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DERMATOLOGY Context The Medicines Management Team implemented a project to: • Optimise the prescribing of emollients in line with the emollient formulary • Review the prescribing of topical steroids for patients with psoriasis. What we did A review of patient records was undertaken with recommendations made to the practice. The following resources were used to support the project: Audit An audit tool was developed for practices: • To identify and review the duration of treatment with a topical vitamin D analogue/ corticosteroid preparation for patients with psoriasis and stop where clinically appropriate. • To identify and review patients on emollients Practice Pharmacist Support • Practice support pharmacists were available to support practices to undertake the reviews. • Where appropriate patients were switched to a formulary emollient • Pharmacists in liaison with GPs, provided full clinical reviews for patients using topical vitamin D analogue/ corticosteroid. Results Number of Practices who received practice based support 36 out of 45 Number of patients reviewed for adherence to emollient formulary 2,074 Number of recommendations made & agreed 1,653 Total annual cost saving to the CCG of changes implemented £30,247 £50,000.00 £52,000.00 £54,000.00 £56,000.00 £58,000.00 £60,000.00 £62,000.00 £64,000.00 £66,000.00 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Emollient Prescribing NEL Commissioning Support Unit
