Presentation by Hassan Argomandkhah, Pharmacy LPN Chair (Merseyside), NHS England, at the electronic Transfer of Care to Pharmacy training session on Tuesday 22 January at Formby Hall Golf Resort and Spa

1. Pharmacy LPN Chair (Merseyside) NHS England
Hassan Argomandkhah FRPharmS IPresc
Transfer of
Care
Around
Medicine

2. Patient
admitted to &
discharged
from hospital
Transfer of Care Around Medicine

3. Key objectives
Link with with C&M Sustainability and Transformation Plan (STP) objectives.
 Reducing emergency bed days and length of stay
 Reducing hospital re-admissions*.
 Early identification and intervention.
 Delivery of care in alternative settings.
 Optimise patient care through forging links with community pharmacy.
 Improve the health of the C&M population through medicines
optimisation.
 Reduced drug waste and impact on 1o
care medicines spend*.
 Improved patient satisfaction*
✴ These are the project objectives that would be measured as part of the academic evaluation.
Transfer of Care Around Medicine

4. TCAM/eTCP project team
 HA, BP, EC, DB
Partnership arrangements.
-
 The NHS Innovation Agency / Academic Health Sciences
Network (AHSN North West Coast).
 Liverpool JMU (Academic evaluation).
Transfer of Care Around Medicine

5. Key Features
• Hospital admission notification to
Community pharmacies
• Hospital discharge notification & information
Providing pharmacies with a copy of the relevant
patient discharge information
• eTCP support to provide timely action
Key System Objective
Fully Integrated system to
enable hospitals to transfer
relevant clinical information
between care settings to improve
medicines optimisation
NHS England Funding
To fully develop and implement
software solution in all
Cheshire and Merseyside
NHS Acute Hospital Trusts
Transfer of Care Around Medicine

6. On Patient Admission to Hospital
1. Hospital pharmacy team
assesses risk of meds changes
2. Automated notification
Community Pharmacy
Team
1. Suspend medication
supply
2. Add notes to PMR
3. Await discharge
information
Anonymised monitoring HUB [SAM]
Secure Allocation Management
Monitors eTCP actions
Admission
notification
Warrington trial
Patient selection
✦ Unplanned admission
✦ Polypharmacy
✦ MDS (blister packs)
✦ New event/diagnosis
Transfer of Care Around Medicine

7. On Patient Discharge from Hospital
Automated notification &
transfer of discharge
information
Community Pharmacy
Team
1. Reviews discharge
information
2. Reviews any
outstanding Rx
3. Cancel unwanted Rx
& query new Rx
1. Adds note to clinical
system
2. Post discharge meds
reconciliation
3. Act on any new Rx
query
Discharge
information
Practice
Team
continues to
receive
discharge
information
through
existing
channels
eTCP support to provide timely
action
Patient selection
✦ Unplanned admission
✦ Polypharmacy
✦ MDS (blister packs)
✦ New event/diagnosis
Transfer of Care Around Medicine

8. Patient
admitted to &
discharged
from hospital
Admission notification plus
Discharge notification &
information is sent to the
Community pharmacy
Pathway
TCAM/eTCP support to increase
acceptance and completion rates
electronic Transfer of Care to Pharmacyelectronic Transfer of Care to Pharmacy

9. Enhanced pt.
safety
• Reduced
medication
errors
• Support on
concordance
• Less likelihood
of re-admission
Patients Hospital
Increased
efficiency
• Smoother
discharge
• Reduced 30d
re-admission
• Better links to
primary care
benefits of eTCP - admission & discharge
notifications
Pharmacy
Safer for pts. &
reduces waste
• Access to timely
information
• Better use of
clinical skills
• Less medicines
dispensed and
wasted
GP Practice
Better pt. safety &
reduces waste
• Targets
“revolvingdoor”
pts.
• Identifies pt’s.
medsadherence
issues
• Less medicines
wasted
NHS/CCG/
Social Care
GPs / Commissioners would see a reduction in hospital admissions due to an improvement in medicines adherence.
Community pharmacists have the opportunity to be an integral part of a patient pathway which allows them to utilise
their inherent skills, and to build professional relationships with patients and fellow health professionals.
Key benefits to eTCP partner come from the benefits to their patients
More productivity
• Fewerre-
admissions
• Bettermeds
optimisation
• Lessmedwaste
• Better
managementof
resources
Transfer of Care Around Medicine

10. Assurance Report
1 March
2018
Transfer of Care Around Medicine

11. Assurance Report
1 March
2018
Transfer of Care Around Medicine

12. Assurance Report
1 March
2018
Transfer of Care Around Medicine

13. Assurance Report
1 March
2018
Transfer of Care Around Medicine

14. Hassan Argomandkhah FRPharmS IPresc
Chair of Pharmacy Local Professional Network
NHS England (Merseyside)
hassan.argomandkhah@nhs.net
Transfer of Care Around Medicine