Patients expressed strong views about the negative feelings and sense of injustice (emotions) that can be evoked through disparities in service provision such as delivery and collection services and quantities of repeat medicines supplied; such barriers have previously

received little attention in the literature. The TDF is a viable tool for mapping medication adherence barriers to behavioural domains, with members of the public endorsing the appropriateness PD0332991 and relevance of the mapped barriers which were identified through existing literature. The TDF has enabled grouping of medication adherence barriers and provides a structured framework for practitioners to ensure less obvious adherence barriers (such as negative emotions) are not overlooked. However, this work has been undertaken in a relatively small sample whose views may not be representative of the wider population. Further work to establish the generalisability of these findings is therefore warranted. 1. Michie, S. et al. (2005). “Making psychological theory PR171 useful for implementing evidence based practice: a consensus approach.” Quality and Safety in health care 14(1): 26–33. D. Taylor, W. Pike, S. Stevens, M. Tran, W. Ng, H. Price University of Bath, Somerset, UK The aim was to explore levels of

clozapine knowledge to facilitate an objective of producing a Clozapine Information Guide (CIG) for HCPs and patients in a shared care service. Patient Safety was the superordinate theme highlighting different information needs of HCPs and people taking clozapine; worryingly some HCPs were unaware of their lack of knowledge. A CIG has the potential to ensure pro-active monitoring Vasopressin Receptor of severe adverse effects by the individual and HCPs. Clozapine is usually initiated and prescribed via inpatient mental health services

due to potentially fatal side effects such as cardiomyopathy, agranulocytosis and bowel obstruction.1 One mental health trust has implemented a clozapine shared care service where GP’s take over routine prescribing and monitoring with support from social workers and a ward pharmacist. Anecdotal evidence from staff involved suggested more clozapine information was required to safely support people in the community. The literature suggests that HCPs and patients have differing perspectives of adverse events and efficacy.2 Our aim was to explore levels of knowledge to facilitate an objective of producing a CIG for HCPs and patients. Semi-structured face-to-face interviews were used to explore perceptions held by people who take clozapine and HCPs involved in their care, on the level of information and knowledge needed about clozapine. Interviews took place on trust property. HCPs provided medication services including information, mental and physical health monitoring and included psychiatrists; GP’s, pharmacists; social workers, community psychiatric nurses and occupational therapy.