Polypharmacy prescribing guidance - draft: consultation

3. Acknowledgements

It has been a pleasure to chair the development of the fourth edition of Polypharmacy Guidance: Appropriate Prescribing - Making medicines safe, effective, and sustainable and to work with a team who are committed to improving outcomes for individuals. This edition has been produced by the collaborative efforts of a multidisciplinary team of healthcare professionals, academics and policy makers from across Scotland, who are already delivering polypharmacy reviews to improve the levels of appropriate prescribing and patient safety. The input of patient groups and individuals with lived experience has been invaluable.

The updating of case finding and clinical outcome indicators was undertaken by the Data and Indicators subgroup. Data relating to numbers needed to treat and adverse drug reactions have been updated. The ManageMeds polypharmacy app has been updated with colleagues from the Right Decision Service to make it more user friendly.

Polypharmacy short life working group

Alpana Mair Head of Effective Prescribing and Therapeutics Division, Scottish Government (Chair)

Martin Wilson Consultant Care of the Elderly, NHS Highland (Deputy Chair)

Ana Talbot Geriatrician, NHS Lanarkshire

Andrew Radley Consultant in Public Health Pharmacy, Directors of Pharmacy and Primary Care Community Pharmacy

Andrew Seaton Chair Scottish Antimicrobial Prescribing Group SAPG, Infectious Diseases Consultant and AMT Lead, NHS GGC, Honorary Professor, School of Medicine, Dentistry and Nursing, University of Glasgow

Ann Wales Programme Lead, Knowledge and Decision Support, Health Improvement Scotland

Annalena Winslow Person Centred Team Leader, Healthcare Quality and Improvement, Scottish Government

Bruce Guthrie Professor of General Practice, University of Edinburgh

Christine Carswell Consultant Psychiatrist, NHS Lanarkshire

Christine Proudfoot Alzheimer Scotland Dementia Nurse Consultant, NHS Borders

Christopher Specialist Mental Health and Advanced General Practice Pharmacist, Johnson Primary Care, Mental Health, NHS GGC

David Marshall Senior Improvement Adviser - Pharmacy, Care Inspectorate

Donald Nicolson SIGN Health Services Researcher, Healthcare Improvement Scotland

Douglas Lowdon Medicine for the Elderly Clinical Lead, NHS Tayside

Emily Kennedy Clinical Pharmacist, Respiratory and Sustainability Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Fiona Eastop Clinical Pharmacist, Diabetes Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Fiona Sanderson Principal Pharmacist, SP3A, Mental Health Pharmacy SIG and NHS Ayrshire and Arran

Fiona Kirkpatrick Senior Principal Pharmaceutical Officer, Dept. of Health, Northern Ireland

Frances Kerr SAPG Project Lead, Healthcare Improvement Scotland

George Grindley Expert by Experience

George McMeechan Expert by Experience

Gillian Hay Advanced Clinical Services Pharmacist

Grecy Bell Deputy Medical Director, Dumfries and Galloway HSCP, NHS Dumfries and Galloway

Heather Randle Professional Lead for Education and Professional Lead for Primary Care, Royal College of Nursing

Iain Wilson Clinical Lead (GP) for Effective Prescribing and Therapeutics Division, Scottish Government

Irene Oldfather Director Strategic Partnerships and Engagement, The Alliance

Janice Woodburn Patient representative

Jennifer Inglis Consultant Physician in Department of Medicine for the Elderly (DME) and General Medicine, Clinical Director for DME and Stroke, NHS Borders

Joanna Bredski Consultant Psychiatrist Rehabilitation Psychiatry, NHS Borders

Karen Reid Lead Pharmacist Primary Care, Edinburgh HSCP, NHS Lothian

Kathryn Wood Lead Clinical Pharmacist, Elderly and Rehabilitation, NHS Tayside

Kim Barron Advanced Nurse Practitioner, Erskine

Laura Wilson Practice & Policy Lead - Scotland, Royal Pharmaceutical Society

Lesley Cochrane Patient representative

Lindsey Pope GP and Professor of Medical Education and Special Advisor to Chief Medical Officer (General Practice), University of Glasgow

Lucy McCracken Clinical Director for Older People's Services, NHS GGC

Lydia Skipsey Specialist Clinical Pharmacist Emergency Department, National Acute Pharmacy Service (NAPS) and NHS Lothian

Pamela Mills Principal Pharmacist - Redesign, NHS Ayrshire & Arran

Paul Baughan GP and Professional Adviser, Chief Medical Officer Directorate, NHS Forth Valley & Scottish Government

Paul Henery Data analyst - Polypharmacy, Public Health Scotland

Pauline Mcintyre Deputy Director of Care, Erskine Veterans Charity (care home)

Rhona Petrie Lead Clinical Pharmacist, DME South Sector, NHS GGC

Rizwan Din Advanced Clinical Services Pharmacist, NHS Lanarkshire

Roberta James Programme Lead, SIGN

Rowan Wallace Consultant Geriatrician, NHS Ayrshire & Arran

Ruth Paterson Associate Professor and Honorary Research Consultant, Edinburgh Napier University & NHS Lothian

Sarah Mitchell Community Advanced Physiotherapy Practitioner, Boroughloch Medical Practice

Scott Jamieson Prescribing Lead, Angus HSCP

Simon Watson Medical Director, Healthcare Improvement Scotland

Simon Maxwell Director of Clinical Pharmacology and Therapeutics, University of Edinburgh

Simon Hurding Care of Frailty GP, NHS Lothian

Stuart Law Head of Policy and Research, Effective Prescribing and Therapeutics Division, Scottish Government

Vicky Hough Senior Clinical Pharmacist, National Acute Pharmacy Service (NAPS) and NHS Forth Valley

Yousaf Kanan iSIMPATHY Senior Research Officer, Effective Prescribing and Therapeutics Division, Scottish Government

Frailty, care at home and care homes subgroup

Alpana Mair Head of Effective Prescribing and Therapeutics, Scottish Government (Co-chair)

Lucy McCracken Clinical Director for Older People's Services, NHS GGC (Co-chair)

Ana Talbot Geriatrician, NHS Lanarkshire

Ann Wales Programme Lead, Knowledge and Decision Support, Health Improvement Scotland

David Marshall Senior Improvement Adviser - Pharmacy, Care Inspectorate

Donald Nicolson SIGN Health Services Researcher, Healthcare Improvement Scotland

Fiona Eastop Clinical Pharmacist, Diabetes Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Iain Wilson Clinical Lead (GP), Effective Prescribing and Therapeutics Division, Scottish Government

Jane Douglas Transforming Workforce Lead – Nursing, Scottish Care

Kathryn Wood Lead Clinical Pharmacist, Elderly and Rehabilitation, NHS Tayside

Kim Barron Advanced Nurse Practitioner, Erskine

Leanne Black Advanced prescribing support pharmacist and chair of GGC pharmacy care home group, NHS GGC

Madeleine Programme Manager, Healthcare Improvement Scotland

Tse-Laurence

Martin Wilson Consultant Care of the Elderly, NHS Highland

Nadia Hyder Senior Policy Officer, Effective Prescribing and Therapeutics Division,

Skinner Scottish Government

Pamela Mills Principal Pharmacist - Redesign, NHS Ayrshire and Arran

Pauline McIntyre Deputy Director of Care, Erskine Veterans Charity (care home)

Rizwan Din Advanced Clinical Services Pharmacist, NHS Lanarkshire

Simon Hurding Care of Frailty GP, NHS Lothian

Stephen Matthew GP, NHS Lothian

Carty

Data and indicators subgroup

Alpana Mair Head of Effective Prescribing and Therapeutics, Scottish Government (Chair)

Martin Wilson Consultant Care of the Elderly, NHS Highland (Deputy Chair)

Scott Jamieson GP, NHS Tayside (Deputy Chair)

Amil Mair Emergency Medicine Speciality Training Doctor

Andrew Morgan Pharmacy Technician, Effective Prescribing and Therapeutics Division, Scottish Government

Andrew Marchant Clinical Data Advisor, Scottish Government

Ann Wales Programme Lead, Knowledge and Decision Support, Health Improvement Scotland

Christopher Specialist Mental Health and Advanced General Practice Pharmacist, Johnson Primary Care, Mental Health, NHS GGC

David Scott Principal Information Analyst, Public Health Scotland

Deborah Kyle Assistant Statistician, Effective Prescribing and Therapeutics Division, Scottish Government

Fiona Eastop Clinical Pharmacist, Diabetes Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Iain Wilson Clinical Lead (GP) for Effective Prescribing and Therapeutics Division, Scottish Government

Karen Vint Clinical Pharmacist, Scottish Government

Lucy Dixon Macmillan Specialist Palliative Care Pharmacist, NHS Highland

Paul Henery Data analyst - Polypharmacy, Public Health Scotland

Paul Paxton Data Analyst, Public Health Scotland

Richard Hassett Senior Prescribing and Data Analyst, NHS GGC

Stuart Law Head of Policy and Research, Effective Prescribing and Therapeutics Division, Scottish Government

Stuart McTaggart Principal Pharmacist, Public Health Scotland

Yasmin Al-Din Clinical Pharmacist, Effective Prescribing and Therapeutics Division, Scottish Government

Clinical decision support expert subgroup

Alpana Mair Head of Effective Prescribing and Therapeutics Division, Scottish Government (Chair)

Lucy McCracken Clinical Director for Older People's Services, NHS GGC (Co-chair)

Yasmin Al-Din Effective Prescribing and Therapeutics Division, Scottish Government

Amil Mair Emergency Medicine Speciality Training Doctor

Andrew Morgan Pharmacy Technician, Effective Prescribing and Therapeutics Division, Scottish Government

Ann Wales Programme Lead, Knowledge and Decision Support, Health Improvement Scotland

Anne Kinnear Advanced Clinical Pharmacist, NHS Lothian

Deborah Kyle Assistant Statistician, Effective Prescribing and Therapeutics Division, Scottish Government

Fiona Eastop Clinical Pharmacist, Diabetes Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Frank Moriarty Pharmacist and Senior Research Fellow, RCSI Department of General Practice

Iain Wilson Clinical Lead (GP) for Effective Prescribing and Therapeutics Division, Scottish Government

Kathryn Wood Lead Clinical Pharmacist, Elderly and Rehabilitation, NHS Tayside

Karen Reid Lead Pharmacist Primary Care, Edinburgh HSCP

Kenneth Halliday Principal Pharmacist, NHS Tayside

Lucy Dixon Macmillan Specialist Palliative Care Pharmacist, NHS Highland

Martin Wilson Consultant Care of the Elderly, NHS Highland

Richard Hassett Senior Prescribing & Data Analyst, NHS GGC

Ruth Paterson Associate Professor and Honorary Research Consultant, Edinburgh Napier University and NHS Lothian

Scott Jamieson Prescribing Lead, Angus HSCP

Simon Maxwell Director of Clinical Pharmacology and Therapeutics, University of Edinburgh

Stuart Law Head of Policy and Research, Effective Prescribing and Therapeutics Division, Scottish Government

Experts by lived experience subgroup

Alpana Mair Head of Effective Prescribing and Therapeutics Division, Scottish Government (Chair)

Alistair Bruce Engagement Development Officer, Health and Social Care Alliance Scotland (the ALLIANCE)

Amy Comrie Expert by Experience

Ann Wales Programme Lead, Knowledge and Decision Support, Health Improvement Scotland

Carole Ferguson Expert by Experience

Chris Ritchie Expert by Experience

David Cowan Expert by Experience

Donald Nicholson SIGN Health Services Researcher, Healthcare Improvement Scotland

Eve Smyth Expert by Experience

Fiona Eastop Clinical Pharmacist, Diabetes Lead, Effective Prescribing and Therapeutics Division, Scottish Government

George McMeechan Expert by Experience

Iain Weir Expert by Experience

Iain Wilson Clinical Lead (GP) for Effective Prescribing and Therapeutics Division, Scottish Government

Irene Oldfather Director Strategic Partnerships, External Affairs and Outreach Partner, Health and Social Care Alliance Scotland (the ALLIANCE)

Jim Guyan Expert by Experience

Martyn Sloan Expert by Experience

Nadia Hyder Senior Policy Officer, Effective Prescribing and Therapeutics Division,

Skinner Scottish Government

Stuart Law Head of Policy and Research, Effective Prescribing and Therapeutics Division, Scottish Government

Sue Cole Expert by Experience

Yasmin Al-Din Clinical Pharmacist, Effective Prescribing and Therapeutics Division, Scottish Government

Chronic pain subgroup

Andrew Marchant Clinical Data Advisor, Scottish Government

Dot Kirkpatrick Prescribing Support Pharmacist, NHS Dumfries and Galloway

Deborah Steven Lead Clinical Pharmacist Pain, Fife Pain Management Service NHS Fife

Fiona Sanderson Principal Pharmacist, SP3A, Mental Health Pharmacy SIG and NHS Ayrshire and Arran

Fiona Eastop Clinical Pharmacist, Diabetes Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Iain Wilson Clinical Lead (GP) for Effective Prescribing and Therapeutics Division, Scottish Government

Heather Harrison Senior Prescribing Advisor, NHS GGC

Kieran Dinwoodie GP, NHS Lanarkshire

Writing group

Alpana Mair Head of Effective Prescribing and Therapeutics Division, Scottish Government Chair

Martin Wilson Consultant Care of the Elderly, NHS Highland (Deputy Chair)

Ana Talbot Geriatrician, NHS Lanarkshire

Ann Wales Programme Lead, Knowledge and Decision Support, Health Improvement Scotland

Beth Crozier Senior Policy Officer, Effective Prescribing and Therapeutics Division, Scottish Government

Donald Nicholson SIGN Health Services Researcher, Healthcare Improvement Scotland

Emily Kennedy Clinical Pharmacist, Respiratory and Sustainability Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Fiona Eastop Clinical Pharmacist, Diabetes Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Iain Wilson GP Clinical Lead, Effective Prescribing and Therapeutics Division, Scottish Government

Kathryn Wood Lead Clinical Pharmacist, Elderly and Rehabilitation, NHS Tayside

Karen Vint Clinical Pharmacist, Respiratory and Sustainability, Effective Prescribing and Therapeutics Division, Scottish Government

Lucy McCracken Clinical Director for Older People's Services, NHS GGC

Nadia Hyder Senior Policy Officer, Effective Prescribing and Therapeutics Division,

Skinner Scottish Government

Paul Baughan Professional Advisor, Scottish Government

Rizwan Din Advanced Clinical Services Pharmacist, NHS Lanarkshire

Stuart Law Head of Policy and Research, Effective Prescribing and Therapeutics Division, Scottish Government

Yasmin Al-Din Clinical Pharmacist, Effective Prescribing and Therapeutics Division, Scottish Government

Evidence searches group

Ailsa Halliday Project Officer, Health Improvement Scotland

Charis Miller Information Scientist, Health Improvement Scotland

Donald Nicholson Health Services Researcher, Health Improvement Scotland

Gaynor Rattray Guideline Co-ordinator, Health Improvement Scotland

Igor Brbre Information Scientist, Health Improvement Scotland

Juliet Brown Information Scientist, Health Improvement Scotland

Karen McPherson Lead Health Services Researcher, Health Improvement Scotland

Kirsty Littleallan Project Officer, Health Improvement Scotland

Lorna Thompson Health Services Researcher, Health Improvement Scotland

Megan Davis Health Services Researcher, Health Improvement Scotland

Naomi Fearns Health Services Researcher, Health Improvement Scotland

Roberta James SIGN Programme Lead, Health Improvement Scotland

Zoe Seattar Project Officer, Health Improvement Scotland

We are also grateful for the following for their assistance:

Anne Drever Associate specialist in Rheumatology, NHS Dumfries and Galloway

Carey Lunan Senior Medical Advisor on Health Inequalities and Mental Health, Scottish Government and GP Chair of Scottish Deep End Project

Cassandra Advanced Practice Physiotherapist, Chronic Pain Service, NHS

Macgregor Lanarkshire, and PhD student, Glasgow Caledonian University

David Blane Senior Clinical Lecturer, University of Glasgow

Dougie Lowdon Consultant Geriatrician, NHS Tayside

Nils Michael Economic Advisor, Scottish Government

Sarah Brady Lead Medicines Information Pharmacist, NHS Lanarkshire

Tracy Duff Senior Pharmacist, NHS Lothian

Tracy Love Principal Pharmacist, NHS Ayrshire and Arran

Cover image credit: courtesy of Piyachok Thawornmat at FreeDigitalPhotos.net