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Daffodil Standards (Standard 2: Raising awareness (Of what pharmacy has to…
Daffodil Standards
Standard 2: Raising awareness
Of palliative patients within the pharmacy team through earlier identification
Better links with GP practice
Palliative care register and how this links with the pharmacy
How pharmacy could help identify patients for the GP
Tools?
Surprise question
Flagging of pharmacy system
Palliative care is not about dying - it is about living well until they die.
Disarticulate palliative care from dying
Of what pharmacy has to offer to patients/carers
Marie curie guides - promoting role of pharmacy
able to display a 'daffodil mark' as a sign of commitment to improving end of life care
…sparking up the conversations, that’s the main thing.”
Enough literature in pharmacy
People (or their carers) may not be aware of the support that they can receive from a pharmacist. Typically people access pharmacies to get their medicines and don’t necessarily understand the clinical expertise that pharmacists can offer. This means that, unless there is an existing relationship with a pharmacist, people will not necessarily see a role for pharmacists or pharmacy teams more widely in supporting their care.
In a community pharmacy setting people may not want to talk about these issues and may not be aware that there are private consultation areas that can be requested. Consequently community pharmacy consultation rooms are not being used enough for patients.
Work closely with service users and patient groups
It is important to recognise that people not currently aware of the full range of ways that pharmacists can support them. Raising this awareness will need to be the starting point for changing behaviour, with triggers that prompt people to consider seeking help from their pharmacist. Take time to understand how people with view pharmacy services. Take a temperature check with service users about awareness of services and how they might view accessing them.
Pharmacy role within MDT (Inter-professional)
other healthcare professionals may not have confidence in or awareness about pharmacists’ skills.
Services are fragmented
In general, services are fragmented and often delivered in silos rather than in an integrated way. This means that there is often no complete picture (or overarching clinical oversight) of the patient’s care. In addition, locally pharmacists are not always around the table when local services and policies are developed and so there is variable awareness at HB level and also within individual general practices about the potential for pharmacy services to be integrated into care pathways
opportunities for local joined-up learning to build relationships across sectors and champion a ‘working together culture’.
Of what pharmacy can do within the pharmacy team (Intra -professional)
Barrier is a lack of time, or a perceived lack of time, for the pharmacist to engage with people
Selling point of this is that it is not just about the pharmacist
There is a lack of confidence and competency?
Partnerships and joint working
Seek to raise awareness of the potential for pharmacy services beyond healthcare in sectors like voluntary, community, social, health and justice. Wider working can help to raise awareness among people about the support that pharmacy teams can offer, and help to educate pharmacy teams about how they can most effectively support people
Approach GP to work on the Daffodil standrads together
Join up pathways and develop local professional networks
Joining up pathways between community pharmacists and general practice will improve the potential to develop services that benefit people, for example, by sharing of patient records and explicitly including community pharmacy in care planning. This would enable coordination of support and facilitate effective multidisciplinary working with the person in the centre of care. Where they exist, GP practice pharmacists have a role in facilitating this. Similarly in acute settings and hospice, the wider use of systems that support information-sharing and can tell us across organisations and sectors about prior care (which medicines worked, which did not and why) would enable a more person-centred approach.
Advaced care planning
Standard 1: Professional and competent staff
Improved knowledge
Clinical
More confident with palliative prescriptions
Aware of resources
Unlicenced
Syringe drivers compatabilities
Be a clinical resources to support District nurses
problems swallowing
Processes
Gold standard framework
Advanced care planning
Anticipatory prescribing
Role of MDT
Local palliative care provider
Prognostic indicators
Local knowledge of Community pharmacy network
Coping financially
Ensure pharmacists and their teams have and maintain skills in Palliative Care
opportunities to develop and maintain their competencies
Discuss with local hospice
Consultation skills
Scared of opening up a can of worms
Simple models that could be used and promoted
Counter staff
Front line. What training have they ever done?
Bereavement support
What questions to ask and how to answer
These are not just pharmacy skills but life skills
Language really matters
Compassionate
palliative care training for the wider pharmacy team
Standard 3 - Carer Support
Supporting carers to help manage breakthrough symptoms
I'm fine.... You're fine today but are there any days that you're not fine!
https://www.mariecurie.org.uk/blog/how-gps-can-better-identify-and-support-carers/48676
Invariably is going to be the conduit for managing the person’s medicines
Carer Friendly Pharmacy?
Standard - Care after death
Standard - Compassionate Communities