APRIL 2023
OUR VISION:
“Making the prescribing, dispensing and administration of medicines everywhere in Wales, easier, safer, more efficient and effective, for patients and professionals,
through digital.”

WELCOME TO THE LATEST EDITION OF THE DIGITAL MEDICINES TRANSFORMATION PORTFOLIO NEWSLETTER

October 2023

Here you’ll find the latest news about the programmes and projects within DMTP. In this edition we chat to Digital Medicines Transformation Portfolio Director Rhian Hamer about her vision for our exciting transformation work, and you can also read about our plans to test the Electronic Prescription Service (EPS) in Rhyl this autumn.


You can view all previous DMTP newsletters here. We hope you enjoy this edition and we’d love to hear from you if you would like to include your news in the next edition – just drop the team a line at [email protected].


Sign up for every newsletter

Q&A WITH DMTP DIRECTOR RHIAN HAMER

Digital Medicines Transformation Portfolio Director Rhian Hamer has an impressive track record in transformational business-led change. She has been named as a finalist in the Inspirational Individual category in the UK IT Industry Awards 2023, which are due to take place in November. We sat down with Rhian to find out what attracted her to the role and how she is making an impact. 


Q: What drew you to your role as director of the Portfolio?

DMTP is an ambitious transformation change portfolio which will benefit patients and clinicians across Wales. It will make the prescribing and administration of medicines safer, easier more effective and more efficient. Following previous roles in the private sector and as a consultant for the Office for National Statistics (ONS), I was excited to move into healthcare. I have enormous respect and love for our NHS and am passionate about making a difference for patients and clinicians. I am also committed to delivering sustainable and environmentally friendly changes as we reduce the amount of paper used across NHS Wales.  I feel both proud and privileged to lead this change. 


Q: What has the Portfolio achieved to date? 

Establishing the Portfolio involved recruiting and onboarding a full team from many different backgrounds. In just 18 months we have come together to make enormous progress across all elements of the Portfolio.  

This autumn, we will move into the delivery of an e-Prescription Service (EPS), whilst earlier this year, in partnership with Life Sciences Hub Wales, we launched the Community Pharmacy System Innovation Fund to help suppliers of digital community pharmacy systems in Wales deliver the service.  

We have established a multi-vendor framework to help deliver Secondary Care Electronic Prescribing and Medicines Administration (ePMA) and are working closely with all health boards in Wales on procurement activities. 

We are also working with NHS Wales colleagues to put processes in place that will enable us to introduce the first Shared Medicines Record for patients in Wales. Exciting progress has also been made in a short time on the NHS Wales App, which will enable patients to better manage their healthcare and make it easier for them to do things such as ordering repeat prescriptions. 

 

Q: How have some of your previous successes helped you in this role? 

I have been delivering major transformational change for over 25 years. I am proud of what I have achieved in that time, including being recognised by Welsh Government as one of the Top 10 Contributors to Transforming Public Services in Wales in 2016. I led transformation change at the Ministry of Justice for ten years before advising ONS on the design, test and build of the UK’s first digital Census in 2021. These roles highlighted the importance of putting people at the heart of everything we do in terms of service design and delivery. The patient’s voice is so important to me in delivering sustainable change that will make a real difference to their journey. 

 

Q: How have you shaped the culture of a new team? 

I am a compassionate leader with a drive for delivery. I believe that relationships, not power, drive delivery and, as such, I invest time and effort in building effective relationships, both within my own teams and externally. To me, leadership is about creating other leaders, encouraging collaboration and enabling decisions to be made as close to the work as possible. It’s essential to trust your team and to treat everyone with respect and fairness. 

We are keen to challenge the norm and to try new ways of working, always bringing everything back to the patient or service user. Within a few weeks of coming into the post, I led the development of a DMTP Charter and core values, reinforcing our mission to put patients, the public and clinicians at the heart of what we do. I want the Portfolio to be recognised as a team that is focused on delivery and puts the patient and service user at the centre of our work.   

 

Q: How do you plan to do things differently? 

I’m a firm believer in gaining knowledge through experience. It’s important to spend time on hospital wards and in GP surgeries and pharmacies to see what’s really going on – not what we think is going on. I’m keen to make evidence-based decisions using data. I also hope I can contribute to the wider Digital Health and Care Wales team by mentoring and supporting colleagues and opening up learning and development opportunities. 

 

Q: How do you look after your wellbeing in such a busy role? 

I play badminton and squash and I love travelling – I’m a firm believer it opens our minds and helps us see the world through another person’s lens. I’ve been fortunate enough to travel extensively and I’m trying to get into the ‘100 Club’ for people who have visited 100 countries. I haven’t got many left to go, but the next ones on my list are a little harder to travel to!   

DMTP NEWS

Electronic Prescription Service (EPS) on track for live testing this autumn 

The first use of EPS in Wales is on track to take place this autumn in Rhyl, North Wales. Lakeside Medical Centre and Wellington Road Pharmacy are taking part in live testing of the new service, which will see prescriptions sent electronically from a GP surgery to the pharmacy without the need for a paper prescription form. The move away from a paper-based process to a digital service will benefit patients, GP surgeries and pharmacies. It will also help the environment, reducing the number of paper prescriptions printed each year. There will be several weeks of testing in Rhyl before EPS is rolled out across Wales in a phased approach in 2024.

Key milestone reached for electronic Prescribing and Medicines Administration (ePMA) and the Shared Medicines Record (SMR)

A key milestone to deliver the technical capability needed for ePMA and SMR to go live has been reached. This allows the electronic sharing of data between systems to support healthcare professionals to deliver patient care. The work has focused on enabling medicines and allergies information and discharge information to be shared between systems which will help clinicians to do their job more effectively and improve patient care.


Assistant Head Architect Rhian Rice said: “This is huge achievement which is vital for integration and interoperability of our systems. It will enable clinicians to have more information at their fingertips when providing care to the patients and will make their work easier and more efficient.”

 

Community of Knowledge and Action for ePMA users

Health board and NHS trust staff who are involved in implementing electronic Prescribing and Medicines Administration (ePMA) are invited to share knowledge and best practice in our Community of Knowledge and Action. The aim of this network is to provide support in successfully deploying ePMA across Wales, encouraging engagement and feedback and providing opportunities for site visits.


If you are going to use ePMA and have not already been added to the community, please email DHCW.ePMA@wales.nhs.uk and we will add you to the list.


The next meeting will take place on Thursday, November 16 between 1-2pm.

Shared Medicines Record survey 


The Shared Medicines Record (SMR) team is working closely with ePMA suppliers to ensure the necessary development and testing to share information correctly with the SMR is completed in time for ePMA to go live in health boards and trusts across Wales.



The team has also been surveying DHCW colleagues to find out where they are within the implementation journey of the interoperability standards. If you can help, please scan the QR code to complete the short survey or contact the team at [email protected].

 

TENtalk showcasing FHIR standards proves popular with colleagues


On Tuesday, 3 October, we hosted a TENtalk for our colleagues across Digital Health and Care Wales (DHCW). The TENtalks are a series of staff events which take place regularly at 10am and enable us to share information, good practice and updates. Our event Sharing Patient Data - Introducing FHIR, showcased how we are implementing Fast Healthcare Interoperability Resources (FHIR) in our Shared Medicines Record programme.

 

The talk, which was attended by more than 300 members of staff, focused on how we will use FHIR standards to define how healthcare information can be exchanged between different computer systems and be available to those who have a need to access it for the benefit of a patient. In particular, the talk explained how FHIR will help us to share medicines and allergies information electronically across systems in NHS Wales.

 

Clinical Data Modeller Callum Saint said: "We're implementing the FHIR standards to simplify communication between systems that exist in NHS Wales. This will reduce complexity and make implementation easier, meaning we can improve patient data quality and its availability. It will

allow us to create a one-stop shop that provides the same details anywhere in Wales and across all healthcare settings."

 

Further talks are now being planned for organisations across Wales. Read more in the Wales FHIR Implementation Guide.

Benefits of electronic Prescribing and Medicines Administration (ePMA)



A new national framework to help organisations capture and measure the benefits of implementing an ePMA system in every ward in every hospital in NHS Wales has been approved by our ePMA Board.


The following core benefits have been identified in collaboration with health boards and trusts and will be recorded and reported regularly:


• An increase in antimicrobial stewardship

• An increase in thromboprophylaxis treatment (a medical treatment to prevent blood clots)

 An increase in mandatory thromboprophylaxis

• The elimination of blank administration records

• A reduction in prescribing errors

• An increase in allergy recording and status checking

• Time saved accessing secondary care prescription charts

• A reduction in the need to purchase and store paper prescription charts


ePMA programme Senior Responsible Officer Dr Lesley Jones said: “Our aim is to help healthcare staff deliver support to patients more quickly and efficiently and the benefits of this system when implemented will really make a difference.”


The focus now is on how this data will be collected and reported nationally. To help with this work, a survey has been sent to health boards and trusts and will close at the end of October. The results of the survey will be available mid-November and will be used to help inform a national benefits plan and register. 

MEET THE TEAM - WELCOME AND THANK YOU!

Every month, we find out more about the new and recent starters to the DMTP team. Here are this month’s friendly faces!

Joshua Anthony,

Secondary Care ePMA Project Manager


Joined DMTP: August 2023 


I joined DHCW from Velindre Cancer Centre, where I was a programme support manager helping to lead the operational implementation of the Programme for Radiation Services. Before that, I worked at DHCW supporting Information Services.


The best thing about my new role is being able to work with a variety of staff of different skillsets and backgrounds to help deliver a transformational programme on a national level.



Outside of work I love to spend time with family, friends, and my dog Lola. I love the outdoors, keeping active and adrenaline sports. I also love to travel, experiencing new things and, more importantly, tasting all the food! My favourite destination so far has been Croatia, specifically Dubrovnik and Hvar. I also have a 72-indoor plant collection, so my house is like a jungle!


Oscar Merry Lewis,

EPS Project Support Manager


Joined DMTP: September 2023 


Before joining the EPS team, I worked within DHCW as a Project Support Manager for the Radiology Informatics System Procurement (RISP) Programme, delivering a brand-new Radiology Informatics System for all relevant hospitals in Wales. Before this I worked as a Service Improvement Officer within the Procurement division at NHS Shared Services Partnership.


The best thing about my current role is knowing that we’re delivering genuine national digital innovation that everyone in Wales will interface with at some point in the future.


Away from work I’m a project leader at a food charity called FoodCycle, where we cook a three-course meal from donated produce for the local community every Tuesday. So far this year we’ve served more than 1,200 community meals! I also love running, hiking and photography.



Seren Phillips,

EPS Project Support Officer


Joined DMTP: January 2023


Before joining the EPS team, I worked firstly with Public Health Wales as a Newborn Hearing Screener and then in Medical Genetics at Cardiff and Vale University Health Board.


The best thing about my role is making a genuine difference to patients in Wales.


When I’m not working, I enjoy being outside, whether walking along the coast or in green space with my dog, Sky. My favourite place in Wales is Llyn y Fan Fawr in the Carmarthen Fans.

Tobi Koiki,

Portfolio Support Officer


Joined DMTP: March 2023


Before joining DMTP, I worked for Rhondda Cynon Taf County Borough Council as a project co-ordinator for three years. 


The best thing about my new role is the people I work with. I’m part of a great team that supports me in achieving my targets. My colleagues also have a wealth of knowledge to help me develop in my role. It has been great working at DMTP so far, and I look forward to carrying on my career in the organisation.


I enjoy sports, travelling and going to the gym outside of work. I also enjoy spending time with family. 


Thank you and good luck!

Cheryl Way

This month we wished a very happy retirement to Cheryl Way, DHCW National Pharmacy and Medicines Management Lead, who has worked for NHS Wales for nearly 43 years.


Cheryl, who was a member of our Portfolio Board, said: “I have loved working for DHCW and its predecessor organisations, and I am very proud of all the functionality we have delivered for the staff and patients in Wales over that time. It’s a fantastic team of people to work with and I know you will continue to deliver great digital functionality to support healthcare in Wales.”


We also said goodbye to National Clinical Informatics Lead Sandra Oliver, who left DMTP in September. We wish Sandra and Cheryl all the best in their next ventures!

DMTP EVENTS AND ENGAGEMENT

Professor Hamish Laing joins experts at HETT Show

DMTP SRO Professor Hamish Laing took part in a panel discussion at the HETT Show in London last month to discuss electronic prescribing and the impact it can have on patient care.


The two-day event at ExCeL London – called Enabling Meaningful Collaboration Across Digital Health and Care – was attended by around 4,000 delegates including digital leaders, IT specialists, clinicians, pharmacists and industry.


Professor Laing joined a panel session on September 27 called Maximising the Power of Digital Pharmacy and Closed Loop Medicines. It concentrated on how standards and vigilance help to support better care and improve patient safety alongside delivering benefits associated with digital transformation. It also looked at the progress in electronic prescribing and medicines administration in hospitals and what’s next for the role of digital in supporting quality improvement in pharmacy and medicines.



Professor Laing said: “I was delighted to take part in this event with its focus on meaningful collaboration across health and care to improve safety. This is a key focus of the Digital Medicines Transformation Portfolio, which places engagement and user experience at the centre of everything we do to ensure we meet the needs of the people who will use the new technologies.”


Hospital visit as ePMA progresses


DMTP ePMA Programme Manager Louise Gregory recently visited the University Hospital of Wales in Cardiff to meet their ePMA team and learn about their pharmacy department.


Louise said: “It was fantastic to meet the team and see the how ePMA will affect the hospital’s pharmacy department. The work is progressing well and we are looking forward to implementing the system in all hospitals across Wales.”






Photo l-r: ePMA Project Manager Hannah Wilce, ePMA Pharmacy Technician Andrew Morgan, ePMA Programme Manager Louise Gregory, Lead ePMA Nurse Sandra Watts.

Device demonstrations for ePMA teams

Suppliers of medical carts which support ePMA systems took part in two demonstration days hosted by Powys Teaching Health Board (PTHB) earlier this month for staff who access patient medicines information. The events were arranged by PTHB Digital Project Manager Barry John and took place on October 12 in Welshpool Hospital and October 13 at Bronllys Hospital in Brecon. The invitation was also extended to ePMA project teams from across health boards in Wales and members of the Portfolio team.

 

ePMA Project Manager Joshua Anthony, who attended the Brecon event, said: “We met with suppliers to try out some of the potential new hardware for things such as storing and managing medicines on the ward rounds. Each supplier gave a detailed overview of the products they brought to the demo day and the Powys ePMA project team was on hand to answer any further questions. It was such an interesting, useful day and great to learn from healthcare professionals about what they require to do their job.”

 

Barry John, PTHB’s Digital Project Manager, said: "It was great to see staff meeting with the suppliers, asking questions and having their say on which hardware option would work best for them. I am happy to share our knowledge and experience with wider NHS Wales ePMA project teams if they need any assistance in organising a similar event.”



If you are interested in organising a similar event, please contact the ePMA team at [email protected].


Photo l-r: Secondary Care ePMA Principal Project Manager Martin Gallanders, Assistant Chief Architect Rhian Rice and Secondary Care ePMA Project Manager Joshua Anthony.

Meeting colleagues and filming a new video to showcase the benefits of EPS

It was fantastic to visit Lakeside Medical Practice and Wellington Road pharmacy in Rhyl to spend time with staff who we are working so closely with to test the first use of an EPS in Wales.


As part of the visit, we carried out some filming to highlight the benefits of EPS for patients, GPs and pharmacies. Staff and patients were filmed on site and at other locations in Rhyl for a short video, to be released during the testing phase of EPS this autumn.



The filming took place following a collaboration between communications colleagues at DMTP and Betsi Cadwaladr University Health Board. Look out for the launch of the video in a future newsletter!  

Top right, left to right: Wellington Road Pharmacy counter assistant Mandy Myatt, DMTP director Rhian Hamer, counter assistant Joanne Painter, pharmacy technician Melanie Tomkinson and pharmacist Charlotte Smith.


Above: Lakeside Medical Centre Operations Manager Shafraz Mohideen is filmed by our colleagues at Betsi Cadwaladr University Health Board.

Cyber security and mental health on the agenda for DMTP staff


DMTP colleagues linked up on Teams from our sites in Cardiff, Swansea and Rhyl on September 28 for a day of shared learning.



The Communications team unveiled plans for a new DMTP Sharepoint site, which will be available to NHS colleagues, GPs, pharmacists, suppliers and other stakeholders in the coming weeks. DHCW Cyber Security expert Julian Jones gave an insight into phishing scams and how colleagues can be vigilant against online attacks, whilst Learning and Development Facilitator David Rees spoke about mental health and the support available at DHCW. 

Find out more about DMTP


DMTP co-ordinates four connected areas of work: 


  • the delivery of an Electronic Prescription Service (EPS) in primary care,
  • the implementation of an electronic Prescribing and Medicines Administration (ePMA) on every ward in every hospital in Wales
  • the development of a Shared Medicines Record and
  • medicines functionality in the NHS Wales App

If you would like to know more about our work or have a suggestion about how we can engage with you, we’d love to hear from you!  



Email: [email protected], visit our web pages or follow DHCW on our social media channels:  


Facebook  Instagram  LinkedIn  Twitter  YouTube
LinkedIn Share This Email