Independent Review of Medicines Homecare in Scotland: review report and recommendations
An independent review of Medicines Homecare in Scotland covering the supply of secondary care-initiated medicines and associated care to patients in the community, with recommendations on improvements to these services.
Appendix 5: RPS medicines homecare journey© [2]
1. Action for Trust – Evaluate viability of Homecare service for therapy area.
2. Action for Trust – Approval obtained from Chief Pharmacist.
3. Action for Trust - Decision to use homecare medicines supply route for individual patient made by clinical team and patient identification of supporting infrastructure.
a. There is GP/ commissioner involvement in this action
4. Action for Trust - Registration form completed and sent to homecare provider with first clinical validated prescription.
a. There is GP/ commissioner involvement in this action
5. Action for Homecare provider – Homecare provider confirms home assessment and identification of supporting infrastructure made by Trust in step 3.
a. There is GP/ commissioner involvement in this action
6. Joint Action – Patient accepted for homecare service
7. Action for Trust – Purchase order raised by pharmacy
8. Action for Trust - All documentation sent to/ collected by homecare provider
9. Action for Homecare provider - Homecare provider receives prescription
10. Action for Homecare provider - Homecare provider contacts patient to schedule delivery time/ date and nursing/ technical support as necessary
11. Action for Homecare provider – Prescription dispensed by homecare provider
12. Action for Homecare provider - Medicines dispatched to patient. Move concurrently to step 13, and to the Decision point below
Decision point – Is prescription valid for further dispensing?
a. If “yes” move to point 10
b. If “no” move to point 12a
12a. Action for Homecare provider – Request made by homecare provider to clinical team for a new prescription
12b. Action for Trust – Clinical review
Decision point – Continue homecare treatment?
a. If “yes” move to point 12c
b. If “no” move to point 12e
12c. Action for Trust – Prescription written by clinical team
12d. Action for Trust – Clinical pharmacy validation of prescription. Move to point 7
12e. Action for Trust – Inform homecare company
13. Action for Homecare provider - Medicines received by patient
a. Service support: Nurse visit; Technical support; Waste collection
14. Action for Homecare provider - Invoice and proof of delivery sent to payer
15. Action for Homecare provider - Monthly statement raised and issued to payer
16. Action for Trust - Trust verifies statement for payment
17. Action for Homecare provider - Payment received by Homecare provider
18. Joint Action – Governance:
a. Service review
b. Audit
c. Complaints
d. Patient experience
Contact
Email: PharmacyTeam@gov.scot