About Shahid Gani
Shahid is one of two lead pharmacists working in North Central London (NCL) STP to deliver on the Medicines Efficiency Program (MEP). His role is to identify QIPP projects that have the potential to benefit the NCL health economy and then engage with the appropriate commissioners/providers to implement these across the patch. While initially his projects have had a financial saving focus, he is now working on digital projects to improve quality, innovation and productivity as outlined in the NHS Long Term Plan.
Shahid is working with UCLP to support clinical engagement and implementation of : TCAM (and PINCER).
Problem: It is recognised that adverse events tend to occur when patients move between care interfaces:
•Patients do not always fully understand how to take new medication
•Inadequate communication resulting in re-admissions
Community pharmacist who prepare medicines are unaware of patients’ admission and subsequent changes, leading to waste.
•Community pharmacists generally not included in communication between clinicians
Solution: Many of the points raised above could be improved through better communication. NHS Digital e-referral and PharmOutcomes have the potential to resolve these through:
• Allowing a two-way communication channel between community and hospital pharmacists
• Alerting community pharmacies of admissions/discharge
• Communicating changes to medication
• Communicating any supportive needs of the patients
• Requesting NMS, MUR and Healthy Living Advice services
Scale: NCL comprises:
• Five CCGs – Barnet, Camden, Enfield, Haringey and Islington.
• Approximately 1.44m residents
• 5 acute hospitals, 3 specialist hospitals, 3 providers of community services and 3 providers of mental health services
• 237 GP practices.
Desired impact: The project aims to:
• Reduced re-admissions
• Improved patient support following patient discharge
• Improved communication/relationship between hospital clinical teams, community pharmacists and GP practice pharmacists.
• Involvement of the community pharmacist in the medicines pathway
• Reduced waste of medicines
Progress to date: Whittington has shown some interest in being a pilot site with NHS digital, as have 2 other hospitals.
Once Shahid agreed to a pilot timeline, he plans to meet with all stakeholders to agree how this will be implemented.
After learning from the pilot, NCL STP will need to discuss the potential for further rollout, if seen to be beneficial. Shahid will also be working with UCLP to develop other sites, either with NHS digital or PharmacOutcomes. NCL STP have asked for this to be presented at the Planned Care Board in March to see how this can supported across the STP.