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Patient Participation 2nd Year 2012-2013.

Patient Participation 2nd Year 2012-2013.

Topic, Prescriptions

 

 

This is the Second year of the Patient participation service, devised by the Department of Health. The topic for the second year was “Prescriptions".

Below are the survey results and the action plan created. The action plan has been appended with its progression with actions and review points where relevant (in Red). This “cut down”report has been created to reduce computer space taken on this Web Site

The full report is available from the Practice Manager

 

SURVEY RESULTS

 

Prescriptions Survey -

Total surveys : 297

Question

Answer

n

%

Do you use the practice Repeat Presciption ordering system?

Yes

239

80%

No

58

19%

Do you think patients our Repeat Prescription system is easy to understand?

Yes

223

75%

No

5

2%

Don't know

3

1%

Does the Repeat Prescription system work well for you?

Yes

218

73%

No

9

3%

We process repeat prescriptions in 2 working day

Is this about right

185

62%

2 days is too long

35

12%

No opinion

5

2%

If it is not right, how long do you think it should take?

1 Day

30

10%

3 Days

4

1%

4 Days

0

0%

No opinion

5

2%

Did you know that you can get your repeat prescriptions by

Post

76

26%

Practice website

80

27%

Repeat prescription box at the surgery

201

68%

Fax

35

12%

Not aware of any of these

24

8%

Do you have more than one item on Request?

Yes

204

69%

No

19

6%

If you have more than one item of repeat medication, do you find your supplies of drugs run out at the same time?

Yes

86

29%

No

113

38%

Not applicable

3

1%

If they do not run out at the same time, is this a problem to you?

Yes

34

11%

No

88

29%

Not applicable

5

2%

Have you ever found some of your drugs or items begin to stockpile at your home?

Yes

36

12%

No

185

62%

When you receive your repeat prescription paper from the surgery, it is usually correct?

Always Correct

146

49%

Usually correct

65

22%

Some errors

5

2%

Quite often wrong

3

1%

Ordering prescriptions; which best sums up your experience?

I order directly with Chemist. We discuss each item and what I need

60

20%

I order directly with a Chemist. I get each item every time, we don't discuss what stock I have

64

21%

I don't order directly with the Chemist

99

33%

 

 

ACTION PLAN

 

First drawn up/published March 2013. With updates in Red

 

 

 

INFLUENCE

 

Action

Method of Implementation

When to implement

Resource Implications

Method of review

Publicise

 

Ordering methods available

On-line- website

Post

Fax

Prescription box in waiting room

 

Service available from local Pharmacists

 

Request Doctor for Medication synchronisation

 

Patients taking responsibility for stocks build ups

Newsletter. Publicise ways of ordering repeat prescriptions

A regular feature/article to be inserted in our practice newsletter

Next published newsletter (Spring 2013)

Inserted Summer 2013 & Spring 2014

Can be easily included within the newsletter articles

None needed but 6 monthly re-insert.

Reflective discussion at clinical meeting December 2013 judged this a success

Website Publicise ways of ordering repeat prescriptions

Include as a regular item. Additionally use the “news splash”

Start in April 2013 with “news splash” at 1 week every other month

Website "newsflash" May 2013 & July 2013 & Sep 2013

Little, practice staff to publish and necessary proof reading

 

 

 

Will be reviewed for impact at each insert

Has proved difficult to assess.  Simple to do & good for times of no news.

Judged successful.  Clinical meeting December 2013.

Waiting room poster s publicising

-Ordering methods

-Using pharmacist to help

-Talk to Dr about medication timings

-Check on Home stocks

 

 

Clearly worded poster advising /publicising

March/April after creating poster

 

Poster created Summer 2013

Simply designed poster can easily be produced

Alternate monthly

Sucessful

Works by being "fresh" on each display

 

 

 

ACTION - GENERAL

 

Action

Method of Implementation

When to implement

Resource Implications

Method of review

Stockpiling

Share our findings with Local Chemists

Provide report to our local Pharmacist

April 2013   

Done Apr 13

Easily done. Provides additional opportunity to strengthen links

 

Not applicable

Ordering Methods

Provide additional publicity for prescription order & delivery services

Liaise with local pharmacists & discuss feasibility of short publicity drives

When we have reached general agreement

 

Attaching a flyer to prescriptions collected from reception.

 

Turnaround Time

Remain sensitive to patients emergency situations

Continue to treat unexpected running out of medication sympathetically

Ongoing

Receptionists will always take full details and liaise with doctors when emergency replenishment is requested

Assessed by clinical meeting December 2013.  No negative patient feedback.  Any practice change would be problematical.  Reviewed again at clinical meeting Dec 2014.  Judged minimal benefits.

 

 

ACTION - SPECIFIC

 

Action

Method of Implementation

When to implement

Resource Implications

Method of review

Synchronisation

Doctors to adjust multi medication synchronisation

Doctors will opportunistically discuss with patient on all occasions within time constraints

From April 2013

Has been on-going.

May place extra strain on consultation within time slot

See assessment

New medication review system implemented  Jan 2014         Reassess June 14

 

 

Synchronisation

At Medication reviews. Doctors to adjust multi medication synchronisation

Doctors will always consider & discuss with patient. Adjust appropriately

March 2013

Non extra

New TELEPHONE medication review system implemented Feb 2014

 

Re-assess June 14            Reviewed at clinical meeting Dec 2014.  Now judged too time consuming.

Ordering Methods

Target patients collecting repeat prescriptions. Raise awareness particularly on-line website ordering

Note attached to all repeat prescriptions for collection at surgery

At quarterly intervals – for 2 weeks

 

 

Has been run for 2 two week periods.  May 13 & Jan 14

Further "drive" Nov 2014

Will take additional admin and reception resources which can be absorbed for 2 weeks at a time

See assessment

Tangible increase in patients registering after each "drive"  

 

Again - good take up.

Electronic Prescription service

Practice will elect to be involved at an early stage when this new service begins locally

No paper prescription. Patient elects Pharmacy, Prescription electronically transmitted to Chemist for collection

Is in pilot phase at one local Practice. Projected to be available Autumn 2013

Project (nationally driven) has been put back to Spring 2014 Implemented Summer 2015

 

Reduced visit benefit to patients but new system - needs assessment

 

 

 

 

ASSESSMENT

Synchronisation

Benchmark level of patient satisfaction

Assess the success of our actions

Conduct short patient survey

 

Survey 6 months apart

First survey performed Feb 2014

Second survey performed Jan 2015

Ordering Methods

Benchmark level of patient satisfaction

Assess the success of our actions

Conduct short patient survey

 

Survey 6 months apart

First survey performed Feb 2014

Second survey performed  Jan 2015

Unused Medication Stocks

Benchmark level of patient satisfaction

Assess the success of our actions

Conduct short patient survey

 

Survey 6 months apart

First survey performed Feb 2014

Second survey performed Jan 2015

Electronic Prescription service

Benchmark level of patient satisfaction

 

 

 

Survey 6 months after implementation

(Jan 2013)  Not yet started.  Local support systems not fully ready

Implemented Summer 2014.  Survey set for May 2015.

 

 

 

Assessment Survey of Awareness – to see if action plan has had an impact.

February 2014

Percentage responses

Do you use the practice Repeat Prescription ordering system

Yes -100%

NO - Nil

 

 

If you have more than one item of repeat medication, do you find your supplies of drugs run out at the same time

YES – 25%

NO – 38%

 

 

If they do not run out at the same time, is this a problem to you

YES- 13%

NO – 50%

 

Not applicable -13%

Have you ever found some of your drugs or items begin to stockpile at your home

YES - Nil

No – 100%

 

 

Did you know that you can get your repeat prescriptions by

POST -25%

WEB SITE – 63%

BOX in Surgery – 75%

FAX - NIL

 

 

Assessment Survey of Awareness – to see if action plan has had an impact.

January 2015

Percentage responses

Do you use the practice Repeat Prescription ordering system

Yes - 94%

NO – 6%

 

 

If you have more than one item of repeat medication, do you find your supplies of drugs run out at the same time

YES – 37%

NO – 44%

 

 

If they do not run out at the same time, is this a problem to you

YES- 14%

NO – 55%

 

Not applicable -22%

Have you ever found some of your drugs or items begin to stockpile at your home

YES - *5

No – 92%

 

 

Did you know that you can get your repeat prescriptions by

POST -22%

WEB SITE – 71%

BOX in Surgery – 80%

FAX - NIL

 

 

 

 



 
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