PILOT - H&J Medicines Optimisation Data Collection Questionnaire

This questionnaire consists of the following sections:

• Home page: Site name and details of person completing the form
• Section 1: Site Demographics and Contact Details
• Section 2: Commissioning Structure
• Section 3: Supply Arrangement
• Section 4: Clinical Pharmacy Services - Staffing
• Section 5: Clinical Pharmacy Services - Pharmacy Services
• Section 6: Reception - Medicines Reconciliation
• Section 7: Medicines Administration
• Section 8: Patient Support and Self-management
• Section 9: Discharge and Transfer
• Section 10: Prescribing and Formulary
• Section 11: Staff Education and Training
• Section 12: Policies, Standard Operating Procedures and Patient Group Directions
• Section 13: Controlled Drug Governance
• Section 14: Incident Management
• Section 15: Document/ File Upload