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 is 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. It 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 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. Now entering the final phase, the project has been led by five councils and their care partners to understand the challenges and opportunities within the current system.

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 is 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 engage 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

The Commercial Discovery report is now available to request please contact: irene.zdziebko@cc2i.org.uk

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

The final phase of this project will deliver two key work packages which together will help drive this market forward by supporting both providers and commissioners. 

  • Stakeholder Specification

During this phase a sector wide user group will be brought together to develop and agree a stakeholder specification. This will not only look at the technical standards that digital solutions in this domain should or need to meet, but also non-technical elements that will be critical to success. 

During the Commercial Discovery phase there was sector wide interest in working on a stakeholder specification to help solution providers to work to a standard and enable local government and partners to be able to compare solutions and make informed decisions. 

This work will progress with key stakeholders and providers from across the medicine management and domiciliary care sectors.

  • Local Authority & Partners Business Case

Additionally a work package to further develop the local authority business case to invest in digital solutions will be progressed. Working with engaged councils, analysts will unpick the financial and non-financial elements of a business case, to create a free to use product for councils who want to progress budgeting decisions in this domain. 

If you are interested, want more information or can help in either of these work packages please contact mickie.mecrow@cc2i.org.uk 

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