4. Health Board Wide Mental Health Pharmacy Team
Hywel Dda University Health Board
Hywel Dda Health Board’s Mental Health and Learning Disabilities (MH&LD) Medicine Management service delivers specialist pharmacy services to patients across the region.
The team includes eight pharmacists,three technicians and one support worker, who between them provide ward pharmacy services, clozapine clinics, Community Mental Health Team involvement, an adult ADHD specialist pharmacist, a perinatal pharmacist, Early Intervention in Psychosis (EIP) specialist services and Community Drug and Alcohol Team work. This happens alongside giving advice to all staff within the directorate on medication management issues.
The team also dispenses MH&LD medication and clinically checks all prescriptions, as well as reconciling medication during admission. The benefits mean that all MH&LD patients within the health board receive an enhanced specialist pharmacy services. This is especially pertinent in ensuring safe delivery of medicine to this patient group. Patients are referred into service from various avenues, including GP referrals, A&E referrals and have access to Crisis teams when needed.
The enhanced role of pharmacy within the wider multidisciplinary service has allowed increased capacity of services for example in adult ADHD, as well as development of new services for example for perinatal mental health, drug and alcohol services, EIP and Clozapine clinics. Patients receive a high standard of care and continuation of care from both a mental health and physical health perspective.
The department has developed over time as relationships across the professions have grown, with numerous business cases being submitted and funding streams being attributed specifically for certain services. It helps for the pharmacists to have the prescribing qualification so that they can see patients in their specialist MH&LD service area and prescribe for them. Induction and training, MDT involvement, laptops and phones have been essential components in their success.
Plans for the future involve pharmacists covering areas that currently have limited involvement in for example memory assessment services.
“This team improves the Pharmacy department skill mix, and provides and highlights the importance and benefits that having trained pharmacy professionals can provide in other services.”
Gwenllian Hughes, Lead Mental Health Pharmacist and Nathan Skyrme, Specialist Mental Health Pharmacist