Social Care Digital Innovation Accelerator

Medicine Support in Domiciliary Care

The Medicine Support in Domiciliary Care project is designed to tackle the complicated relationships that exist between patients, GPs, pharmacists, hospitals, carers and family members in terms of medicine management.

This Multi-Partner Domiciliary Care Medicine Support project has been driven by all involved with the primary purposes of reducing patient risk and improving care alongside the business case, efficiencies and savings that could be achieved. The project is based on the premise that a digital approach could offer significant improvements for people delivering and in receipt of care, resulting in reduced admissions to hospital and improved outcomes from their medicinal and care plans.

With a backdrop of increased digitalisation within prescription management and the NHS more widely, the Social Care Digital Innovation Accelerator 2019/20 run by CC2i on behalf of the Local Government Association and funded by NHS Digital has supported this project through a discovery and commercial discovery phase and will now complete with a Stakeholder Specification and commissioning video.

COVID-19 UPDATE

The Social Care Digital Innovation Board board agreed that the priority of this project has now increased in light of COVID-19. The importance of working on an agreed specification for medecine support in domiciliary care, is now of heightened importance in light of the pressures being put on health and care services and workforce.

CO-FUNDERS

DISCOVERY PHASE (Aug - Dec 2019)

The discovery phase began with a workshop which included the five collaborating councils, domiciliary care partners, the Institute of Public Care (IPC) and CC2i was led by digital meds management experts MED e-care. The day-long session raised many issues and difficulties currently experienced by councils and their health and care partners, and tried to surface their areas of ‘pain’, as well as identifying what they felt ‘good look like’.

Key areas of challenge and complexity were identified:

  • Medication Administration
  • Self Administration & Prompting
  • Medicine Administration Records (MAR Charts)
  • Medication Instructions & Dosage Times
  • Blister Packs versus Boxes & Bottles
  • Turnover of Staff & Training
  • Previous Digital Experiences/Trials
  • System Failure
  • Carer Rostering Systems 

Following on from the workshop a digital approach was outlined in terms of critical functionality and next steps and a discovery report published.

COMMERCIAL DISCOVERY PHASE (Jan - Feb 2020)

The initial discovery phase proved that there was a need and a will to further investigate a digital approach in this area. The Social Care Digital Innovation Programme Board agreed in January 2020 to move on to a focused ‘commercial discovery’ phase and further investigate this complex arena.

The commercial discovery phase assessed existing technology players in the market and engaged more widely with responsible bodies in the medicines management domain. There were five distinct work packages: 

  • WP1: Provider & technology review
  • WP2: Further develop the local authority (and partner) business case
  • WP3: Engage with key stakeholders and professional bodies 
  • WP4: Assess Local Authority & provider culture change challenges
  • WP5:  Assess wider local government appetite to develop a digital solution

STAKEHOLDER SPECIFICATION & BUSINESS CASE PHASE (March 2020 - July 2020)

The final phase of this project has delivered two key work packages which together it is hoped will drive this market forward by supporting both providers and commissioners. 

  • STAKEHOLDER SPECIFICATION

The Stakeholder Specification outlines the requirements of a holistic digital medicines’ solution for domiciliary care. The document has been peer reviewed by stakeholders across care providers, local government, pharmacies, service users, strategic and policy organisations including but not limited to e.g. PRSB, NHSx, NHSD, CQC, as well as a range of technical providers. 

Excerpt from the Stakeholder Specification Introduction: 

“Integration of digital technology into the delivery of domiciliary care will support changes to the way they operate and deliver value to clients, care organisations and councils. New digital-driven products are impacting on all industries, the data enabling reshaping, restructuring and creating value creation along with enhancing user experience. 

“Many parts of the social care system are becoming digitalised and significant efficiencies have already been proven by their use. However, although significant benefits of a digital system for medicines support have been identified, no commercially available software solution that currently exists was identified that can fully address the needs of the domiciliary care system. This document seeks to address this need and specify the requirements for a digital system that specifically directly supports the needs of the domiciliary care sector.”

The Stakeholder Specification will be submitted to the Social Care Digital Innovation Programme board in mid July where it will be signed off and then made available. 

  • LOCAL AUTHORITY & PARTNERS BUSINESS CASE

Following extensive efforts to locate data to support the creation of a business case tool, the local authorities steering the project suggested that a ‘pre-business case’ video be developed to help commissioners understand the challenge in terms of medicine management in domiciliary care. As such a short three minute video is currently in development – also due for release in July – which will support councils to make the case internally as well as with care providers and health partners, to invest in a digital approach to this complicated challenge. 

Please contact irene.zdziebko@cc2i.org.uk to request the Stakeholder Specification or the commissioning video or should you have any questions.

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