the changing role of atos in pharmacy - sps...the changing role of atos in pharmacy calderdale &...

The Changing Role of ATOs in Pharmacy

Calderdale & Huddersfield NHS Foundation Trust

Anita Hill, Medication Safety Officer

Anita.hill@cht.nhs.uk

The Start of Our Journey

• To set the scene about the Trust and Pharmacy Service

• Challenges for Pharmacy

• Our response

• Initial Impact

Patient

Domestic Support

Pharmacy Assistant technical Officer

Procurement Team

Pharmacy Technician

Admin Support

Pharmacist

Challenges for Pharmacy

Managing Finances and Reducing Costs

Effective & Efficient Services

Supporting Patient Safety

What problems might you expect to find?

What We Found

Untidy Storage areas

Unsecure medicines (left out, unlocked cupboards, drawers)

Failures with monitoring of cold storage

Expired Medicine

Excess Stock holding

Temporary stock retained

Missed Doses

Delays with medicine administration

Disposal of Medicines by wrong route/inappropriate disposal

Record Sheet Transfer Bin Return

Ward Medicin

e

Qty Cost Medi

cine

Qty Cost Medici

ne

Qty Cost

TRANSFER £ BIN £ RETURN £

Identified Cost (£ )

Value (£) of Medicines

Medicine Not Transferred or Discharged with Patient 717

Expired Stock 6.30

Incorrectly Stored 3.86

Medicines Inappropriately discarded in waste 72.31

Non –Financial Impact of ATO Role

Medicines available were all within date

For patients still admitted medicines taken to the clinical area to avoid missed and delayed doses and repeat dispensing

Checks on monitoring of cold storage with support and action to resolve issues

Stock orders checked and unpacked releasing ward staff for other duties

Stock & temporary stock unpacked promptly and stored correctly and tidily, making easier to find medicines with medicines stored appropriately

Urgent requests fast tracked (Inpatient/discharge), with support with ordering dispensing and transport of medicines

Support to improve waste management of medicines

Medicine Returns to Pharmacy processed more timely

Missed/Delayed Doses

Missed Doses Monitoring

Not Available

Issue Number

Not Administered 205

Wrong Strength 106

CD Breach of Policy 96

Wrong drug 76

Wrong frequency 54

Datix medicine Reports 2015/16

In Summary …

Role

Benefit

Training

Any Questions?