A Week in the

Life of a CHS

Antimicrobial

Pharmacist

Salma Chaudhry Advanced Specialist Antimicrobial Pharmacist

Salma.Chaudhry@nhs.net

Overview

• CNWL: Our Trust & Services

• My Role: Advanced Specialist Antimicrobial Pharmacist

• The good & the not so good

• The Future

CNWL: Our Trust & Services CNWL is a large and diverse organisation, providing health care services for people with a wide range of physical and mental health needs

CNWL Services Include: • Community Health Services

• Offender Care

• Learning Disabilities

• Addictions & Substance Misuse

• Eating Disorders

• Sexual Health & HIV

• Mental Health

Advanced Specialist Antimicrobial Pharmacist

Lead & Deliver

Monitor &

Feedback

Advice Training & Education

Support

Lead & Deliver

Monitor &

Feedback

Advice Training & Education

Support

Lead & Deliver

• Developing Trustwide Antimicrobial Strategy

• Updating Antimicrobial Prescribing and Administration Policy

• Scoping for a CNWL Treatment Guideline

• Patient Safety Alert

• Antimicrobial Stewardship

• Antimicrobial Prescribing Quality Premium

• Community Patient Group Directions for antimicrobials

Lead & Deliver

Monitor &

Feedback

Advice Training & Education

Support

Advice

• Antimicrobial related queries

• Medicines Shortages

• CNWL Infection Control Policies

• Patient Information Leaflets

• Local GPs on treatment options

Lead & Deliver

Monitor &

Feedback

Advice Training & Education

Support

Monitor & Feedback

• Monthly CNWL Antimicrobial Prescribing Audit

• Reporting – Local CCGs

– Local IPC Teams

– CNWL IPCC / DIPC

– Annual Board Report

• Developing local action plans

• Effective Antimicrobial Prescribing memo to all prescribers

• Developing Antimicrobial Link Pharmacists Group

Lead & Deliver

Monitor &

Feedback

Advice Training & Education

Support

Training & Education

• Junior Doctor Induction session – Antimicrobial Stewardship

• Band 6 & 7 Pharmacist Clinical Training - Antimicrobials

• Developing pre-registration Training Sessions

• Developing essential to role training for all staff on antimicrobial stewardship

• Subject Specific Training Sessions – Antibiotics & UTIs

– Antibiotics & Multi-drug resistant infections

– Antibiotics & Healthcare associated Infections

• IPC Link Practioner Group Sessions

Training & Education

• Offender care healthcare staff training sessions

• Pharmacist Continuing Education sessions

• Raising Awareness of Antimicrobial Resistance – Green Pen Newsletters

– Trustwide Newsletters

– IPC Trustwide newsletter

• European Antibiotic Awareness Day

• Engaging with the community – Local Health Economy

– Patient events

– HealthWatch

Lead & Deliver

Monitor &

Feedback

Advice Training & Education

Support

Support

• Local teams with the management of healthcare associated infections

• Root-cause analysis

• Support local units and teams with antimicrobial stewardship – Patient Safety Alert: Antimicrobial stewardship

• Work closely with the CCG and acute Trust IPC teams to ensure a whole health economy approach to IPC and Antimicrobial Stewardship

The Good

• Championing important agenda in the community

• Varied and interesting

• More opportunity to engage to engage with patients, service users and the public

• MDT working

• Antimicrobial Stewardship across the interface

The Not-so-good

• Lonely

My role as a CHS Antimicrobial Pharmacist

Future work

• EAAD 2015

• NICE guidance: Antimicrobial Stewardship – Changing risk-related behaviours in the general population

• Research: Antimicrobial stewardship in secure settings

QUESTIONS?