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CIPD diploma

Topic:
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Write a report which should:
 A description of 2 purposes of performance management and their relationships to business objectives
 An explanation of 3 components of performance management processes
 An explanation of the relationship between motivation and performance management, referring to 2 motivational theories
 An explanation of the purposes of reward within a performance management process
 A review of 3 components of a total reward system, 1 of which should be non financial.

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Research paper and assessment

i

This is my idea of the project i have already
Center for Multicultural Health Organization in King County Seattle Washington State HIV/AIDS Prevention for Women in African Communities.
Using mentor-ship program
Develop a face time app as a mentor ship means of communication
African women have been known to carry the burden of supporting their families to the extent of neglecting themselves. In most African communities, culture dictates that women must comply with men’s decisions, even if the decisions are harmful to women. Under such oppression, it is very difficult for African women to raise their voice when harmful cultural practices are thrust upon them.
The project will focus on ensure women have access to prevention and treatment services through the following programs:
• Education through community outreaches
• Advocacy to promote behavior change
• Self-sustain empowerment
• Awareness of the increasing impact of HIV on women
By providing these services, will empower women lead to wholesome lives. Women will be involved in all aspects of the prevention planning and implementation. Other focus on assessing prevention is to address the sexual and reproductive health and rights of women and girls to protect them from HIV. Prevention is always a more effective mechanism to control the spread of the disease than treatment.
This is one of the refence must be use in this project ( I need 10 this will be one of them)
Reference:
Stratton, S. E (2012). The encyclopedia of HIV/AIDS. New York, NY: Facts on File.
The actual project information and details from the instructor.
A Pathfinder is a document that takes the reader through the process of finding the best information on a topic. It guides an interested researcher to important search tools and terms to use to identify information on a particular subject. This project will demonstrate the skills you’ve gained over the quarter in both information literacy and program assessment, and gives you an opportunity to use the resources we’ve discussed. It’s a cumulative project, as well—since we are looking at new types of resources, you will have had time to do the project in manageable parts. NOTE: Although there is some writing involved in the Pathfinder, you will not be writing a formal research paper. The goal is for you to do all the research you would do in preparation for writing a research paper.
Requirements of the final project:
1. 500-800 word Executive Summary
2. Between 8-12 annotated citations in APA format
3. At least 3 types of resources represented
4. Evaluative annotations
The details
What exactly is a pathfinder? Think of it as a map or a toolkit of resources for others researching a topic similar to yours. You’re going to show the way to the credible, useful resources on your topic—whether those sources are encyclopedias, scholarly articles, statistics, organization’s websites, software programs, or whatever is most appropriate for your topic. These sources will help readers put together their own evaluation and assessment toolkit in some area of social services.
This project will demonstrate the skills you’ve gained over the quarter in both information literacy and program assessment, and gives you an opportunity to use the resources we’ve discussed. It’s a cumulative project, as well—since we are looking at new types of resources every week, you will have had time to do the project in manageable parts. In other words, there shouldn’t be a big crunch on your time at the end of the term if you spend part of each week working on this.
What social or human services program are you interested in researching/assessing? You can start with an area of interest (say, chemical dependency counseling), and then focus on some aspect of assessment once you know a bit more about it (perhaps you read something about funding to increase outreach to chemically-dependent teens) or have identified an organization/program that is related to your area of interest. Chances are your topic will become more refined as we move through the term, but in any case, proposal/topic statement will address the “so what” question: what topic/program are you researching, and why? Program evaluators typically have to “sell” their ideas and recommendations, and the reader (me, and throughout the process, some of your classmates) will want to know why this topic/program is of interest to you. If you are preparing this pathfinder to complement your research in another class or for your job (which I encourage), be sure to include information on other potential readers of your paper, as that is the role we will take in reviewing your work. I will be glad to work with you to tailor a project that meets both the curricular needs of this course as well as a real-life application. This is not plagiarism; if you turned in the exact same paper for both this class and another, then there would be a problem. Making your topic and the research process applicable in more than one situation, however, can be a good time management strategy, and shows that you’re incorporating information literacy skills into your life.
Final Product: Two Sections
1. Executive Summary
In most cases, an executive summary precedes a lengthy report: it provides the reader with an overview of the document without getting bogged down in details. In the business world, it also serves a persuasive purpose: you want the reader to agree with and support the findings or recommendations in the report. You’ll be doing that here, as you need to persuade your reader that you have indeed covered your bases in terms of finding the best, most useful resources for your topic. If the reader uses the resources you present, she will have the tools necessary to assess a program similar to the one you evaluated, and to make positive changes to the program you evaluated. This introductory section should be in the range of 500-800 words, and cover the following elements:
• the topic and purpose of your pathfinder: for what type of program (or specific program) are you gathering assessment resources and data?
• a brief summary of your strategy for finding the sources you selected; briefly listing the finding tools/sources you used provides a useful guide for both the reader and you, such as the names of specific databases, call number areas, search tools such as GoogleScholar, and so on. For example, if you used SocIndex as one of your resources for finding article citations, say so. If there were specific terms that brought up the most relevant results, say that as well. Similarly, mention any particularly useful reference books or search engines. If certain types of material were difficult to locate or use, include that information.
• a summary of what you’ve found: point the reader to the highlights of your selected resources. Remember that you’re “selling” your skills in finding information and putting it to use in assessing a program or topic.
• The class web page will have links to more information about and examples of executive summaries

2. Sources, with AnnotationsYour list of sources should contain between 8 and 12 items, which will reflect the varied source types we’ve used over the term. You must have at least 3 different types of sources in your pathfinder.Most of you will have a mix of entries from subject encyclopedias, organizational web sites, and scholarly journal articles, though there are many other source types that may be used. You will need to allow sufficient time to read all of these documents to decide which are the best for your pathfinder: you’ll be looking at many more than the 8-12 titles that make the final cut. Most full-text articles come with abstracts, or their own summary; abstracts can be useful to you in narrowing down your potential pathfinder candidates, but you’ll need to read the article yourself and write your own annotation. Remember, it’s your evaluation of the work and how it fits in with your topic that’s important.
A Word About Those Annotations
Annotations describe the main points of a work, indicating any special features or weakness. They should be brief—five or six sentences are usually enough to convey your summary and evaluation. From an annotation, a reader should be able to ascertain a work’s purpose, content, and value. The value of a work needs to be based on its relevance to your assessment topic; here’s where you can add details that don’t fit into your Executive Summary. We’ll be going over some points to consider when writing annotations, and we’ll do some practice writing of them in class later in the term.
Citation Format
We’ll be spending time in class working on citation style, using the 6th edition of the APA (American Psychological Association) style guide. There’s a handout online with the basics (linked from both the library and the course page), and there are two copies of the book-length guide in the Reference area of the Library. Some databases provide citations for you that are theoretically in proper format, but these are notorious for being incorrect: I expect you to be able to put bibliographic elements in proper citation order yourself without relying on software. In any case, you, not the software, are responsible for the completeness and quality of your final citations.
Credit
All elements of this project, along with the presentation about it, makes up big piece of your grade in this course, so please put the appropriate effort into it. My evaluation will be based on a combination of process, content and format: did you utilize the search strategies we discussed in class, and did you use your time in the lab to follow up on leads? Did you use a variety of reference tools in your research, and did you cover the major sources for your topic? Are the citations in correct APA style? Are the annotations informative and evaluative? Does the reader have a good sense of how to assess a program similar to yours, after reading your paper? Are your recommendations for improving this program clear? Have you met the goals you set up for yourself in your initial topic proposal? Remember to re-read the grading rubric before turning in your final paper: how does your work stack up with the grading criteria? This information may be updated or expanded;

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approximately 800 words: Please use the company Buffalo Wild Wings. Give a short description, with examples, of their current business and marketing strategies. What is their target market? Is their marketing appropriate to their strategy, as you understand it? Would it be appropriate in another country? How might it be improved? How has the organization been impacted by globalization? Include citations from at least three references. 5 Topic: Laws, ethics and issues Answer each question, a paragraph each. 1. List at least five requirements of the Non-discriminatory Evaluation. 2. Significant issues remain with providing appropriate services for families and students from culturally and linguistically diverse backgrounds. Identify at least two issues and describe how you would try to eliminate the problem. 3. When must parents be given their process rights according to the 2004 Amendments of IDEA? 4. Is it possible that a professional from an outside agency can determine that a child has a disability and the child should subsequently receive special education services? Yes or No. Explain your answer. 5. The Individuals with Disabilities Education Improvement Act of 2004 requires that IEPs include what type of information regarding statewide assessments? 6 Contemporary Practice Approaches – Social Work Theories First and foremost, this topic revolves around the AUSTRALIAN society. So focus, examples and pointers should be within and related to the AUSTRALIAN context. This is also a paper for a Social Work degree course and is under a subject called ‘Contemporary Practice Approaches’. Hence, the context and relevant literature or references should be related to Social Work Theories and applied WITHIN the context of Australia. Overview This essay requires you to critically analyse ONE social work theory and critically apply this to one field of practice. The field of practice in this essay would be ‘depression experienced by young people in Australia’. This essay requires situating your analysis in contemporary social work theory debates. The types of Social Work Theories that could be applied are (for example); – Cognitive behavioural therapy – Empowerment Theory – Strengths Perspectives Theory – Solution focused Theory Hence, choose ONE theory that could be best applied and analysed in the context of ‘depression experienced by young people in Australia’. Expectations This essay has two parts that will inform each other. You are asked to examine one theory and argue why you think it is an appropriate theory or not to use in the field of practice (depression experienced by young people in Australia). The following outline will assist in structuring the essay. Part One: Reviewing a Theory (approx 1000 words) This should include: – Describing the social work theory you have selected. – Exploring influences on the development of the theory, that is, how has it historically been situated in social work, what is its relationship to social work values, purpose and professional identity. -Exploring modern/postmodern influences of the theory. Part Two: Applying the theory to field of practice (approx 1500 words). This should include: – A brief description of the field of practice – what do you know about it? (i.e: What do you know or can explain about depression experienced by young people in Australia?) – Critically analyse the application of the theory to the field of practice, that is, explore the strengths and limitations of the theory in relation to the field of practice. – Your conclusion to why you think the theory is applicable or not to the particular field you have examined. NOTE: think about concepts such as power, gender, culture, purpose, truth etc. to help your critical analysis, that is, points of contention between different theories will help you engage in CRITICAL discussion rather than a descriptive discussion. This essay is asking for CRITICAL ANALYSIS and this will be the focus of marking and grading. It is about showing your ability to contribute to theoretical discussions and debates that currently inform social work. This is an academic paper and so needs to be written in the third person. It also needs to draw on a range of social work references that engage with your theory, field of practice, and theoretical debates. *I will also be uploading an attachment with further elaborations on my instructions for this particular essay. Please read all my instructions carefully and clarify should you not be familiar with anything. **IN ADDITION, please use textbook: ‘ Payne, M. 2014, Modern Social Work Theory, 4th, Palgrave Macmillan’ as MAIN REFERENCE SOURCE.** You will need to use academic references in this paper. At least 10 references in total are required. Use HARVARD REFERENCING style.

Give a short description, with examples, of their current business andapproximately 800 words: Please use the company Buffalo Wild Wings. marketing strategies.
What is their target market?
Is their marketing appropriate to their strategy, as you understand it?
Would it be appropriate in another country?
How might it be improved?
How has the organization been impacted by globalization?
Include citations from at least three references.
5
Topic: Laws, ethics and issues
Answer each question, a paragraph each.
1. List at least five requirements of the Non-discriminatory Evaluation.

2. Significant issues remain with providing appropriate services for families and students from culturally and linguistically diverse backgrounds. Identify at least two issues and describe how you would try to eliminate the problem.

3. When must parents be given their process rights according to the 2004 Amendments of IDEA?

4. Is it possible that a professional from an outside agency can determine that a child has a disability and the child should subsequently receive special education services? Yes or No. Explain your answer.

5. The Individuals with Disabilities Education Improvement Act of 2004 requires that IEPs include what type of information regarding statewide assessments?

6
Contemporary Practice Approaches – Social Work Theories
First and foremost, this topic revolves around the AUSTRALIAN society. So focus, examples and pointers should be within and related to the AUSTRALIAN context.

This is also a paper for a Social Work degree course and is under a subject called ‘Contemporary Practice Approaches’. Hence, the context and relevant literature or references should be related to Social Work Theories and applied WITHIN the context of Australia.

Overview

This essay requires you to critically analyse ONE social work theory and critically apply this to one field of practice. The field of practice in this essay would be ‘depression experienced by young people in Australia’. This essay requires situating your analysis in contemporary social work theory debates. The types of Social Work Theories that could be applied are (for example);

– Cognitive behavioural therapy
– Empowerment Theory
– Strengths Perspectives Theory
– Solution focused Theory

Hence, choose ONE theory that could be best applied and analysed in the context of ‘depression experienced by young people in Australia’.

Expectations

This essay has two parts that will inform each other. You are asked to examine one theory and argue why you think it is an appropriate theory or not to use in the field of practice (depression experienced by young people in Australia). The following outline will assist in structuring the essay.

Part One: Reviewing a Theory (approx 1000 words)

This should include:
– Describing the social work theory you have selected.
– Exploring influences on the development of the theory, that is, how has it historically been situated in social work, what is its relationship to social work values, purpose and professional identity.
-Exploring modern/postmodern influences of the theory.

Part Two: Applying the theory to field of practice (approx 1500 words).

This should include:
– A brief description of the field of practice – what do you know about it? (i.e: What do you know or can explain about depression experienced by young people in Australia?)
– Critically analyse the application of the theory to the field of practice, that is, explore the strengths and limitations of the theory in relation to the field of practice.
– Your conclusion to why you think the theory is applicable or not to the particular field you have examined.

NOTE: think about concepts such as power, gender, culture, purpose, truth etc. to help your critical analysis, that is, points of contention between different theories will help you engage in CRITICAL discussion rather than a descriptive discussion.

This essay is asking for CRITICAL ANALYSIS and this will be the focus of marking and grading. It is about showing your ability to contribute to theoretical discussions and debates that currently inform social work. This is an academic paper and so needs to be written in the third person. It also needs to draw on a range of social work references that engage with your theory, field of practice, and theoretical debates.
*I will also be uploading an attachment with further elaborations on my instructions for this particular essay. Please read all my instructions carefully and clarify should you not be familiar with anything.

**IN ADDITION, please use textbook: ‘ Payne, M. 2014, Modern Social Work Theory, 4th, Palgrave Macmillan’ as MAIN REFERENCE SOURCE.**

You will need to use academic references in this paper. At least 10 references in total are required. Use HARVARD REFERENCING style.

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Human geography

 
1. Introduction about Indonesia, _________________________
Provide data about Indonesia:

Human Geography:
Go to the UNDP Human Development Reports – Human Development Indicat

Human Development Index Rank:
Population Total:
Infant Mortality Rate:
Mean or average years of schooling:
Adult literacy rate (% ages 15 and older)
Youth unemployment (% of ages 15-24):
Internet users (% of population):
Primary energy supply, Fossil fuel (% of total):

How does your country compare to another country – either more developed or less developed country?

What is unique or special about your country’s physical geography?

Note:
1.You must use a minimum of three in-text sources and list them at the end in a reference page. The sources should include credible sources – NO WIKIPEDIA
2. All in-text citations should be listed in a reference page!
3. Each student should write 2 pages, double-spaced, 12 font. If using pictures or illustrations then add more pages.
4. Please don’t make it obvious such as more acadamic.5. Harvard referencing

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Capital Budgeting, Net Present Value, and other Decision Tools

 
The essay should demonstrate a student’s ability to integrate and synthesize course concepts with selected readings to communicate his/her understanding of financial management concepts their application in organizations. The essay should also demonstrate a student’s ability to communicate as a manager. This includes proper writing style, organization, grammar, and spelling, as well as integration of course-related material. The writing style must follow the Publication Manual of the American Psychological Association , 5 th edition. Citations for online sources should include the online address (URL) and access date as well as the citation for the specific reference.
Research for the paper may be conducted online using the UMUC online library as the primary source. Do not use abstracts, use full-text articles. Publications that may be relevant for the topics listed below include: Strategic Finance, The Journal of Business Finance and Accounting, CFO Magazine, Nonprofit World, Harvard Business Review, or other accounting and financial journals.
The paper should:
• Be based on your reading and research relevant to the topic.
• Be 5 to 6 double-spaced pages, plus appendices, exhibits, and references.
• Include a one-page Executive Summary immediately following the title page that includes a statement of the major issue(s) and your conclusions and specific recommendations. The content of an Executive Summary is similar to an abstract.
• Properly cite reference sources: these may include course material, information from magazines, journals, and online sources. All reference sources must have a publication date within the last three years. Students who wish to use an older source publication should contact the instructor with the request and reason.
1. Capital Budgeting, Net Present Value, and other Decision Tools – Write an essay that analyzes the pros and cons of the commonly used measures ( NPV, IRR, PI, MIRR, DPB) and come to a conclusion based on the literature that you surveyed as to which methods are theoretically correct and those popular. Emphasize real-world practices of capital budgeting methods, including project approval processes. Synthesize the discussions in published research.

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Infectious Diseases

 

A literature review term paper and a PowerPoint presentation
The term paper should consist of literature review of the chosen topic based on multiple references (journal articles, websites, books etc…)

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WEEK 4

 

Qualitative Procedures

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Read the qualitative procedure plan. Use the checklist in the table below to provide feedback on this article.

Are the following topics addressed?

• Are the basic characteristics of qualitative studies mentioned?
• Is the specific type of qualitative strategy of inquiry to be used in the study mentioned? Is the history of, a definition of, and applications for the strategy mentioned?
• Does the reader gain an understanding of the researcher’s role in the study (past historical, social, and cultural experiences, personal connections to sites and people, steps in gaining entry, and sensitive ethical issues)?
• Is the purposeful sampling strategy for sites and individuals identified?
• Are the specific forms of data collection mentioned and a rationale given for their use?
• Are the procedures for recording information during the data collection procedure mentioned (such as protocols)?
• Are the data analysis steps identified?
• Is there evidence that the researcher has organized the data for analysis?
• Has the researcher reviewed the data generally to obtain a sense of the information?
• Has coding been used with the data?
• Have the codes been developed to form a description or to identify themes?
• Are the themes interrelated to show a higher level of analysis and abstraction?
• Are the ways that the data will be represented mentioned (such as tables, graphs, and figures)?
• Have the bases for interpreting the analysis been specified (personal experiences, the literature, questions, action agenda)?
• Has the researcher mentioned the outcome of the study (developed a theory, provided a complex picture of themes)?
• Have multiple strategies been cited for validating the findings?

Research topic
Central phenomenon

The strategy of inquiry:
Which strategy?
Why is it appropriate?
Data collection:
Who were the participants?

How were participants selected?

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investigation the effectiveness of a brief / a low burden intervention in reducing hypnotic prescribing

 
Please be aware that this will be a protocol of my research. I will give you a brief explanation the I will provide you my colleague work that I will do the same thing. I am going to implementing the intervention then looking in depth may be then interviewing the GPs (general practitioners) or patients who come to or did not come the office (doing it in structured manner). please have a look to these work down as I am going to select 2 practices to work with. I am providing my colleagues’ work just to give you an Idea about what can been done.
Hypnotic Audit & Review 2014/15 X Surgery

Practice prescribing of hypnotics & benzodiazepines is measured and compared at a local (prescribing performance) and a national (QIPP indicator) level.

Why Audit?

* Continuing concern over long term use (1)

* Taking a benzodiazepine and/or hypnotic was associated with double the risk of death from any cause compared with no prescription for these drugs. Dose-response associations were found and there were approximately 4 excess deaths linked to these drugs per 100 people followed for an average of 7.6 years after their first prescription. (2)

* Driving whilst under the influence of drugs is a significant cause of injuries and deaths on the road. (3)

* Patients are not always given appropriate information and advice on the risks associated with long term use (4):

* Tolerance & addiction

* Drowsiness, clumsiness, forgetfulness, confusion, impaired judgement

* Falls & fractures – in people older than 60 years, these drugs are associated with an increased risk of falling of between 50-70% in relative terms. (5)

* Association with increased risk of dementia and increased cancer incidence in those prescribed high doses (6)

How is usage measured? Hypnotic ADQ per STAR PU – This is a measure of the total quantity of Benzodiazepines and Z-drugs prescribed, weighted for age and sex of a practice’s population.

At the start of the project x Surgery was the 4th highest prescriber out of 50 East Berkshire practices. x Surgery Q2 (Oct-Nov 13) 2013/14 ADQ 461

What action was taken in X Surgery?

1. Practice meeting to agree course of action with all prescribers. A consistent message is vital for success and helps to prevent patients pressurising or singling out a particular GP.

2. Search – patients prescribed these drugs during April – July 2013.

* Exclusion criteria: Housebound, care/nursing home (reviewed separately by care home pharmacist & responsible GP) and palliative care patients; one off supplies e.g. for back spasm, fear of flying and for epilepsy treatment.

3. Analysis consistently shows that a simple letter intervention reduces benzodiazepine use in patients who have been using them long-term (7). Letter sent to remaining patients to:

* Explain concern over the patient’s long-term use of named hypnotic/s

* Highlight potential side effects when taken over a prolonged period.

* Ask the patient to consider a reduction in their use. – Include advice on how to gradually reduce or cease use in a manner that is feasible and will decrease the likelihood of withdrawal symptoms.

* Invite the patient to discuss the issue further with own GP or by booking into pharmacist led clinic.

4. For those receiving a letter, these drugs were moved from repeat to acute and limited to 56 days supply.

5. A 2nd short reminder letter sent to non responders 3 months after the initial letter, also informing the patient that the maximum length of supply was now 30 days in line with CD regulations (June 2014).

6. Posters advertising clinics and detailing risks of long term use put up in waiting rooms

7. Agree initiation & prescribing policy for new prescribing – support leaflet supplied

8. Full range of support leaflets and reduction schedules available in all consulting rooms.

9. Monthly pharmacist (independent prescriber) led clinics offering 20 minute appointments. Scope of practice demonstrated by Benzodiazepines learning module via MHRA Training and Continuing Professional Development (CPD) and personal CPD records.

10. Reception staff / prescription clerks’ informed.

11. Raised awareness with local community pharmacies by providing self help leaflets & posters

Main audit observations

o 196 patients prescribed hypnotics, 95 patients prescribed benzodiazepine, 25 prescribed both.

o Included 37 patients care home residents

o 4 RIP during project

o Age range 5 – 101 years

o Length of supply range 1 day – 100 days

o 99% on repeat

o 107 patients with fall/fell in consultation, recording total of 238 falls, often leading to GP appointments, OOH/MIU/A&E attendances & hospital admissions. This included 14 fractures, 54 A&E/admitted and at least 3 road traffic accidents.

o There was occasional documentation of addiction & tolerance discussions.

Clinic Protocol

o Identify & address any underlying cause of insomnia, anxiety & depression

o Promote non drug therapies such as sleep hygiene methods and relaxation techniques using diaries & self help leaflets.

o Involve patient support network

o Guided by patient, negotiate flexible, gradual withdrawal schedule

o Convert to diazepam if appropriate

o Rebook for review, ongoing support and encouragement as appropriate

o Continue dose reduction at pace comfortable to patient

o Monitor withdrawal effects until stopped completely or at lowest dose to control effects of withdrawal. Where complete withdrawal may not be an achievable goal there is still benefit to be gained in reducing use to the minimum effective dose. (Ref BNF).

o Revisit benefits of stopping at every contact

o Highlight risks for drivers, including details of the proposed 2015 drug driving offence for those affected.

o Link patient into support services (Talking Therapies, SMART/T2, age concern, Community Veterans Mental Health Service)

What were the potential barriers to success?

* Not perceived to be a problem

* Cheap drugs – budget not affected

* Time & impact required

* More commonly used Z drugs are perceived to be safer than temazepam

* Patient resistance

* Limited support programmes available within mental health services

Results

Number of patients seen/telephoned by GPs was not measured. Number of pharmacist led clinic sessions 14 (First clinic January 2014: Last clinic January 2015)

> Number of patients seen 45

> Number of patient appointments attended 97

> Number of DNA 2

X Surgery Q2 (Oct-Dec 13) 2013/14 ADQ 461

X Surgery Q2 (Oct-Dec 14) 2014/15 ADQ 263

After the conclusion of the project, X surgery (Q2 2014/15) moved from 4th highest hypnotic ADQ per STAR PU prescribers to 29th out of 50 practices and below England average.

The inclusion of this prescribing performance indicator meant that all 50 practices received a consistent message regarding harms of long term use together with the offer of additional support material. A decrease can be seen by a large number of practices.

No other practice achieved the same magnitude of reduction as X surgery (as seen in Graph 1 below), who had received a higher level of support in terms of education, letters sent to patients and pharmacist led clinics over this time period. (Latest epact data available Q2 14/15)

Graph 1 – highlighting X Surgery

Medication Results: [12 month time period Oct12 – Nov13 vs Oct13 – Nov 14 (ePACT)]

The number of items dispensed decreased by 572, despite changing prescriptions to 30 days supply and thereby potentially increasing the number of items ordered.
Melatonin prescribing remained stable, indicating patients had not been switched to melatonin as a non hypnotic alternative.

OUTCOMES – Benefit to individual, practice and wider public health agenda

* Keeping patients from harm by reducing exposure to side effects

* Patient in control, involved in own healthcare decisions & empowered to manage their medicines

* Prescriber education promotes consistent patient experience and raised awareness of potential serious side effects for patient and prescriber.

* Improved patient access to healthcare in convenient location with choice of provider

* Vulnerable or complex patients linked into other support agencies

* Opportunity to discuss other medication, helping patients to get the most from their medicines.

The final word – What particularly went well and what was hard?

Practice engagement over the course of the project was superb. It was well supported from the outset with the delivery of a consistent message, and patients actively encouraged to attend the pharmacist led clinic. GPs held steadfast regarding keeping supply on acute rather than repeat, at least until the patient had received the relevant support information. Initially, pressure on GPs time was high. Inevitably, this quickly decreased, but was time consuming on top of the usual high work load.