P60 Application of clinical prioritisation in a pharmacy technician-led interstitial lung disease outpatient clinic

• DOI: 10.1136/thorax-2024-btsabstracts.221
• Publication Date: 2024-11-04T09:40:54Z
• Authors: N Leung; T Wilson; H Hawkes; H Adamali; SL Barratt; J Hardy; G Dixon; S Mulholland
• Keywords: Technician; Pharmacy technician; Outpatient clinic

<h3>Background</h3> Nintedanib and pirfenidone are antifibrotics approved for use in interstitial lung disease (ILD). Given their significant side effect (SE) burden, regular monitoring of patient adherence, tolerability liver function tests (LFTs) throughout treatment is essential. Our implementation the Pharmacy Workforce Development South (PWDS) Clinical Prioritisation accreditation¹ represents an innovative expansion responsibilities pharmacy technicians managing ongoing ILD patients prescribed outpatient clinic. <h3>Method</h3> From 04/12/2023-08/02/2024, 195 on were reviewed. Patients risk stratified by pre- post-clinic using a red, amber, green (RAG)-rating system. Red-rated necessitate prescriber interventions. Amber-rated require consultation before management technicians, typically deranged LFTs, uncommon SE or drug interactions. Green-rated independently managed technicians. <h3>Results</h3> 121 green-rated autonomously 55 (45%) reported SE. (100%) these received comprehensive self-management advice, including guidance medication recommendations over-the-counter treatments suggestions general practitioner consultations regarding antiemetics mucolytics. 41 (34%) raised additional non-pharmacological concerns, which effectively addressed signposting to appropriate services providing information leaflets. These issues encompassed various themes, unrelated clinical symptoms (or peri-operative advice antifibrotics) (n=22), provision literature weight loss (n=10), queries e.g. rescue antibiotics interactions with new medications supplements (n=6), mental health support referrals (n=5), benefits allowances (n=2) trials (n=1). <h3>Conclusion</h3> outcomes highlight capability safely manage portion this setting. The accreditation equips skills knowledge seamlessly integrate into multidisciplinary team. It important underscore breadth expertise that experienced can offer addressing diverse array concurrent associated thus releasing prescribing clinicians facilitate initiation appointments. <h3>Reference</h3> (2024). Medicines Optimisation Training Programme (PMOTP) - Unit 3 (online). Available: https://pwds.nhs.uk/programme/pmotp-unit-3/ [Accessed: 02/04/2024].