Medicines Management Collaborative wins double whammy at National Prescription Awards |


A unique partnership collaboration in Pennine Lancashire between the East Lancashire CCG Medication Management Team, local GPs, East Lancashire Hospitals NHS Trust Lancashire County Council and Inspire (substance abuse service) won a national award for patient safety at the National PresQIPP conference last week. The prize recognized their contribution to reducing dependence and local use of unnecessary and potentially harmful drugs, through the development of an opioid reduction pathway.

The second national award was in the Nursing Home category for the work undertaken by the Medication Optimization Nursing Home team for their work in reducing anticholinergic drugs and associated side effects in nursing home residents. .

East Lancashire is one of the most disadvantaged and disadvantaged areas in the country, with high rates of prescription opioids for pain unrelated to cancer. Opioids are great pain relievers for emergency pain and end-of-life pain management, but there is little evidence that they are useful for long-term pain management. They can also be addictive if used for long periods of time, resulting in long-term addiction. Despite this, they are widely prescribed and their use has increased over time.

Teams from organizations across Pennine Lancashire worked together using evidence-based practice to develop an integrated care pathway to help identify patients in need of specialist support and those who could be cared for in primary care by general practitioners. Clinicians completed the PresQIPP e-learning resources, which helped them gain the confidence to effectively and safely manage patients on the journey. In addition, resource kits were developed, which included patient support, information brochures and best practice advice on opioid reduction.

Their efforts have resulted in a 10% reduction in opioid prescribing. Community members who had become addicted to the drug were successful in reducing their opioid levels and improving their quality of life and family relationships. Many described the program as a new lease of life. The award noted that this was a fantastic achievement for the teams and primary care who continued to work on this difficult program throughout the Covid-19 pandemic.

The SMOCH (East Lancashire Medicines Optimization in Care Homes) team won the National PresQIPP Care Homes Award for their work in reducing anticholinergic load (ACB) in high risk patients. Highly anticholinergic drugs are prescribed for a range of conditions, including Parkinson’s disease, overactive bladder, chronic obstructive pulmonary disease (COPD), nausea and vomiting, depression and psychosis. Adverse effects include constipation, blurred vision, dry mouth, dry eyes, urinary retention, falls, dizziness, sedation, confusion, agitation, delirium, cognitive impairment, and increased blood pressure. mortality. Older patients may be particularly vulnerable to these side effects. The Anticholinergic Burden (ACB) score is a useful measure for measuring the side effects of different anticholinergic drugs where the higher the ACB number, the stronger the anticholinergic effect. In collaboration with ELHT partners, PCN teams and nursing homes, the main objective was to help clinicians reduce the impact of anticholinergic use. Since this work began three years ago, the ACB burden in frail elderly people has decreased significantly, reducing the risk of falls, morbidity and hospitalizations. This health improvement project has produced tangible benefits for the quality of life of nursing home residents. In addition to winning this team’s award in this category, they also received the People’s Choice Gold Award.

National Patient Safety Award

From left to right

  • Stacey McPhail – Senior Clinical Nurse Specialist in Pain Management – East Lancs Hospitals Trust
  • Georgia Turnbull – Clinical Nurse Specialist in Pain Management – East Lancs Hospitals Trust
  • Dr Lisa Rogan – Strategic Director for Drug Optimization, Research and Clinical Efficacy – East Lancs CCG
  • Dr De LaTorre – Clinical Consultant Pain Management – East Lancs Hospitals Trust
  • Anne Bentley – Senior Pharmacist in Drug Optimization – East Lancs CCG
  • Jo Lishman – Head of Integrated Services MSK Pain & Rheumatology – East Lancs Hospitals Trust
  • Dr Trevor Landry – Senior Clinical Psychologist – East Lancs Hospitals Trust

National Nursing Home Award

  • Anne Bentley
  • Jane shanahan
  • Nela ashton
  • Jo curry
  • Alison marshall
  • Shima patel
  • Victoria richards
  • Sana Shan
  • Janet Walsh
  • Pakeezah Younis

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