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This toolkit can be used to assist each individual healthcare setting to identify the most suitable place to verify/decommission medicines based on their needs. In addition it can be used to inform staff of what they need to do to successfully and implement FMD and be compliant. Furthermore the toolkit can also provide useful links to other sources of relevant FMD information.
Integrated system - best suited for medium to large volume decommission
These systems are integrated into an existing system (such as the stock control system). Such solutions would normally incorporate the scan into the normal business process workflow and minimise the ‘additional operator’ demand or provide a business benefit that allows the increased staff time for scanning to be off-set by other benefits. System suppliers may be taking an incremental approach to offering such ‘business benefits’ but should be looking to deliver these within a reasonable timescale post February 2019.
Delegated staff member scans medicines using a 2D compliant scanning device. Existing systems used to record dispensing activity and/or stock control are automatically updated with pack information, reducing the manual data entry need.
Automated - best suited for small volume decommission
These are solutions such as robotic systems where the barcode scan is a normal part of the ‘loading’ of the machine and where the output from the machine can be attributed to an individual, identifiable pack. These systems have developed the links to the NMVS to support verification messages on ‘receipt’ or loading and decommission messages on supply. There would need to be a facility to support scanning of ‘non-robot’ items. Such systems minimise the staff implications of FD scans but may require further integration with stock control systems to leverage full ‘user-benefits’ from the use of FMD barcodes.
Stock or order fulfilment machines, such as robotic dispensing machines, performs the FMD scanning as the pack flows through the machine. May or may not be integrated with other pharmacy systems.
Help in understanding how to map your processes from NHS Improvement
Alex Jennings is Deputy Chief Pharmacist at Aintree University Hospital NHS Foundation Trust in Liverpool. He has developed standalone software for the Falsified Medicines Directive (FMD) in his spare time and currently more than 40 hospitals and five community pharmacy chains are using it. We visited him in February 2019.
We visited Dan Hibell, Informatics Lead Pharmacist at Darlington Memorial Hospital (part of County Durham and Darlington NHS Foundation Trust), in February 2019, a few days after FMD became law. Darlington was one of the initial pilot sites for FMD implementation and was one of several trusts that helped NHS Digital produce a toolkit to support others in implementing FMD.