Stakeholder Event 1 Workplace Innovation in SMEs 20 August 2014 Innovating works… …improving...
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Stakeholder Event 1 Workplace Innovation in SMEs
20 August 2014
Innovating works……improving work & workplaces
1
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Innovating works.......improving work and workplaces
“Improving patient care through large scale automation and developing our workforce”
Norman LanniganPharmacy and Prescribing Support Unit
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Hospital pharmacy – what is it?
• Right medicine
• Right patient
• Right time
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Helping patients get the best outcome from their medicines
• Patients individual needs
• Multiple illness
• Complex therapies
• Team approach
• Supporting patients to take medicines
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Traditional pharmacy functions
• Medicines procurement
• Supply /dispensing
• Manufacture of bespoke formulations
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The issues• Patient safety in
hospital• Efficient use of
medicines• Personalisation of
therapy• Releasing time to
care• Flow of patients
through hospital
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We have a problem
• Pharmacy is part of the solution
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A modern pharmacy service for a super modern hospital
• Improve patient outcomes, safety and choice in their treatment with medicines
• Improve patient flow through providing medicines at the patients bedside
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Potential for improvement
• Well trained workforce with under used skills
• Motivated to do better for patients
• New technology developments- robotics
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Redesign of Hospital Pharmacy Services
• Consolidation and Centralisation
• Technology – IT and Robotics
• Re-Deployment of skills to front line clinical roles
• Integration of staff in to ward based teams
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Backing from the Health Board
• £3.25m investment over three years£1m IT (50% Pharmacy /
50% Infrastructure)£1.6m automated
distribution centre£0.4m Automated
dispensaries£250k training (non-
recurring)
• Focus on changing roles to near patient duties
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PPSU In-Patient Medicines Management
Ward Medicine Cupboard
Ward Order
GG&CDC
Takes Home Meds
Hospital Dispensary
Dispensary Order
Brings Own Meds
POD Locker
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“Making the Most of Your Medicines (MMyM)”
• Re-Design of in-patient medication systems
• Drug administration as a care episode not a task
• Uses patients own medicines and facilitates self administration by patients
• Reduces need for discharge prescriptions
• Care shared with community pharmacists
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Making the most of Your Medicines
“Taking Pharmacy expertise closer to the patient and the multidisciplinary team”
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Achievements• Worlds largest
automated hospital pharmacy service in “business as usual”
• Changed roles of >700 staff
• Access to clinical pharmacist 60%-95%
• MMyM service 33%-97%
• £3m efficiency savings• £1.5m medicines
waste reduction
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The journey
• Free Pharmacists to undertake clinical role
• Pharmacy Technicians -responsibility for medicines supply
• Up skill pharmacy assistants
• Centralisation
• Robotics / IT
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Pharmacist highly trained professional
• Primary masters- four years
• Pre-registration apprenticeship –one year
• 75% with double masters qualification
• More than supervision of supply
• Role stretch and job satisfaction
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Pharmacy Technician Highly Trained Professional
• Two years college day release- SVQ3
• Professional registration
• Post qualification award “designated checking technician”
• Final release and supervision of medicines supply / dispensing
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Pharmacy Assistants
• “Everyone needs a Robert”
• SVQ 2 training
• Back office to front line
• Highly valued
• Chairman’s award
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Automation, centralisation, better use of existing skills, training and development
• 41 staff for MMyM service
• 10 pharmacists released from traditional roles
• Enabled development of patient facing services to address NHS priorities of safe, patient centred, effective and efficient care
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Lessons learned!• Its the people stupid!
Technology is merely a means to an end and will let you down
• Communicate, Communicate then Communicate again
• Train and develop- people want a challenge
• Measurement and feedback
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Working in partnership with our staff!
Any Questions?
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Innovating works……improving work & workplaces
• Issues for roundtable discussion
23
What are the key challenges facing your business/industry?
Is innovation a potential way of addressing these challenges?
What are the main obstacles/barriers to innovation?
In your experience, where innovating works, what factors support successful innovation?
What engagement do you have with the academic and policy community on innovation – and what engagement would be helpful?