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Vol 279 No 7481 p640
8 December 2007

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Uniformity of enhanced services skills in NW England recognised

A group that has harmonised accreditation requirements for pharmacists to provide enhanced services across primary care trusts in the north west of England scooped an Acorn award for pharmacy at the NHS Alliance conference held in Manchester last month.

Acorn awards recognise innovation and service redesign at the frontline of primary care. The Harmonisation of Accreditation Group (HAG) has standardised PCT accreditation requirements for specific enhanced services with the aim of reducing obstacles to the continuity and timely provision of these services, therefore improving patient access. The English Pharmacy Board of the Royal Pharmaceutical Society has asked the group to explore extending the scheme to the rest of the country.

The runner up in the pharmacy category was the pharmacy team at East Sussex Downs and Weald PCT for their “Medicines at home” scheme. The scheme was set up in 2004 to reduce the number of patients being admitted to hospital or care homes because they could not manage their medicines. Patients can be referred to the scheme by any health or social care professional. Patients are visited at home by a member of the PCT’s assessment team.

Any clinical issues are subsequently discussed with their GP and medicines support issues are discussed with their community pharmacist, who then provides the required level of support and works closely with their GP to ensure that changes to medication are implemented.

Pharmacy staff were also successful in the clinical governance category of the awards. The medicines management group at Norfolk and Norwich University Hospital developed “Medications Briefing”, a quarterly newsletter, designed to reduce medicines-related incidents within the trust.

The newsletters are produced by the principal pharmacist in medicines management, in collaboration with consultants, specialist pharmacists and specialist nurses. They highlight themes from reported medication incidents for training and learning purposes, providing information on medication-related issues covering good nursing practice and prescribing advice.

Since the newsletters’ introduction the trust has seen a reduction in the number of incidents around the briefing topics, which have included methotrexate, vancomycin and missed doses.

Michael Dixon, chairman of the NHS Alliance, said: “These prestigious awards show how effective frontline primary care is in delivering care to NHS patients. They are about ‘on the ground’ activities which are making a real difference — and celebrate the successes of clinicians and managers alike.”

HAG A competencies and training framework for provision of a minor ailment service has been published by the HAG.

The framework outlines the purpose and design of suitable local training, which will allow accredited community pharmacists to be recognised by all PCTs in NHS North West.

Frameworks have already been developed for provision of emergency hormonal contraception, smoking cessation services, supervised consumption of prescribed medicines, and needle and syringe exchange services.

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