Guild of Healthcare PharmacistsPDIG – Thursday 12 November

3rd Party Partnerships andHospital Pharmacy Services

Tom Gray

Chief Pharmacist, Royal Derby Hospital

Pharmacy Lead, NHS East Midlands

3rd Party Partnerships andHospital Pharmacy Services

Guild of Healthcare PharmacistsProcurement & Distribution Interest GroupThursday 12 November 2009

Guild of Healthcare PharmacistsPDIG – Thursday 12 November

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

Guild of Healthcare PharmacistsPDIG – Thursday 12 November

The Royal Derby Hospital

Background– Teaching hospital

Reshaping services– PFI– Single-site move

2nd largest single-site PFI in country

155,000m2

75% new build

25% refurbishment

1159 beds

44 wards

35 Theatres

7400 rooms

Pharmacy Vision– Added value– Patient centred

Current services– EL(97)127

Guild of Healthcare PharmacistsPDIG – Thursday 12 November

Why?Strategic Opportunities

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

White Paper– Partnerships– Clinical care team– Healthy living centre

Quality - Productivity Challenge– Quality– Productivity

Guild of Healthcare PharmacistsPDIG – Thursday 12 November

570,000 attendances 30% new attendance 92,000 items dispensed 15% total @ £6 million £270k staff costs

Medicines reconciliation Supporting discharge Medicines adherence Patient safety alerts Stock management

Why?Operational Opportunities

Demand & Capacity– Single-site activity

Clinical Priorities– Decentralised service

Options– Do nothing– FP10HP– 3rd party

Benefits Issues

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

Guild of Healthcare PharmacistsPDIG – Thursday 12 November

What and How?

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

Guild of Healthcare PharmacistsPDIG – Thursday 12 November

Next Steps

Implementation Plan Communication Governance

– SOPs– Contract– Clinical

Monitoring– Compliance

Launch April 2010

Guild of Healthcare PharmacistsPDIG – Thursday 12 November

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’?

Guild of Healthcare PharmacistsPDIG – Thursday 12 November

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