Clinical trial NCT03938428: The Patient Experience of a Paramedic-Pharmacist Referral Pathway for Clinical Medication Reviews
Official title: The Patient Experience of a Paramedic-Pharmacist Referral Pathway for Clinical Medication Reviews
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Pharmaceutical Preparations
Accidental Fall
Allied Health Personnel
Lead sponsor: Yorkshire Ambulance Service NHS Trust
Sponsor class: OTHER_GOV
Collaborators: name: NIHR Yorkshire and Humber Patient Safety Translational Research Centre
First posted: 2019-05-06
Enrollment: 132
Sex: ALL
Minimum age (years): 18
Maximum age (years): 110
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: This study will be conducted from a single site (Yorkshire Ambulance Service NHS Trust). YAS staff make around 70-100 falls referral pathways a month in the Leeds area, and after exclusions relating to the PREFACS projects, it is anticipated that around 55 patients per month will be eligible to receive a pharmacist-led clinical medication review and will therefore be eligible for this study, up to a maximum of 550 patients.

Brief summary: This study seeks to understand how patients feel about their medicines before and after receiving a clinical medication review.

Detailed description: Falls in people aged 65 years and over are a common reason for calling the emergency ambulance service. Falls can be serious, with about 1 in 20 people having to be taken to hospital because they have been injured. Thankfully, in more than 4 out of 10 cases, people are not seriously injured and can be left at home. However, it is important that the reason for the fall is found and future falls are prevented where possible.

Yorkshire Ambulance Service can already make a referral to another local service to get specialist practical help for falls prevention when people are left at home after a fall. Research has shown that the safe use of medicines can prevent future falls, but that did not form. Now a new service has been set up for Yorkshire Ambulance Service to refer patients to the Leeds GP Confederation. A pharmacist working in the patients GP surgery will undertake a review of the patient's use of their medicines.

We would like to find out about how patients feel about using their medicines before and after the medicines review by a pharmacist. We would also like to know how they feel about the medicines review itself, to help decide whether this scheme should continue or be expanded to other areas. To do this, we are going to send a questionnaire to patients who receive a medicines review. The questionnaire will be sent by post, take about 10 minutes to fill out and include a stamped addressed envelope so people who take part will not have to pay for postage.

Eligibility criteria: Inclusion Criteria:

* Received a pharmacist-led clinical medication review following a falls referral made by a paramedic from Yorkshire Ambulance
* Registered with a GP in the Leeds area
* Has capacity to consent to take part in the study

Exclusion Criteria:

* Did not receive a pharmacist-led clinical medication review after a Yorkshire Ambulance Service paramedic made a falls referral
* Not registered with a GP in the Leeds area
* Does not have capacity to consent to take part in the study

Primary outcomes:
measure: Proportion of patients who express a change in emotion relating to how they feel about their medicines, following a pharmacist-led clinical medication review.
timeFrame: 1 month
Secondary outcomes:
measure: Patient expressed emotion
timeFrame: 1 month
Other outcomes:
Locations:
city: Wakefield
country: United Kingdom
facility: Yorkshire Ambulance Service NHS Trust
state: West Yorkshire
Study officials:
References: