ALISON HOGG

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FORGING PARTNERSHIPS IN INTER-PROFESSIONAL
EDUCATION Older Peoples Services
ALISON HOGG University of Derby
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CHRONIC DISEASE AND THE OLDER PERSON
75 of people over 75 years old suffer from one
or more chronic condition
As our population ages the incidence and
prevalence of chronic diseases will increase.
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POLYPHARMACY AND THE OLDER PERSON

• NSF for the Older Person highlights that 4 in 5
  persons over the age of 75 take one or more
  medicines with 36 per cent taking four or more

On average the elderly receive 3.4 drugs per
patient
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STRATEGIES
MULTI PROFESSIONAL WORKING
SUPPLEMENTARY PRESCRIBING
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MULTI PROFESSIONAL APPROACHES

• Nurse led clinics e.g diabetes, hypertension

• Pharmacists led clinics e.g heart failure
  clinics,
• anti coagulant clinics

• Pharmacist and nurse led clinics e.gs chronic
  pain clinics, rheumatology clinics, COPD clinics,
  
• CHD clinics

• The future? Multi professional clinics consisting
  of nurses, pharmacists, AHPs

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INTER PROFESSIONAL EDUCATION

• 3 Universities (Derby, Nottingham and Lincoln)
  working together to produce one inter
  professional programme to be delivered at the
  three Universities

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NURSES
PHARMACISTS
ALLIED HEALTH PROFESSIONALS
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NURSES
PHARMACISTS
AHPS
THE MANY SHIRTS OF A TRUE MULTIDISCIPLINARY TEAM
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WE AIMED TO INCORPORATE ALL OF THESE SHIRTS INTO
ONE WINNING RACE!
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Hurdles to Overcome
VALIDATION AND PROFESSIONAL BODIES
WORKING WITH OTHER UNIVERSITIES
PROFESSIONAL DIFFERENCES
TIME CONTRAINTS
FIT FOR PRACTICE
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? ACCREDITATION
? FLEXIBLE LEARNING
? SHARING OF BEST PRACTICE
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PRELIMINARY EVALUATION
CONTENT
PSYCHOLOGY OF PRESCRIBING AND INFLUENCING
FACTORS EVIDENCE BASED PRACTICE AND CLINICLA
GOVERNANCE CONSULTATION AND DECISION
MAKING PRESCRIBING IN A TEAM CONTEXT
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PRELIMINARY EVALUATION
LEARNING METHODS
PROBLEM BASED LEARNING CASE STUDY ANALYSIS
ROLE PLAY REFLECTION
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WHERE NEXT?

• 2 YEAR LONGITUDINAL STUDY TO IDENTIFY
• STUDENTS PERCEPTIONS OF IPE PRIOR TO AND
  FOLLOWING
• THE PROGRAMME
• ROLE CHANGE AND DEVLOPMENT OF PRESCRIBERS
• PATIENTS PERCEPTIONS OF NON MEDICLA PRESCRIBING

• BE READY FOR THE NEXT CHANGE IN LEGISLATION

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• Clinicians, services and commissioning in chronic
  disease management in the NHS. The need for
  coordinated management programmes. Report of a
  joint working party of the Royal College of
  Physicians of London, the Royal College of
  General Practitioners and the NHS Alliance 2004
• Improving Chronic Disease Management. Department
  of Health2004
• NHS Expert Patient Programme
• http//www.doh.gov/uk/cmo/progress/expertpatient/i
  ndex.htm
• NSF Older Person
• http//www.dh.gov.uk/PublicationsAndStatistics/Pub
  lications/PublicationsPolicyAndGuidance/fs/en
• Supplementary Prescribing Implementation
• http//www.dh.gov.uk/assetRoot/04/11/00/33/0411003
  3.pdf