1. Business Case
of Your Proposal
Team C
04 July 2013
Safer Medicine Management amongst Older People Living in their Own Homes

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Team C
• Team Coordinator: Amalin Dutt
• Team members
– Caroline McIntyre
– Chris Cooper
– Helena Tjader
– Samantha Soulsby
– Sebastian Sarama
– Charlene Teloka
– Angela O’Shea
– Patricia McCormack
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Proposal
• A System Change for Medicines Optimisation
– An integrated, coordinated, patient-focused approach to
supporting at-risk patients to take their medicines effectively
– Raising awareness and providing education and training for all
healthcare professionals on the range of options for support
patients
– To evaluate and where appropriate improve access to new
technologies and evaluate their cost-effectiveness
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Service User Segments
• Older people
• High needs patients with long term conditions
• Patients on multiple medications
• Tier 4 risk stratification patients
• Dexterity or literacy problems
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Value Propositions
• Individualised System
• Open referral process to support patients according to need
• Single Assessment Process including Risk Assessment
• Navigator to co-ordinate care
• Single medicines HelpLine for Islington
• Maximising impact of existing useful services and minimising those
not useful
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Channels
• Face-to-Face interaction
• Telephone
• Mobile phone
• Auto-alarms
• Phone Apps
• Tele Health if appropriate
• Patient groups
• Expert patients
• Voluntary action
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Service User Relationships
• Leaflets and information
• Care co-ordination
• Face-to-face contact
• Expert patients
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Outcomes
• Support for patients
• Increased patient satisfaction
• Increased family and carer satisfaction
• Increased awareness
• Increased medication review
• Reduced significant events
• Reducing healthcare attendance and hospital admissions
• Reducing wastage
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Key Activities
• Education and training for providers
• Multidisciplinary working
• Pilot and short term evaluation
• Longer term service evaluation
• Outcome measures reported and service impact feedback and
accountability
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Key Resources
• Care co-ordinator
• CCG clinical leadership
• Pharmacy leadership
• District nursing
• Re-ablement service
• Communication systems
• Pharmacy technicians
• Integrated care teams
• Academic support
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Key Partners
• Patient groups
• Voluntary groups
• Social services
• CCG
• Age UK
• Acute trusts and Integrated Care Organisations
• LMC
• LPC
• Islington Carers’ Forum
• Mental Health Trust
• Expert patient Group
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Expenditure
• Staffing
• Freeing capacity in existing services
• Money following the patient
• Opportunity costs
• Learn from current pilots and sharing best practice
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Risk
• Increasing demand
• Insufficient capacity
• Increasing costs
• Destabilising existing systems
• Lack of knowledge of services available
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Milestones
• Pilot preparation July-October 2013
• Pilot implementation November 13 – March 14
• Pilot evaluation – April 14
• Live reporting
• Regular feedback to patient groups
• On-going use of website
• Academic evaluation – on-going process
• Communication and training November 13 – March 14
• Subject to refinement and resources
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