THE nonsteroidal anti-inflammatory drug (NSAID) care bundle, which was piloted in NHS highland as part of the Scottish Patient Safety Programme (SPSP), is being rolled out across pharmacies in Scotland to help minimise preventable harm from NSAIDs.
Evidence has shown that consistent delivery of a structured intervention (care bundle) can improve patient awareness of how to minimise the risks associated with NSAID treatment, such as gastrointestinal bleeds and kidney injury.
All community pharmacies will receive a quality improvement toolkit from Healthcare Improvement Scotland (HIS) in April 2018, which will contain an NSAID communication bundle and a range of quality improvement tools and guidance to support quality improvement in community pharmacies.
Jill Gilles, Portfolio Lead for Primary Care in Healthcare Improvement Scotland said “I’m delighted that Healthcare Improvement Scotland’s Improvement Hub (ihub) has been able to create and distribute the NSAID bundle to every Pharmacy in Scotland following on from the fantastic work in NHS Highland. We anticipate that the bundle will be distributed from the end of April onwards.”
The toolkit will enable pharmacy teams to:
- Deliver the bundle of three safety messages to all patients prescribed or purchasing NSAIDs during the period May 1 – September 30, 2018.
- Collect small samples of data about how consistently the messages are delivered throughout this period.
- Track improvement in the delivery of the three safety messages over time.
The activity is also designed to encourage internal quality improvement, but contractors will not be required to report the data collected nationally.
The three key safety messages that should be covered in the consultation with patients are:
- Has the patient been advised to take the NSAID with or after food?
- Has the patient been informed to report any potential adverse drug reactions to the pharmacist/and or prescriber.
- Has the patient been informed to stop the NSAID medication during periods of dehydrating illness (for example, sickness or diarrhoea)?
An NHS Education for Scotland (NES) webinar is available on Turas Learn to support pharmacy teams, as well as a face-to-face events.
The dates for the events are:
Highland — March 13
Grampian — March 20
Lothian — March 20
Forth Valley — March 21
Glasgow — March 21
Fife — March 27
Borders — March 28
Lanarkshire — April 17
Tayside — April 24
Ayrshire & Arran — May 16
Dumfries & Galloway — to be confirmed
All events can be booked through the NES portal.
Read the NHS circular here.