Optimal patient outcomes are obtained from choosing a medicine using best evidence e. National institute for health and care excellence 2015 medicines. Nice bites antimicrobial stewardship sps specialist pharmacy. Includes covid19 rapid guidelines and clinical guidelines. Nice clinical guidelines ng5 medicines optimisation. Medicines optimisation is defined as a personcentred approach to safe and effective medicines use. An integrated medicines management service imms was developed at a large general hospital in london to identify and manage patients at risk of a preventable medicinesrelated readmission pmrr to reduce the risk of pmrr. Review new diagnostic technologies for adoption in the nhs. Use this guide to find information resources related to medicines optimisation including books, reports and journal articles. Journal of medicines optimisation volume 1 issue 1 september 2015 aim of the jomo medicines optimisation is a person centred approach to safe and effective medicines use to ensure that people obtain the best possible outcomes from their medicines. For guidance on the transition from paediatric to adult services, see transitional services for chronic conditions in guidance on prescribing. Helping people to maximise the potential benefit of their medicines, while minimising the risk of harm, is the focus of new guidance issued by the national institute for health and care excellence nice.
For further information please check the medicines optimisation website. Acute kidney injury medication optimisation pro forma. Awmsg guidance 2014 and nhs scotland guidance 2015 on. Guidelines for medicines optimisation in patients with acute kidney injury 4 ensure appropriate information and advice is given on discharge.
Stakeholder consultation comments table medicines optimisation pdf 659. Nice medicines optimisation guideline nice guideline. Nhs england medicines optimisation prioritisation project. Nice guidance is prepared for the national health service in england. The rising cost of medicines to the nhs the kings fund. Evidencebased recommendations on medicines optimisation for the safe and effective. Helping patients to make the most of medicines the four guiding principles of medicines optimisation principle 1. Use this guide to find information resources related to medicines optimisation including.
National institute for health and care excellence nice 04 march 2015. Medicines optimisation is defined as a personcentred approach to safe and effective medicines use, to ensure people obtain the best possible outcomes from their medicines. The medicines optimisation strategy the how is how we plan to achieve our medicines management visions. Acute kidney injury medication optimisation pro forma 4 3. Medicines management subject guide royal college of nursing. See medicines optimisation shared decisionmaking about medicines 3 medicines reconciliation in an acute setting, accurately list all of the persons medicines including prescribed, overthe. We are grateful to the authors for shining a light on an area of care that deserves more attention. Medicines optimisation medicines guidance bnfc content. Medicines optimisation is promoted in a guideline published in 2015 by the national institute for health and care excellence. Guideline status this is the current release of the guideline. Medicines optimisation applies to people who may or may not take their medicines effectively. Offices in amsterdam and dublin, multidisciplinary staff of. Medicines optimisation, pop up uni, 9am, 3 september 2015. Aligned with the trusts vision, values, strategic objectives and culture.
Nice on medicines optimisation payne 2015 prescriber. Review clinical and cost effectiveness of new treatments. Medicines optimisation overview nice pathways bring together everything nice says on a topic in an interactive flowchart. This guideline updates and replaces recommendation 1. This is outlined below and also available as a pdf. National institute for health and care excellence uk. Sep 17, 2015 medicines optimisation is promoted in a guideline published in 2015 by the national institute for health and care excellence. The role of nice medicines and prescribing associates full. Care excellence nice definition of medicines optimisation and the four guiding principles developed by the royal pharmaceutical society great britain in 20, 14 the dhsspsni launched a. Integrated medicines management imm or medicines optimisation. Informed by the trusts clinical care strategy and national guidance. Nice have produced guidelines on medicines optimisation, medicines adherence, and multimorbidity. Four guiding principles underpin medicines optimisation. For the system, medicines optimisation ensures that prescribing is high quality, safe and good value.
Background medication contributes to 520% of hospital admissions, of which half are considered preventable. Pdf medicines optimisation outreach case management. It includes the administration of medicines, prescribing and supporting people to take their medicines correctly. Nice guidance, local formularies and these outcomes are. Endorsed nice clinical guidelines 20152016 department of. Dr keith ridge chief pharmaceutical officer nhs england 3. April 2015 3 background of the medicines optimisation dashboard the medicines optimisation dashboard, developed in collaboration with ccgs, trusts and the pharmaceutical industry, builds on the principles of medicines optimisation agreed by nhs england, the. Medicines optimisation uk clinical pharmacy association. Guidelines for medicines optimisation in patients with acute. Nice guideline on medicines optimisation covers 8 key areas where medicines use could be optimised opportunity to reduce preventable medicinesrelated patient safety incidents systems and processes can help to minimise harm involving people in decisions about their medicines is crucial there are many opportunities to do this.
National institute for health and care excellence nice. Nice medicines and prescribing associates support and promote high quality, safe, costeffective prescribing and medicines optimisation within their local area. To further support the implementation of the guiding principles, nhs england launched the prototype medicines optimisation dashboard 2014. This is outlined below and also available as pdf note. Medicines optimisation is defined by the nice guidance as a personcentred approach to safe and effective medicines use, to ensure people obtain the best possible outcomes from their medicines. From the icu to the ward from the ward to the gp and care home if required from the ward to the patient and their familycarers 2. How can you encourage medicines optimisation to improve management of atrial fibrillation. Providing medicines adherence support to areas of high deprivation in england. Four guiding principles are taken from the royal pharmaceutical society recommendations. Selection and decision support tools to manage the right drugs implemented mo system in northern ireland together with the nhs medicines optimisation innovation centre. Polypharmacy and medicines optimisation in publishing this paper, the fund hopes both to raise awareness of these issues and to offer practical guidance to clinicians and others in avoiding what the authors describe as problematic polypharmacy. These briefings have been developed for pharmacists.
Medicines optimisation medicines guidance bnf content. The safe and effective use of medicines to enable the best possible outcomes. Nice pathways are interactive and designed to be used online. Medicines optimisation in patients with longterm conditions. How can you encourage medicines optimisation to improve. Review the evidence across broad health and social care topics. National institute for health and clinical excellence nice ng 14 melanoma assessment and management hsc. I am delighted to welcome the latest update of medicines optimisation. Good practice in medicines optimisation should not be considered in isolation but in context of other, congruent guidance on medicines use such as shared decision making from government, nice and other professional bodies. Medicines optimisation royal pharmaceutical society. Good practice guidance for healthcare professionals in england in may 20. A biosimilar medicine is a biological medicine that is highly similar and clinically equivalent in terms of quality, safety, and efficacy to an existing biological medicine that has already been authorised in the european union known as the reference biological medicine or. Nice guideline on medicines optimisation covers 8 key areas where medicines use could be optimised opportunity to reduce preventable medicines related patient safety incidents systems and processes can help to minimise harm involving people in decisions about their medicines is crucial there are many opportunities to do this. Royal college of nursing 2020 medicines management.
Medicines optimisation chaired by heidi wright, practice and policy lead for england, royal pharmaceutical society 2. Hertfordshire medicines management committee hmmc july 2015 apixaban recommended name. For the system, medicines optimisation ensures that prescribing is. Good medicines management is an important part of most nursing and midwifery practice. Nice and nhs england prepare medicines optimisation guidance. A biosimilar medicine is a biological medicine that is highly similar and clinically equivalent in terms of quality, safety, and efficacy to an existing biological medicine that has already been authorised in the european union known as the reference biological medicine or originator medicine. Note this updates and replaces cg86 endorsed by doh in may 2012. Joy ogden speaks to practising associates to find out more about what they do and the rewards associated with the role. National institute for health and clinical excellence nice 2015 a. Medicines reconciliation, as defined by the institute for healthcare improvement, is the process of identifying an accurate list of a persons current medicines and comparing them with the current list in use, recognising any discrepancies, and documenting any changes, thereby resulting in a complete list of medicines, accurately communicated. This guideline covers safe and effective use of medicines in health and social care for people taking 1 or more medicines. Evidencebased recommendations on medicines optimisation for the safe and effective use of medicines. The dashboard aims to encourage clinical commissioning groups ccgs and trusts to think more about how well their patients are supported to use medicines and less about focusing on cost and volume of drugs.
Guideline development group members medicines optimisation. By its most basic definition, medicines optimisation is, in practice, making sure patients get the most from their medicines. Aim to understand the patients experience to ensure the best possible outcomes from medicines, there is an ongoing, open dialogue with the. Medicines optimisation the safe and effective use of medicines to enable the best possible outcomes issued. Find our resources or medicines guidance summaries. All medicines optimisation articles guidelines in practice. Northern ireland medicines optimisation scaling up. Table 1 the adult social care outcomes framework 201516.
Medicines optimisation the safe and effective use of medicines to enable the best possible outcomes london. Nice accepts no responsibility for the use of its content in this productpublication. Offices in amsterdam and dublin, multidisciplinary staff of hospital. Pdf medicines optimisation outreach case management clinics. Polypharmacy and medicines optimisation kings fund. Medicines optimisation, pop up uni, 9am, 3 september 2015 1. Medicines optimisation across comorbidies donal markey pharmacy advisor nhs england educational events renal scn. In this article, hayley berry complements the informationin the medicines optimisation briefing on atrial fibrillation. National institute for health and clinical excellence nice ng20 coeliac disease. Medicines adherence and replaces technical patient safety solutions for medicines reconciliation on admission of adults to hospital. For further guidance around communication between health professionals, children and their parentscarers, nice have produced a guideline on medicines optimisation see useful resources. Nice ng5 outlines how putting patients at the centre of decisions about their care can enable them to use the medicines they are prescribed safely and effectively, and to get the best possible outcomes from medicines. Personcentred medicines optimisation policy in england. These briefings have been developed for pharmacists and pharmacy teams working in great britain.