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Managing Medicines in the NHS

Managing Medicines in the NHS Tim Root , Specialist Pharmacist, Clinical Governance & Technical Services, East & South East England Specialist Pharmacy Services LPP Member Event 25 th March 2014. Pan-London Management of Medicines through the QIPP agenda. LPP - built on

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Managing Medicines in the NHS

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  1. Managing Medicines in the NHS Tim Root, Specialist Pharmacist, Clinical Governance & Technical Services, East & South East England Specialist Pharmacy Services LPP Member Event 25th March 2014

  2. Pan-London Management of Medicines through the QIPP agenda • LPP - built on • 30 years medicines management & medicines procurement expertise in acute trusts • Pharmacy & Medicines Management work of & with PCTs • 3 workstreams • Primary Care • Acute & MH Trusts (Secondary Care) • Cross-sector • 2012/13 Savings • £37.4 million in London overall • £19 million in primary care

  3. NHS London Procurement Partnership – Pharmacy, Medicines Use & Procurement Workstream Key Objectives and Priorities for 2013 - 2015 Note: All of these objectives aim to improve productivity and quality of patient care. Objectives marked (£) can provide significant financial savings to the local health economy in London. These savings may be quantified in terms of return in investment and against key performance indicators.

  4. Primary Care QIPP Workstream • Collaborative approach with CCGs/CSUs • Engagement Primary Care QIPP sub-group • Priority setting • Clinical & cost effective choices • Medicines Information & Specialist Pharmacy Services support • Data collection, analysis, reporting & benchmarking • Dashboards

  5. MUP workstream – key success factors • Comprehensive clinical engagement • Clinical Stakeholder Groups in key therapeutic areas • Engagement with existing clinical networks • Engagement with NHS Trust, Mental Health Trust, CCG and CSU Chief Pharmacists / Heads of Medicines Management • Collaboration across all London NHS organisations • A complete health economy approach to workplan • Transparency of data between commissioners and providers • Sharing of best practice and evidence base • Specialised staff in key therapeutic areas • Staff have national roles around medicines procurement

  6. Drug prices: UK v Europe

  7. Procurement success factor applicability by region

  8. Benchmarking data on SHA change in drug expenditure

  9. London QIPP Primary Care Dashboard

  10. 2014/15 priorities • Primary/Secondary Care dashboards • KPIs and Red Amber Green ratings • CCG and CSU level (not practice level) • Benchmarked data including savings / lost opportunity • Define® benchmarking tool for Acute & MH Trusts • Financial • Quality & safety • Mental Health • Nutrition • Stoma and Incontinence • Extend & refine data & presentation • Engagement with expert clinicians, CCGs, CSUs, NHS England, AHSNs, Clinical Senate • Pan-London, whole health economy approach • Support local QIPP plans • Cross-sector: collaborative working between primary & secondary care • Share good practice • More emphasis on Medicines Optimisation • Lead Provider Framework

  11. Tools and Resources www.lpp.nhs.uk • Key message bulletins with MI Events • Working groups • Supporting information for procurement Tim.root@chelwest.nhs.uk Philip.aubrey@nhs.net Jasbinder.khambh@lpp.nhs.uk Specialist pharmacist advice & tools to support implementation Newsletters for chief executives

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