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Just waiting for it to stop whirling. OK, good afternoon, everyone and welcome to today's session. Um My name is Naveen Sore. I'm the Chief Pharmacy Officer at NHS Sussex and I'll be co chairing this afternoon with my colleague, Famula Famula over to you. Good afternoon, everyone. Um Welcome to the, the share conference. Uh My name is Fana Plumer and I'm lead strategic pharmacist in the Medicines Optimization Team at NHS Sussex. Um Looking forward to this afternoon. Just a little bit of um overview of how this afternoon we will run. We have four presenters um who will take it in turns to present their, their work and then we will have a 15 minute um discussion plenary at the end. So please use the message function on the side, put any questions or comments that you have for the presenters. Um You're not able to switch on your cameras or microphones so you won't be able to contribute that way. But please put all your comments into the chat and tha and I will feel those all towards the end. So um without any further delay, I will introduce our first um er presenter who is Ria Sajani who will talk us through her um presentation. And so if everyone else can switch their cameras off for now and then we'll give the floor to Ria. Hi there. Um So my name is Ria Sajani. I'm a quality improvement pharmacist um at Nottingham University Hospitals and also the sustainability lead for medicines there. So I'm going to be presenting on our um our project incorporating an environmental sustainability and quality improvement or S qi initiative into the trainee pharmacist program at Nottingham University Hospitals and Sherwood Forest Hospitals, NHS Foundation Trusts. So I think in terms of background, I think we all know why, why this is important and significant. Um And specifically thinking about pharmacists, pharmacists have a professional responsibility to take a leading role in reducing the environmental impact of medicines. An environmental sustainable pharmacy practice is a key area for development in both undergraduate and postgraduate pharmacy curricula. Um So an initiative was designed for hospital trainee pharmacists to incorporate teaching on climate change, medicine sustainability in the NHS and also a discussion of small scale sustainability projects um and dedicated time to plan undertake and present the project was also scheduled. So the purpose of the initiative itself was to improve trainee pharmacists knowledge and understanding of climate change and medicine sustainability. And also with the hope to increase the likelihood that they would consider this in their future practice and their careers moving forward. Um And really, we wanted to provide them a foundation knowledge of how to undertake AQ I project using the SQ I principles from the Center for sustainable health care. And the aim of the study itself was really to measure the impact of sustainability, quality improvement. So, sos Q I initiative on the future intentions of trainee pharmacists. So in terms of how the initiative was set up, it was cross sites between Nuh and Sherwood Forest Hospital. So across the I CS, uh we had a launch date where the trainee pharmacists received teaching on the significance of climate change medicine, sustainability principles of qi and there was some time for discussion of project ideas with some senior pharmacists there as well. Uh Then the trainees had three days rod in um to be able to do their, their small scale sustainability project. Um And we really wanted them to benefit the practice of other healthcare professionals and we wanted them to focus on the output rather than any developing of new materials and things. So we, we advised them to, to use resources that were already available either nationally or locally. Um And then they had a presentation day where they were able to showcase their work and learnings. So in terms of methods, the trainees were physically handed questionnaires to complete, there was four questions, pre and four questions, post initiative. Um And we used a five point like a scale um used to measure responses. Um And obviously the same questions were asked pre and post initiative results were analyzed using Excel and ethical approval was approval wasn't required. So in terms of results, so there was 19 secondary care trainee pharmacists who took part and there was 100% response rate. Um So the number of trainees that said they would be somewhat likely or very likely to consider sustainability in their future practice increased from 14 before the initiative to 19 after. Um and that's shown in figure one. Um and the number of trainees who rated the importance of sustainability of medicines as a very important increased from 8 to 17 pre to post initiative. Um Knowledge of S SQ I and sustainable health care, somewhat good increased from 2 to 14 out of 19 pharmacy uh pharmacy trainees. Um And then finally, the knowledge about the environmental impact of medicines are somewhat good or better than somewhat good, increased from 4 to 17 post initiative. And that's shown in figure two. So really the benefits for the trainee pharmacists were that they got experience of quality improvement, which is something that they will hopefully be using throughout their careers, whether it be doing projects or service improvement. Um They obviously were able to learn the importance of sustainability and then in theory, hopefully be able to share this learning with colleagues. Um in the future, they were able to get presenting experience, which which is really important moving through their careers as well. They were able to liaise with um the MDT when they were presenting um when they were doing their project work. Um and also they were able to meet their learning outcomes for their training year as well as part of this and benefits for the workplace, included being able to deliver some of the outcomes associated with the green agenda. A collaborative working across the ICS, importantly, developing a workforce for the future, which is part of the developing and Net ZERO NHS aims. And we were also able to influence future healthcare professionals to be more sustainable in their practice and future careers again, uh kind of focusing on that Net zero NHS um and really em embedding the skills of so SQ I early in their careers again, so then they can take this forward and ultimately uh benefit the NHS in the future as well. So in conclusion, um so there were some study limitations. So there was obviously a small sample size, it was only 19 trainee pharmacists and potentially there could have been response bias as the trainees were handed questionnaires face to face. Um Although these were anonymous. Um but ultimately, the results were very positive and they showed that this initiative increased trainee pharmacists knowledge and consideration in incorporating environmental sustainability in their practice and future practice. And really this forms the basis of building an NHS workforce for the future to tackle global warming and reduce NHS carbon emissions. And they are my references fantastic Thank you very much. Um Ria, um a fantastic presentation. I'm sure we'll have loads of questions at the end. So, for everyone that's been just listened to that presentation, please add all your questions and thoughts in the chat. Um The next presenter we have is Janine Janine Lamb. Um Janine, welcome to the stage. Um and I would like to introduce you to present your presentation. Thank you very much. So, um my name is Jamie, I'm one of the Renal pharmacist at Northampton General Hospital. So my uh project is um I've conducted a systematic review on assessing knowledge, attitude and practice on medicines disposals. So that's mainly looking in to healthcare professionals and healthcare students. Um Originally, when I had a look of some of the papers, there are a lot of evidence talking about how um how patients knowledge, attitude and practice on medication disposals. But I can't find a lot of um focus on the healthcare stuff. And um you're probably aware that a lot of the patients taking note to account of health care, staff advice. And so that's why if we don't have the knowledge and attitude, how can we improve the practice? And also this is a QR code uh for uh if you are interested to look at the whole um articles from the B and J Open. So the background of it is from the project is um unwanted medications, post, environmental and health risk. So, improper disposal practice such as disposing through household bins, putting medication waste through the sink or toilet. Um, it persists globally and healthcare professionals and students have a vital pack as well as advising patients of all medications. We also have to look into how we counsel patients of how to dispose medications safely as well. So the aim of this systematic review is to assess the knowledge, attitude and practice on medicines disposals and also to explore from the participants, what are the recommendations and barriers to appropriate medications disposal. So in terms of the methods, this is uh following prism and rigorous guideline. And I've used multiple database um including MEDLINE MBA and.
