P30 EVALUATION OF HOME DELIVERY SERVICE AND OUTPATIENT PHARMACY SERVICE PROVIDED FOR ADULT PATIENTS RECEIVING RENAL TRANSPLANT MEDICATIONS Mumin, M, Wells, H Guy’s & St Thomas’ NHS Foundation Trust Introduction In accordance with the changes in the NHS standard contract1 and the commissioning intentions for specialised services,2 all post transplant immunosuppressant commissioning was repatriated in 2012. Kidney transplant patients receive their transplant medications either via an outpatient pharmacy service (provided by Sainsbury’s) or via a home delivery service (provided by Healthcare at Home). This study seeks to evaluate the patients’ perception of the services they receive. All patients receiving home delivery service are supplied with a patient information letter when enrolled onto the service. All patients are also recommended to ask for repeat prescriptions during their appointments at the clinic. Objectives To determine kidney transplant patients' views on Healthcare at home and Sainsbury’s outpatient pharmacy. Method Kidney transplant patients attending appointments at the kidney clinic from 6th August to 14th August were requested to complete one of two questionnaires, either concerning the outpatient service or the home delivery service, depending on how they receive their transplant medications. Results 209 patients were approached of which 108 took part in the study (51.7% response rate). "Service I use is more convenient" (strongly agree or agree) "I am Satisfied with the service" (strongly agree or agree) Medications supplied on time Correct quantity of medications When running out of medicines Ask in clinic during appointment Phone clinic Contact GP • Outpatient pharmacy n (% ) Home delivery n (%) 32 (54.2) 32 (82.0) 57 (93.5) 34 (81.0) 54 (88.5) 60 (98.4) 31 (72.1) 38 (90.5) Yes (Mann Whitney-U analysis, p=0.001) No (Mann Whitney-U analysis, p=0.680) Yes (Fisher's exact test, p=0.041) No (Fisher's exact test, p=0.156) 16 (31.4) 13 (25.5) 9 (17.6) 32 (62.7) 12 (23.5) 6 (11.8) - Significant difference? 70.8% of patients using home delivery service recalled receiving information about the service from either a consultant or a nurse, with 18.8% of patients recalling the patient information letter as an information source. • 11.1% of patients who collect their transplant medications at the outpatient pharmacy have used the home delivery service previously. Reasons for collecting medicines from pharmacy included: "not offered home delivery," "sometimes (I'm) not at home, more convenient," "not told they did (Healthcare at home) service." • 52.3% of patients receiving transplant medications via the home delivery service have used the outpatient pharmacy previously. Reasons for using home delivery service included: "more convenient," "too much medication to carry (using Sainsbury's)," "doctor's recommendation," "don't have to wait around in the pharmacy," "difficulties with returning to collect owed balance (at Sainsbury's)." Conclusions • A larger proportion of patients using home delivery service find it to be more convenient compared to those collecting from outpatient pharmacy. • Both groups of patients are largely satisfied with their corresponding services. • Patients using home delivery service need to be made more aware of the patient information leaflets. • Patients need to be informed that if they are running out of medications, they must primarily contact the clinic, not the GP.