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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
12
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
