Member of Walgreens Boots Alliance

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

Jackie Buxton Salma IqbalSenior Manager External Partnerships Senior Manager External PartnershipsNHS Midlands & East NHS North

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NHS Five Year Forward View…

….concluded that to sustain a comprehensive, high-quality NHS, action is needed on three fronts:

1. Demand2. Efficiency 3. Funding

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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.’

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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

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What does ‘Infrastructure’ include?

• Supply chain

• Education and Training

• Advisory services

• Research and Development

• Services to External Organisations

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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

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Working together;Community and Hospital Teams

1. Outpatient Dispensing Services

2. Homecare

3. Discharge Medication Dispensing

4. Stock

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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

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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

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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

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4. Stock

• Reduce stockholding for Trust

• Stock teams work together to resolve out of stock lines

• More potential

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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

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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

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Any Questions?