Dressings Training Event
12th February 2014
Catherine Butler
Medicines Management Pharmacist
Introduction
• This is the second of two events on dressings linked to
the prescribing incentive scheme.
• In your packs you will find:
– Agenda
– Woundcare formulary
– Ostomy accessories formulary
– Quick reference guides to stoma and continence products,
woundcare, and emollients and barriers creams.
– Slides from all the sessions today
– Woundcare prescribing data for your practice
– Evaluation form
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Agenda
Part One:
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14:00 – 14.10
Welcome and introduction
Catherine Butler
14.10 – 14.40
Stoma products
Debbie Cooper and
Sarah Skingley
14.40 – 15.10
Wound care formulary
Stacey-Anne Penny
15.10 – 15.30
CCG update
Catherine Butler
15:30 – 15:45
Break
Agenda
Part Two:
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15:45 – 16.45
Clinical training session on
wound care
Edwin Chamanga Tissue
Viability Service Lead, IHT
16.45
Close
Catherine Butler
Prescribing of Ostomy Products
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Wound Care Formulary In Practice
12th February 2014
Stacey-Anne Penny
Community Team Lead
Pamela Quinn
District Nurse
•A service delivered on behalf of the NHS by Serco,
South Essex Partnership University NHS Foundation
Trust and Community Dental Services CIC.
Why use a formulary
• Products reflect best practice
• Staff engagement ensures live and trusted document
• Readily available
• Quick, easy and efficient
• Continuity of care
• Guide / support for new or inexperienced staff
• Wide knowledge base / information available for
products
Why use a formulary
• Negates need for multiple prescriptions
• Cost effective
• Dissemination of good practice
• User friendly with products grouped in categories, price
and quantity easily identified
• Timely – no wait for prescriptions
How it works within SCH
• All areas have identified products within the formulary
(favorites) that they use with set stock levels updated on
a weekly basis – this system may differ for practice
nurses
• Anything within the formulary can be ordered without
FP10
• Stock is delivered to base and used as required
Exception Reporting
• Estimated 20% of product use off formulary / secondary
formulary
• Preserves practitioner autonomy
• All exceptions reviewed with a view to adding to
formulary
• Enables reflection on practice
• Promotes best practice
• Facilitates central review from Head of Nursing
TIAG group
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Meets 3 monthly
Facilitated by Head of Nursing
Review of formulary including exception reporting
Sharing of good practice and experiences – peer support
Education / demonstrations from Reps around new
products
Qualified nurses of all bands
Representation from all areas
Practice nurse involvement
Representation from Both CCG meds management dept
Representation from TVNs at WSH and IHT
Clinically Governance
• TIAG group
• Regular review
• Process ensures continuous assurance and
improvement in quality incorporating both the
engagement of clinical staff and local, regional and
national guidance
• Enables consistent approach
• Promotes shared learning
• Reflects best practice
Any Questions
??
Many thanks for your time
CCG Update
Woundcare:
• New look wound care formulary with FP10 prices
• Work underway to completely review formulary format
• Primary care woundcare formulary review group
– To review formulary and provide recommendations to the Tissue
Integrity and Appliance Group (TIAG)
– If you are interested in participating please let me know during
the break or email me
(catherine.butler@ipswichandeastsuffolkccg.nhs.uk)
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CCG Update
Other related work:
• Miscellaneous formulary
– List of continence products out of date and needs reviewing
– Need to set up a MDT continence review group – please see me
if you are interested in participating
• Stoma accessories
– Technician support available to review deodorant prescribing
– Stoma accessories formulary to be included into the
miscellaneous formulary
• Joint formulary
– Dermatology section underway
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CCG update
• Current spend on woundcare products YTD (April –
November) is £921,806.79
• FP10 spend: £527,264.92
• NHS supply chain: £394,541.87
• This is a decrease of £180,830.89 (16%) compared to
last year
• Well done to all practices for the work put in so far.
• Individual practice data is in your packs
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Practice Awards
Category: Greatest improvement in formulary adherence:
Third prize:
• Felixstowe Road Medical Practice
Second prize:
• Hadleigh Health
First prize:
Ixworth Surgery
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Practice Awards
Category: Most improvement in spend per 1000 patients:
Third prize:
• Walton Surgery
Second prize:
• Peninsula Practice
First prize:
Wickham Market Medical Centre
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Practice Awards
Category: Lowest spend per 1000 patients:
Third prize:
• Ravenswood Medical Practice
Second prize:
• Orchard Street Medical Practice
First prize:
Eye Health Centre
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Useful resources
• IESCCG medicines management website
(http://www.ipswichandeastsuffolkccg.nhs.uk/GPpracticememberarea/Clinicalarea/Medicinesmanagement.asp)
– Quick reference guides
• Woundcare
• Emollients and barrier creams
• Ostomy and continence
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Wound care formulary (also available on SystmOne)
Adult primary care formulary (also available on SystmOne)
Miscellaneous formulary
Ostomy formulary
Shelf life of in-use products
Woundcare prescribing data
Useful resources
• PresQIPP website (http://www.prescqipp.info/)
– Continence and Stoma toolkit
– Wound care: Silver dressings – coming soon (February)
• Top Tip QIPP messages for prescribing dressings
(http://www.medicinesresources.nhs.uk/en/Download/?file=MDs3NzQ0NDE7L3VwbG9hZC9kb2N1bWVudHMvQ2
9tbXVuaXRpZXMvU1BTX0VfU0VfRW5nbGFuZC9Ub3BfVGlwc19RSVBQX21lc3NhZ2VzX2Zvcl9wcmVzY3JpYml
uZ19kcmVzc2luZ3NfVnMzX1NlcDEzX0xPLnBkZg__.pdf)
• SCH website
(http://nww.suffolkch.nhs.uk/Home/QualityGovernance/MedicinesMgmt/TissueViability.aspx)
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Break for tea/coffee
Start next session at 3.45 pm
• If you are not staying for the clinical woundcare talk, please make
sure you have signed in and completed your evaluation form before
leaving. Thank You
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Close
• Thank you for coming and for all your hard work on
wound care
• If you are interested in either the primary care
woundcare formulary review group or the continence
formulary review group please let me know
• Before you leave, please make sure you have :
– signed in
– completed you evaluation form
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