Skip to main content

NIHR CLAHRC: Deprescribing initiative

A major challenge for healthcare, particularly for older people, is that patients are ending up on many medicines, termed ‘polypharmacy’. Polypharmacy can be either ‘appropriate’ or ‘problematic.’ With the latter, prescribing professions are traditionally better at starting medicines than stopping them (for a variety of reasons), which means that patients are too often left with problematic polypharmacy that can lead to side effects, interactions, and an inability to manage to take them all.

The NIHR Collaboration for Leadership in Applied Health Research and Care for Northwest London (CLAHRC NWL) have an active Medicines Optimisation work stream. A lot of work has been done around the need for medication review and stopping unnecessary medicines when problematic polypharmacy occurs. The term ‘deprescribing’ has emerged strongly in the literature and CLAHRC NWL have put together what we think is the first journal issue devoted to the topic of deprescribing.

The themed issue is particularly noteworthy due to the international contributorship, including key thinkers on this topic from Australia, Ireland, Israel, and UK. Barry Jubraj, Honorary Pharmacist for Medicines Optimisation at CLAHRC NWL, co-edited this themed issue and the CLAHRC NWL team contributed to several papers, including outlining a strategy for educating students and junior clinicians about the need to undertake medication reviews. This is a novel piece of work covering an issue close to the working practice of healthcare professionals in Imperial and beyond; the web version is currently available and the print version is forthcoming.

Comments

Popular posts from this blog

North Yorkshire GP Trainee Fellowship

’Oh I do like to be beside the seaside’’
It was after squeezing into another packed London tube on a Friday evening that I saw the email ping into my mobile phone. ‘Cumbrian and North Yorkshire GP Trainee Fellowships for ST3s.’ The opportunity to transfer your training for 4-6 months in one of the most beautiful parts of the UK, a quick google of Saltburn- by –the- Sea and I was instantly sold.
I transferred my training from ( Imperial GP Speciality Training Scheme- Marylebone Health Centre) to ( Durham and Tees Valley VTS- Huntcliff Surgery, Saltburn) in April, and have loved every minute. My Practice Huntcliff surgery was a stone’s throw from the beach, and a short drive to the breath taking North Yorkshire Moors.
Work life balance is emphasised by the practice and I have been able to find time to join a running club, Tai Chi and walk every day. I’m cycling to home visits and enjoying a much more outdoor lifestyle.
I’m also really enjoying working in a close knit community; it’s not unus…

Integrated Clinical Apprenticeship - FREQUENTLY ASKED QUESTIONS

WHAT ARE MY MORNING COMMITMENTS? Your Thursday morning and afternoon throughout your year 5 will be dedicated to the Integrated Clinical Apprenticeship. This has been negotiated with the Year 5 course leads and your Specialty supervisors for each firm. Attendance is mandatory for both morning and afternoon sessions.
You will attend your allocated GP surgery on a time negotiated with your GP mentor.
In the morning, you will see patients from your caseload, assessing their clinical needs and bringing yourself up to date with their secondary care contacts. You can then plan with your patient to attend any secondary care appointments in the coming weeks with your patients.
You may also see “ad hoc” patients from the surgery and, if relevant, add them to your caseload. There will be an opportunity to see other health professionals in the primary care team and assist in their daily activities.

WHAT IS MY PATIENT “CASELOAD”?
This is a group of about 12 patients (shared with your pair), recr…

Congratulations to Usama Syed

Usama Syed, a final year medical student in the Faculty of Medicine, was selected for a 2015 Imperial College London Outstanding Student Achievement Award. These awards are to recognize and commend outstanding achievement beyond the academic subject area.  Usama was nominated for his award by the Department of Primary Care and Public Health.

Usama's achievements include:
Founding a new society at the College - MedTech Imperial- designed to bring together students across the medical, engineering, and computing departments, With colleagues coding a brand new mobile phone application designed to streamline the way front-line hospital staff provide feedback and quality improvement ideas to senior medical directors. Researching and writing articles for the official Imperial College website on medical topics for public release.Editing a newsletter for a Health Centre in Clapham, London. In this role, he has written numerous articles for local residents on topics such as travel safety an…