RESPONSE TO NATIONAL GUIDANCE: Information on chemotherapy use... ... How can pharmacy collect better data?

1. Calum Polwart RESPONSE TO NATIONAL GUIDANCE:Information on chemotherapy use...... How can pharmacy collect better data?

2. Session Objectives To provide an overview on why pharmacy need to collect data and how pharmacy can better collect useful data.

3. Session Objectives To provide an overview on why pharmacy need to collect data and how pharmacy can better collect useful data. Discuss how to bake a coffee cake! WARNING: This session is interactive – you may need to stay awake!!

4. Scope of the session... Identify some of the key data requirements Discuss who and how collected, stored and reported Won't discuss - specific systems

5. The baking analogy! Before we begin...

7. Would you rather have a piece of Kinvara Coffee Cake or a piece of Tesco Iced Coffee Cake... Ask the audience!

8. What's Wrong with Tesco Cake? Advantages: Instant Convenient Consistent Probably Cheaper!

9. What's Wrong with Tesco Cake? Advantages: Instant Convenient Consistent Probably Cheaper! Disadvantages: Doesn't taste as nice! Difficult to customise Contains ingredients you may not want! Short of things you do want!

10. Making the perfect coffee cake...

11. Making the perfect coffee cake... 200g Butter 200g Caster Sugar 4 eggs 200g SR Flour 1 tsp baking powder 1-2 tbl sp of instant coffee (2tbl sp in 100ml water)‏ 50g walnuts Add to lined baking tin Bake 40mins in Preheated Oven 170C Ice with 200g Butter, 200g Icing sugar & coffee

12. First step to making a good cake... Get all your ingredients in order. Small scale – measured out in bowls Large scale – in vats and silos

13. Handling information... ...just like baking a cake

14. Information in the NHS... PACS / Imaging Accident & Emergency Pathology Results Patient Demographics Pharmacy Stock Control Electronic Prescribing Cancer Waiting Times Radiotherapy

15. Information in the NHS... PACS / Imaging Accident & Emergency Pathology Results Patient Demographics Pharmacy Stock Control Electronic Prescribing Cancer Waiting Times Radiotherapy

16. Information in the NHS... PACS / Imaging Accident & Emergency Pathology Results Patient Demographics Pharmacy Stock Control Electronic Prescribing Cancer Waiting Times Radiotherapy

17. Data Silos

18. Before we bake the cake... ... we need to know exactly what sort of cake we are going to bake!

19. What information must we be already collecting? Waiting time data – time to treatment OPCS 4.4 / 4.5 HRG Data Reference Cost Data (optional!)‏

20. Waiting Time Data... Subsequent treats – chemo rarely breach

21. Waiting Time Data... Subsequent treats – chemo rarely breach Can your pharmacy system report any new chemotherapy drug started on a patient? Yes No

22. OPCS HRG Data Data entry: 5Fu Mayo Regimen: X70.1 & X72.3 Intravesical Mitomycin: X70.1 & X72.3 A missed opportunity? Coders really struggle with our terminology So do we sometimes! Do you even know if your trust is coding?

23. Reference Cost Data Will set the future tariff for chemo Get it wrong and we loose out!

24. Reference Cost Data Will set the future tariff for chemo Get it wrong and we loose out! Includes pharmacy on-costs Forget to include it and we loose out! What should be in the on-costs?

25. Reference Cost Data Will set the future tariff for chemo Get it wrong and we loose out! Includes pharmacy on-costs Forget to include it and we loose out! What should be in the on-costs? Consumables Staff (Pharm → ATO)‏ QC, Maintenance, Cleaning ? Electricity etc Outsourcing + dispensing costs

26. Doing the Reference Costs Right... OPCS HRG Procurement Codes Drug Cost Data Pharmacy On-Costs

27. Doing the Reference Costs Right...

28. Doing the Reference Costs Right...

29. Doing the Reference Costs Right...

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32. Doing the Reference Costs Right...

33. Doing the Reference Costs Right...

34. Doing the Reference Costs Right...

35. Doing the Reference Costs Right...

36. Doing the Reference Costs Right...

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38. Doing the Reference Costs Right...

39. Doing the Reference Costs Right...

40. Doing the Reference Costs Right...

41. Doing the Reference Costs Right...

42. What information should we be collecting? Who knows? DH standards soon! Includes 36 data points Many will be common sense

43. This weeks questions!... What percentage of products do we supply dose banded?

44. This weeks questions!... What percentage of products do we supply dose banded? How much do we save by vial sharing?

45. This weeks questions!... What percentage of products do we supply dose banded? How much do we save by vial sharing? Details of every patient who has had Pemetrexed...

46. This weeks questions!... What percentage of products do we supply dose banded? How much do we save by vial sharing? Details of every patient who has had Pemetrexed... ...for non-small cell lung cancer ...how many cycles ...what doses

47. This weeks questions!... What percentage of products do we supply dose banded? How much do we save by vial sharing? Details of every patient who has had Pemetrexed... ...for non-small cell lung cancer ...how many cycles ...what doses How many patients do we treat with EOX, ECX and ECF?

48. This weeks questions!... What percentage of products do we supply dose banded? How much do we save by vial sharing? Details of every patient who has had Pemetrexed... ...for non-small cell lung cancer ...how many cycles ...what doses How many patients do we treat with EOX, ECX and ECF? Which wards have given chemo in the last 12 months?

49. Experts in medicines...

50. Experts in medicines... ... just don't ask us how we actually are using them!