• Run by Harrogate and Rural Districts Clinical Commissioning Group, in partnership with Yorkshire & Humber Academic Health Science Network Improvement Academy.
  • Involving 12 primary care project teams within Harrogate and surrounding areas of North Yorkshire.
  • Aiming to reduce inappropriate prescribing, thereby preventing medication errors and reducing healthcare utilisation for older people living with frailty.
  • Bringing together primary care teams to undertake collaborative patient safety and quality improvement training, and supporting them to develop their own interventions based around established protocols for de-prescribing. 
  • This project will run from January 2017 to April 2018.

Older people living with frailty often take many medications and are at higher risk of adverse drug events and hospitalisation. These people often need increasing support from primary care, due to complex needs which can be difficult to manage.

Individualised medication reviews are particularly important because there are higher levels of avoidable harm among older people and medication errors are the second biggest cause of patient safety incidents in the UK.

One validated method used to help guide medication review in people with frailty is STOPP (Screening Tool of Older Persons’ potentially inappropriate Prescriptions). This tool has been developed into a free and accessible protocol in SystmOne – an NHS primary care electronic health record system – making it easier for clinicians to detect potentially inappropriate medications that could be stopped for older people living with frailty.

This project run by Harrogate and Rural Districts CCG will explore how the SystmOne STOPP tool can best be used to improve medication reviews with frail populations.

Twelve primary care project teams from the Harrogate and Rural District and surrounding areas of North Yorkshire will be invited to take part. These multidisciplinary teams will include a prescriber, and will participate in a collaborative Training and Action for Patient Safety (TAPS) programme delivered by the Improvement Academy. The programme will use quality improvement methods and behaviour change techniques to support the project teams to develop, define, implement and evaluate their own interventions based around implementing the STOPP tool for de-prescribing.

This innovative project aims to reduce inappropriate prescribing, thereby preventing medication errors and reducing healthcare utilisation for older people with frailty.

Contact details

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