Thread by @KSSMSO

Up shortly!

@sarahbilling1on from @CQCProf on ‘How the Standards Fit with Systems Regulation’.

It’s been a long and interesting day and the tweet-threading is starting to go to pot, so do bear with...🤪

#SSHMeds

Sarah is Head of Medicines Optimisation at @CQCProf

#SSHMeds

MEDICINES!!

It is the thing, the healthcare intervention, that we do to everyone!

We can & do cause a LOT of harm with medicines!

We put a lot of effort into use of medicines, and often just don't get the outcomes we want!

#SSHMeds

Have you ever taken a medicine?

The only healthcare providers that @CQCProf does not regulate?

Community pharmacy!
Opticians!

#SSHMeds

Sarah's job?

WHAT ABOUT THE MEDICINES?

Putting medicines [medicines management, medicines optimisation] into everything health and social care.

#SSHMeds

Medicines are not just another widget!

Yes! Medicines ARE special and we MUST look after them!

#SSHMeds

(Lots of !!!! going on - it's the coffee)

#SSHMeds

KLOE time

Patients expect health and social care organisations (that's US) to be:

Safe
Effective
Caring
Responsive
Well-led

#SSHMeds

Why do we care about some OOD meds being found in a cupboard?

Because it's a litmus test of how the organisation thinks of/ treats these incredibly important MEDICINES. If you don't care about a few OOD meds, what else don't you care about?

#SSHMeds

A diagram...!

#SSHMeds

CQC's power comes from the Health & Social Care Act.

CQC cannot tell us how to do things

They CAN tell us that professional bodies have produced standards, and ask us whether we meet these standards and how; and if not, why not?

#SSHMeds

Health & Social Care Act
Regulation 12

"Medicines must be supplied in sufficient quantities, managed safely and administered appropriately to make sure people are safe"

#SSHMeds

I.e. Regulation 12, and everything to do with MEDICINES largely falls into the Safe KLOE.

And it can be difficult, especially for large, complex organisations, to achieve a GOOD rating in the Safe domain, because it's not easy!

#SSHMeds

BUT - lots of the other HSCA regs link to medicines.

E.g.

13 safeguarding
11 consent etc

[Can't find the lovely diagram via Google....will hunt it out later!]

#SSHMeds

If you are doing everything in the S&S guidelines, you will be able to provide good answers to many of CQCs Key Lines of Enquiry about medicines!

#SSHMeds

[e-mail]

...is the CQC inbox for medicines enquiries. Use it if you need it!

#SSHMeds

CQC goes beyond the S&S handling of meds and into the clinical aspects - e.g. how do you monitor patients who have received medicines, how do you interrogate records to ensure your patients are on the right medicines etc

#SSHMeds

CQC Independent Voice Report - what are the themes around meds from all the inspections they've done?
- BAD storage
- BAD stock lists (e.g. access to emergency meds)
- Governance - have you got the policies you need? Are they worth the paper?

#SSHMeds

- safety alerts - WHY have we still not got valproate right (for example)?
- staff training - have we trained our staff on the safe use of medicines - 9 out of 10 HCPs could not advise on correct use of inhalers???

#SSHMeds

Adult social care?

All services get better if a pharmacist goes in to review their practices. You need to have an expert reviewing what is going on.

#SSHMeds

Transfer of Care?
#TCAM

Getting patients home with the right medicines should be easy, but it so often goes wrong. WHY?

#SSHMeds

HOT SPOTS! Where are the S&S guidelines REALLY need?

✔️Emergency Care
✔️Theatres
✔️High-risk meds

Prev enforcement actions re: to meds?
- Not having right stock of meds for patient's needs
- blanket restrictions not allowing for patients' needs (unit policy to have ALL meds in liquid form with no allowances)
- Fridges [nuff said]
- Covert meds
- Rx pad storage

#SSHMeds