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Chamber and committees

Audit Committee, 20 Sep 2005

Meeting date: Tuesday, September 20, 2005


Contents


“A Scottish prescription”

Time is of the essence, so let us move on to agenda item 5. I invite Caroline Gardner to brief us on the Audit Scotland report on medicines in hospitals.

Caroline Gardner (Audit Scotland):

Thank you. As Barbara Hurst said, "A Scottish prescription" is the second report that we published during the summer recess. We considered the arrangements that NHS boards and their operating divisions have in place to manage the use of medicines. In our work, we included financial management, risk management and how pharmacy services are provided. We also considered the roles of the Scottish Executive Health Department and a range of national organisations in providing support and advice to health boards.

Spending on medicines in hospitals is rising faster than overall NHS spending. Overall hospital running costs increased by 32 per cent in the four years up to 2003-04, but spending on medicines increased by 56 per cent over the same period. A real issue of cost pressures therefore arises.

Much of the increase is for good reasons: new medicines are available or new uses have been found for existing medicines. Also, people are living longer, with a range of conditions that can be treated. All of that is good news. However, it leads to pressure on the budgets of NHS boards—especially when considered alongside the other issues that the committee has been discussing this morning. In some cases, we found a lack of information about the likely cost pressures of new medicines. That lack of information makes it difficult for NHS boards to plan and manage their hospitals' medicines budgets. We also found that boards could do more to encourage cost-effective prescribing by doctors and nurses who work in hospitals.

The increasing number and complexity of medicines then mean that it is unrealistic to expect staff who prescribe them to have all the information at their fingertips. When writing prescriptions, staff therefore need easy and quick access to the whole range of guidance—national and local—on the right drugs to use in a particular circumstance, but that is not always the case. Even where guidance is in place, it might not be supported by good education and training or, indeed, by good clinical audit, to ensure that it is being used in practice as was intended.

I will move briefly on to pharmacists. Increasingly, pharmacists are working as part of multidisciplinary clinical teams in hospitals. They are able to provide specialist knowledge directly to prescribing doctors and nurses and can provide advice on the broader care of patients. However, not all hospitals and not all specialties have access to clinical pharmacy services on the ward, in some cases because of recruitment problems. That goes back to what we said earlier about ensuring that we recruit and retain the right staff. We found that the number of vacant posts for pharmacists is currently higher than the number of pharmacists in training posts, which indicates that there is a continuing problem. When we did the work there was no national planning approach for pharmacy staff.

A recurring theme for the committee is availability of information; the situation is no different for prescribing. There is a big gap in the information that is available on how medicines are used in hospitals. One of the main problems is the lack of an electronic record that can link what is prescribed to the patient and the condition from which they are suffering. There is also no national information that would let health boards benchmark use of medicines in their hospitals and thereby identify where improvements might be possible. We think that a national hospital electronic prescribing and medicines administration system would help. The Health Department is committed to progressing that, but it has not set a timescale or roll-out plan for it.

The report includes a number of recommendations for boards, the Health Department and the other organisations that are involved. The themes that run through them are encouragement of cost-effective prescribing and ensuring that staff who prescribe have easy access to information that they need, and improvement of the available information about how medicines are used. We plan to carry out a follow-up audit in a couple of years. I will stop there, but we are happy to answer any questions.

Mrs Mulligan:

I find the report really interesting, particularly given what has been said this morning about how improvements in medicines that are available can improve the quality of care, although on the other hand they generally seem to increase costs. It must be difficult for NHS boards to try to balance that in making predictions. When you were doing your work, were you aware of what advice was being given to patients about use of medicines? I am thinking in particular about patients who have been given a range of medicines without having been given much help with how to use them most effectively.

A number of people have told me that they have had problems with medicines; they have taken them back and the hospital or their GP has been able to offer them alternatives. Is any work being done to see whether there is a trend for a particular medicine, such as evidence that particular patients do not find a medicine suitable? That would reduce use of medicines that are not effective for some people. We seem all the time to add to the medicines that are available, but we do not seem to drop those that are perhaps not so effective. What kind of research is being carried out in that respect?

Caroline Gardner:

There is a lot in those questions. I will kick off and then ask Tricia Meldrum to follow up. First, on information that is available to patients, it is probably fair to say that, on the whole, less attention has been given to that in relation to patients in hospital than in relation to people who go to their GPs and receive primary care. That is partly because people tend to be in hospital for a fairly short time and prescribing for them turns over quite quickly—drugs are tried and changed quickly as the results are considered. It is also because, in general, patients in hospital are not responsible for self-administering medicines as they are at home. Tricia Meldrum might want to say more about that in a minute.

The second question was about how the health service is able to respond to information about whether patients get on or do not get on with a medicine. That is one of the things that an electronic prescribing system would be good for. At the moment, there is information about what medicines are prescribed and there is information about patients and their conditions, but there is no easy way of joining that up to see whether particular types of patient—older patients or women, for example—seem to do less well on a particular drug. That information eventually gets fed back in via research to the guidance that is available to prescribing staff, but that takes longer than if the two bits of information could be joined up more quickly and easily than happens in hospital.

Tricia Meldrum (Audit Scotland):

I will talk first about the advice that patients receive about medicines. As Caroline Gardner said, that subject has perhaps not received as much attention, but it was dealt with in "The Right Medicine: A Strategy for Pharmaceutical Care in Scotland", which was published a couple of years ago. That had several objectives and recommendations about ensuring that all patients in hospital received advice from a clinical pharmacist. That involves talking to patients about their medicines and ensuring that they understand what medicines they take and why they take them. As we went round hospitals, we saw work to implement those recommendations. As Caroline Gardner said in her briefing, not all hospitals or all specialties have a clinical pharmacy service, but when one is available, that is the source of such advice and support to patients.

"The Right Medicine" also contained recommendations and targets on introducing self-administration schemes for patients so that patients can take their own medicines when that is appropriate. That involves changes in the organisation of how medicines are supplied, ensuring that lockable lockers are by patients' bedsides and that they have their medicines, and educating patients to use their medicines. National and local work is being undertaken to develop those schemes.

As for medicines not working or producing unintended or unknown side-effects for patients, we have talked about the national reporting scheme to the Committee on Safety of Medicines. That is a UK scheme, but there is a centre in Edinburgh. All prescribers and staff who work with medicines are encouraged to fill in a report card whenever they encounter an adverse reaction to a medicine and to send that to the centre, which can collate the information, examine difficulties and give feedback.

That is interesting.

Susan Deacon:

The report sets out much that is interesting about sharing of information across boundaries, whether in primary care and hospitals generally or in emergency care settings. To what extent do cultural and attitudinal barriers to that continue to exist, or are we now overcoming the technical obstacles to full sharing? Historically, the former was fairly significant, because different professional groupings were unwilling to share data and so on. However, I sense that the world has moved on a bit. You will have a better sense of that than any of us—certainly better than I have.

Tricia Meldrum:

The experience of the audit was that issues related not to culture and attitudes but to the practicalities of sharing information. My impression is that there is willingness to share information and an appreciation of the importance of full information about what has happened in primary care when a patient enters hospital. People in hospital are very aware that it is not in a patient's best interests for that information not to return to primary care on discharge, in order to support continuity of care. I was aware not of cultural difficulties, but of difficulties just with the mechanics of conveying information to people.

Susan Deacon:

That is helpful. Do you have a sense—I use that word again—of whether such change and wider implementation of the national pharmaceutical strategy and so on have provided as much emphasis and impetus as have other forms of change and reform in the NHS?

Tricia Meldrum:

It varies—there is variation in whether the national pharmaceutical strategy is on NHS boards' agendas and in the level that it has reached on boards' agendas. One recommendation in our report concerns where pharmacy sits in organisations. Pharmacy involves big financial risks and big clinical risks to patients, but pharmacy managers may not be at the appropriate level in organisations to put such issues on the agenda and to explore them fully in order to ensure that board members and other senior managers are aware of the issues and how to follow them through.

What about within the health department?

Tricia Meldrum:

We talked about the national pharmaceutical strategy and we are aware that there is monitoring of the strategy, so there is something in place that is being followed up. We talked to the Health Department about information management and technology issues. There are some concerns there that although those issues are a priority there is not yet a project plan or any timescale. We want to see some action on that to get it moving forward.

The issue of timescales comes through time and again.

Margaret Smith:

We heard a bit about HEPMA this morning. Dr Woods said that there had been a pilot in Ayrshire—"for some time" was his phraseology—and that it was a complex issue. Do you share that view? Do you have any concerns that HEPMA will not be delivered because of its complexity? Do you have any general thoughts on it? It seems that it could be quite effective in picking up on some of the points in the report, but is taking time in coming to fruition.

Tricia Meldrum:

There are complexities. We went to Ayrshire and talked to managers there who had been involved in HEPMA. They were very clear on the various processes that have to be gone through and they were clear that it is not a quick fix. We talked earlier about culture, and about staff being signed up to the new way of working. However, there are also practical issues, such as having a national drug dictionary so that all systems are populated with the same information about medicines. That has been agreed only recently on a UK-wide basis.

There are issues to do with using the CHI number, which Kevin Woods mentioned, as the national identifier. That has to be in place before we will be in a position to roll out a national system. There are some practical stumbling blocks and some cultural issues. We accept that HEPMA is complex, but Ayr hospital has been progressing it and working with its suppliers for about the past seven years, with some support from the department. It can be done, so we are asking for more clarity about when that will happen nationally.

Mrs Mulligan:

I notice in the briefing a comment about a shortage of pharmacy staff, which I think Caroline Gardner also referred to. Did you get a sense that that issue had been recognised and that people are trying to address it, or is it something that we need to flag up and hear the department's response to?

Caroline Gardner:

When we carried out the work, there was no national workforce planning for pharmacy staff. It is probably fair to say that attention had been focused more on groups such as doctors and nurses, where the shortage was more apparent and had had a more immediate effect on patient care. Since the report has been published, the national workforce strategy has been published; it picks up on pharmacy staff as well. However, there are some long-term issues about getting the right number of staff with the right calibre of qualifications—as Tricia Meldrum described—on wards, with patients and as part of the clinical team. There is a catch-up job to be done.

Tricia Meldrum:

We should recognise what has been happening locally, where pharmacy managers have been looking quite hard at redesign. They have been considering whether pharmacy technicians can increasingly be given extended roles in order to free up pharmacist time so that pharmacists can do more clinical work. There is quite a lot of work going on at local level to identify the issues and to try to address them.

Those were all our questions on the report. We will deliberate on the report later. I thank Caroline Gardner and Tricia Meldrum for that full briefing on medicines and hospitals.