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 3 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 4 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 5 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 6 7. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS How do we review medicines Adapted from Professor Nick Barber Efficacy . Patient experience . Safety and tolerability . Cost and cost- effectiveness . 7 8. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS The CCG/CSU view Efficacy Patient experience Safety and tolerability Cost and cost- effectiveness 8 9. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS The Patients view Efficacy Patient experience Safety and tolerability Cost and cost- effectiveness 9 10. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS A medicine is only a medicine Its not a package of care 10 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 11 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 12 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? 13 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 14 15. WORKING IN PARTNERSHIP TO DEVELOP AND DELIVER EFFECTIVE MEDICINES MANAGEMENT SOLUTIONS 15