the year with respect to the safe Western HSC management of controlled drugs The Western Trust undertook the and investigations of concerns. following activity in year in relation to CD management: South Eastern HSC Trust Guidance for the management of In the South Eastern Trust, a parenteral and transdermal number of initiatives relating to CDs controlled drugs in primary care were progressed during 2015-16: was ratified by Trust D&T and over 20 training sessions were run for Action points from the Medicines district nursing staff. Regulatory Review Inspection were implemented across the 3 sites. Pharmacy CD Standard Operating Procedures were updated and Ward and Theatre updated to training underway. include the amendments to the Misuse of Drugs Regulations The Trust has gone at risk to (Northern Ireland) 2002 from 1st provide funding for 1wte band 8a March 2016 (Ketamine moved to Pharmacist to support the Schedule 2). The handwriting Accountable Officer as required by requirement for temazepam was legislation already policy within SEHSCT. The AO continues to work The Trust’s medicines policy was closely with the ADs Nursing amended to clarify the position for Governance and HR with respect Dental Core Trainees (DCT) to safe and secure management of Prescribing Controlled Drugs. controlled drugs. Introduction of clear tamper evidence bags for the safe storage 3. Northern Ireland Ambulance of patients own controlled drugs Service HSC Trust following a number of incidents. NIAS paramedics have had access to Benzodiazepine policy for Prison morphine for 5 years which has Health care was updated significantly improved the management of patients with severe Audit of staff ordering ward stock of pain following trauma and medical Schedule 2 controlled drugs from complaints such as acute myocardial pharmacy against ward infarction. The procedures for the authorisation list 65% compliance – acquisition, storage, possession and and a number of lists had not administration of this and also been updated in the last 12 intravenous diazepam are tightly months. regulated via the NIAS Medicines Policy and Procedure which was Continue to work with governance reviewed in 2015. facilitators to improve compliance with the recording of CD Medicines Management was subject to administration. audit under Controls Assurance in
the year with respect to the safe management of controlled drugs and investigations of concerns. South Eastern HSC Trust In the South Eastern Trust, a number of initiatives relating to CDs were progressed during 2015-16: Action points from the Medicines Regulatory Review Inspection were implemented across the 3 sites. Ward and Theatre updated to include the amendments to the Misuse of Drugs Regulations (Northern Ireland) 2002 from 1st March 2016 (Ketamine moved to Schedule 2). The handwriting requirement for temazepam was already policy within SEHSCT. The Trust’s medicines policy was amended to clarify the position for Dental Core Trainees (DCT) Prescribing Controlled Drugs. Introduction of clear tamper evidence bags for the safe storage of patients own controlled drugs following a number of incidents. Benzodiazepine policy for Prison Health care was updated Audit of staff ordering ward stock of Schedule 2 controlled drugs from pharmacy against ward authorisation list – 65% compliance and a number of lists had not been updated in the last 12 months. Continue to work with governance facilitators to improve compliance with the recording of CD administration. Western HSC The Western Trust undertook the following activity in year in relation to CD management: Guidance for the management of parenteral and transdermal controlled drugs in primary care was ratified by Trust D&T and over 20 training sessions were run for district nursing staff. Pharmacy CD Standard Operating Procedures were updated and training underway. The Trust has gone at risk to provide funding for 1wte band 8a Pharmacist to support the Accountable Officer as required by legislation The AO continues to work closely with the ADs Nursing Governance and HR with respect to safe and secure management of controlled drugs. 3. Northern Ireland Ambulance Service HSC Trust NIAS paramedics have had access to morphine for 5 years which has significantly improved the management of patients with severe pain following trauma and medical complaints such as acute myocardial infarction. The procedures for the acquisition, storage, possession and administration of this and also intravenous diazepam are tightly regulated via the NIAS Medicines Policy and Procedure which was reviewed in 2015. Medicines Management was subject to audit under Controls Assurance in
The-Accountable-Officers-Report-2015-16.docx