Safety needles

In line with the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013 and as agreed at February 2020 Hertfordshire Medicines Management Committee where a safety needle is required by a healthcare worker, this should be provided by the health care...

Reporting medication errors

Hertfordshire adult safeguarding board have produced new guidance and there are now two ways to report medication errors. -All medication errors need to be reported Errors that do NOT trigger a safeguarding notification need to be reported using the form here. -All...

Reducing harm from omitted delayed medicines

Herts and West Essex ICB have recently produced a guidance document on reducing harm from omitted and delayed medicines in care homes. The guidance includes: Actions to take following a missed dose. Common reasons for missed doses and suggested actions. Dealing with...

Anticoagulants and Head Injuries

CQC have identified that there have been incidents where people who are taking anticoagulants have fallen and hit their heads. The increased risks of their medication has not been considered, and therefore medical assistance has not been sourced. The Clinical Medical...

Vitamin D

In 2016 Public Health England issued guidance that population groups at increased risk of vitamin D deficiency (such as people who are confined indoors, including those in care homes) should take a daily 10 micrograms/400 units vitamin D supplement throughout the...

The 8 Rights of Medication Administration

One of the recommendations to reduce medication errors and harm is to use the “eight rights” The rights of medications administration are there not only to reduce the harm caused by medications errors but also to protect the interests of the patient and the person...

Reducing antipsychotic use for non-cognitive symptoms in dementia

This Herts Valleys CCG document aims to provide a local and practical approach to the treatment of non-cognitive symptoms in dementia, including guidance on de-prescribing of antipsychotics. It includes: Guidance for prescribers A suggested tapering protocol when...

Further Guidance

Patches Different types of medicines are available in patch form; some include painkillers, medicines to treat Parkinson’s disease, and medicines to control nausea and vomiting. Application of Patches The interval between patches can vary. Patches should be applied at...

PRN (When Required) Medication in Care Homes

Herts Valley CCG – ‘When Required’ Medication (PRN) Good Practice Guidance for Care Homes v1.0 – February 2020 Herts Valley CCG – When Required PRN/Variable Dose Template (Appendix 1) East and North Herts CCG – ‘When required’ PRN...

Crushing Tablets/ Opening Capsules in Care Homes

Herts Valley Guidance Guidance on crushing tablets or opening capsules in a care home setting v2.0 – February 2020 Medication Risk Assessment for Residents with Swallowing Difficulties (Appendix 1) East and North Herts GPG...

Covert Administration in Care Homes

Herts Valley Guidance Covert Administration of Medication Policy for Care Homes Covert Administration of Medication Policy for Care Homes: Appendix 1 – Medication Risk Assessment Form East and North Herts Covert Medication Care Home...

Bulk Prescribing in Care Homes

Herts Valley Guidance Bulk Prescribing Guidance for Care Homes Click here  Bulk Prescribing Order Form (Appendix 1) Click here Care Home Sign in Sheet for Bulk Prescribed Medication (Appendix 2) Click here   East and North Herts Guidance Bulk Prescribing Full...

Administration and Records

Administration in Care Homes Many authorised care home staff can quickly, safely and securely order their resident’s medications online. This saves the care home, pharmacy and GP practice staff time. It also makes the dispensing of individual medicines easier and...

Homely Remedies and Self-Care/ Over the Counter (OTC) in care homes

CQC National Guidance for over the counter Medication and Homely Remedies Click here Herts Valley Guidance – Homely Remedies Guidance for Care Homes Click here Herts Valley Guidance: Appendix 2 – Homely Remedy Authorisation Form Click here Herts Valley...

Education and Competencies

Please visit HCPA’s training page to see what medication training HCPA and the County Council are delivering, you will also find information on how you can claim mandatory funding for medication training at your service. Click here to view HCPA’s Training...

National Guidance - Community Services

Title Info Link National Institute for Health and Care Excellence (NICE) guideline: Managing medicines for adults receiving social care in the community This guideline covers medicines support for adults (aged 18 and over) who are receiving social care in the...

HCC Medication Domiciliary Care Policy

This document outlines the roles, responsibilities and procedures for assisting people living in their own homes in receipt of regulated and non regulated homecare and community support with prescribed medications as part of their care and support plan. It sets out...

Oral Nutritional Supplements- All Settings

Local guidance Subject Description Links Adult sip feeds (ONS) in primary care A quick reference for health and care professionals (including care home staff) regarding identification and treatment of malnutrition in the community. It contains links to all other ‘food...

Ordering and Waste Reduction in Care Homes

Medication Ordering Cycle This updated good practice guidance, produced by the Herts Valleys CCG and East & North Herts CCG care home pharmacy teams, covers the key stages involved in a 28 day medication cycle, providing a framework for care home staff, community...

Reviews in Care Homes

A medication review is a chance for your GP (doctor) and a specialist pharmacist to take a detailed look at the medicines that you are taking, to make sure that they are working well for you and are not giving you any problems. Medication reviews are particularly...
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