A Medicines Safety Officer (MSO) is a designated healthcare professional responsible for promoting and improving medication safety within NHS organisations. They lead on monitoring, reporting, and learning from medication incidents, implementing preventative measures, and fostering a culture where medication safety is prioritised throughout the organisation.
An MSO must be a registered healthcare professional with relevant clinical experience, typically a pharmacist, doctor, or nurse with expertise in medicines management. While there's no mandatory qualification specifically for MSOs, many have completed additional training in patient safety, risk management, and quality improvement methodologies. The National Medication Safety Network provides specific training resources for MSOs to support their professional development.
Within Primary Care Networks, MSOs play a crucial role by coordinating medication safety initiatives across multiple GP practices. They analyse incident data to identify trends, develop standardised protocols for high-risk medications, lead safety improvement projects, facilitate learning from medication errors, and ensure compliance with national patient safety alerts. They also foster collaboration between practices, community pharmacies, and other healthcare providers to improve medication safety across care transitions.
While both roles focus on medication governance, they have distinct responsibilities. Medicines Safety Officers oversee the safety of all medications, focusing on error prevention, reporting, and improvement. Controlled Drugs Accountable Officers specifically manage the governance of controlled drugs, ensuring legal compliance with storage, prescribing, and disposal regulations. MSOs are required in all NHS provider organisations, while CDAOs are designated at a higher organisational level (usually CCG/ICS) as mandated by the Controlled Drugs Regulations 2013.
MSOs are integral to national medication safety efforts through their participation in the National Medication Safety Network. They contribute to this by reporting local medication incidents to the National Reporting and Learning System (NRLS), implementing NHS Improvement patient safety alerts, sharing learning and best practices nationally, contributing to the development of safety standards and guidelines, and supporting research and evaluation of medication safety interventions. This collaborative approach ensures consistent improvement in medication safety across the NHS.
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