Helen Holdsworth and Sarah Woodcock On behalf of Scarborough Hospital Pharmacy

Part of York Teaching Hospitals NHS Foundation Trust

330 beds

Serves population of 200,000

40-50 admissions per day

12.6 wte pharmacists

5 medicines management technicians

Reduced length of stay

Increasing admissions

Pressure to prioritise discharges

Shortages of pharmacists

Conflicting demands

1. Reduce drug charts in pharmacy

2. Improve rates of medicines reconciliation/pharmacist initial review

3. Improve the number of follow up reviews

4. Improve the discharge process

5. Improve staff morale

3 teams

Coordinators

Initial visits by 10.30

New patients seen by 1pm

Follow up reviews pm

Discharges by team

FLEXIBILITY, COMMUNICATION, CO-OPERATION, TEAM WORK AND RESPECT – PUTTING PATIENT CARE FIRST

Nursing staff time

Reduced missed doses

Enable pharmacist review

Enable medical staff review

Less interruptions in the dispensary

Results

Pre – 25 per day

Post 1-2 per day

Weekend clinical service

High risk medicines

VTE

Antibiotics

Polypharmacy

On-going monitoring

Results

Pre 312

Post 414

Results

Number supplied completely from ward level 28=> 90

Number with some involvement at ward level 73=>341

Reduced waste/duplication

Opportunity to discuss medication with pharmacy staff

Improved dispensary turn round times

Happiness scale 6=>8

Impact on the dispensary

“My colleagues are less stressed which makes me happier”

“The system is more flexible and responsive, please continue to use it”

Dispensary closed on time every night

More support for junior staff

Better quality of requisitions

Increase follow up reviews

Role out of EPMA

Introducing medicines management assistants