This document outlines the Spotlight Project led by Viki Baker, Director of the Learning Disability Service. The project aims to shed light on medication issues for clients with learning disabilities by listening to clients' and caregivers' experiences, improving information sharing about medication histories, and analyzing usage of PRN (as-needed) medication before, during, and after admission. The goal is to better understand medication at the Selden Centre, reduce overall PRN usage, involve clients and caregivers more in medication decisions, and identify ways to improve practices around medication issues.

1. Spotlight Project
Viki Baker, Care Group Director, Learning Disability Service
September 2014

2. Who?
• Keen smiley folk from Sussex by the sea
• Passionate about people with a learning disability having better
lives and playing our part in addressing health inequalities.
• Providers of a 10 bedded assessment and intervention service
for adults with a learning disability whose behaviour puts
themselves and/or others at major risk of harm.

3. Today
Viki
Director
Andrew
Psychiatrist
Esther
Psychologist
Lisa
Pharmacist
“the Boss” “the Helper” “the Challenger” “the Evidence Expert”
Here on behalf of people who use the Selden Centre and their families and carers

4. … and the wider Spotlight team
Jane Field
Manager
Jeanette Drake
General Manager
Kirsty Taylor
Speech & Language
Therapist
M
Max Buchanan &
Diane Skudder
Behaviour Specialists
Caroline Brett
Ward Manager
Michelle Olden &
Jess Constable
Social Workers
Wendy Harlow
Head of Audits

5. Current issues – 3 biggies
Lack of information re: medication history
to inform clinical decisions. Lack of
individualised information for clients
On the plus
side
Not enough joint working on
medication issues between
community and inpatient services
Lack of detailed analysis of recording
of use of PRN medication pre, during
and post admission (compared with
RPIs)
Medication in
the spotlight
• Strong and committed integrated team
• Psychiatrist, pharmacist and clinical team
willing and wanting to take the risks
• Skilled support staff
• Good building

6. What we want to achieve
Listening and acting on stories from
clients and carers about their
experiences regarding medication
Better individualised information
pre, during and post admission to
inform clinical decision making
Detailed analysis and monitoring of PRN
usage pre, during and post admission
• Better understanding and usage of medication at
the Selden Centre
• Overall reduction in PRN usage across
community and inpatient services
• Demonstrate increased understanding and
participation of service users and carers in
decisions re: medication
• Knowledge and awareness of what we can do to
improve
Increased
Spotlight on
medication issues
leading to:

7. What we want to achieve
Listening and acting on stories from
clients and carers about their
experiences regarding medication
Better individualised information
pre, during and post admission to
inform clinical decision making
Detailed analysis and monitoring of PRN
usage pre, during and post admission
• Better understanding and usage of medication at
the Selden Centre
• Overall reduction in PRN usage across
community and inpatient services
• Demonstrate increased understanding and
participation of service users and carers in
decisions re: medication
• Knowledge and awareness of what we can do to
improve
Increased
Spotlight on
medication issues
leading to: