3037 Testing a model of anticipatory care for people living in a residential care home setting, the MOOP (pharmacy) contribution

Abstract Introduction In winter 23/24, the NHSCT tested an anticipatory care model in residential care homes. The model included a pharmacist medication review and pharmacy education element. Method Across four residential homes the lead care homes pharmacist completed patient-centred, medication optimisation reviews, and carried out education sessions for senior carers. The number of recommendations/interventions made by the pharmacist was calculated. The number of recommendations/interventions relating to falls prevention, was also calculated. The clinical significance of each medicine optimisation recommendation/intervention made by the pharmacist was graded using the Eadon1 criteria. Eadon graded interventions were then assigned a monetary value using The Sheffield Centre for Health and Related Research (Sheffield University) Economic Model (ScHARR)2. Additionally, a qualitative review of the service was carried out via questionnaires. Results In total 92 residents had their medications reviewed. A total of 322 recommendations/interventions were made, an average of 3.5 per resident. Of the 322 recommendations/interventions 115 (36%) were in relation to falls prevention, an average of 1.3 per resident. Interventions of note included antihypertensives being stopped or dose reduced for 20 residents (22%), and bone protection being reviewed, commenced or altered for 31 residents (34%). The views of a capable residents, next of kins and senior carers were sought via questionnaire. Responses were all positive. Conclusion Results demonstrate the positive impact and value of medicines optimisation in the residential care home setting. References 1. Eadon, H. (1992). Assessing the quality of ward pharmacists’ interventions. International Journal of Pharmacy Practice, 1(3), pp. 145–147. https://doi.org/10.1111/j.2042-7174.1992.tb00556.x. 2. Karnon, J., McIntosh, A., Dean, J., Bath, P., Hutchinson, A., Oakley, J., Thomas, N., Pratt, P., Freeman-Parry, L., Karsh, B. T., Gandhi, T., & Tappenden, P. (2008). Modelling the expected net benefits of interventions to reduce the burden of medication errors. Journal of Health Services Research and Policy, 13(2), pp. 85–91. https://doi.org/10.1258/jhsrp.2007.007011.