Medicines in the Community
Medicines in the Community
With the increasing number of people being diagnosed with multiple long-term conditions, managing medications can become very complex.
Medicines issues for people within the community are rapidly increasing across the economy at a county-wide level.
A multi-professional and organisation group are working together to improve medication support throughout community settings.
Currently focusing on these key areas:
- Standard Kent & Medway Medication Administration Record Chart (MAR Chart) for use in home care settings.
- Smoother discharge from hospital in relation medicines.
- Creating a Medicines Concordance and Optimisation Service for people receiving care in their own home.
- Reviewing Medicines Training provided to the Care Sector, working to create a strong and robust provision in Kent.
- Providing a booklet detailing information about what medicines errors are, how to record and report and how to create a no blame culture working with care workers to minimise the chance for errors.
As part of the project we are regularly engaging with our stakeholders, take a look at our video from the event to find out more this session.
Medicines Administration Charts (MAR Charts) are a tool used by care workers to aid them in supporting medicines administration to people in their own homes.
We are working to standardise these charts across Kent with an aspiration to improve quality, reduce errors and provide staff with continuity.
Piloting MAR Charts provided directly from hospital and community pharmacy to patients getting social care support at home in the Maidstone locality.
We have created a supportive medicines administration guidance for social care providers and care workers. Clear information around ‘prompting’ and ‘administration’. Recognition of the role care workers play and how they support people daily in relation to medicines.
Promotion of self-administration is key however there are many people that will required support with their medications, this could be long- or short-term support.
This is underpinned by NICE guidance NG67 and Quality Standard QS171.
The next step in the guidance range is medicines errors and how we can support the Kent workforce in how to ensure that they minimise the risk or errors happening and ensuring that there is a ‘no blame culture’ and that an effective supportive environment is adopted.
Ensuring that a person receives a medicines review is important to ensure that any medicines that they are taking are effective and that the person is managing them.
We are exploring how people that are receiving care in their own home can access a medicines review that includes how they are managing with taking their medicines. We aim that the service will look at options on how a person could self manage e.g. specialised bands, easy opening bottles etc and if they are unable to self manage that the correct support can be provided to the care provider e.g. a Medicines Administration Record Chart.
A project to explore a digital solution that supports the safe and effective management of medicines in domiciliary care.
Working with NHS Digital’s Social Care Programme Board (which includes representation from NHSX, NHS Digital, Local Government Association, National Care Forum, Care England, National Care Association, UK Homecare Association).
Documents & Useful Links
The Handling of Medicines in Social Care
The Royal Pharmaceutical Society has a set of principles for ‘The Handling of Medicines in Social Care’ to support the social care sector in understanding and supporting good medicines management for individuals in their care.
The guidance set out in chapters provides information around:
- Principles of safe and appropriate handling of medicines
- Handling medicines in social care settings
- Handling medicines — requirements for specific services
- The medicines toolkit