The National Diabetes Audit

The National Diabetes Audit is a key source of information which measures the effectiveness of diabetes healthcare against NICE clinical guidelines and quality standards, in England and Wales. It integrates data from both primary and secondary care sources making it the largest audit in the world and the most comprehensive audit of its kind. Participation in the NDA gives NHS organisations the opportunity to plan diabetes care in response to local needs and to look at local performance in comparison with similar organisations. The audit is supported by the National Clinical Director for Diabetes, Dr Jonathan Valabhji and the Royal College of General Practitioners.

The next submission is due to start on Tuesday 28th June and practices are encouraged to take part in this year’s submission.

A letter from John Goodall (Consultant in Public Health) provides more information about the results from previous years submissions, click here to read it.

A PDF version of the Blue Book being widely used across Wiltshire is available here.

Let’s work together to solve Wiltshire’s prescription problem

Alex Goddard, Deputy Head of Medicines Management

There are lots of people who, like me, like to stock up on the essentials; with a family of six, I’m never without baby wipes or a cupboard full of washing powder and I’m very keen to take full advantage of the supermarket buy one get one free deals. But, I also see this ‘just in-case’ attitude every single day in my job as Wiltshire Clinical Commissioning Group’s (CCG) Deputy Head of Medicines Management, when it comes to ordering repeat medication.

In Wiltshire, almost 1 in 4 people are on a repeat prescription. In fact, well over half (62%) of all prescriptions in Wiltshire are repeats and each month we dispense around 450,000 items on these prescriptions.

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However, we’ve found that 1 in every 15 repeat prescription items are not required because people already have stock. In other words that’s 360,000 items every year that aren’t needed. With each repeat prescription item costing Wiltshire £7.58, these unused medicines are wasting £2.7million every year. Just to put that into perspective, each of the following treatments also cost £2.7 million:

Wastage comparison

We’re dedicated to ensuring people have the right medication at the right time to help them stay well, however to continue to provide high quality health services in Wiltshire, we need your help:

Only order what you need

I know how comforting it can be to keep a stock of medication in the cupboard, for when you need it. However medicine does expire and your stock may be unusable by the time you get to it, or your prescription may have changed if a dose goes up or down. So when ordering your prescription, double check what items you already have and then only order what you need.

With most GP practices in Wiltshire now offering patients the choice to order repeat medication online or via email, it’s even easier to select just the items that you need at the time you need it.

Check your prescription before you take it home

When receiving your prescription from the Pharmacy/surgery, it’s easy to just pick up the bag and take it home without actually looking at what’s inside. Once you leave the Pharmacy/surgery we have to incinerate any medicine you return – even if it’s unopened. Each year in Wiltshire we spend around £42,000 to collect and incinerate unused medicine, and that doesn’t include the cost of the medicine! Quickly checking your prescription before you leave the Pharmacy could literally help us to save thousands of pounds.

Talk to your Pharmacist

Pharmacists are experts in medicine and can give you lots of advice and information about your prescription. If you’re:

  • not sure what a certain medicine is for
  • taking a different dose from what you’ve been prescribed

Have a chat with your Pharmacist; they may be able to carry out a medication review with you and make sure you are making the most of your prescriptions.

Who’s ordering for you?

Lots of people in Wiltshire have a friend, family member, carer, or pharmacy ordering their prescription. If you’re one of these people, have a chat with the person ordering your prescription and make sure they only order the medicines you need.

By working together and following these  simple tips, not only will we ensure that you continue to receive the right medication but it will also help us to save a considerable amount of money which will enable us to continue to provide high quality health services for the people of Wiltshire.

Find out more facts about Wiltshire’s repeat prescriptions in our infographic.

Jill Crook is appointed as our new Lay Member

We’d like to say a big welcome to Jill Crook who has been appointed as our new Lay Member responsible for nursing quality. Here’s a message from our Chair, Dr Peter Jenkins:

‘Taking over from Mary Monnington as our Registered Nurse – Lay Member, Jill Crook was successfully appointed to the position on 1 May 2016.

Jill brings with her a wealth of experience and knowledge within the commissioning environment drawn from some 14 years as Director of Nursing within various organisations, most recently with NHS England South.

Jill will be a voting member of our Governing Body and will assume responsibility for ensuring a clinical perspective on health and care issues continue to underpin the work of the CCG. Jill will also be instrumental in providing an essential nursing perspective into the discussions we have regarding service re-design, clinical pathways, system reform and 24/7 care.

Please join me in welcoming Jill to the CCG.’

Malmesbury Medical Partnership rated outstanding following inspection

A Wiltshire GP practice, Malmesbury Medical Partnership has been rated ‘Outstanding’ following a recent inspection on 3 March 2016, by the Care Quality Commission.

The practice, which looks after more than 15,000 patients, is awarded an outstanding rating for effective services, services that are responsive to people’s needs and services that are well-led. They are rated as good for safe and caring services and the practice is rated as outstanding overall.

For more information, click here.