Medicines optimisation involves real engagement with patients, understanding the effects of their conditions and their needs, and delivering on patient goals. It requires considering a medication's efficacy from both the clinical and patient perspective, as well as safety, tolerability and cost-effectiveness. Achieving the best outcomes means understanding patient goals, offering appropriate medications, supporting compliance through prescribing and reminders, and providing supported self-care programs that are planned, guided and evaluated.

1. So what is medicines
optimisation?
Mark Robinson, Medicines Optimisation lead | NHS Alliance

2. Medicines optimisation
Mark Robinson GPhC
Director
The Medicines Management Partnership

3. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
Good Prescribing
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Acknowledgement Professor Nick Barber
Technical
issues
Patients’
wants
General
good

4. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
Medicines optimisation
Understanding
and agreeing
patient goals
Delivering patient
goals
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5. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
Medicines optimisation requires
• Real engagement with patients
• Better understanding of the effects of conditions
• Clarity around patients needs
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6. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
What do patients want?
• To feel better
• To regain life
• To maintain good health
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7. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
How do we review medicines
Adapted from Professor Nick Barber
Efficacy
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Patient experience
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Safety and tolerability
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Cost and cost-
effectiveness
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8. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
The CCG/CSU view
Efficacy
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Patient experience
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Safety and tolerability
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Cost and cost-
effectiveness
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9. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
The Patient’s view
Efficacy
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Patient experience
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Safety and tolerability
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Cost and cost-
effectiveness
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10. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
A medicine is only a medicine
It’s not a package of care
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11. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
The patient medication experience
• Before the medicine is prescribed
• When I feel the effects
• When I consider the need to take long term
• When I decide what to do
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12. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
Helping me to comply?
• Prescribing and dispensing
• Containers and labels
• Fitting in with my life
• Reminders
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13. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
Supported self care
• You want me to look after myself?
– What is the plan?
– Where do we go?
– What help can we get?
– Will I meet people there?
– Who can guide me?
• Is it commissioned, checked and supported?
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14. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
Achieving the best outcomes
• Understanding patient goals
• Offering the right medicines
• Delivering better patient medication experience
• Supporting compliance
• Delivering supported self care
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15. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS
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