Date post: | 12-Apr-2017 |
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Healthcare |
Upload: | health-and-care-innovation-expo |
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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?