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Engagement within the
new system
Paul McManus, Lead Pharmacist | Specialised Commissioning
Engagement within the new system
Paul McManus
Lead pharmacist - specialised services
South Yorkshire and Bassetlaw Area Team
ABPI Regional event June 2013
NHS | Presentation to [XXXX Company] | [Type Date]3
Opportunities for engagement
Product specific
National
• research
• pipeline
• commissioning
• value
• price
• placement
4
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
National Reporting and Learning System for England and Wales
Types 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 talking 13
Engagement within the new
system
paulmcmanus@nhs.net
14

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Engagement within the new system

  • 1. Engagement within the new system Paul McManus, Lead Pharmacist | Specialised Commissioning
  • 2. Engagement within the new system Paul McManus Lead pharmacist - specialised services South Yorkshire and Bassetlaw Area Team ABPI Regional event June 2013
  • 3. NHS | Presentation to [XXXX Company] | [Type Date]3
  • 4. Opportunities for engagement Product specific National • research • pipeline • commissioning • value • price • placement 4 Local • implementation • price • priorities • problems
  • 5. 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
  • 6. National Reporting and Learning System for England and Wales Types of incidents 2005-10 Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012
  • 7. NRLS in England and Wales medication incident reports 2005 - 10 Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012
  • 8. NRLS – who is reporting incidents? 8 Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012
  • 9. NRLS – Critical medicines Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012 NRLS – Critical medicines
  • 10. NRLS – Error category Cousins D, Gerrett D, Warner B. Br J Clin Pharmacol. 2012
  • 12. 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
  • 13. 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 talking 13
  • 14. Engagement within the new system paulmcmanus@nhs.net 14