NHS Rushcliffe Clinical Commissioning Group (CCG)

About Us

• Statutory public body- April 2013

• Organisation - Population 122,066- Budget £127m

• Statutory duties

Our Priorities

Commission services that improve health of the whole population with better quality of care and

outcomes for all patients

Our Priorities

Three priority areas• Supporting people to manage ongoing

conditions• Improving mental health and wellbeing• Promoting prevention and early intervention

and supporting people to make healthy lifestyle choices.

Plans for the future

• More support closer to home for patients• Right care in the most appropriate place• Support and extended access to general

practice• Support patients in managing own health• South Nottinghamshire Transformation

Programme

Rushcliffe CCGPrescribing Team

Who we are…

Medicines Management Lead• Nayna Zuzarte and Beth CarneyPrimary Care Pharmacists• Stacey Sadler, Gillian Gookey, Karen ChappellPrescribing Technician• Sameena MirTotal 2.6 WTE

Wider team

• Shared team across the five Nottinghamshire county CCG’s:Area Prescribing Committee / Interface team• Nicky Bird, Amanda Rawlings, James Sutton

Clinical Governance and Care Homes Lead• Coral Osborn

Data Analysts• Tim Oxley and Chris Day

Our priorities

• Promote evidence based cost effective prescribing by optimising the use of medicines in primary care and across the interface with secondary care.

• Improve health outcomes for Rushcliffe patients through medicines optimisation.

• Advise on the effective use of medicines across the whole patient pathway.

Quality, Innovation, Productivity & Prevention (QIPP) Strategy2014-2015

• £15million prescribing budget• £376k savings to be made on

primary care prescribing budget

Quality

• Reduction in C. Difficile infections through stewardship of antimicrobial prescribing.

• Reducing harm associated with medicines• Using risk stratification and minimising errors

where medicines may lead to unplanned admissions.

Innovation

• Procurement of medicines

• IT systems

• Service and Pathway improvement

Productivity

• Prescribing cost efficiencies Respiratory (COPD/Asthma) Traffic light drugs – Red drugs Specials Cost effective preparations Waste management

Prevention

• Optimise treatment to prevent long term burden of disease and cost pressuresCOPD and AsthmaDiabetesCardiovascular diseaseFrail and elderly Care homes

How can Community Pharmacy Help?

• National and Local guidelines and formularyhttp://www.nottinghamshireformulary.nhs.ukhttp://www.nottsapc.nhs.uk• Ensure patients only receive medicines they

require • Targeted MURs e.g Asthma/COPD • Out of stock medicines• Specials/unlicensed products

How can Community Pharmacy Help?

• Responding to the National Review of Asthma Deaths

• 39% of patients who died during the monitoring period had >12 SABA reliever inhalers issued in the year prior to their deaths.

• 4% of patients had more than 50 inhalers issued in the year prior to their deaths.

How can Community Pharmacy Help?

• Cost effective preparations Dose optimisation Tablets and capsules Oral contraceptives Branded generics

• Waste ManagementOverordering

Any questions?

Practices and Pharmacists

• Karen ChappellEast Leake MustersCastle practice (new merged practice)

• Stacey SadlerBelvoir PracticeSt GeorgesWest bridgfordGamston Orchard, KegworthCastle practice

Practices and Pharmacists

• Gillian GookeyRadcliffe-on-TrentRuddington medical centreEast bridgfordCastle practice

• Sameena MirWorks across all

• Nayna ZuzarteKeyworth