Stakeholder Event 1 Workplace Innovation in SMEs

20 August 2014

Innovating works……improving work & workplaces

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Innovating works.......improving work and workplaces

“Improving patient care through large scale automation and developing our workforce”

Norman LanniganPharmacy and Prescribing Support Unit

Hospital pharmacy – what is it?

• Right medicine

• Right patient

• Right time

Helping patients get the best outcome from their medicines

• Patients individual needs

• Multiple illness

• Complex therapies

• Team approach

• Supporting patients to take medicines

Traditional pharmacy functions

• Medicines procurement

• Supply /dispensing

• Manufacture of bespoke formulations

The issues• Patient safety in

hospital• Efficient use of

medicines• Personalisation of

therapy• Releasing time to

care• Flow of patients

through hospital

We have a problem

• Pharmacy is part of the solution

A modern pharmacy service for a super modern hospital

• Improve patient outcomes, safety and choice in their treatment with medicines

• Improve patient flow through providing medicines at the patients bedside

Potential for improvement

• Well trained workforce with under used skills

• Motivated to do better for patients

• New technology developments- robotics

Redesign of Hospital Pharmacy Services

• Consolidation and Centralisation

• Technology – IT and Robotics

• Re-Deployment of skills to front line clinical roles

• Integration of staff in to ward based teams

Backing from the Health Board

• £3.25m investment over three years£1m IT (50% Pharmacy /

50% Infrastructure)£1.6m automated

distribution centre£0.4m Automated

dispensaries£250k training (non-

recurring)

• Focus on changing roles to near patient duties

PPSU In-Patient Medicines Management

Ward Medicine Cupboard

Ward Order

GG&CDC

Takes Home Meds

Hospital Dispensary

Dispensary Order

Brings Own Meds

POD Locker

“Making the Most of Your Medicines (MMyM)”

• Re-Design of in-patient medication systems

• Drug administration as a care episode not a task

• Uses patients own medicines and facilitates self administration by patients

• Reduces need for discharge prescriptions

• Care shared with community pharmacists

Making the most of Your Medicines

“Taking Pharmacy expertise closer to the patient and the multidisciplinary team”

Achievements• Worlds largest

automated hospital pharmacy service in “business as usual”

• Changed roles of >700 staff

• Access to clinical pharmacist 60%-95%

• MMyM service 33%-97%

• £3m efficiency savings• £1.5m medicines

waste reduction

The journey

• Free Pharmacists to undertake clinical role

• Pharmacy Technicians -responsibility for medicines supply

• Up skill pharmacy assistants

• Centralisation

• Robotics / IT

Pharmacist highly trained professional

• Primary masters- four years

• Pre-registration apprenticeship –one year

• 75% with double masters qualification

• More than supervision of supply

• Role stretch and job satisfaction

Pharmacy Technician Highly Trained Professional

• Two years college day release- SVQ3

• Professional registration

• Post qualification award “designated checking technician”

• Final release and supervision of medicines supply / dispensing

Pharmacy Assistants

• “Everyone needs a Robert”

• SVQ 2 training

• Back office to front line

• Highly valued

• Chairman’s award

Automation, centralisation, better use of existing skills, training and development

• 41 staff for MMyM service

• 10 pharmacists released from traditional roles

• Enabled development of patient facing services to address NHS priorities of safe, patient centred, effective and efficient care

Lessons learned!• Its the people stupid!

Technology is merely a means to an end and will let you down

• Communicate, Communicate then Communicate again

• Train and develop- people want a challenge

• Measurement and feedback

Working in partnership with our staff!

Any Questions?

Innovating works……improving work & workplaces

• Issues for roundtable discussion

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What are the key challenges facing your business/industry?

Is innovation a potential way of addressing these challenges?

What are the main obstacles/barriers to innovation?

In your experience, where innovating works, what factors support successful innovation?

What engagement do you have with the academic and policy community on innovation – and what engagement would be helpful?