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UKMi – today and in the future January 2009 Peter Golightly Director – Trent & West Midlands Medicines Information Services. Who/what is UKMi?. The network comprises staff at 230 local MI centres 14 regional centres 2 national centres (Wales and NI) Manned by Pharmacists Technicians - PowerPoint PPT Presentation
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UKMi – today and in the futureUKMi – today and in the future
January 2009January 2009
Peter GolightlyPeter GolightlyDirector – Trent & West MidlandsDirector – Trent & West Midlands Medicines Information Services Medicines Information Services
Who/what is UKMi?Who/what is UKMi?
The network comprises staff atThe network comprises staff at 230 local MI centres230 local MI centres 14 regional centres14 regional centres 2 national centres (Wales and NI)2 national centres (Wales and NI)
Manned byManned by PharmacistsPharmacists TechniciansTechnicians OthersOthers
National leadership provided by UKMi National leadership provided by UKMi ExecutiveExecutive
Our skill mixOur skill mix(WTEs)
Staff mix in MI
Pharmacists, 192
Technicians, 32
Others, 54
UKMi StructureUKMi Structure
Regional/National Regional/National MI Services MI Services (n=14+2)(n=14+2)
Local MI Services Local MI Services (n=230)(n=230)
UKMi
National MINational MI Strategy/Leadership Strategy/Leadership
((UKMI ExecUKMI Exec))
All levels are in touch with each other providing network support and a wide range
of outputs with minimum duplication
Structure of MIStructure of MI IndividualIndividual – personal – MI, clinical – personal – MI, clinical
pharmacists etc pharmacists etc LocalLocal – enquiry answering, advisory enquiry answering, advisory
service, bulletins, D&TC/ service, bulletins, D&TC/ formulary support, training, formulary support, training, local ADR reporting schemes local ADR reporting schemes
RegionalRegional –– support local services, active support local services, active information, PCO support, information, PCO support, co-ordinate regional activities. co-ordinate regional activities. input to national network input to national network
NationalNational – (virtual) – advise on national – (virtual) – advise on national policy, co-ordinate national policy, co-ordinate national network, avoid unnecessary network, avoid unnecessary
duplication, improve standards duplication, improve standards
Local MI CentreLocal MI Centre
Enquiry answering service ~ 500,000 enquiries/year Enquiry answering service ~ 500,000 enquiries/year
– patient focussed– patient focussed
Support clinical pharmacy & clinical staffSupport clinical pharmacy & clinical staff
Support medicines managementSupport medicines management
Hospital formulary/D&TC workHospital formulary/D&TC work
Produce guidelines etc.Produce guidelines etc.
NewslettersNewsletters
TrainingTraining
Regional CentreRegional Centre
Enquiry answering – including primary careEnquiry answering – including primary care
Support of local centres incl trainingSupport of local centres incl training
Bulletins/New product reviewsBulletins/New product reviews
Quality assuranceQuality assurance
Support to NHS DirectSupport to NHS Direct
Strategic support for PCTsStrategic support for PCTs
Regional co-operation/collaborationRegional co-operation/collaboration
National - UKMNational - UKMii
VirtualVirtual
Co-operation, collaboration and co-Co-operation, collaboration and co-
ordinationordination
Reduction in duplication of effortReduction in duplication of effort
Strategy & leadershipStrategy & leadership
National outputs National outputs
What do these Regional centres do?What do these Regional centres do?
1.1. Support Support
2.2. Values and standardsValues and standards
3.3. Liaison with partnersLiaison with partners
4.4. Strategy Strategy
What support do you get?What support do you get?
Peer & personal development supportPeer & personal development support Courses like thisCourses like this Regional centresRegional centres Regional meetingsRegional meetings Peer reviewPeer review Mi-UK e-discussion groupMi-UK e-discussion group Networking opportunities Networking opportunities
WhatWhat resource resource support is provided?support is provided?
Resource supportResource support UKMi negotiated subscriptionsUKMi negotiated subscriptions
MedicinesCompleteMedicinesComplete Natural Medicines DatabaseNatural Medicines Database Adis JournalsAdis Journals eMIMSeMIMS DrugdexDrugdex Renal Drugs HandbookRenal Drugs Handbook
Regional subscriptionsRegional subscriptions Minimum resource standardsMinimum resource standards
What What trainingtraining support is provided? support is provided? TrainingTraining
National training courseNational training course National technician training course (AMITS)National technician training course (AMITS) Training at regional meetingsTraining at regional meetings Training at regional centresTraining at regional centres
Training resourcesTraining resources MI workbookMI workbook MiCalMiCal Pre-registration templatesPre-registration templates
Annual Conference Annual Conference (PDS)(PDS) - CPD - CPD
… … and the and the specialistspecialist support support
Specialist Information and advisory centresSpecialist Information and advisory centres
Drugs in lactation/pregnancyDrugs in lactation/pregnancy Drugs in renal/hepatic diseaseDrugs in renal/hepatic disease Drugs in dentistry/psychiatryDrugs in dentistry/psychiatry Complimentary medicinesComplimentary medicines Drugs in porphyria, AIDsDrugs in porphyria, AIDs Drugs in childrenDrugs in children Fridge stability, latex in medicinesFridge stability, latex in medicines
UKMi Working GroupsUKMi Working Groups
New productsNew products
Education and trainingEducation and training
Clinical GovernanceClinical Governance
MI TechniciansMI Technicians
ITIT
NHS DirectNHS Direct
What about core values?What about core values?
Apply evidence-based principles in provision of Apply evidence-based principles in provision of impartial, evaluated, accurate and timely info to impartial, evaluated, accurate and timely info to promote safe and effective use of medicinespromote safe and effective use of medicines
Provide professional advice to support and Provide professional advice to support and influence clinical decisions with respect to influence clinical decisions with respect to patient carepatient care
… … and more core valuesand more core values
Keep abreast of developments in therapeutics, Keep abreast of developments in therapeutics, professional practice, technology etc to support professional practice, technology etc to support CPD and keep the service provided up-to-dateCPD and keep the service provided up-to-date
Be readily accessible and responsive to user Be readily accessible and responsive to user needsneeds
Network to share information and experience at Network to share information and experience at local, regional and national levelslocal, regional and national levels
StandardsStandardsEducation & TrainingEducation & Training
National Training CoursesNational Training Courses
Training ManualTraining Manual - - MI WorkbookMI Workbook
Facilitated local learningFacilitated local learning (MiCAL) (MiCAL)
Pre-registration training templatePre-registration training template
Competency Framework Competency Framework
Annual ConferenceAnnual Conference
StandardsStandardsClinical governanceClinical governance
QA programme and standardsQA programme and standards Enquiry answering Enquiry answering Essential resource listEssential resource list Education and trainingEducation and training Risk managementRisk management BulletinsBulletins SOPsSOPs
Incident reporting - IRMISIncident reporting - IRMIS
3. Liaison with partners3. Liaison with partners
NHS Direct / NHS24NHS Direct / NHS24
PIPA / ABPIPIPA / ABPI
RPSGBRPSGB
NPSANPSA
NPCNPC
NHSC / SMC / AWMSGNHSC / SMC / AWMSG
MHRAMHRA
NLH / NKS / CfHNLH / NKS / CfH
4. Strategy and leadership4. Strategy and leadership
Current DevelopmentsCurrent Developments
MI strategy MI strategy 2007-? - implementation2007-? - implementation NeLMNeLM
clinical content from UKMi clinical content from UKMi + other stakeholders+ other stakeholders
Research StrategyResearch Strategy Career development – GLF/ALCFCareer development – GLF/ALCF OutputsOutputs
New product evaluations & horizon scanningNew product evaluations & horizon scanning Medicines Q&AsMedicines Q&As
Quality standardsQuality standards MI services & activitiesMI services & activities National IV guideNational IV guide
Information TechnologyInformation Technology
UKMi websiteUKMi website
NeLM websiteNeLM website
UKMi e-mail discussion list (mi-uk)UKMi e-mail discussion list (mi-uk)
Guidance and standards for IT facilitiesGuidance and standards for IT facilities
MiDatabank MiDatabank
New Drugs Online (Horizon scanning)New Drugs Online (Horizon scanning)
Drivers for the futureDrivers for the future PCT developments/Primary care restructuringPCT developments/Primary care restructuring Commissioning Commissioning incl PBCincl PBC
Non-medical prescribingNon-medical prescribing Darzi report / Pharmacy White Paper etcDarzi report / Pharmacy White Paper etc NHS Evidence / NICENHS Evidence / NICE e-Prescribing / EPRe-Prescribing / EPR GP and Community PharmacyGP and Community Pharmacy contractscontracts Social Services & Care of the elderlySocial Services & Care of the elderly Professional regulatory and professional bodiesProfessional regulatory and professional bodies Patient-driven choice/support Patient-driven choice/support (NHS Direct, NHS (NHS Direct, NHS
Choices. NHS24)Choices. NHS24)
……. if you can only remember 2 . if you can only remember 2 thingsthings
www.www.nelmnelm.nhs.uk.nhs.uk
www.www.ukmiukmi.nhs.uk.nhs.uk
UKMi Strategy 2007UKMi Strategy 2007 Replaces 2000 StrategyReplaces 2000 Strategy Launched 31/10/2007Launched 31/10/2007 Takes account of political, Takes account of political,
policy, organisational and policy, organisational and operational NHS changesoperational NHS changes
Takes account of national Takes account of national devolution variations to devolution variations to maintain UK-wide maintain UK-wide relevancerelevance
Defines 5 key strategic Defines 5 key strategic aimsaims
Addresses key issues to Addresses key issues to maintain the crucial value maintain the crucial value of MI servicesof MI services
Key UKMi ElementsKey UKMi Elements
UKMi is an NHS service UKMi is an NHS service provided through an integrated provided through an integrated network of local and regional network of local and regional medicines information centres.medicines information centres.
It is a critical NHS resource for It is a critical NHS resource for medicines management at patient medicines management at patient and organisational levels.and organisational levels.
NHS Change DriversNHS Change Drivers Increased access to health services Increased access to health services
and health information by patients.and health information by patients. Development of intermediate care Development of intermediate care
with transfer of complex cases into with transfer of complex cases into the community.the community.
Development of specialist networks.Development of specialist networks. New non-traditional prescribersNew non-traditional prescribers.. New commissioning arrangements.New commissioning arrangements. Regulatory changes created to Regulatory changes created to
ensure life-long competency of ensure life-long competency of practitioners.practitioners.
Plurality of healthcare providers Plurality of healthcare providers from independent and charitable from independent and charitable sectors (in England).sectors (in England).
The 5 Strategic AimsThe 5 Strategic Aims
Reflect a patient-focused NHSReflect a patient-focused NHS Develop the service to Develop the service to
healthcare providershealthcare providers Develop healthcare staffDevelop healthcare staff Support to NHS commissioning Support to NHS commissioning
and planning bodiesand planning bodies Collaborate effectively with Collaborate effectively with
other organisations at national other organisations at national levellevel
Strategic Aim 1Strategic Aim 1Reflect a patient-focussed NHSReflect a patient-focussed NHS
Local patient helplinesLocal patient helplines Patient information – Patient information –
written and electronicwritten and electronic Patient-focussed Patient-focussed
organisations organisations (NHS Direct/NHS24)(NHS Direct/NHS24)
Strategic Aim 2Strategic Aim 2Develop the service to healthcare providersDevelop the service to healthcare providers
Patient safetyPatient safety - - NHSNHS Injectable Injectable Medicines GuideMedicines Guide
Healthcare professional developmentHealthcare professional development – – Community pharmacists, Independent Community pharmacists, Independent prescribersprescribers
Equitable NHS accessEquitable NHS access NeLM NeLM - - delivery of integrated medicines delivery of integrated medicines
informationinformation
IT utilisationIT utilisation Decision support input Decision support input e-prescribing e-prescribing MI as evidence-based focus for MI as evidence-based focus for
medicines managementmedicines management
Strategic Aim 3Strategic Aim 3Develop healthcare staffDevelop healthcare staff
Develop competent workforce by:Develop competent workforce by: Local education & training Local education & training
initiatives for a range of initiatives for a range of healthcare professionalshealthcare professionalsto find and evaluate informationto find and evaluate information
Develop broad workforce Develop broad workforce strategystrategy MI techniciansMI technicians Consultant MI PharmacistsConsultant MI Pharmacists
Strategic Aim 4Strategic Aim 4Support NHS commissioning & Support NHS commissioning &
planning bodiesplanning bodies Evidence-based outputs to facilitate Evidence-based outputs to facilitate
medicines management and medicines management and formulariesformularies
Medicines management leads in Medicines management leads in PCOsPCOs
Strategic planning and policy making Strategic planning and policy making – horizon scanning/policy scoping– horizon scanning/policy scoping
Service QA to ensure standards and Service QA to ensure standards and value for moneyvalue for money
Audit for other information-Audit for other information-providing healthcare organisations, providing healthcare organisations, e.g. NHS Drcte.g. NHS Drct
Support local implementation of Support local implementation of national guidancenational guidance
Strategic Aim 5Strategic Aim 5Collaborate effectively with other Collaborate effectively with other
organisations at national levelorganisations at national level
Horizon scanning (NHSC, SMC)Horizon scanning (NHSC, SMC) National guidance (NICE, SIGN)National guidance (NICE, SIGN) NeLMNeLM NHS Direct/NHS24NHS Direct/NHS24 NPSANPSA NKS (e-prescribing)NKS (e-prescribing) Pharmacy professional body(ies)Pharmacy professional body(ies) Research organisationsResearch organisations
....all supporting NHS agendaall supporting NHS agenda
Patient safetyPatient safety Patient access to good Patient access to good
quality carequality care Cost-effective Cost-effective
prescribingprescribing A competent work forceA competent work force Value for moneyValue for money
The challengeThe challenge Big agendaBig agenda Covers all aspects of MI – Covers all aspects of MI –
local to nationallocal to national Requires engagement with Requires engagement with
users, stakeholders and users, stakeholders and commissionerscommissioners
Collaborative workingCollaborative working IT & communicationsIT & communications Funding and investmentFunding and investment Information governanceInformation governance
Secret of our successSecret of our success
The networkThe network The enthusiasmThe enthusiasm The leadershipThe leadership The supportThe support
www.ukmi.nhs.ukwww.ukmi.nhs.uk
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