Operating a patient medicines helpline

A survey study exploring current practice in England using the RE-AIM evaluation framework

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Abstract

Background: Patient medicines helplines provide a means of accessing medicines-related support following hospital discharge. However, it is unknown how many National Health Service (NHS) Trusts currently provide a helpline, nor how they are operated. Using the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance), we sought to obtain key data concerning the provision and use of patient medicines helplines in NHS Trusts in England. This included the extent to which the delivery of helplines meet with national standards that are endorsed by the Royal Pharmaceutical Society (standards pertaining to helpline access, availability, and promotion).
Methods: An online survey was sent to Medicines Information Pharmacists and Chief Pharmacists at all 226 acute, mental health, specialist, and community NHS Trusts in England in 2017.
Results: Adoption: 52% of Trusts reported providing a patient medicines helpline (acute: 67%; mental health: 29%; specialist: 41%; community: 18%). Reach: Helplines were predominantly available for discharged inpatients, outpatients, and carers (98%, 95% and 93% of Trusts, respectively), and to a lesser extent, the local public (22% of Trusts). The median number of enquiries received per week was five. Implementation: For helpline access, 54% of Trusts reported complying with all ‘satisfactory’ standards, and 26% reported complying with all ‘commendable’ standards. For helpline availability, the percentages were 86% and 5%, respectively. For helpline promotion, these percentages were 3% and 40%. One Trust reported complying with all standards. Maintenance: The median number of years that helplines had been operating was six. Effectiveness: main perceived benefits included patients avoiding harm, and improving patients’ medication adherence.
Conclusions: Patient medicines helplines are provided by just over half of NHS Trusts in England. However, the proportion of mental health and community Trusts that operate a helpline is less than half of that of the acute Trusts, and there are regional variations in helpline provision. Adherence to the national standards could generally be improved, although the lowest adherence was regarding helpline promotion. Recommendations to increase the use of helplines include increasing the number of promotional methods used, the number of ways to contact the service, and the number of hours that the service is available.
Original languageEnglish
Article number868
Pages (from-to)868
JournalBMC Health Services Research
Volume18
Issue number1
DOIs
Publication statusPublished - 20 Nov 2018

Keywords

  • Clinical audit
  • Drug information
  • Hospital pharmacy
  • Medicines information
  • National Health Service
  • Patient medicines helplines
  • RE-AIM

ASJC Scopus subject areas

  • Health Policy

Cite this

@article{5fc6ee8c702e4a44a4af696d335c99ba,
title = "Operating a patient medicines helpline: A survey study exploring current practice in England using the RE-AIM evaluation framework",
abstract = "Background: Patient medicines helplines provide a means of accessing medicines-related support following hospital discharge. However, it is unknown how many National Health Service (NHS) Trusts currently provide a helpline, nor how they are operated. Using the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance), we sought to obtain key data concerning the provision and use of patient medicines helplines in NHS Trusts in England. This included the extent to which the delivery of helplines meet with national standards that are endorsed by the Royal Pharmaceutical Society (standards pertaining to helpline access, availability, and promotion). Methods: An online survey was sent to Medicines Information Pharmacists and Chief Pharmacists at all 226 acute, mental health, specialist, and community NHS Trusts in England in 2017.Results: Adoption: 52{\%} of Trusts reported providing a patient medicines helpline (acute: 67{\%}; mental health: 29{\%}; specialist: 41{\%}; community: 18{\%}). Reach: Helplines were predominantly available for discharged inpatients, outpatients, and carers (98{\%}, 95{\%} and 93{\%} of Trusts, respectively), and to a lesser extent, the local public (22{\%} of Trusts). The median number of enquiries received per week was five. Implementation: For helpline access, 54{\%} of Trusts reported complying with all ‘satisfactory’ standards, and 26{\%} reported complying with all ‘commendable’ standards. For helpline availability, the percentages were 86{\%} and 5{\%}, respectively. For helpline promotion, these percentages were 3{\%} and 40{\%}. One Trust reported complying with all standards. Maintenance: The median number of years that helplines had been operating was six. Effectiveness: main perceived benefits included patients avoiding harm, and improving patients’ medication adherence.Conclusions: Patient medicines helplines are provided by just over half of NHS Trusts in England. However, the proportion of mental health and community Trusts that operate a helpline is less than half of that of the acute Trusts, and there are regional variations in helpline provision. Adherence to the national standards could generally be improved, although the lowest adherence was regarding helpline promotion. Recommendations to increase the use of helplines include increasing the number of promotional methods used, the number of ways to contact the service, and the number of hours that the service is available.",
keywords = "Clinical audit, Drug information, Hospital pharmacy, Medicines information, National Health Service, Patient medicines helplines, RE-AIM",
author = "Matthew Williams and Abbie Jordan and Jennifer Scott and Matthew Jones",
year = "2018",
month = "11",
day = "20",
doi = "10.1186/s12913-018-3690-9",
language = "English",
volume = "18",
pages = "868",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central",
number = "1",

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T1 - Operating a patient medicines helpline

T2 - A survey study exploring current practice in England using the RE-AIM evaluation framework

AU - Williams, Matthew

AU - Jordan, Abbie

AU - Scott, Jennifer

AU - Jones, Matthew

PY - 2018/11/20

Y1 - 2018/11/20

N2 - Background: Patient medicines helplines provide a means of accessing medicines-related support following hospital discharge. However, it is unknown how many National Health Service (NHS) Trusts currently provide a helpline, nor how they are operated. Using the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance), we sought to obtain key data concerning the provision and use of patient medicines helplines in NHS Trusts in England. This included the extent to which the delivery of helplines meet with national standards that are endorsed by the Royal Pharmaceutical Society (standards pertaining to helpline access, availability, and promotion). Methods: An online survey was sent to Medicines Information Pharmacists and Chief Pharmacists at all 226 acute, mental health, specialist, and community NHS Trusts in England in 2017.Results: Adoption: 52% of Trusts reported providing a patient medicines helpline (acute: 67%; mental health: 29%; specialist: 41%; community: 18%). Reach: Helplines were predominantly available for discharged inpatients, outpatients, and carers (98%, 95% and 93% of Trusts, respectively), and to a lesser extent, the local public (22% of Trusts). The median number of enquiries received per week was five. Implementation: For helpline access, 54% of Trusts reported complying with all ‘satisfactory’ standards, and 26% reported complying with all ‘commendable’ standards. For helpline availability, the percentages were 86% and 5%, respectively. For helpline promotion, these percentages were 3% and 40%. One Trust reported complying with all standards. Maintenance: The median number of years that helplines had been operating was six. Effectiveness: main perceived benefits included patients avoiding harm, and improving patients’ medication adherence.Conclusions: Patient medicines helplines are provided by just over half of NHS Trusts in England. However, the proportion of mental health and community Trusts that operate a helpline is less than half of that of the acute Trusts, and there are regional variations in helpline provision. Adherence to the national standards could generally be improved, although the lowest adherence was regarding helpline promotion. Recommendations to increase the use of helplines include increasing the number of promotional methods used, the number of ways to contact the service, and the number of hours that the service is available.

AB - Background: Patient medicines helplines provide a means of accessing medicines-related support following hospital discharge. However, it is unknown how many National Health Service (NHS) Trusts currently provide a helpline, nor how they are operated. Using the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance), we sought to obtain key data concerning the provision and use of patient medicines helplines in NHS Trusts in England. This included the extent to which the delivery of helplines meet with national standards that are endorsed by the Royal Pharmaceutical Society (standards pertaining to helpline access, availability, and promotion). Methods: An online survey was sent to Medicines Information Pharmacists and Chief Pharmacists at all 226 acute, mental health, specialist, and community NHS Trusts in England in 2017.Results: Adoption: 52% of Trusts reported providing a patient medicines helpline (acute: 67%; mental health: 29%; specialist: 41%; community: 18%). Reach: Helplines were predominantly available for discharged inpatients, outpatients, and carers (98%, 95% and 93% of Trusts, respectively), and to a lesser extent, the local public (22% of Trusts). The median number of enquiries received per week was five. Implementation: For helpline access, 54% of Trusts reported complying with all ‘satisfactory’ standards, and 26% reported complying with all ‘commendable’ standards. For helpline availability, the percentages were 86% and 5%, respectively. For helpline promotion, these percentages were 3% and 40%. One Trust reported complying with all standards. Maintenance: The median number of years that helplines had been operating was six. Effectiveness: main perceived benefits included patients avoiding harm, and improving patients’ medication adherence.Conclusions: Patient medicines helplines are provided by just over half of NHS Trusts in England. However, the proportion of mental health and community Trusts that operate a helpline is less than half of that of the acute Trusts, and there are regional variations in helpline provision. Adherence to the national standards could generally be improved, although the lowest adherence was regarding helpline promotion. Recommendations to increase the use of helplines include increasing the number of promotional methods used, the number of ways to contact the service, and the number of hours that the service is available.

KW - Clinical audit

KW - Drug information

KW - Hospital pharmacy

KW - Medicines information

KW - National Health Service

KW - Patient medicines helplines

KW - RE-AIM

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JO - BMC Health Services Research

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SN - 1472-6963

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