Innovating works…
…improving work & workplaces
Stakeholder Event 1
Workplace Innovation in SMEs
20 August 2014
1
Innovating works....
...improving work and workplaces
“Improving patient care through
large scale automation and
developing our workforce”
Norman Lannigan
Pharmacy and Prescribing Support Unit
Hospital pharmacy – what is it?
• Right medicine
• Right patient
• Right time
Helping patients get the best outcome
from their medicines
• Patients individual
needs
• Multiple illness
• Complex
therapies
• Team approach
• Supporting
patients to take
medicines
Traditional pharmacy functions
• Medicines
procurement
• Supply
/dispensing
• Manufacture of
bespoke
formulations
The issues
• Patient safety in
hospital
• Efficient use of
medicines
• Personalisation of
therapy
• Releasing time to
care
• Flow of patients
through hospital
We have a problem
• Pharmacy is part of the solution
A modern pharmacy service for a
super modern hospital
• Improve patient
outcomes, safety
and choice in their
treatment with
medicines
• Improve patient flow
through providing
medicines at the
patients bedside
Potential for improvement
• Well trained
workforce with
under used skills
• Motivated to do
better for patients
• New technology
developmentsrobotics
Redesign of Hospital Pharmacy
Services
• Consolidation and
Centralisation
• Technology – IT and
Robotics
• Re-Deployment of
skills to front line
clinical roles
• Integration of staff in
to ward based
teams
Backing from the Health Board
• £3.25m investment over
three years
 £1m IT (50% Pharmacy /
50% Infrastructure)
 £1.6m automated
distribution centre
 £0.4m Automated
dispensaries
 £250k training (nonrecurring)
• Focus on changing roles
to near patient duties
Brings Own Meds
PPSU In-Patient Medicines
Management
Ward
Medicine
Cupboard
Hospital
Dispensary
Takes Home Meds
POD Locker
Dispensary Order
Ward Order
GG&C
DC
“Making the Most of Your
Medicines (MMyM)”
• Re-Design of in-patient
medication systems
• Drug administration as
a care episode not a
task
• Uses patients own
medicines and
facilitates self
administration by
patients
• Reduces need for
discharge prescriptions
• Care shared with
community pharmacists
Making the most of
Your Medicines
“Taking Pharmacy
expertise closer to
the patient and the
multidisciplinary
team”
Achievements
• Worlds largest
automated hospital
pharmacy service in
“business as usual”
• Changed roles of >700
staff
• Access to clinical
pharmacist 60%-95%
• MMyM service 33%97%
• £3m efficiency savings
• £1.5m medicines
waste reduction
The journey
• Free Pharmacists to
undertake clinical role
• Pharmacy Technicians
-responsibility for
medicines supply
• Up skill pharmacy
assistants
• Centralisation
• Robotics / IT
Pharmacist highly trained professional
• Primary masters- four
years
• Pre-registration
apprenticeship –one
year
• 75% with double
masters qualification
• More than supervision
of supply
• Role stretch and job
satisfaction
Pharmacy Technician Highly Trained
Professional
• Two years college
day release- SVQ3
• Professional
registration
• Post qualification
award “designated
checking technician”
• Final release and
supervision of
medicines supply /
dispensing
Pharmacy Assistants
• “Everyone needs
a Robert”
• SVQ 2 training
• Back office to
front line
• Highly valued
• Chairman’s award
Automation, centralisation, better use of
existing skills, training and development
• 41 staff for MMyM service
• 10 pharmacists released
from traditional roles
• Enabled development of
patient facing services to
address NHS priorities of
safe, patient centred,
effective and efficient
care
Lessons learned!
• Its the people stupid!
Technology is merely a
means to an end and
will let you down
• Communicate,
Communicate then
Communicate again
• Train and developpeople want a
challenge
• Measurement and
feedback
Working in partnership with
our staff!
Any Questions?
Innovating works…
…improving work & workplaces
• Issues for roundtable discussion
What are the key challenges facing your business/industry?
Is innovation a potential way of addressing these challenges?
What are the main obstacles/barriers to innovation?
In your experience, where innovating works, what factors
support successful innovation?
What engagement do you have with the academic and policy
community on innovation – and what engagement would be
helpful?
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