💊PCN IIF vs DES SMR Priorities

🧐Some Unintended Consequences 🤔

(Sorry about the acronyms)

“
#SMR in #PCN should follow four high-level principles delivering:

▶️ Shared decision-making
▶️ Personalised Care
▶️ Safety
▶️ Effectiveness
“

🧵 Thread 1/12 #SMR should target 🎯 people with complex or problematic polypharmacy at greatest risk of med related harms, ergo those:

1️⃣ in care homes
2️⃣ with polypharmacy >=10 meds
3️⃣ on meds associated with errors
4️⃣ with severe frailty
5️⃣ on addictive pain meds

All agree so far?

🧵 2/12

I’ve long said a privilege of spending time with older people is hearing about their lives, these autobiographical stories can transform ones perception of an individual from frailty to one of admiration & awe -#BlackHistoryMonth has reminded me of such an encounter @nhs Over a period of several years I got to know a couple who would visit my pharmacy, we would talk and chat about the usual pleasantries, until one day the husband let slip about his ‘thing on’ at the Victoria and Albert Museum. I was then presented with a copy of ‘their book’ #BHM