Update Training Claire Thomas Agenda 715pm Introduction 720pm Falls Prevention Service Evaluation 730pm Practice Scenarios 810pm Feedback and QampA Session 820pm Inhaler Check Service Evaluation ID: 485414
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Falls Prevention & Inhaler Service Update Training
Claire ThomasSlide2
Agenda7.15pm Introduction7.20pm Falls Prevention Service Evaluation
7.30pm Practice Scenarios8.10pm Feedback and Q&A Session 8.20pm Inhaler Check Service Evaluation
8.30pm Practice Scenarios 9.10pm Feedback and Q&A Session9.20pm Summary & CloseSlide3
Falls Service Experiences so far Please write down 3 things/key words you would like to share/address regarding your experiences so far of delivering the falls prevention service.Slide4
Falls Prevention Service EvaluationBackgroundService description
Aims & objectivesSlide5
Setting and MethodsSetting: 23 community pharmacies across Doncaster.
Methods: Audit of 414 consultations, analysis of 353 patient satisfaction questionnaires & a face-to-face meeting with a Falls Co-ordinator
. Analysis involved descriptive statistics & qualitative comments a thematic approach.Slide6
ResultsSlide7
ResultsSlide8
Results>50% of patients who had suffered a fragility
fracture were not prescribed bone-sparing medication37% reported compliance problemsMajority
of consultations resulted in interventions provided by the pharmacistFeedback from patients & Falls Co-ordinator was positive Slide9
Future Service Development
Extend service to include domiciliary consultations
Referral of patients presenting at A&E following a fall into the serviceIntroduce an element to the service to try & reduce the number of medicines being taken by patients Develop a community pharmacy osteoporosis screening serviceSlide10
Evaluation ConclusionPharmacists can successfully identify patients at risk, provide patient education and make appropriate referrals to the specialist falls clinic.
This new and unique service should
continue. Patient satisfaction with the service is high, it is supported by the specialist falls service and it is accessing patients who are not accessing other services. Slide11
Practice Scenario4 questions to discuss in groups5 mins
to agree group answer5 mins for debateSlide12
Feedback and Q&A“Support was amazing after poor service from DRI A&E. The pharmacy has done more to support my falls and reduce readmission to A&E which is for me a step in the right direction”
Falls Service Patient“The service is beneficial, it is accessing a group of patients that might not be accessing other services”. Falls Co-ordinator SFSSlide13
Additional ResourcesConsultation skills for pharmacy practice: taking a patient-centered approach. CPPEFalls: assessment and prevention in older people. NICE guideline 161 available at:
http://www.nice.org.uk/guidance/cg161Medicines and Falls in Hospital: Guidance Sheet available at:
https://www.rcplondon.ac.uk/sites/default/files/documents/medicines-and-falls2.pdfAge UK www.ageuk.org.ukSlide14
Inhaler Service Experiences so far Please write down 3 things/key words you would like to share/address regarding your experiences so far of delivering the falls prevention service.Slide15
Inhaler Check Service EvaluationBackgroundService description
Aims & ObjectivesSlide16
Setting and MethodsSetting: 29 community pharmacies across Doncaster.
Methods: Audit of 616 consultations and analysis of 577 patient satisfaction questionnaires. Audit and questionnaire results were analysed using descriptive statistics, qualitative comments using a thematic approach.Slide17
ResultsCost: £7561.50 8.6% of patients
unsure of their diagnosisMajority of patients prescribed a MDI
400 patients had an initial IR out of the target range for their deviceOver 98% of patients achieved target range by the end of their consultationSlide18
MDI Inspiration rate ResultsSlide19
MDI Use & Previous InstructionSlide20
Results cont.Condition Control: high
reports of regular preventer use. Almost half of patients needed to use their reliever inhaler once or twice daily or more.Interventions:
Most common intervention was inhaler instruction. Little need to contact the GP/practice nursePatient feedback: Extremely positiveSlide21
Future Service DevelopmentSupply of spacers with/without masks I
nclude full assessment of condition control (ACT/CAT)Follow-up consultations to monitor performance and outcomes
See patients after asthma attacks/exacerbations ?referral from A&ECOPD exacerbation managementSlide22
Evaluation ConclusionResults demonstrate the need for regular inhaler technique
checks Community pharmacists have a key role in improving inhaler technique, complying with current guidelinesThe service is beneficial to patients & the NHS; improving inhaler use can improve condition control improving quality of life, reducing hospital admissions & even deaths, funding should continueSlide23
Practice Scenarios4 questions to discuss in groups5 mins
to agree group answer5 mins for debateSlide24
Feedback and Q&A“Thought I was good using inhalers but learnt a lot from the pharmacist that will help me
” Inhaler Check Service Patient“Pharmacist was exceptionally helpful and explained everything in detail. This made me feel more confident
” Inhaler Check Service Patient Slide25
Additional ResourcesInhaler technique videos available at: https://wessexhiecpartnership.org.uk/wires/video-series/inhaler-technique
/COPD guidelines available at: http://www.nice.org.uk/guidance/CG101COPD learning resources available at:
http://www.thelearningpharmacy.com/content/learningtopics.aspAsthma guidelines available at:https://www.brit-thoracic.org.uk/guidelines-and-quality-standards/asthma-guideline/National review of asthma deaths available at: https://www.rcplondon.ac.uk/projects/national-review-asthma-deaths