NHS England and the UK Health Security Agency have created a toolkit of resources to raise awareness of Urinary Tract Infection (UTI) prevention, symptom recognition and treatment which includes advice on how and when to seek help.
In partnership with GP practices, these teams support care homes with medication queries.
The MOCH team will also complete medication reviews for all permanent residents in care homes, including those residents who are new to a care home, recently discharged from hospital, or those who providers have concerns about. We will prioritise residents with increased rate of falls from multiple medications, residents with new swallowing difficulties, and residents with a new requirement for covert administration.
If you would like to use the services please contact your local MOCH team and they will respond within two working days.
• West Sussex Medicines Optimisation for Care Homes (MOCH) sc-tr.moch-westsussex@nhs.net (Monday to Friday 8-4pm excluding bank holidays).
Please note that you should not send patient sensitive information unless you have a secure email address.
Directory of Services (DoS) for community pharmacies
The opening times for local pharmacies can be accessed via this website. There is a contractual obligation that pharmacies keep this information up to date.
Locally Commission Service (LCS) for Palliative Care
The following pharmacies are part of the LCS for Palliative Care (end of life medication). These pharmacies should have in stock all medicines required to fulfil resident’s palliative care prescriptions.
Help and support for everyone to make the most out of being online and to improve their digital skills (for example accessing online resources, taking online training courses and using e-mail) is available from Barclays Digital Eagles.
Please visit the Barclays website for more information on Barclays Digital Eagles.
The Sussex Digital In-Reach Team provides a free platform on which Care Providers across Sussex can access free advice and support on technology, digitalisation and data protection. We are run by the care providers for the care providers.
Proxy Ordering
Using online health services has become more and more popular over the last few years, making communication between patients, carers, and healthcare professionals easier, faster and more convenient. Proxy access was developed to allow someone other than the patient to access and manage parts of their GP online services account. The proxy is given their own online access account (rather than using the patient’s login details).
Proxy ordering access enables care homes to order medication monthly and also order interim/acute prescriptions via the practice’s online portal. Using this portal provides care homes with an electronic audit trail of what medicines have been ordered. This removes the need to make copies of repeat slips prior to submission to the GP practice. Online ordering of medication has been shown to be less time consuming for care home staff.
To read about the benefits of proxy ordering, please access the "Evaluation and benefits page" on the NHS website.
For more information on online access for proxy ordering please see this information provided by NHS digital and these extensive resources available from the Digital Team: Sussex Digital In Reach Team, Digitising Social Care, and Digital Care Hub
Setting up Proxy Access to Ordering Medications for care home residents
NHS England and Improvement (NHS&I) are looking to support care homes, GP practices and community pharmacists in rolling out the ordering medications by proxy access – this is where care homes staff are able to order online repeat medication for their residents.
To support care homes to be able to order medication online on behalf of their residents, NHS England have produced an online guide. This guide explains the terminology, how proxy access works, a step-by-step process guide, and a list of downloadable resources.
Requests to set up Proxy Access should be directed to the Sussex Digital In Reach Team: Nada Wakeford, Project Manager nada@westsussexpartnersincare.org
Please note: In order to use proxy access, it is important that providers have completed their (Data Security and Protection Toolkit) DSPT. For more information see section below.
DSPT Sussex - support for providers across Sussex to complete the DSPT
The Data Security and Protection Toolkit is an online self-assessment tool that enables organisations to measure and publish their performance against the National Data Guardian's ten data security standards.
All adult social care services in England, including residential and nursing homes, supported living, homecare, extra care, shared lives and day services, are strongly recommended to complete the DSPT.
All organisations that have access to NHS patient data and systems must use this toolkit to provide assurance that they are practising good data security and that personal information is handled correctly.
For more information and guidance on the DPST including how to register, please visit the data security and protection toolkit page on the Digital Social Care website.
If you need support completing the DSPT, please contact the Sussex Digital In-Reach Team. They provide support via e-learning training session and via e-mail.
The CQC states that ‘a homely remedy is a medicinal preparation used to treat minor ailments; it is purchased over the counter and does not require a prescription. They are kept as stock in the care home to allow access to products that would commonly be available in any household’.
Having a robust Homely Remedy Policy in place ensures that residents have access to medicines to treat minor ailments. The Sussex ICS has published a comprehensive Self-Care Toolkit - Homely Remedies and Supporting Access to Self-Care to support care home staff with the implementation of Self-Care and Homely Remedies policies and procedures. The West Sussex Medicines Optimisation in Care Homes pharmacy team are also available to discuss implementation and help with training and troubleshooting.
In some circumstances, a best interest meeting may find that someone being supported in a care home or in their own home needs to have their medicines administered covertly.
Adults should not be given medicines covertly unless they have been assessed as lacking the mental capacity to make decisions about their health or medicines.
Care staff need to be aware of the Mental Capacity Act and its Code of Practice and the Deprivation of Liberty Safeguards to protect both the person and themselves. NICE have produced a quick guide to giving medicines covertly which you can download from their website.
The West Sussex Medicines Optimisation in Care Homes team can be contacted to obtain a master Covert Administration in care homes template documentation for documentation of the Mental Capacity assessments, best interests meetings, and pharmaceutical care planning.
University Hospitals Sussex and Surrey and Sussex Healthcare are all currently issuing patients discharged from hospital with 14 days supply of medication.
If you have a patient discharged into your care home from hospital or a new resident admitted to your home, please let your GP Surgery pharmacy team know, as they will ensure that these residents are prioritised for a medicines reconciliation review. As part of the review process, they will endeavour to align and synchronise the residents' medication so that it falls into the monthly cycle of the home. Any complex residents requiring a full structured medication review can then be referred on to the Medicines Optimisation for Care Homes (MOCH) team by the PCN teams.
If you have a resident admitted to hospital, please inform your community pharmacy team so that the person’s medication is not supplied with the monthly cycle.
NHS Sussex Integrated Care Board Medicines management team can be contacted for general advice around use of medications at sx-icb-wsx.mmt@nhs.net .
