Keith Ridge, CBE Chief Pharmaceutical Officer Presentation from the Winterbourne Medicines Programme Launch held in London on 10 September 2014 Ensuring safe, appropriate and optimised use of medication for people with learning disabilities who demonstrate behaviour that can challenge

1. Winterbourne Medicines
Programme
Dr Keith Ridge CBE
Chief Pharmaceutical Officer
10th September 2014
NHS | Presentation to [1 XXXX Company] | [Type Date]

2. Transforming Care:
A national response to Winterbourne View Hospital
“7.31 We have heard deep concerns about over-use of
antipsychotic and antidepressant medicines. Health
professionals caring for people with learning disabilities
should assess and keep under review the medicines
requirements for each individual patient to determine the
best course of action for that patient, taking into account the
views of the person if possible and their family and/or carer.
Services should have systems and policies in place to
ensure that this is done safely and in a timely manner and
should carry out regular audits of medication prescribing and
management, involving pharmacists, doctors and nurses.”
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3. Key actions
“The Royal College of Psychiatrists, the Royal Pharmaceutical Society and other
professional leadership organisations will work with ADASS and ADCS to ensure
medicines are used in a safe, appropriate and proportionate way and their use
optimised in the treatment of children, young people and adults with challenging
behaviour. This should include a focus on the safe and appropriate use of
antipsychotics and anti-depressants.”
“The Department of Health will explore with the Royal College of Psychiatrists and
others whether and how to commission an audit of use of medication for this
group. As the first stage of this we will commission, by summer 2013, a wider
review of the prescribing of antipsychotic and antidepressant medicines for people
with challenging behaviour.”
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4. Progress
• Expert reference group established, led by Chief
Pharmaceutical Officer
• All agreed 3 key steps:
• Bearing in mind existing audits, interrogate prescribing via
the MHRA’s Clinical Practice Research Datalink
• Commission CQC to examine Second Opinion Appointed
Doctor data in relation to prescribing
• Commission a collaborative improvement programme
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5. Principles of medicines optimisation
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6. Aim of the Winterbourne Medicines Programme
Safe, appropriate and optimised use of medication
for people with learning disabilities whose behaviour
can challenge
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7. Ministerial Support
“I am very pleased to support the NHS Improving Quality
launch of the Winterbourne View Medicines Programme. We
know that inappropriate medication is a significant problem
across the country. This programme through its project sites
and community of practice will help drive improvement in safe
and appropriate medication. I look forward to seeing progress
in this area.”
Norman Lamb MP, Minister of State for Care and Support
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8. Working in Partnership with
NHS Improving Quality
• On 1st April 2013, NHS Improving Quality was formed to be the
one national improvement organisation.
• Hosted by NHS England.
• It brought together and will build on the wealth of knowledge,
expertise and experience of all the previous improvement bodies
that have gone before.
• An evidence-based organisation that is aligned to the current
needs and challenges of the NHS.
• Zoë Lord and Carol Marley – NHS IQ Improvement Managers
supporting this programme.

10. Programme Objectives:
1. Ensure the service user is central to the work.
2. To review and develop a deep understanding of issues
around current medication processes.
3. To identify and share notable practice.
4. To identify a method of measuring change and
improvement.
5. Test new ways of working to improve process where
appropriate.
6. To improve awareness of the issues around
medication.

11. Selected Sites:
• Northumberland Tyne and Wear NHS Foundation Trust
• Cheshire and Wirral Partnership NHS Foundation Trust
• South West London and St Georges Mental Health Trust
• Sussex Partnership NHS Foundation Trust
• Hertfordshire Partnership Foundation Trust
• Devon Partnership NHS Trust

12. Community of Practice…
• 6C’s Website
• Blogs
• News Articles
• Forums
• Quality Improvement Training
• Quality Improvement publications
• Website
• Twitter

13. Board Membership
• Dr Keith Ridge
• Zoë Lord, Carol Marley, Julie Harries
• Ray Avery / Joanne McDonnell
• David Jack
• Angela Hassiottis
• Sarah Bernard
• Angela Ellis

14. Reference Group
• Carers
• Department of Health
• NHS England
• Royal Colleges across professions
• Care Quality Commission
• Independent sector
• Charities