Pharmacy working together to put Lord Carter’s recommendations into practice

Health and Care Innovation Expo
Health and Care Innovation ExpoHealth and Care Innovation Expo
Member of Walgreens Boots Alliance
Pharmacy working together to
put Lord Carter’s
recommendations into practice
Jackie Buxton Salma Iqbal
Senior Manager External Partnerships Senior Manager External Partnerships
NHS Midlands & East NHS North
NHS Five Year Forward View…
….concluded that to sustain a
comprehensive, high-quality NHS,
action is needed on three fronts:
1. Demand
2. Efficiency
3. Funding
2
Lord Carter Report…
…..summarised that
‘up to £2bn savings could be
delivered by improving workflow and
containing workforce costs and a
further £3bn from improved hospital
pharmacy, medicines optimisation,
estates and procurement
management.’
3
How can we achieve this?
• Time spent by Hospital Pharmacists prioritising Clinical
Services instead of ‘Infrastructure’
• The primary functions of the Hospital Pharmacy team
are to work closely with Patients, Doctors and Nursing
teams
• To benefit patient care and improve operational
productivity and performance there are many areas
within infrastructure which can be delivered by
Community and Hospital Pharmacy working together
4
What does ‘Infrastructure’ include?
• Supply chain
• Education and Training
• Advisory services
• Research and Development
• Services to External Organisations
5
Working together;
Community and Hospital Teams
• Improvements in supply chain management
• Trusts that have not outsourced their outpatient
dispensing services should consider a review as part of
their HPTP plans
• Community Pharmacy supporting with discharge
medication dispensing
• Potential opportunities for large scale centralised
dispensing of medicines for outpatients and patients at
discharge
6
Working together;
Community and Hospital Teams
1. Outpatient Dispensing Services
2. Homecare
3. Discharge Medication Dispensing
4. Stock
7
1. Outpatient Dispensing Services
• Many Acute Trusts have outsourced outpatient
dispensing to third party providers
• The first of these was in 2007
• Work in partnership with Community Pharmacies to
support patient choice
8
2. Homecare
• Disruption in homecare market in 2013/14
• Opportunity to dispense items through the
outpatient dispensary and offer patients delivery or
collection choices
• Quality and safety ensured via KPI monitoring, Trust
and patient feedback
9
3. Discharge Medication Dispensing
• Working together to support patients leaving
hospital earlier
• Dosage packs
• Community pharmacy supported by NHS clinical
pharmacy services to improve efficiency and
enhance patient experience
10
4. Stock
• Reduce stockholding for Trust
• Stock teams work together to resolve out of stock
lines
• More potential
11
Challenges
• Stock supply – June paper ‘Outsourcing outpatient
pharmacy services’
• Relationship with the CMU
• Capability and clinical knowledge
• Separate legal entity – returns of unused medication
• Wholesale Dealer Authorisation
• IT systems
12
Potential Future Developments
• Large scale centralised dispensing of medicines
• More work on discharge from community pharmacy
– follow with Discharge Medication Review
• Further homecare
• Multi-provider approach to patient care
13
Any Questions?
14
1 von 14

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Pharmacy working together to put Lord Carter’s recommendations into practice

  • 1. Member of Walgreens Boots Alliance Pharmacy working together to put Lord Carter’s recommendations into practice Jackie Buxton Salma Iqbal Senior Manager External Partnerships Senior Manager External Partnerships NHS Midlands & East NHS North
  • 2. NHS Five Year Forward View… ….concluded that to sustain a comprehensive, high-quality NHS, action is needed on three fronts: 1. Demand 2. Efficiency 3. Funding 2
  • 3. Lord Carter Report… …..summarised that ‘up to £2bn savings could be delivered by improving workflow and containing workforce costs and a further £3bn from improved hospital pharmacy, medicines optimisation, estates and procurement management.’ 3
  • 4. How can we achieve this? • Time spent by Hospital Pharmacists prioritising Clinical Services instead of ‘Infrastructure’ • The primary functions of the Hospital Pharmacy team are to work closely with Patients, Doctors and Nursing teams • To benefit patient care and improve operational productivity and performance there are many areas within infrastructure which can be delivered by Community and Hospital Pharmacy working together 4
  • 5. What does ‘Infrastructure’ include? • Supply chain • Education and Training • Advisory services • Research and Development • Services to External Organisations 5
  • 6. Working together; Community and Hospital Teams • Improvements in supply chain management • Trusts that have not outsourced their outpatient dispensing services should consider a review as part of their HPTP plans • Community Pharmacy supporting with discharge medication dispensing • Potential opportunities for large scale centralised dispensing of medicines for outpatients and patients at discharge 6
  • 7. Working together; Community and Hospital Teams 1. Outpatient Dispensing Services 2. Homecare 3. Discharge Medication Dispensing 4. Stock 7
  • 8. 1. Outpatient Dispensing Services • Many Acute Trusts have outsourced outpatient dispensing to third party providers • The first of these was in 2007 • Work in partnership with Community Pharmacies to support patient choice 8
  • 9. 2. Homecare • Disruption in homecare market in 2013/14 • Opportunity to dispense items through the outpatient dispensary and offer patients delivery or collection choices • Quality and safety ensured via KPI monitoring, Trust and patient feedback 9
  • 10. 3. Discharge Medication Dispensing • Working together to support patients leaving hospital earlier • Dosage packs • Community pharmacy supported by NHS clinical pharmacy services to improve efficiency and enhance patient experience 10
  • 11. 4. Stock • Reduce stockholding for Trust • Stock teams work together to resolve out of stock lines • More potential 11
  • 12. Challenges • Stock supply – June paper ‘Outsourcing outpatient pharmacy services’ • Relationship with the CMU • Capability and clinical knowledge • Separate legal entity – returns of unused medication • Wholesale Dealer Authorisation • IT systems 12
  • 13. Potential Future Developments • Large scale centralised dispensing of medicines • More work on discharge from community pharmacy – follow with Discharge Medication Review • Further homecare • Multi-provider approach to patient care 13