Tailored Dispensing Service (TDS)

1. Tailored Dispensing Service (TDS) Karen Hong Head of Medicines Management

2. Introduction and Overview Current service Feedback Meeting the challenge Re-commissioning? Preparation and support

3. Feedback Abigail Barry Senior Prescribing Adviser – Bromley CCG Patients GPs and other stakeholders TDS providers

4. Meeting the challenge Improving the quality of patient care Improving clinical outcomes Reducing medicines waste Financial challenge Evidence

5. Service Proposals Review list of TDS items Identification of unused medicines Scale and waste Patient impact Repeat prescription ordering Records of significant interventions

6. AQP Procurement – Neil Lynch -Procurement Advisor To apply for the service you must look out for the advert on the Government Contract Finder website Not a competition but an accreditation process The CCG will hold another briefing session before publishing the advert The CCG will offer further guidance and support in relation to the application process and service requirements Tailored Dispensing Service

7. Qualification Timetable Advert and Application document available on Contracts Finder – Friday 17th November 2017 Deadline for Clarification Questions – 11/12/2017 Application Deadline – 12 noon on 18/12/2017 Evaluation of Applications – 18/12/2017 – 26/01/2018 Providers informed of Outcome – 22/03/2018 Service Mobilisation 03/04/2018 Contract Start Date – 04/05/2018 Tailored Dispensing Service

8. Preparing to apply • Look at opportunities to Collaborate • Look at your partners and if they can offer support • Look at National Body (PSNC) for support • Identify what we can do now – Register on Delta as a supplier, Look at Safeguarding, IG and QAF requirements • Identify any gaps • Plan to meet the key dates Tailored Dispensing Service

9. Key Aspects of Evaluation All Questions on the application document will be Pass/ Fail • Government Standard Supplier Questionnaire • Safeguarding (golden thread) • Information Governance • Clinical Governance and Resilience (QAF) • IM&T Tailored Dispensing Service

10. Safeguarding Children and Young People, and Looked After Children & Adults at risk “The safety and welfare of Children, Young People, Children Looked After and Adults at Risk is of paramount importance to Bromley Clinical Commissioning Group (BCCG). We work diligently to ensure that all of the services we commission ensure high quality safe effective care. In order to achieve this we have robust arrangements in place to provide strong leadership, vision and direction for safeguarding. All staff members have a responsibility for reporting abuse and neglect in accordance with relevant legislation, statutory guidance and best practice”

11. Safeguarding Commissioning Framework BCCG has adopted a Commissioning Framework for safeguarding Children and Young People, and Children Looked After, & for Adults at risk. The safeguarding procurement standards component of this Framework outlines how Bromley CCG will assure itself that bidders and commissioned service providers are compliant with these requirements

12. Safeguarding Procurement standards The Procurement standards are divided into: • Essential Safeguarding Threshold Standards, which set out the extensive legal basis for safeguarding, including statutory guidance and also the Pan London safeguarding requirements and • Additional Safeguarding Quality Standards, which define elements of best practice that are applied proportionally to each individual procurement exercise

13. Procurement • Prospective bidders must provide evidence of their compliance with the. Essential Safeguarding Threshold Standards • BCCG Safeguarding Team will scrutinise bidder responses, including the policies and guidance for: • Safeguarding Children and Young People, and Children Looked After • Safeguarding Adults at risk • Consent to treatment • Mental Capacity including Deprivation of Liberty • PREVENT, and • Accountability and Assurance diagram • The Framework and Standards documents are embedded as attachments in the BCCG procurement pack, and are also available on the BCCG internet.

14. Minimum Training Requirements Level 1 Safeguarding – All staff providing the service should have had this training Level 2 – 80 % of Pharmacist and Technicians should have had this training Tailored Dispensing Service

15. Government SSQ Supplier Information Grounds for Exclusion Economic and Financial Standing Technical and Professional Ability Modern Slavery Act Insurance Tailored Dispensing Service

16. Information Governance Bidders must identify and describe how Data Records of NHS patients will be managed within the service and the safeguards that will be in place to ensure confidentiality of patient information.1. How your organisation will demonstrate compliance with Information Governance legislation, national standards and NHS policies and guidance in the delivery of this service (Level 2 IG Toolkit, ICO Registration, Code of Practice)

17. 2. Confirmation that your IM&T Systems do not require any patient-identifiable data to be transferred outside the European Economic Area (EEA). You must list any countries outside England you plan to transfer client identifiable data to3. How your IM&T Systems will manage the security, confidentiality and quality of patient information and include in your response the use of the standards, good practice, and statutory obligations (consent, dissent, Role Based Access, data quality)4. Your mechanism for managing risks of information governance breaches5. Assurance that staff providing this service are aware of any IG matters arising from provision of care

18. Data Protection Act On 25th May 2018 the Data Protection Act will be superseded by the General Data Protection Act. Please describe how you will ensure that you will comply and adhere to this change in legislation. Your response can be in the form of an action plan.

19. Tailored Dispensing Service