P27 An innovative multidisciplinary approach to optimizing the dermatology service for patients with chronic spontaneous urticaria, psoriasis and atopic dermatitis

Abstract The aim of this work was to optimize multidisciplinary practice in the dermatology department our teaching hospital and integrate pharmacist independent prescribers (PIPs) into team, establish patient pathways evaluate satisfaction with pharmacist-led clinics. One lead three specialist pharmacists completed training dermatologist-led clinics, were developed. A clinic for patients chronic spontaneous urticaria (CSU) established delivered under indirect supervision a dermatologist. Pharmacist-led eczema psoriasis clinics then established, which care is by PIPs working alongside dermatologists facilitate medical input when required. Patient PIP service evaluated administration anonymized questionnaires sent seen over 1-month period. Patients rated (poor, fair, good, excellent) 11 items provided free-text comments. Over an 18-month period, referred 53 their 63 (84%) CSU 150 appointments. In 12 months since establishing pathways, have 279 342 30-min appointments discuss medication-related issues, assess response treatments demonstrate holistic approach care, including cardiovascular risk assessments. An estimated 400 h dermatologist time released period gradual rollout as reviewed return patients, managed repeat prescribing approximately 550 CSU, (homecare), supported drug protocol development. turn, reported increased job satisfaction. consultations excellent 85% responders [85% rate; 43% female, median age 38 years (range 19–84)] 89% [90% 44% 50 15–77)]. All comments (n = 34) positive, two suggestions improvement (better explanation appointment, online appointments). Thematic analysis revealed appreciation ‘care compassion’ 20), ‘multidisciplinary team delivery’ 15), ‘ensuring understanding’ 17), ‘pharmacist knowledge’ 13), ‘professionalism’ 8) ‘medical input’ 4). There been no complaints or adverse outcomes related launched. Dermatology successfully integrated receiving support develop clinical roles. substantially increase overall capacity service, while report high consultation skills quality service.