A quality improvement (QI) project on Caroline Thorpe Ward has been recognised with a memorial prize from the Paul Lock Memorial Fund.
Congratulations to Madeline Poh, lead pharmacist women’s and children’s, whose QI project has successfully improved appropriate prescribing of medicines on the ward.
The QI project looked at the usage of FP10 prescriptions and was a joint effort between Madeline and Anita Chin, ward manager on Caroline Thorpe Ward.
An FP10 is an official prescription form that prescribers use to prescribe medications for patients – you would likely recognise this as the green form that your GP gives to you if they have prescribed something for you. In hospital, an FP10 should only be used out of hours (i.e. when hospital pharmacy is closed) and only when patients really need the medication but are unable to obtain it from the hospital pharmacy.
Through the project, every year around May, they carry out an audit of FP10 prescriptions used by children’s services in the last financial year (April to March). They look at trends in the medication being prescribed, including the reasons why these drugs were prescribed on FP10 and their cost.
After completing this audit, Madeline and Anita decided to increase the stock of drugs on the ward for out of hours use when pharmacy is closed. They introduced regularly prescribed items (mainly antibiotics) and increased awareness with staff about using FP10 appropriately.
By introducing this on the ward, prescribers were able to issue medication from ward stock rather than using an FP10 prescription. It costs the NHS more to use FP10 prescriptions, so this different way of working delivers the same care to patients but in a more economical way.
As a result of these changes, the prescribing of FP10 reduced by 40% between April 2018 and March 2019 compared to the previous financial year. This delivered a cost saving of just over £300.
Well done to Madeline and the team on Caroline Thorpe Ward for this achievement.
What is the Paul Lock Memorial Fund?
Dr Paul Lock was a junior doctor at NDDH and a GP trainee, who died at the age of 29 in 1998.
His parents, Chris and Gwen, set up the Paul Lock Memorial Fund in his memory, which aims to improve the care of children across northern Devon.
The fund provides support for paediatric activities that would otherwise be unavailable through NHS or other resources, such as training days on topics like eating disorders and motivational interviewing, and textbooks and manuals for the wards.
There is also an annual event to recognise achievement in the field of paediatrics and promote professionalism, which includes the awarding of memorial prizes to excellent projects that are improving care for our young patients.