS, local government and other providers to produce an intergrated care strategy’

Drug History taking & Medicines Reconciliation

• Drug history: a medication history obtained by a clinician that uses comprehensive history of all medication used

• Medication Reconciliation: aims to compare the drug history obtained with the medications currently prescribed, aims to identify omisions or changes to medication 

Taking a drug history

1. Prescribed & non-prescribed

2. Dose, frequency and duration

3. Timing of that last does

4. Method of adminisatration

5. Patient’s knowledge of the therapy 

Some reasons why an accuarte drug history is important 

Aims of Medicines Reconciliation

1. Reduced medication errors and adverse drug events

2. Reduced missed doses

3. Reduced hosptial admissions and re-admissions due to harm from medicines

4. Reduced waste

5. Better communication between HCPs and improved record keeping

6. Increasing patient involvement in their own care promoting better concordance 

Role of Ward Based Technicians

1. Undertake complete drug histories

2. Identify drug history discrepancies and help with medicine reconciliations

3. Check patient’s own drugs (POD) for approriateness for use

4. Patient counselling

5. Support with ward based audits

Pharamcist Clinical Screening

• Legal

• Safe

• Effective

• Rational & evidence-based

• Practical

• Can it be administerd effectively?

• Is it available for supply?

Making an Intervention

Examples of clinical pharamacy interventions

Types of Pharmacists

1. On-call pharmacist

2. Specialist pharmacist

3. Aseptics pharmacist

4. Electronic Prescribing (EP) pharmacist

5. Medicines Informations pharmacist - answer queries from HCPs & patients

6. Prescribing pharmacist