SCIMPSIG #1 – Falkirk Declaration

Posted by: Paul - Posted on:

The report from our first SCIMP Special Interest Group is now available: SCIMPSIG Report Medications at Transitions of Care.

The group’s agreed statement, The Falkirk Declaration, is below:

  1. There is a clinical requirement to improve the safety and effectiveness of the management of medications at transitions of care
  2. The NHS in the UK are addressing this through a number of linked professional and governmental organisations, e.g. NSS SCIMP, PRSB, UKTC, InterOpen, Care Connect
  3. These have now agreed clinical medication models and data exchange standards for sharing medication data
  4. These agreed models and standards should thus be used by projects and programmes using electronic medication records, including linked systems
    HL7 FHIR profiles are being adopted by vendors to the NHS in the UK, expressed from international FHIR medication resources, and so becoming the de facto interoperability standard
  5. The dm+d is also now the de facto standard drug dictionary for the NHS in UK
    Computable Dose Instructions have now been designed using interoperable resources, and shown in pilots to be components fit to contribute to the first purpose above
  6. This set of models and standards must be a non-proprietary resource, openly distributed and available to contribution from all stakeholders
    NHS bodies must support this by procuring only systems which conform to these standards
  7. This infrastructure upgrade policy requires evaluation on wider bases than the short-term financial, to include clinical time saved and harms reduced
  8. The clinical community require that these technical models are developed in response to clinical requirements, and to be assured of their clinical safety
  9. The resources to gather requirements from clinical teams must:
    – produce medication systems that are safe, effective and person-centred in their application
    – be supported, co-ordinated and collaborative
  10. There shall be implementation of these recommendations by NHS bodies in each of the NHS in UK
  11. NHS Scotland must formally engage with this UK work to ensure local operational and clinical requirements are modelled and that it has the skills and knowledge to use the resources