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3 rd Party Partnerships and Hospital Pharmacy Services

Guild of Healthcare Pharmacists Procurement & Distribution Interest Group Thursday 12 November 2009. 3 rd Party Partnerships and Hospital Pharmacy Services. 3rd Party Partnerships and Hospital Pharmacy Services. Tom Gray Chief Pharmacist, Royal Derby Hospital

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3 rd Party Partnerships and Hospital Pharmacy Services

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  1. Guild of Healthcare Pharmacists Procurement & Distribution Interest Group Thursday 12 November 2009 3rd Party Partnerships andHospital Pharmacy Services 3rd Party Partnerships andHospital Pharmacy Services Tom Gray Chief Pharmacist, Royal Derby Hospital Pharmacy Lead, NHS East Midlands

  2. Introduction • Background • The Royal Derby Hospital • Reshaping health services • Why? • Strategic challenges and opportunities • Operational challenges and opportunities • What are the key issues and benefits? • How is this developing? • Key messages

  3. 2nd largest single-site PFI in country 155,000m2 75% new build 25% refurbishment 1159 beds 44 wards 35 Theatres 7400 rooms The Royal Derby Hospital • Background • Teaching hospital • Reshaping services • PFI • Single-site move • Pharmacy Vision • Added value • Patient centred • Current services • EL(97)127

  4. Derby PRIDE ‘ill health does not recognise organisational interfaces and medicines-related services need to be redesigned to meet patient needs.’ Ref: Pharmacy in England April 2008 Why?Strategic Opportunities • White Paper • Partnerships • Clinical care team • Healthy living centre • Quality - Productivity Challenge • Quality • Productivity

  5. Demand & Capacity Single-site activity Clinical Priorities Decentralised service Service to patients Collection & delivery OTC products & advice Health promotion Ill-health prevention FP10 service for staff Redeployment of staff Enhance Trust reputation Maximise income Reduce prescribing costs Why?Operational Opportunities • 570,000 attendances • 30% new attendance • 92,000 items dispensed • 15% total @ £6 million • £270k staff costs • Options • Do nothing • FP10HP • 3rd party • Medicines reconciliation • Supporting discharge • Medicines adherence • Patient safety alerts • Stock management • Benefits • Issues

  6. Retail OTC products Enhanced Services Health promotion Ill-health prevention General Outpatients Specialties Paediatrics Chemotherapy Scope requirements Develop specification OJEU Advert PQQ Dialogue Final tender Evaluation of offers Trust Board approval Contract What and How?

  7. Next Steps • Implementation Plan • Communication • Governance • SOPs • Contract • Clinical • Monitoring • Compliance • Launch April 2010

  8. Further Developments • Compliance aids • Homecare • Community Hospital • Long Term conditions • Aseptic specials • Direct to ward delivery… • The ‘thin end of the wedge’…? • or ‘building on strengths, delivering the future’?

  9. Key Messages • We can’t do everything…well…prioritise • Focus on where we ‘add greatest value’ • Opportunity to reshape services • To integrate the ‘clinical care team’ • Selling the ‘family silver’…? • or a genuine investment? • Quality AND efficiency? • Offers best option for patients, Trust and staff

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