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 6 Coding Framework
1. Homecare model
2. Benefits of current approach
2.1 Patient benefits
2.2 NHS board benefits
2.3 Staffing
2.4 Governance
3. Challenges of current approach
3.1 Communication
3.2 Digital and IT
3.3 Paperwork and process
3.4 Deliveries
3.4.1 Impact on patients
3.4.2 Impact on hospital and staff
3.5 Inequitable service
3.5.1 Processes
3.5.2 Remote and rural
3.5.3 Training
3.6 Support services
3.6.1 Administration of medicines
3.6.2 Monitoring
3.7 Resource
3.7.1 Staff
3.7.2 Financial
3.8 Governance
3.8.1 Information handling
3.8.2 Accountability
3.8.3 Monitoring performance
3.8.4 Managing poor performance
3.9 Other
3.9.1 Environmental
3.9.2 Community pharmacy
4. Impact of geographical location on homecare services
4.1 Logistics
4.2 Communication
4.3 Training
5. Geographical disparities
5.1 Pharmaceutical companies and their representatives
5.2 NHS board patients and their representatives
6. Sustainability
6.1 Environmental
6.2 Financial
6.3 Recruitment and retention
7. Scalability challenges
7.1 Financial
7.2 Recruitment and retention of trained staff
7.3 Technology and process
8. Challenges with contractual arrangements
8.1 Manufacturer-commissioned services
8.2 NHS-commissioned services
8.3 General
9. Use of standards by organisation
9.1 Service design
9.2 Service quality
10. Effectiveness of mechanisms to enforce standards
10.1 Low effectiveness
10.2 Effective
11. Barriers to new homecare providers entering market
11.1 Financial
11.2 Human resource
11.3 Contracting process
11.4 Other
12. Potential future use of medicines homecare
12.1 Care services
12.2 Medicines
12.3 Other
13. Factors that affect homecare providers to deliver effective medicines homecare services
13.1 Appropriately governed digital solutions
13.2 Contract
13.3 Staffing
13.4 Finance
13.5 Geography
13.6 Medicines
13.7 Other
Contact
Email: PharmacyTeam@gov.scot