Dear Lesley,
In my MSc project, which you kindly helped (by sending your audit and some
copies of patient held records), I  found some things which could be useful,
simple stuff, such as the importance of getting a record small enough to be
carried easily by the patient.
 The most successful way of adding information to the booklet was when
pharmacists simply added a duplicate drug label sticker to the booklet, so
no one had to write anything twice and the information was full and
accurate.
Both hospital and community pharmacists were willing to do this on almost
all occasions when asked to do so by the patient.(Even though they had not
been personally approached prior to the study)

If you have path lab links  with local GPs surely the lab could send
duplicate results to you and the GPs with no extra effort so all are
informed.

I planned my booklet after consultation with patients, GPs and pharmacists
both in hospital and community.

Then you need another method for contact between GP and yourself not
involving additional work. On our system we can just about produce a
duplicate of some things to print in reports. Torex synergie, this facility
is infinitely less useful than the similar one in Premiere which could be
tailored to give a report with any info we chose, unlike bl*** synergie one
of the many losses in function we have suffered in our change over.

In Australia at a childrens' oncology dept ( I have not got the reference to
hand but will try to find it) they used what they called a shuttle sheet
which was easily reproducible, I presume it was similar to the reports we
used to print out on Premiere, so if lost a duplicate can be given to the
patient.

Another really important aspect of such shared care is a straightforward
protocol with explicitly stated roles and responsibilities which have been
agreed by those who are to be responsible. Initial research is essential to
ensure that they are given to those who can and will fulfil them.

Hope this is of some use.
Regards
Karen

----- Original Message -----
From: "Jeff Green" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, April 14, 2004 7:56 PM
Subject: Re: designing shared systems [Re: how to demoralise your
workforce...]


> Geoff (strange spelling)
> >Comes down to who is prescribing, that person is responsible for
> >ensuring the monitoring etc is properly done.
> Agreed
>
> >If GP is to issue
> >prescriptions then GP must be confident that the system in place
> >meets that standard, by all means involve pharmacist as well, but if
> >GP signing prescriptions then GP MUST be involved.
> Stop right there - I was thinking of near point patient testing at
pharmacies
> and the pharmacist issuing the repeat prescriptions (administering S/C
> injections even) subject to results of monitoring.
>
> I feel sure that a monitoring deal could be reached with the drug
companies
> (if repeat prescribing can be taken away from the rheumatoligists - then
that
> frees them up to see more patients and initiate more people on the
DMARDs.)
>
> Jeff
>
> ________________________________________________________________________
> Have you tried the new drug sample request service on Doctors.net.uk?
> http://www.doctors.net.uk/samples
> ________________________________________________________________________
>
>
>
>