newham ccg (nccg) nccg in collaboration with...

© Dynamic Advertising Group 2014 www.medicinewaste.com

Newham CCG (NCCG)

2014 Medicine Waste Campaign

NCCG in collaboration with Dynamic

Dr S Rahman, GP Prescribing Lead, NCCG

Bola Sotubo, Assistant Director Head of Medicines Management, NCCG

Maninder Kaur Singh, Senior Prescribing Advisor, NCCG

Wajid Qureshi, Senior Prescribing Advisor, NCCG


NCCG and Dynamic will be launching a campaign to raise awareness

of the costly issue of Medicine Waste on Monday 26th May 2014.

We hope that you will join us by working together to ensure efficient

use of NHS resources.

NCCG Medicine Waste campaign


A report by the Department of Health (2010) estimates that unused medicines

cost the NHS around £300 million every year, with an estimated £110 million

worth of medicine returned to pharmacies, £90 million worth of unused

prescriptions being stored in homes and £50 million worth of medicines disposed

of by Care Homes.

These startling figures don't even take into account the cost to patients' health if

medicines are not being correctly taken. If medicine is left unused, this could

lead to worsening symptoms and extra treatments that could have been avoided.

Insight


Insight cont…

The 2010 report also estimates a potential future saving of around £500 million

(of extra value) which could be generated in just five therapeutic areas alone:

• Asthma

• Diabetes

• high blood pressure

• vascular disease

• schizophrenia

While the report concluded that there are no ‘systemic failures’, feedback from

stakeholders, patient groups and research might suggest otherwise…..


Why are medicines wasted?

Sometimes patients receive medicines they don't actually use, or use only

occasionally. This means that they can lose out on the intended health benefits

of their prescription. The reasons why patients don't take all their medication

can vary and audits have shown that around half of all the medication returned

had not even been opened. This means that patients are ordering and receiving

medication that they don't even start to use.

By reducing the amount of medicines being wasted each year, we could

increase the available funding for other desperately needed health services.


Tackling the problem

The NHS has been tasked with making £20 bn of efficiency savings by 2015 while

‘continuing to defend and promote the highest levels of care’ in a tough economic climate.

Tackling medicine waste is an effective way of doing this. Prescribed medicines account for

a considerable percentage of the NHS budget. They are the most frequent healthcare

intervention and the NHS spends £13.8 billion per year on them.

The intention of this campaign is to change the attitudes and behaviours of people across

Newham by:

– encouraging and support better use of prescribed medicines

– reducing the amount of unused / partially used medicines and free up valuable

resources which can be invested in front line services

– improving patient safety


Doctors and Pharmacists

The support of healthcare professionals, such as GPs and Pharmacists and, of

course, practice, hospital and pharmacy staff who interact with the target group

(patients on repeat prescriptions) on a daily basis, is fundamental

Patients

Those primarily over the age of 55 who are on free repeat prescriptions and for

a variety of reasons, order some medicines they never actually use.

Carers / care workers

Carers who look after people who can’t collect their own medicines – includes

both professional carers and relatives – the majority are generally 40+

Stakeholders


Pharmacy Material Examples


Community Engagement

Three community engagement events will

be taking place during the campaign.

Two fully trained Medicine Waste

Community Engagement staff will be on

hand to raise awareness of medicine waste

and the safety risk implications directly with

the general public.

A semi-mobile display unit will be provided

which will be situated within pre-agreed

venues in NCCG area, once permissions

are granted.

The venue is to be confirmed in the next

week.


The Patient Evaluation

Each community pharmacy will

receive 20 patient questionnaires.

These help to inform NCCG of the

awareness and outreach the

medicine waste campaign had

with patients.

All questionnaires will be

anonymous.


Each community pharmacy will have the chance to enter a competition to win a luxury

hamper.

All this requires is for your pharmacy to create an eye catching display with the

materials and help communicate the key campaign messages:

– Only order what you need

– Wasted medicines are a safety risk

– Ask your pharmacists about your medicines

– Return wasted or unused medicines to your pharmacy for safe disposal

Entries should be in the form of a photo(s) of your display.

A poster will be sent as part of your material pack, with instruction about the hamper

competition.

Remember to have fun when creating your display.

The Hamper Competition


Previous campaigns


This online survey takes less than 5 minutes to complete and allows pharmacists the

opportunity to provide feedback on the campaign.

Please note: this survey is anonymous.

The link will be sent via email.

The community pharmacy evaluation


www.medicinewaste.com

The website will list all community pharmacies and GPs involved in the

campaign, information about the NCCG campaign and a press release.

http://www.medicinewaste.com/


We encourage all pharmacies with their own social media to engage with both NCCG

and medicine waste online. This includes questions, discussion points and images you

wish to share.

Social Media


Media outreach


Repeat Newsletter

Repeats are a great opportunity for your pharmacy to be featured in a e-publication sent to health

professionals across the UK.


Testimonials from previous campaigns

“The Dynamic Group provided a highly

professional service both in terms of

support and material. I would not

hesitate to recommend or utilize them

again for a further campaign.”

Jenny Pugh-Jones, Head of Pharmacy &

Medicines Management, Hywel Dda Health

Board (Ceredigion)

“We were provided with all we need to

launch, run and evaluate an eye

catching Reduce Wasted Medicines

campaign, it’s the complete package,

we were very pleased with it!”

Ruth Kent, Project Manager, NHS

Peterborough


“We would like to thank Dynamic for

their professional approach in organizing

the complete campaign. Everything was

delivered to the agreed plan and at a

very high standard. We would not

hesitate to recommend the campaign

again.”

Paul Breame, Assistant Director Medicines

Management and Pharmacy, NHS North

East Essex

“It would not have been possible to deliver such

a campaign ourselves, and the enthusiastic

support we received for the campaign from

community pharmacists and local GPs owes

much to the way it was efficiently managed

throughout by the Medicine Waste team.”

Nick Beavon, Chief Pharmacist, NHS Wandsworth

Testimonials cont…


“We were delighted with the

outcome. It was a very

worthwhile investment for us

and I would certainly

recommend it to other

PCTs”

David Oxley, Head of

Medicines Management – NHS

Doncaster

“NHS Norfolk has used Dynamic for two

successful campaigns in Norfolk. Drug wastage

has been recognized as a large problem and the

campaign raised public awareness to order ‘what

is needed not what is wanted’. I’d be happy to

recommend this company.”

Ian Small, Head of Prescribing, NHS Norfolk

Testimonials cont…


Evidence of Efficacy

West Wales:

All Local Health Boards who were part of the West Wales medicine waste campaign saw reductions

of up to 1% in items dispensed in the three month period following the campaign with the 0.5%

increase the national average over the same period.

Percentage Change in Items Dispensed (Dec-Feb09 vs Mar-May09)

-1.5

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Evidence of Efficacy Cont…

Grampian

Medicine Waste findings across Grampian show significant changes in attitude and behavior

when they ran two medicine waste campaigns across 2011 and 2013.

When asked how do you dispose of medicines that are left over?

69%

17%

7%

7%

Pharmacy

Thrown in the bin

Flush down thetoilet

2011

52%

33%

3%

3%

2% 2%

5% Don’t have any

Pharmacist

Thrown in bin

Flush down thetoiletLeave in cupboard

Other

Not answered

2013


Evidence of Efficacy Cont…

Suffolk

Suffolk PCT was consistently prescribing at a higher rate than the national average before running the

Medicine Waste campaign. However, this rate dropped to well below the national average during the

November 2007-January 2008 campaign period.

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