guild of healthcare pharmacists pdig – thursday 12 november 3 rd party partnerships and hospital...
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Guild of Healthcare PharmacistsPDIG – Thursday 12 November
3rd Party Partnerships andHospital Pharmacy Services
Tom Gray
Chief Pharmacist, Royal Derby Hospital
Pharmacy Lead, NHS East Midlands
3rd Party Partnerships andHospital Pharmacy Services
Guild of Healthcare PharmacistsProcurement & Distribution Interest GroupThursday 12 November 2009
Guild of Healthcare PharmacistsPDIG – Thursday 12 November
Introduction
Background– The Royal Derby Hospital– Reshaping health services
Why?– Strategic challenges and opportunities– Operational challenges and opportunities
What are the key issues and benefits? How is this developing? Key messages
Guild of Healthcare PharmacistsPDIG – Thursday 12 November
The Royal Derby Hospital
Background– Teaching hospital
Reshaping services– PFI– Single-site move
2nd largest single-site PFI in country
155,000m2
75% new build
25% refurbishment
1159 beds
44 wards
35 Theatres
7400 rooms
Pharmacy Vision– Added value– Patient centred
Current services– EL(97)127
Guild of Healthcare PharmacistsPDIG – Thursday 12 November
Why?Strategic Opportunities
Derby PRIDE
‘ill health does not recognise organisational interfaces and medicines-related services need to be redesigned to meet patient needs.’Ref: Pharmacy in England April 2008
White Paper– Partnerships– Clinical care team– Healthy living centre
Quality - Productivity Challenge– Quality– Productivity
Guild of Healthcare PharmacistsPDIG – Thursday 12 November
570,000 attendances 30% new attendance 92,000 items dispensed 15% total @ £6 million £270k staff costs
Medicines reconciliation Supporting discharge Medicines adherence Patient safety alerts Stock management
Why?Operational Opportunities
Demand & Capacity– Single-site activity
Clinical Priorities– Decentralised service
Options– Do nothing– FP10HP– 3rd party
Benefits Issues
Service to patients Collection & delivery OTC products & advice Health promotion Ill-health prevention FP10 service for staff Redeployment of staff Enhance Trust reputation Maximise income Reduce prescribing costs
Guild of Healthcare PharmacistsPDIG – Thursday 12 November
What and How?
Retail– OTC products
Enhanced Services– Health promotion– Ill-health prevention
General Outpatients Specialties
– Paediatrics– Chemotherapy
Scope requirements Develop specification OJEU Advert
– PQQ– Dialogue– Final tender
Evaluation of offers Trust Board approval Contract
Guild of Healthcare PharmacistsPDIG – Thursday 12 November
Next Steps
Implementation Plan Communication Governance
– SOPs– Contract– Clinical
Monitoring– Compliance
Launch April 2010
Guild of Healthcare PharmacistsPDIG – Thursday 12 November
Further Developments
Compliance aids Homecare Community Hospital Long Term conditions Aseptic specials Direct to ward delivery… The ‘thin end of the wedge’…? or ‘building on strengths, delivering the future’?
Guild of Healthcare PharmacistsPDIG – Thursday 12 November
Key Messages
We can’t do everything…well…prioritise Focus on where we ‘add greatest value’ Opportunity to reshape services To integrate the ‘clinical care team’ Selling the ‘family silver’…? or a genuine investment? Quality AND efficiency? Offers best option for patients, Trust and staff