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CMU/PMSG MEDICINES PROCUREMENT PROJECT Success in hospital medicines procurement. PDIG Symposium 6 th June 2013. A QIPP initiative supported by the Department of Health. Promoting excellence in medicines procurement. North Project Lead Liz Arkell University Hospital South Manchester.
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CMU/PMSG MEDICINES PROCUREMENT PROJECTSuccess in hospital medicines procurement PDIG Symposium 6th June 2013 A QIPP initiative supported by the Department of Health Promoting excellence in medicines procurement
North Project Lead Liz ArkellUniversity Hospital South Manchester South Project Lead David Tutcher OptraPharm Ltd Promoting excellence in medicines procurement
Project Background Phase 1: To scope current procurement arrangements in the regions to find out what best regional procurement practice looks like with the aim of driving up standards and consistency across the country. 06/Jun/2013 3 Promoting excellence in medicines procurement
Overview Is there regional variation in medicines procurement? What are the key success factors when procuring hospital medicines? Can medicines procurement be improved? Promoting excellence in medicines procurement
Project approach Southern Regional Purchasing Group pharmacists interviewed: 1. current regional procurement arrangements 2. views on what are key elements of good practice All assessed current status against these defined procurement parameters and “success factors” to provide a national summary. • Questionnaire completed by Northern Specialist Procurement Pharmacists based on: • 26 identified procurement parameters • 43 procurement “success factors” Promoting excellence in medicines procurement
Key variations in regional procurement Number of Regions = 10 Number of acute Trusts per Region varies from 8 to 28. Promoting excellence in medicines procurement
“Success factors” importance scores • 43 “success factors” identified • divided into core themes • scored - each regional lead gave view on relative importance of “success factor” 06/Jun/2013 7 7 Promoting excellence in medicines procurement
Key “success factors” Highest ranked (combined North & South – 10 Regions) 06/Jun/2013 8 Promoting excellence in medicines procurement
Success factor applicability NHS Regions Promoting excellence in medicines procurement
Can we improve? Current assessment Structure / process Structure / process Resource Collaboration Engagement Assurance • differences in line management & funding arrangements • disparity in regional procurement support • disparity in resource allocation to number of Trusts & geographical area • variation in procurement initiatives pursued • disparity in Chief Pharmacist strategic leadership • disparity in clinical input into purchasing decisions and implementation • availability of consistent purchasing data • availability of annual monitored workplan and annual report Promoting excellence in medicines procurement
Structure / process strategic steer Chief Pharmacists Assurance Resource annual monitored access to work plan & report procurement team BEST PROCUREMENT PRACTICE Engagement Collaboration establish networks Specialist Pharmacy Services to engage clinicians & commissioners 13 Promoting excellence in medicines procurement Promoting excellence in medicines procurement
Phase 2 North Collaborative procurement initiative across 3 regions: - improve patient experience: manage risk increase / standardise quality relevance to most Trusts meets the requirements of commissioners fits with national / government strategy Phase 2 South: - toolkits to share good practice for procuring & implementing initiatives in key therapeutic areas - capability work plans to address gaps in good procurement practice at regional level Exploring the way forward: Phase 2 Promoting excellence in medicines procurement
Exploring the way forward: Phase 2 Resource Structure / process Resource Engagement Assurance Collaboration • procurement capability work plans • Strategic direction from Chief Pharmacist groups • increase / realign regional procurement capacity • increase support for Regional Specialist with a procurement team • national system for procurement initiative sharing including toolkits • working across larger geographical area • Northern project working with patient groups and Pharma • clinical teams and networks • Area Teams Commissioners • Standards for assurance will emerge from capability work planning Promoting excellence in medicines procurement