Derbyshire Medicines Management and Clinical Policies
Personalised Care
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Taking personalised approaches is a key approach to provide best care. Enabling choice, shared decision making and self-management supports this approach. Patient choice is designed to ensure that patients are aware of their options and can, where possible and appropriate, select providers and services that meet their individual needs. Shared Decision Making ensures that individuals are supported to make decisions that are right for them. It is a collaborative process that involves a person and their healthcare professional working together to: understand the care, treatment and support options available and the risks, benefits and consequences of those options and make a decision about a preferred course of action, based on evidence-based, good quality information and their personal preferences. Supported self-management means increasing the knowledge, skills and confidence a person has in managing and understanding their own health and care. In practise this means prompting people to ask questions such as: What are my options? What are the possible benefits and risks of those options? How can we make a decision together that is right for me? Information should be given in a health literate manner, using techniques such as ‘Chunk and check’ to break down information into smaller, more manageable chunks and using ‘Teach back’ as way to confirm that the information provided is being understood. This is more than saying 'do you understand?' and is a check of how well things have been explained and understood. Further information about offering choice, shared decision making and supporting self care can be found here: NICE: Shared decision making guidance NHS England » Supported self-management NHS England » Enabling people to make informed health decisions Health literacy matters infographic |
Prescribing guidelines and recommendations are approved and ratified by the Joint Area Prescribing Committee. Members include primary and secondary care clinicians, representatives from commissioner and provider organisations and other stakeholders, working together to develop a consistent health community approach to medicines management. This committee has a wide remit around formulary management and clinical guidelines, but also considers the implementation of NICE guidance and manages the introduction of medicines and some prescribable medical devices across a health economy.
The Derbyshire JAPC have developed an abridged version of the most commonly prescribed formulary medicines in primary care:
BNF Chapter Appendices
End of Life Resources
Resources for medicine queries
