Medication review

This event will equip you with the knowledge, skills and confidence that you need to engage effectively in clinical medication review of your patients and their medicines. During the workshop you will apply evidence-based clinical medication review tools in a case study setting to make recommendations for rationalising medicines use. You will also have the opportunity to work with simulated patients and use your consultation skills to practise undertaking face-to-face clinical medication reviews.

#CPPEmedreview

Learning Objectives:

• describe how clinical medication review can improve patient outcomes
• develop a structured process for undertaking clinical medication review
• prioritise patients who are appropriate for clinical medication review
• use screening tools to identify medicines-related safety issues
• apply patient-centred consultation skills to establish a balance between clinical decision-making and patient expectations
• prepare and present prioritised, evidence-based recommendations for optimising medicine regimens
• develop an action plan for implementing clinical medication review in your practice.

This programme will help pharmacy teams to develop the confidence, competence and communication skills to work in partnership with patients and other healthcare professionals to enable patients to get the most from their multiple medicines.

#CPPEpolypharmacy

Learning Objectives:

• explain the terminology associated with polypharmacy and what it means for patients and the healthcare team
• identify the causes and consequences of polypharmacy, in particular in relation to older people and the wider NHS
• describe how polypharmacy fits with the medicines optimisation agenda
• identify how you could use decision-making tools and strategies to support your practice
• use effective communication and consultation skills to undertake patient-centred discussions
• develop your own approach, relevant to your area of practice, to support patients on multiple medicines
• identify the common medicines that cause problematic polypharmacy and patient hospital admissions
• prioritise, in conjunction with the patient, what interventions to make by taking a holistic approach to optimising patient care.

The overall aim of this course is to equip you with the knowledge, skills and behaviours that you need to develop a structured process for undertaking person-centred clinical medication review. It is suitable for pharmacy professionals working in any sector of practice particularly those working in community pharmacy or starting off in general practice or care homes.

Learning Objectives:

• describe the importance of shared decision-making and recognise its value in the clinical medication review process
• identify gaps in the information needed to undertake clinical medication review
• use evidence-based reference sources appropriately to support clinical decision-making
• demonstrate clinical knowledge of the most commonly used medicines in the treatment of long-term conditions
• develop an appropriate level of clinical judgment and skills to provide prioritised recommendations to a prescriber resulting from a clinical medication review.

This programme aims to help you to develop your knowledge and skills to improve your confidence and competence in working with patients and other health and social care professionals to enable patients to get the best possible outcomes when they are taking multiple medicines.

Learning Objectives:

• explain the terminology associated with polypharmacy and what it means for patients and the health and social care team
• list the causes and consequences of polypharmacy in relation to the patient, their carer and the wider NHS
• identify medicines that cause problems for patients with polypharmacy and triggers that may indicate that polypharmacy is problematic
• explain the main considerations when stopping a patient's medicines, what barriers might exist and how to overcome these
• describe how you could use decision-making tools and strategies to support your practice when consulting with patients on multiple medicines
• explain how you could undertake patient-centred discussions about polypharmacy with patients during a medication review or medicines use review
• work in partnership with the patient to prioritise interventions and agree referral strategies
• identify and apply suitable resources and tools to support you in identifying polypharmacy issues and solutions as part of your clinical judgement and experience
• describe the process of shared decision-making and recognise its value in supporting adherence in patients taking multiple medicines
• identify a change you could make to your practice to improve your approach to managing polypharmacy.

Enhancing the communication and consultation skills of pharmacists and pharmacy technicians has been identified as a priority by Health Education England. This downloadable programme forms part of the core learning for the Consultation skills for pharmacy practice programme.

Learning Objectives:

• explain the concept of patient-centred care
• describe the key communication and consultation skills and techniques required to conduct patient-centred care
• apply methods to assess your own practice and identify areas of improvement
• support patients, by using a patient-centred approach, to help them get the best from their medicines and/or in making healthy lifestyle choices
• further develop your practice by exploring tools and techniques, such as health coaching.

This guideline covers safe and effective use of medicines in health and social care for people taking 1 or more medicines.

This guideline covers optimising care for adults with multimorbidity (multiple long-term conditions) by reducing treatment burden (polypharmacy and multiple appointments) and unplanned care.

Pills is part of the Power of people, our award-winning series of short films about life-changing health care innovation.

Consultations with older people are commonplace in pharmacy practice, but increasing complexity around medicines and conditions can present challenges. Supporting the older person in making decisions around their medicines and health while promoting dignity and respect is a vital part of the role of every healthcare professional.

This workshop is part of the Consultation skills for pharmacy practice programme which you can access via the Consultation skills for pharmacy website. It will support you in adapting your consultation to the needs of the older person to ensure a patient-centred approach.

Learning Objectives:

• describe the issues that make the consultation with the older person different
• appreciate and respect the perspective of the older person when discussing their medicines and health
• describe the key skills and behaviours that are essential to ensure older people are considered with respect and dignity
• adopt the key practice standards that will support you in demonstrating a person-centred approach when consulting with older people
• complete a self-reflection form to support you in developing your practice.

In this programme you will consider what is different about consulting with people with mental health problems and how you can prepare for and approach these consultations so that people get the most benefit from them.

Learning Objectives:

• describe the mental health treatment gap and the importance of parity of esteem (valuing mental health equally with physical health)
• recognise the impact of stigma and discrimination experienced by those with mental health problems
• select the key national practice standards most applicable to pharmacy consultations with people with mental health problems
• reflect on your consultations with people experiencing mental health problems
• maximise the effectiveness of your consultations in this field by applying person-centred skills and behaviours
• identify possible risks in your consultations with people with mental health problems.

This e-assessment is linked with the practice standards for consultation skills and the CPPE consultation skills learning programmes.

Why should I do this assessment?

Completing this assessment will help you to check your progress and your ability to meet the competencies set out in the practice standards for consultation skills. Passing the assessment will provide assurance to you, your colleagues, other healthcare professionals and patients that you are able to recognise good practice, as well as practice that needs development.

Access and successful completion of this assessment will contribute to your own personal development plan, be recorded in your My CPPE record and will enable you to complete a CPD entry on the learning. It may also provide evidence for achieving competencies in the RPS Foundation or Advanced Pharmacy Frameworks. If you are working towards completing a Declaration of Competence for a pharmacy service, successful completion of this assessment will provide evidence of your learning.

This e-assessment is linked with the CPPE Polypharmacy focal point learning programme and assesses you on the learning objectives within that programme.

Why should I do this assessment?

Our Medicines safety app is aimed at professionals working in secondary care. It’s designed to be used by junior doctors, pharmacists, pharmacy technicians, nurses, non-medical prescribers and undergraduate trainees. The questions stimulate further learning, so it’s useful in group learning situations as a starting point for discussion on key safety issues. UK Medicines Information and the NHS England Patient Safety team have supported us in the development of this app. The app can be downloaded from iTunes and Google play.

This report proposes a pragmatic approach, offering the terms ‘appropriate’ and ‘problematic’ polypharmacy to help define when polypharmacy can be beneficial.