Clinical Pharmacist, Nevill Hall Hospital, Wales
Having provided a clinical pharmacy service on a variety of medical wards in hospital over many years and completing the Clinical Diploma and Independent Prescribing qualifications, Sue has gained knowledge and experience to enable her to be comfortable with caring for the particular cohort of patients in the project to be presented. She also has extensive experience in community pharmacy and understands the needs and demands of this group of professionals. This has contributed to good communication skills, which are vital for the management of this service. Working on different committees within secondary care during her career has enabled Sue to be at ease working within a multidisciplinary team. It is the multidisciplinary team approach that is paramount for the success of the project to be presented.
‘Profession-led discharge: the ‘Green Ward’ model’
In order to improve patient flow and individual patient experience a ward at a community hospital was been designated as a ‘complex discharge’ or ‘green ward’. The patients are medically fit but require additional input to ensure a secure discharge and prevent re-admission. The ward is professionally-led by an advanced nurse practitioner, supported by pharmacy and therapy staff providing an enhanced service. The outcome of this multidisciplinary approach has been an improvement in patient flow and re-admission rates within the Health Board as well as a better patient experience. The pharmacy team are an integral part of the model. The use of independent prescribing skills supports inpatient care and discharge. Robust communication links with colleagues in primary and community settings also supports the patient pathway.