Target for SMR (HP231)

Target for SMR (HP231)

Purpose:
This protocol will:
  1. highlight patients who should be targeted for an SMR under the PCN DES for 2023/24

What does it actually do?

The protocol identifies the following patients:
  1. Those on high risk medications (NSAIDs), antiplatelet & anticoagulant combinations, or asthmatics on beta-blockers without actions taken
  2. Those with frailty
  3. Those in care homes
  4. Those on potentially addictive medication
  5. Those taking 10 or more medications

What does it look like?


Supporting CQC key areas

Safe
Medicines management
  • S2 How are risks to people who use services assessed, and their safety monitored and maintained?
  • S3 Are there reliable systems, processes and practices to ensure proper and safe handling of medicines?
  • S4 Do staff have all the information they need to deliver safe care and treatment to people who use services?
Effective
Assessing needs and delivering evidence-based treatment
Staff skills and knowledge
  • E1 Are people’s needs assessed and care and treatment delivered in line with current legislation, standards and evidence-based guidance to achieve effective outcomes?
  • E3 Do all staff have the skills, knowledge and experience to deliver effective care and treatment?
  • E4 How well do staff, teams and services within and across organisations work together to deliver effective care and treatment?
  • E5 How are people supported to live healthier lives and how does the service improve the health of its population?
Responsive
Person-centred care
Taking account of the needs of different people
Timely access to care and treatment
  • R1 Are services delivered to meet people’s needs?
  • R2 Do services take account of the needs of different people, including those in vulnerable circumstances?
  • R3 Can people access care and treatment in a timely way?
  • R5 Is consent to care and treatment always sought in line with legislation and guidance?
Well-led
  • W1 Is there the leadership capacity and capability to deliver high-quality, sustainable care?
  • W2 Is there a clear vision and credible strategy to deliver high-quality sustainable care to people who use services, and robust plans to deliver?
  • W3 Is there a culture of high-quality, sustainable care?
  • W4 Are there clear responsibilities, roles and systems of accountability to support good governance and management?
  • W5 Are there clear and effective processes for managing risks, issues and performance?
  • W6 Is robust and appropriate information being effectively processed and challenged?
  • W7 Are the people who use services, the public, staff and external partners engaged and involved to support high-quality sustainable services?
  • W8 Are there robust systems and processes for learning, continuous improvement and innovation? 

System Dependencies:

Relies on using the clinical system to code frailty and prescribe medications.

System Trigger
Document triggers here
System Trigger: Load a patient
Run mode: Always run 
Enable trigger for: All clinical prescribers

Fitting your practice

Your practice pharmacists need to know that this is available.



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