Commissioning pharmacy services for polyclinics: A Toolkit for commissioners Gianpiero Celino, Webst

1
Commissioning pharmacy services for polyclinics
A Toolkit for commissionersGianpiero Celino,
Webstar Health
2
Purpose of the toolkit

• Support you to plan pharmacy services not just
  for a polyclinic but across the borough
• Provide a structured way to think about pharmacy
  services moving from dispensing to pharmacy
  based clinical services
• Knit together your plans to develop a PCT-wide
  plan for commissioning pharmacy services
• Joined up pharmacy services provide a front
  door to primary care and access to community
  based clinical pharmacy services

3
What are pharmacy services?

• Wherever medicines are used or supplied there is
  a pharmacy service supporting patients and
  clinicians

Patient group directions
Safe and secure supply
Medicines budgets
Dispensing
Specialist pharmacy services
Promoting health and wellbeing
Medicines policy
Non-medical prescribing
High tech / High cost treatments
Outpatient clinics
Effective use of medicines
Minor ailments
Unscheduled care
Medicines in Commissioning checklist Has the
service / proposed redesign been reviewed by a
group/individual able to advise on medicines
aspects e.g. the Medicines Management Group (ref
in toolkit)
4
The five steps
Step 1
Leadership and engagement
Pharmacy services commissioning plan Joined up
pharmacy services providing a front door to
primary care and access to community based
clinical pharmacy services
Step 2
Needs assessment
Step 3
Impact assessment and options appraisal
Step 4
Contracting
Step 5
Procurement
5
The five steps
Purpose Establishing clear roles and
responsibilities in commissioning pharmacy
services associated with polyclinics, engaging
with pharmacy stakeholders and securing expert
advice on pharmacy issues Key message Your plan
for pharmacy services must have broad ownership,
meaningful engagement and draw on evidence and
experience within your PCT
Step 1
Leadership and engagement
Step 2
Needs assessment
Step 3
Impact assessment and options appraisal
Step 4
Contracting
Step 5
Procurement
6
The five steps
Purpose Determining the pharmacy services that
are required at the polyclinic and within the
polysystem to meet the needs of the
population Key message The pharmacy services
commissioning plan will need to be planned across
the polysystem and not just for the polyclinic
Step 1
Leadership and engagement
Step 2
Needs assessment
Step 3
Impact assessment and options appraisal
Step 4
Contracting
Step 5
Procurement
7
The five steps
Purpose Determining the options for securing
access to pharmacy services, testing these
options to determine what impact they are likely
to have on patients Key message Unintended
consequences can result from the commissioning
decisions made in relation to polyclinics, the
PCT should consider the impact, understand the
likely outcome and address any gaps through
commissioning to ensure patients continue to have
access to services
Step 1
Leadership and engagement
Step 2
Needs assessment
Step 3
Impact assessment and options appraisal
Step 4
Contracting
Step 5
Procurement
8
The five steps
Purpose Support the PCT to identify contracting
mechanisms available to the PCT for securing the
pharmacy services and selecting the most
appropriate mechanism for each polyclinic Key
message There is a choice of contracting routes
available to PCTs. The pros and cons of each
route need to be carefully assessed.
Step 1
Leadership and engagement
Step 2
Needs assessment
Step 3
Impact assessment and options appraisal
Step 4
Contracting
Step 5
Procurement
9
The five steps
Purpose Adapting primary care procurement
processes to fit with the pharmacy contracting
approach selected Key message The procurement
process for pharmacy services should follow good
procurement practice, and make use of resources
available to support primary care procurement
Step 1
Leadership and engagement
Step 2
Needs assessment
Step 3
Impact assessment and options appraisal
Step 4
Contracting
Step 5
Procurement
10
The five steps
Step 1
Leadership and engagement
Pharmacy services commissioning plan Joined up
pharmacy services providing a front door to
primary care and access to community based
clinical pharmacy services
Step 2
Needs assessment
Step 3
Impact assessment and options appraisal
Step 4
Contracting
Step 5
Procurement
11
We need your feedback

• Today interactive toolkit review
• By email to katharine.dell_at_london.nhs.uk
• Deadline 22nd Dec 2008

12
Summary

• The toolkit will
• Support you to plan pharmacy services not just
  for a polyclinic but across the borough
• Provide a structured way to think about pharmacy
  services moving from dispensing to pharmacy
  based clinical services
• Assist you to knit together your plans to develop
  a PCT-wide plan for commissioning pharmacy
  services
• Joined up pharmacy services provide a front
  door to primary care and access to community
  based clinical pharmacy services

13
Pharmacy services and your polyclinic

• Interactive session

14
Group work

• Around the room are x5 stations each representing
  one of the 5
• steps of the toolkit.
• Please go to one of the stations and in the group
  read through that
• Section of the toolkit and discuss. You have
  25mins for your
• discussion. During the discussion please capture
  on your flipchart
• the following
• 3 Key messages from the section
• Was there anything missing?
• General comments
• Following this, each table will feedback to the
  group the findings
• from their section