Informed by the trusts clinical care strategy and national guidance. Care excellence nice definition of medicines optimisation and the four guiding principles developed by the royal pharmaceutical society great britain in 20, 14 the dhsspsni launched a. Medicines adherence and replaces technical patient safety solutions for medicines reconciliation on admission of adults to hospital. Review the evidence across broad health and social care topics. Nice guidance, local formularies and these outcomes are. Evidencebased recommendations on medicines optimisation for the safe and effective use of medicines. Pdf medicines optimisation outreach case management.
Aligned with the trusts vision, values, strategic objectives and culture. Guidelines for medicines optimisation in patients with acute. National institute for health and care excellence uk. Medicines optimisation requires greater patient involvement. Helping people to maximise the potential benefit of their medicines, while minimising the risk of harm, is the focus of new guidance issued by the national institute for health and care excellence nice. Review clinical and cost effectiveness of new treatments. Pdf medicines optimisation outreach case management clinics. An integrated medicines management service imms was developed at a large general hospital in london to identify and manage patients at risk of a preventable medicinesrelated readmission pmrr to reduce the risk of pmrr.
Nice guideline on medicines optimisation covers 8 key areas where medicines use could be optimised opportunity to reduce preventable medicines related patient safety incidents systems and processes can help to minimise harm involving people in decisions about their medicines is crucial there are many opportunities to do this. Good practice in medicines optimisation should not be considered in isolation but in context of other, congruent guidance on medicines use such as shared decision making from government, nice and other professional bodies. How can you encourage medicines optimisation to improve. Find our resources or medicines guidance summaries. This guideline updates and replaces recommendation 1. Sep 17, 2015 medicines optimisation is promoted in a guideline published in 2015 by the national institute for health and care excellence. Nice medicines and prescribing associates support and promote high quality, safe, costeffective prescribing and medicines optimisation within their local area. A biosimilar medicine is a biological medicine that is highly similar and clinically equivalent in terms of quality, safety, and efficacy to an existing biological medicine that has already been authorised in the european union known as the reference biological medicine or. Nice bites antimicrobial stewardship sps specialist pharmacy. Personcentred medicines optimisation policy in england. Hertfordshire medicines management committee hmmc july 2015 apixaban recommended name. Journal of medicines optimisation volume 1 issue 1 september 2015 aim of the jomo medicines optimisation is a person centred approach to safe and effective medicines use to ensure that people obtain the best possible outcomes from their medicines. The rising cost of medicines to the nhs the kings fund.
April 2015 3 background of the medicines optimisation dashboard the medicines optimisation dashboard, developed in collaboration with ccgs, trusts and the pharmaceutical industry, builds on the principles of medicines optimisation agreed by nhs england, the. National institute for health and clinical excellence nice ng20 coeliac disease. See medicines optimisation shared decisionmaking about medicines 3 medicines reconciliation in an acute setting, accurately list all of the persons medicines including prescribed, overthe. A biosimilar medicine is a biological medicine that is highly similar and clinically equivalent in terms of quality, safety, and efficacy to an existing biological medicine that has already been authorised in the european union known as the reference biological medicine or originator medicine. Guidelines for medicines optimisation in patients with acute kidney injury 4 ensure appropriate information and advice is given on discharge.
How can you encourage medicines optimisation to improve management of atrial fibrillation. National institute for health and clinical excellence nice 2015 a. Evidencebased recommendations on medicines optimisation for the safe and effective. From the icu to the ward from the ward to the gp and care home if required from the ward to the patient and their familycarers 2. Nice guidance is prepared for the national health service in england. For guidance on the transition from paediatric to adult services, see transitional services for chronic conditions in guidance on prescribing. Medicines optimisation applies to people who may or may not take their medicines effectively. These briefings have been developed for pharmacists. The safe and effective use of medicines to enable the best possible outcomes. Medicines optimisation across comorbidies donal markey pharmacy advisor nhs england educational events renal scn. The dashboard aims to encourage clinical commissioning groups ccgs and trusts to think more about how well their patients are supported to use medicines and less about focusing on cost and volume of drugs.
For the system, medicines optimisation ensures that prescribing is high quality, safe and good value. Guideline development group members medicines optimisation. Nhs england medicines optimisation prototype dashboard. Polypharmacy and medicines optimisation kings fund. Providing medicines adherence support to areas of high deprivation in england. Medicines optimisation the safe and effective use of medicines to enable the best possible outcomes issued. Four guiding principles underpin medicines optimisation. Table 1 the adult social care outcomes framework 201516. Awmsg guidance 2014 and nhs scotland guidance 2015 on. Nice clinical guidelines ng5 medicines optimisation. Royal college of nursing 2020 medicines management. Good practice guidance for healthcare professionals in england in may 20. Aim to understand the patients experience to ensure the best possible outcomes from medicines, there is an ongoing, open dialogue with the. National institute for health and clinical excellence nice ng 14 melanoma assessment and management hsc.
Medicines optimisation is defined as a personcentred approach to safe and effective medicines use, to ensure people obtain the best possible outcomes from their medicines. National institute for health and care excellence nice. These briefings have been developed for pharmacists and pharmacy teams working in great britain. All medicines optimisation articles guidelines in practice.
Nice medicines optimisation guideline nice guideline. Nice on medicines optimisation payne 2015 prescriber. Medicines optimisation is defined as a personcentred approach to safe and effective medicines use. Nice and nhs england prepare medicines optimisation guidance. Review new diagnostic technologies for adoption in the nhs. Medicines optimisation, pop up uni, 9am, 3 september 2015. Helping patients to make the most of medicines the four guiding principles of medicines optimisation principle 1. This is outlined below and also available as pdf note.
Polypharmacy and medicines optimisation in publishing this paper, the fund hopes both to raise awareness of these issues and to offer practical guidance to clinicians and others in avoiding what the authors describe as problematic polypharmacy. Stakeholder consultation comments table medicines optimisation pdf 659. Endorsed nice clinical guidelines 20152016 department of. Impact of an integrated medicines management service on. The role of nice medicines and prescribing associates full. Acute kidney injury medication optimisation pro forma. Nhs england medicines optimisation prioritisation project. I am delighted to welcome the latest update of medicines optimisation. The medicines optimisation strategy the how is how we plan to achieve our medicines management visions. For the system, medicines optimisation ensures that prescribing is. Northern ireland medicines optimisation scaling up. It includes the administration of medicines, prescribing and supporting people to take their medicines correctly.
National institute for health and care excellence 2015 medicines. For further information please check the medicines optimisation website. Offices in amsterdam and dublin, multidisciplinary staff of hospital. Dr keith ridge chief pharmaceutical officer nhs england 3. Joy ogden speaks to practising associates to find out more about what they do and the rewards associated with the role. Medicines optimisation in patients with longterm conditions. We are grateful to the authors for shining a light on an area of care that deserves more attention. Includes covid19 rapid guidelines and clinical guidelines. Note this updates and replaces cg86 endorsed by doh in may 2012. Nice accepts no responsibility for the use of its content in this productpublication. Integrated medicines management imm or medicines optimisation. To further support the implementation of the guiding principles, nhs england launched the prototype medicines optimisation dashboard 2014. Medicines management subject guide royal college of nursing. Good medicines management is an important part of most nursing and midwifery practice.
Nice have produced guidelines on medicines optimisation, medicines adherence, and multimorbidity. National institute for health and care excellence nice 04 march 2015. Medicines optimisation is defined by the nice guidance as a personcentred approach to safe and effective medicines use, to ensure people obtain the best possible outcomes from their medicines. Medicines optimisation, pop up uni, 9am, 3 september 2015 1. Medicines optimisation is promoted in a guideline published in 2015 by the national institute for health and care excellence. Acute kidney injury medication optimisation pro forma 4 3. Offices in amsterdam and dublin, multidisciplinary staff of. Medicines optimisation uk clinical pharmacy association. Medicines optimisation overview nice pathways bring together everything nice says on a topic in an interactive flowchart. Medicines optimisation royal pharmaceutical society. Nice pathways are interactive and designed to be used online. This guideline covers safe and effective use of medicines in health and social care for people taking 1 or more medicines. Medicines reconciliation, as defined by the institute for healthcare improvement, is the process of identifying an accurate list of a persons current medicines and comparing them with the current list in use, recognising any discrepancies, and documenting any changes, thereby resulting in a complete list of medicines, accurately communicated. Medicines optimisation medicines guidance bnfc content.
Use this guide to find information resources related to medicines optimisation including. Medicines optimisation medicines guidance bnf content. For further guidance around communication between health professionals, children and their parentscarers, nice have produced a guideline on medicines optimisation see useful resources. For further guidance around medicines optimisation and tools to use, nhs england have compiled useful links as part of rightcare. Nice bites medicines optimisation sps specialist pharmacy. In this article, hayley berry complements the informationin the medicines optimisation briefing on atrial fibrillation. Effective detection and management of hypertension through community pharmacy in england. Use this guide to find information resources related to medicines optimisation including books, reports and journal articles.
Guideline status this is the current release of the guideline. Medicines optimisation chaired by heidi wright, practice and policy lead for england, royal pharmaceutical society 2. This is outlined below and also available as a pdf. Medicines optimisation national institute for health and. Optimal patient outcomes are obtained from choosing a medicine using best evidence e. By its most basic definition, medicines optimisation is, in practice, making sure patients get the most from their medicines.
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