Meet the team
Medicines project Lead /Care Homes Pharmacist/Co-Chair
Guys and St Thomas NHS Foundation Trust/Croydon CCG/English Deprescribing Network
- England - London (South)
- Emma McClay Co-Chair EDeN and Medicines Optimisation Pharmacist Sunderland CCG
What is the challenge your project is going to address and how does it connect to your chosen theme?
The dramatic increase in people taking multiple medicines has led to initiatives such as DHSC’s Review into Overprescribing and WHO’s Global Patient Safety Challenge as increasing medicines use increases risk of harm. Perez et al (2018), found that 45-51% of older adults admitted to hospital were suffering potentially inappropriate prescribing. Deprescribing is a means by which to tackle this challenge. Guided by a person-centred approach and shared decision-making, it enables the safe and effective withdrawal of medicines that are no longer appropriate, beneficial or wanted.
The English Deprescribing Network (EDeN) is a national initiative (400 members) which brings together a range of healthcare professionals, researchers, policy makers and patients with an interest in promoting appropriate prescribing. Working across these professional, organisational and geographical boundaries a system wide cultural change can be driven forward to improve medicines use and safety.
What does your project aim to achieve?
EDeN is focussed on creating a network that allows people to connect, share and drive change. We understand that a key aspect to culture change and quality improvement is the need to focus on local solutions to problems. Communities of Practice (CoPs) have been associated with driving sustained improvements and spreading learning, innovation and good practice. We aim to facilitate the development of a community of CoPs across our network in order to address inappropriate polypharmacy and overprescribing in clinical practice and increase the available resources and evidence base.
Developing and facilitating a CoP can be challenging. 24 members of the network will be recruited as Conveners and supported through a leadership development programme. Developing valuable skills and supported to help the community to thrive and create the right environment to develop improvement capabilities across boundaries.
Personal narratives and knowledge transfer will be used to evaluate the project.
How will the project be delivered?
The Health Innovation Network has extensive experience in supporting CoPs. The grant will be used to commission their Leadership Development Programme for CoPs (5 one day modules followed by reflective webinars and individual leadership work with communities to help them to grow).
A selection process for conveners will be applied to ensure diverse geographical spread and a multi-professional group. Candidates must have organisational support and commit to convene at least 5 face to face community meetings during the course of the programme to fulfill the experiential learning aspect of the programme and to ensure a high chance of a return on investment.
The wider Academic Health Science Network has committed to help disseminate the knowledge and learning and to strengthen the impact and value of the communities. EDeN will provide a forum for discussions and assistance to spread their ideas and innovations. We will liaise with Q’s CoP group to work thorough any barriers that may arise.
What and how is your project going to share learning throughout?
We will capture the knowledge and learnings from the CoPs, sharing within our network via our online platform and via the Q community online groups on an ongoing basis and formally at the end of the project through the development of case studies and a project evaluation report.
By identifying enablers and barriers we hope to use EDeN’s influence to inform the national strategy so that the wider healthcare community and public can benefit from the learning that this project brings.
We are also keen to capture the learning that comes from reviewing the development of a community of CoPs. EDeN will have the unique opportunity to promote system leadership across the country and can evaluate how these local communities interact with each other to form a larger national community that grows organically.
Benefits for the communities and organisations involved will be ongoing, they will have the lived experience any learning can be transferred to address other ‘wicked’ problems faced they face.
How you can contribute
- Potential collaborators, especially people who have experience of convening communities of practice.
- Suggestions for measuring impact
- To promote our idea and act as a champion for this work
|17 Nov 2019||Applications for leadership programme opens|
|15 Dec 2019||Applications close and conveners recruited|
|15 Jan 2020||Community of Practice Leadership Programme begins|
|16 Jan 2020||Ongoing capturing and sharing of knowledge and innovations|
|30 Nov 2020||Community of Practice Leadership Programme finishes|
|10 Jan 2021||Sharing day to showcase learning|
|31 Jan 2021||Evaluation of project and communities of practice starts|
|31 Mar 2021||Final report circulated|