what are the challenges of successfully implementing homecare l.
Download
Skip this Video
Download Presentation
What are the challenges of successfully implementing homecare?

Loading in 2 Seconds...

play fullscreen
1 / 25

What are the challenges of successfully implementing homecare? - PowerPoint PPT Presentation


  • 202 Views
  • Uploaded on

What are the challenges of successfully implementing homecare?. Phil Deady, Pharmacy Procurement Manager Leeds Teaching Hospitals NHS Trust & Yorkshire and Humber NHS Pharmaceuticals Purchasing Consortia. Plan of session. Leeds Teaching Hospitals’ homecare medicines management services

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'What are the challenges of successfully implementing homecare?' - levi


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
what are the challenges of successfully implementing homecare

What are the challenges of successfully implementing homecare?

Phil Deady, Pharmacy Procurement Manager

Leeds Teaching Hospitals NHS Trust &

Yorkshire and Humber NHS Pharmaceuticals Purchasing Consortia

plan of session
Plan of session
  • Leeds Teaching Hospitals’ homecare medicines management services
  • Homecare service development: tasks and challenges
  • The Leeds team approach to homecare
lth homecare medicines management services
LTH homecare medicinesmanagement services
  • First homecare patient early 1980’s
  • All homecare medicines handled through Pharmacy except medicinal blood products
  • 3,300 active patients 07/08
  • Total spend 07/08 £12.6M (21% of total medicine spend £59.1M)
  • 23 different homecare therapies
  • Five homecare companies
homecare medicines management strategy
Homecare Medicines Management Strategy
  • Define homecare medicines management services
  • Proposed direction and scope for homecare
  • Reference national policy and guidance
  • Propose systems and processes for developing homecare services
  • Define key stakeholders
  • Summarise benefits and risks
  • Propose methods to identify homecare opportunities
  • Propose methods of tendering and ongoing management of homecare services
horizon scanning
Horizon scanning
  • Specialist pharmacists routinely do horizon scanning for medicines due for launch to the UK market
  • Need to horizon scan for new medicines that will be launched with homecare services included
  • Need to horizon scan for new medicines with the potential for homecare services
  • Start discussions with commissioners on new medicines homecare services at this point?
homecare service proposals
Homecare service proposals
  • Ideas can come from specialist pharmacists, nurses, clinicians, patients/carers (reactive)
  • Proposals also come from homecare companies
  • LTH procurement homecare team do an annual review to identify potentially advantageous homecare services (pro-active)
  • LTH procurement staff use a “Homecare Medicines Submission Form” to gather and analyse information on homecare service proposals
homecare service proposals10
Homecare service proposals

“Homecare Medicines Submission Form”

  • Product information
    • Drug(s) for consideration
    • Which disease(s)?
    • What is the patient population?
    • How does the patient currently receive treatment?
    • How is the treatment prescribed?
    • What monitoring is needed?
    • Is the medicine self administered or not?
    • Are there any training needs?
    • Are any ancillary items needed?
    • Is aseptic compounding required?
homecare service proposals11
Homecare service proposals

“Homecare Medicines Submission Form”

  • Financial
    • Which clinical management team?
    • Which Consultant(s)?
    • Current annual spend?
    • Current VAT status on medicine(s)
    • Is treatment Tariff or excluded from Tariff?
    • Is there potential loss of Trust income?
homecare service proposals12
Homecare service proposals

“Homecare Medicines Submission Form”

  • Option assessment
    • Advantages
    • Disadvantages
    • Risks/Governance issues
  • Should homecare services be submitted to the Trust Drug and Therapeutics Committee?
multidisciplinary teamwork
Multidisciplinary teamwork
  • Ensure thorough involvement with
    • Pharmacy procurement team
    • Consultant
    • Specialist Nurse
    • Specialist Pharmacist
    • Patient/Carer representative
    • Business Manager/Finance Manager
    • Other health professionals depending on service
commissioners
Commissioners
  • When to engage in process?
  • Depends on your relationship with your local commissioners
  • Depends on Tariff status of the medicine
  • May be as early as horizon scanning
  • May be at tender specification or later
  • Potential to include Trust administrative costs and resource requirements into a business case
service specification
Service specification
  • Work with multidisciplinary team to agree service specification
  • Use templates from the National Homecare Medicines Committee/PASA website
  • Consider all aspects of the homecare service as per NHMC/PASA guidance
  • Consider developing service specifications for non Trust- contracted homecare services (usually pharma-contracted)
tender process
Tender process
  • Define the financial aspects of your homecare service
    • Current costs of medicines
    • Assessment of current non-medicine costs
  • Assess the method required for tendering according to your Trust Standard Financial Instructions (SFIs) and EU Regulations
    • Competitive quote
    • Trust tender
    • EU tender
tender process17
Tender process
  • Ensure a multidisciplinary clinical project group is involved all the way along, including adjudication
  • Patient and carer involvement
  • Presentations from homecare companies
  • Be mindful of need for change management plans
change management
Change management
  • Change management planning needed for
    • Change in supply from hospital to homecare
    • Change from one homecare provider to another
    • Multi-Trust homecare services
  • Points to consider
    • Agreed start dates (may be phased) and project plan
    • Be mindful of Data Protection Act
    • Agree Trust staff roles and responsibilities
    • Agree Homecare staff roles and responsibilities
  • Further information on the NHMC/PASA website
performance management
Performance management
  • Essential part of the homecare service
  • Ensures your patients are getting the service you require from the homecare provider
  • Ensure tender specification includes information on performance management and key performance indicators
  • Consider performance management of non Trust-contracted homecare services
  • More information in Jane Kelly’s session this afternoon and the NHMC/PASA website
summary of roles and responsibilities
Pharmacy Procurement Project Manager

Manages the Trust’s strategy for homecare medicines management

Identifies new opportunities for homecare provision

Assessment of proposed homecare services for patient focus and cost effectiveness

Manages risk management issues

Pharmacist expertise for homecare service development

Specialist Technician Homecare Medicines Management

Manages the operational aspects of homecare medicines services

Implements new homecare services

Change management of contracts for homecare services

Performance management

Patient involvement

Error and incident reporting

Summary of roles and responsibilities
summary of roles and responsibilities22
Pharmacy Contracts Manager

CIPS qualified

Equivalent of PASA Category Manager

Has LTH and regional contracting roles

Manages the tendering process for homecare medicines services

Contractual reference for supplier performance management

Ensures processes meet EU and LTH guidance

Pharmacy Procurement Business Manager

Manages the order/invoice process for homecare medicines services

Manages a team of administrative staff responsible for the certification and payment of homecare invoices

Provides expert Pharmacy IT system (JAC) coding/costing advice on homecare services

Acts at interface of homecare contractors’ finance departments and LTH

Manages data for non-tariff medicines charging to PCOs

Summary of roles and responsibilities
lth homecare funding
LTH Homecare funding
  • Current staff costs in procurement team and clinical pharmacy teams for homecare roles ~£164k pa
  • ~£50 per homecare patient pa
  • Resource bids from LTH or PCO contract savings
  • Resource bid from regional drug contract management SLA
  • Contractual funding as value-added services in homecare contracts
  • Re-engineering of existing posts
summary what are the challenges for successfully implementing homecare
Summary: What are the challenges for successfully implementing homecare?
  • Be patient centred at all times
  • Have a strategy for homecare medicines services
  • Keep an eye on new developments
  • Analyse requests for homecare services
  • Be pro-active where possible
  • Work with stakeholders in your own and other organisations, including all sectors of the NHS, homecare and pharmaceutical companies
  • Bid or contract for resource to administer homecare services
  • Make use of the National Homecare Medicines Committee/PASA website