West Kent Health have four MDT (multidisciplinary team) Pharmacists to support the work of MDT, who look after our most frail and complex patient population. Each GP/Primary Care Network in West Kent has a multidisciplinary healthcare meeting every two weeks to discuss new referrals from a variety of sources (GP, district nurses, social services). The team come together to agree an individualised plan to meet individual patient’s immediate health and psychosocial needs. The aim is to enable patients to manage their conditions in the future and reduce their risk of crisis such as carer breakdown, falls and hospital admission along with improvements in their overall quality of life.
During the meetings pharmacists will advise the GP and wider healthcare team around medicines management for these patients. After the MDT discussion, part of the action plan may be that a pharmacist visits individual patients to discuss their medication, their compliance and explore any side effects. These visits may be conducted by a pharmacist alone or in conjunction with another member of the team, such as Complex Care Nurses. The role of the MDT Pharmacist is to support practices in the management of complex patients and spend the time going through medication lists for practices. Any suggested changes will be made in consultation with the patient’s own GP following assessment.
As a practice you can also refer complex, vulnerable and housebound patients to be reviewed by our MDT pharmacists. Referral forms be obtained by searching MDT pharmacy on DORIS. The team can review these patients over the telephone, video or see these patients in their homes and if necessary, will be able to refer these patients into the MDT meetings. These referrals will count towards your practice figures into the MDT. For any questions regarding this service please e-mail firstname.lastname@example.org for the Maidstone and Malling area or email@example.com for Sevenoaks, Tonbridge, Tunbridge Wells and The Weald area.
The pharmacists are developing this service, networking with GP surgeries and the wider MDT’s to provide an effective, safe, and collaborative service to our community.