SP1 Medicines optimisation for paediatric patients with learning disability

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To determine areas of MO for PPLD.


During the audit period, the objectives were to gain baseline data;


Standards were agreed with specialist paediatric and lead research pharmacists. PPLD were selected using an inclusion/exclusion criteria. A data collection form was developed, piloted, and used by the pre-registration pharmacist to survey patients between 5th-16th/12/16. Data analysis was carried out on Microsoft Excel. This study did not require ethics approval.


19 PPLD were included in the audit, with an age range of 1–16 years. Medicines were predominantly managed by carers at home, with one adolescent co-managing with their carer. Written medication records included diary, phone notes, repeat prescription, outpatient letter and a drug chart. Adherence problems included poor dissolution of omeprazole tablets and poor taste of levetiracetam tablets. Four patients (21%) required an unplanned intervention by the pharmacist relating to medicines administration issues not picked up during previous consultations. Problems obtaining medicines from GPs included restricted GP’s Formulary and miscommunication.


No standards were achieved, thus further improvement is required. The short duration and small sample size mean the data represents a snapshot. Recommendations from this audit are:

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