Transcript Pre-reg Introduction

UKMi – today and in the future
January 2009
Peter Golightly
Director – Trent & West Midlands
Medicines Information Services
Who/what is UKMi?

The network comprises staff at




Manned by




230 local MI centres
14 regional centres
2 national centres (Wales and NI)
Pharmacists
Technicians
Others
National leadership provided by UKMi
Executive
Our skill mix
(WTEs)
Staff mix in MI
Others, 54
Technicians, 32
Pharm acists,
192
UKMi Structure
Local MI Services (n=230)
All levels are in touch with each other
providing network UKMi
support and a wide range
of outputs with minimum duplication
Regional/National
MI Services (n=14+2)
National MI
Strategy/Leadership
(UKMI Exec)
Structure of MI




Individual – personal – MI, clinical
pharmacists etc
Local
– enquiry answering, advisory
service, bulletins, D&TC/
formulary support, training,
local ADR reporting schemes
Regional – support local services, active
information, PCO support,
co-ordinate regional activities.
input to national network
National – (virtual) – advise on national
policy, co-ordinate national
network, avoid unnecessary
duplication, improve standards
Local MI Centre

Enquiry answering service ~ 500,000 enquiries/year
– patient focussed

Support clinical pharmacy & clinical staff

Support medicines management

Hospital formulary/D&TC work

Produce guidelines etc.

Newsletters

Training
Regional Centre

Enquiry answering – including primary care

Support of local centres incl training

Bulletins/New product reviews

Quality assurance

Support to NHS Direct

Strategic support for PCTs

Regional co-operation/collaboration
National - UKMi

Virtual

Co-operation, collaboration and coordination

Reduction in duplication of effort

Strategy & leadership

National outputs
What do these Regional centres do?
1.
Support
2.
Values and standards
3.
Liaison with partners
4.
Strategy
What support do you get?

Peer & personal development support
Courses like this
 Regional centres
 Regional meetings
 Peer review
 Mi-UK e-discussion group
 Networking opportunities

What resource support is provided?

Resource support

UKMi negotiated subscriptions
MedicinesComplete
 Natural Medicines Database
 Adis Journals
 eMIMS
 Drugdex
 Renal Drugs Handbook

Regional subscriptions
 Minimum resource standards

What training support is provided?

Training
National training course
 National technician training course (AMITS)
 Training at regional meetings
 Training at regional centres


Training resources
MI workbook
 MiCal
 Pre-registration templates


Annual Conference (PDS) - CPD
… and the specialist support
Specialist Information and advisory centres
Drugs in lactation/pregnancy
 Drugs in renal/hepatic disease
 Drugs in dentistry/psychiatry
 Complimentary medicines
 Drugs in porphyria, AIDs
 Drugs in children
 Fridge stability, latex in medicines

UKMi Working Groups

New products

Education and training

Clinical Governance

MI Technicians

IT

NHS Direct
What about core values?

Apply evidence-based principles in provision of
impartial, evaluated, accurate and timely info to
promote safe and effective use of medicines

Provide professional advice to support and
influence clinical decisions with respect to
patient care
… and more core values

Keep abreast of developments in therapeutics,
professional practice, technology etc to support
CPD and keep the service provided up-to-date

Be readily accessible and responsive to user
needs

Network to share information and experience at
local, regional and national levels
Standards
Education & Training

National Training Courses

Training Manual - MI Workbook

Facilitated local learning (MiCAL)

Pre-registration training template

Competency Framework

Annual Conference
Standards
Clinical governance

QA programme and standards
Enquiry answering
 Essential resource list
 Education and training
 Risk management
 Bulletins
 SOPs


Incident reporting - IRMIS
3. Liaison with partners

NHS Direct / NHS24

PIPA / ABPI

RPSGB

NPSA

NPC

NHSC / SMC / AWMSG

MHRA

NLH / NKS / CfH
4. Strategy and leadership
Current Developments


MI strategy 2007-? - implementation
NeLM




Research Strategy
Career development – GLF/ALCF
Outputs



clinical content from UKMi
+ other stakeholders
New product evaluations & horizon scanning
Medicines Q&As
Quality standards


MI services & activities
National IV guide
Information Technology

UKMi website

NeLM website

UKMi e-mail discussion list (mi-uk)

Guidance and standards for IT facilities

MiDatabank

New Drugs Online (Horizon scanning)
Drivers for the future










PCT developments/Primary care restructuring
Commissioning incl PBC
Non-medical prescribing
Darzi report / Pharmacy White Paper etc
NHS Evidence / NICE
e-Prescribing / EPR
GP and Community Pharmacy contracts
Social Services & Care of the elderly
Professional regulatory and professional bodies
Patient-driven choice/support (NHS Direct, NHS
Choices. NHS24)
…. if you can only remember 2
things
www.nelm.nhs.uk
www.ukmi.nhs.uk
UKMi Strategy 2007






Replaces 2000 Strategy
Launched 31/10/2007
Takes account of political,
policy, organisational and
operational NHS changes
Takes account of national
devolution variations to
maintain UK-wide
relevance
Defines 5 key strategic
aims
Addresses key issues to
maintain the crucial value
of MI services
Key UKMi Elements
UKMi is an NHS service
provided through an integrated
network of local and regional
medicines information centres.
 It is a critical NHS resource for
medicines management at patient
and organisational levels.

NHS Change Drivers







Increased access to health services and
health information by patients.
Development of intermediate care with
transfer of complex cases into the
community.
Development of specialist networks.
New non-traditional prescribers.
New commissioning arrangements.
Regulatory changes created to ensure
life-long competency of practitioners.
Plurality of healthcare providers from
independent and charitable sectors (in
England).
The 5 Strategic Aims
Reflect a patient-focused NHS
 Develop the service to healthcare
providers
 Develop healthcare staff
 Support to NHS commissioning
and planning bodies
 Collaborate effectively with other
organisations at national level

Strategic Aim 1
Reflect a patient-focussed NHS
Local patient helplines
 Patient information – written and
electronic
 Patient-focussed organisations
(NHS Direct/NHS24)

Strategic Aim 2
Develop the service to healthcare providers
 Patient safety - NHS Injectable Medicines
Guide

Healthcare professional development –
Community pharmacists, Independent prescribers


Equitable NHS access
NeLM - delivery of integrated medicines
information



IT utilisation
Decision support input e-prescribing
MI as evidence-based focus for medicines
management
Strategic Aim 3
Develop healthcare staff
Develop competent workforce by:
 Local education & training initiatives
for a range of healthcare professionals
to find and evaluate information
 Develop broad workforce strategy
MI technicians
 Consultant MI Pharmacists

Strategic Aim 4
Support NHS commissioning &
planning bodies






Evidence-based outputs to facilitate
medicines management and formularies
Medicines management leads in PCOs
Strategic planning and policy making –
horizon scanning/policy scoping
Service QA to ensure standards and value
for money
Audit for other information-providing
healthcare organisations, e.g. NHS Drct
Support local implementation of
national guidance
Strategic Aim 5
Collaborate effectively with other
organisations at national level








Horizon scanning (NHSC, SMC)
National guidance (NICE, SIGN)
NeLM
NHS Direct/NHS24
NPSA
NKS (e-prescribing)
Pharmacy professional body(ies)
Research organisations
..all supporting NHS agenda
 Patient
safety
 Patient access to good quality
care
 Cost-effective prescribing
 A competent work force
 Value for money
The challenge







Big agenda
Covers all aspects of MI – local to
national
Requires engagement with users,
stakeholders and commissioners
Collaborative working
IT & communications
Funding and investment
Information governance
Secret of our success
 The
network
 The enthusiasm
 The leadership
 The support
www.ukmi.nhs.uk