Care Home Resource Hub
This page hosts local and national resources to support care homes to deliver medicines optimisation.
Resources on this page will support care homes to implement the recommendations within NICE SC1 – Managing Medicines in Care Homes. See baseline assessment tool which can be populated and used to assess current adherence and help to address any potential opportunities to improve care.
Ordering and receiving medicines
- Monthly ordering process - review April 2021
- Electronic Prescription Service (EPS) - review April 2021
- Lancing devices - under review
- Guide to Eye Drop Quantities – review September 2020
- PrescQIPP – How to manage insulin supplies
End of Life (EOL) / Palliative care medication
- Stock issues - If your local pharmacy does not have EOL medicines in stock these pharmacies have been commissioned to keep the following medicines in stock. See link for information on suggested flow of how to access end of life medicines in the community.
Accessing Subcutaneous fluid for your residents - review June 2022
- Expiry dates- review March 2021
- Storage of medicines in hot weather – review June 2025
- SPS - Which medicines could cause problems for patients during a heatwave
Medicines administration support (See SPS for more information /resources)
- Covert administration of medication;
- PRN when required medication - review April 2022
- Videos on how to use inhalers
- UKMi - What are the therapeutic options for adult patients unable to take solid oral dosage forms?
- Management of Thickening Agents (Poster) – review November 2021
- Body chart
- Body Chart for Patches
Disposal of medicines and waste reduction
- Cytotoxic and cytostatic drugs disposal - under review
General guidance/resources to support medicines optimisation
- Acute Prescriptions - review April 2021
- Bulk prescribing- review April 2022
- Homely remedies- review April 2022
- Pro-forma for Prescriber Amendments to Medication – review September 2021
- Transcribing medication details onto MAR charts - review October 2015
- Self Care – NHSE have produced ‘Guidance on conditions for which over the counter items should not routinely be prescribed in primary care’ and there is guidance for how to aid implementation for people living in care homes.
Condition specific resources;
- Anticoagulant therapy (warfarin) in the care home setting - review May 2021
- Warfarin quick reference guide - review March 2021
- Pain relief and illicit substances
- Illicit substances - review date March 2021
- Opioid patch (fentanyl and buprenorphine) guidance - review date March 2021
- Skin/wound care
- Medi Derma Pro Instructions for use
- Medi Derma S Instructions for Use
- Moisture Associated Skin Damage (MASD) Pathway
- Nutritional support
- Antipsychotics in people living with dementia (NICE KTT7)
- A person living with dementia should only try an antipsychotic if they are at risk of harming themselves or others, or if they are severely distressed. The antipsychotic should be tried alongside other activities to try to help their distress. Environmental and clinical causes to distress should be ruled out. Non-pharmacological support should be offered as initial and ongoing management and continued need for antipsychotic reviewed regularly. See link for other useful resources.
- Stopping the Over Medication in People with Learning Disabilities, autism or both (STOMPwLD)
- STOMP is a national project involving many different organisations who are helping to stop the over use of psychotropic medicines. See link for resources and to sign up to pledge to support STOMP
Training and education
PrescQIPP are a Community Interest Company (a type of social enterprise) who operate on a not for profit basis for the benefit of NHS patients, commissioners and organisations. Sheffield CCG subscribes to PrescQIPP and commissions their care home training resource. This allows all Sheffield care home staff free access to their e-learning packages ‘Medicines Use in Care Homes’. The first and second of these are designed for care home staff involved in any aspect of medicines use; the third is for all care home staff involved in the administration of medicines. Each package takes 2 to 2.5 hours to complete but are designed to be completed in stages and not finished in one sitting.
In order to access the e-learning resources you need to be registered with PrescQIPP – sign up or log in here
Specialist pharmacy services (SPS) have developed a number of resources to support medicines optimisation in care homes. They also host other national resources and share ‘good practice’.
Medicines information - Advice and Support
Local pharmacy support
- The supplying community pharmacy should be able to answer any medication queries. There are also pharmacists and technicians that work in GP practices who can be used as a resource to answer queries around medicines and their use.
- You can also e-mail queries to the Care Homes team within Sheffield CCG medicines optimisation team sheffieldmedicinesincarehome@.nhs.net
National pharmacy support
- SPS provide advice and support for Care home staff and residents, and the pharmacy teams supporting them.
- The Care Quality Commission produce medicines information for care homes
- The Royal Pharmaceutical Society have resources available to help pharmacy teams working with care homes. You need to be a member of the RPS to access these.
COVID-19 specific resources
NHSE/NHSI/DHSC - Coronavirus (COVID-19) - Re-use of medicines in a care home or hospice
This is a national SOP to support the reuse of medicines during the COVID-19 pandemic. Sheffield CCG has produced the following documents to support local implementation:
SPS - Care Homes: Clinical pharmacy
SPS have summarised the medicines guidance available from a variety of professional and national bodies across a range of clinical specialities, including:
- General advice on the management of older patients with COVID-19
- Later Life
- Diabetes Management in Care Homes
- Medicines administration issues
- Oxygen management
- Palliative and End of Life Care
Administration considerations during COVID
- Practical steps to amending medication dosage regimens safely in care homes during COVID-19
- Moving from monitored dosage systems to original packs in care home - PrescQIPP
Waste disposal during COVID
- PSNC - Information on returning medication during COVID 19
Sheffield City Council host a webpage to support adult social care providers during Coronavirus pandemic