Pharmacy and Medicines Optimisation


The pharmacy and medicines optimisation department provides a wide range of specialist pharmaceutical and clinical services across the Trust’s two main sites:

  • At QMC – for the emergency department, the major trauma centre, Nottingham’s Children Hospital and Nottingham University including the School of Pharmacy
  • At City Hospital – for specialist cancer, cardiovascular, stroke and planned services. 

We are also responsible for direct, patient-facing clinical pharmacy services and advising patients about how best to manage their medicines, as well as working with staff across the Trust to ensure prescribing is safe, evidence-based and cost effective.

To deliver these services, we also manage the purchasing, storage, dispensing, distribution, transport, prescribing, administration and disposal of medicines.

The 2017 CQC report scored NUH as ‘Good’ for quality of care including medicines safety and governance.


The pharmacy department covers:

  • Clinical and specialist pharmacy practice
  • Procurement, distribution and dispensaries
  • Medicines information
  • Formulary management and medicines finances
  • Pharmacy and medicines governance
  • Clinical trials and research
  • Education and training
  • Aseptic and non-aseptic manufacturing unit (MHRA licenced)
  • Local and regional quality control. 

The department hosts the following Trust-wide committees:

  • Medicines governance committee
  • Medicines safety group
  • Pharmacy governance and risk management committee
  • Medicines management committee
  • Medical gases committee
  • Medicines education committee
  • Drugs and therapeutic committee. 

Medicines optimisation

Medicines optimisation is the corporate function of the hospital pharmacy. Our medicines optimisation strategy, published in July 2015, sets out five key three-year objectives and describes key deliverables through years one, two and three along with the plan to monitor progress using the NHS Improvement (TDA) framework. The five key objectives are:

  • Embedding and further developing the medicines governance committee and sub-committees including the key medicines optimisation for patients group.
  • Further developing the medicines safety programme through the work of the Sign Up to Safety campaign and starting to use the national medicines safety thermometer on the wards.
  • Clearly defining the assurance process for all aspects of medicines; embedding regular audit programmes and reporting to the directors group and the quality assurance committee of the Trust board.
  • Increased working with community partners to build joint working groups to improve, among other things, medicines reconciliation at admission and transfer from NUH to the community.
  • Further exploiting the use of technology to improve efficiency in medicines processes, minimise risks and facilitate access to education resources – initially using electronic hand held devices to allow e-handover of patients and medicines between areas whilst continuing to develop the case for and structure of a H-EPMA (hospital e-prescribing and medicines administration) system.

For more information about pharmacy and medicines optimisation please follow the links in the menu.

NHS Nottingham University Hospitals
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