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Clotting Factor Home Delivery Service
A Presentation for
National Procurement, NHS National
Services Scotland
4th January 2007
Clinovia team today
Susan Wood – Regional Manager for
Scotland
Stephen Hart – Director of Medicines
Management
Presentation Structure
 Introduction to Clinovia
 Clinovia’s ability to meet contract award
criteria
1. Technical merit
2. Order process
3. Quality assurance
4. Commercial
 Implementation support
 Questions
Introduction to Clinovia
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Established since 1975
Employ over 400 staff
Work with over 600 NHS organisations
Support over 8,500 patients
National capability, local service network
We aim to provide consistent, high quality,
cost effective services to the NHS
Core services
Therapy areas
Medicines management
Complexity
Care packages
Complex care
Multiple sclerosis
Parenteral nutrition
Neuro-rehabilitation
Haemophilia
Cystic fibrosis
Home Ventilation
Pulmonary arterial hypertension
Chemotherapy
Spinal injury
Growth hormone treatment
Infection management
Neurodegenerative
Assisted conception
Thalassaemia
Multiple conditions
Immunology
Rheumatology
Dermatology
Respite
1. Technical Merit
Able to conform fully to service specification
Operational site in Scotland which will service
this contract
Able to conform fully to
service specification
 Experienced in the home delivery of clotting factors
 Clinovia provides home delivery services to over 400
haemophilia patients
 Able to conform fully to the service specification in Tender
PHP036
• Clinovia will be responsible for the purchase, storage and delivery
of product to the patients home
Operational site in
Scotland
Susan Wood
Regional Manager
Eileen McGuire
Senior Co-ordinator
Lesley Allan
Co-ordinator
BDM
Kenneth Corner
Warehouse Supervisor
Lindsay McDonald
Driver
Avril Syme
Pharmacist
Leigh Murray
Lead Nurse
Joseph Lockhart
Warehouse Operative
John Kelly
Driver
Linda McFarlane
Pharmacist
Jane McKellar
Lead Nurse
Fiona Doig
Co-ordinator
Ann Marshall
Co-ordinator
June Louden
Co-ordinator
Scottish operational team (Jan 07)
Scottish Business
 Scottish team current provides home care services to over 1,000
patients (Nov 06)
 985 deliveries were made in November 2006
 2, 4, 8 & 12 weekly delivery schedules
 Our services are currently commissioned by 12 out of the 15
Scottish Health Boards
 Deliveries made to patients across the length and breadth of
Scotland (including the Scottish Islands)
Geographical spread of
patients serviced by Clinovia
AB
DD
DG
EH
FK
G
HS
IV
KA
KW
KY
ML
PA
PH
TD
Deliveries made to patients in Scotland (Nov 06)
2. Order process
New patient orders
Ongoing patient orders
New patient orders
5. Delivery made by Clinovia driver
4. Order picked, checked & dispensed
1. Installation form and Rx received
(fax/post)
2. Rx checked by pharmacist and
patient details entered on system
3. Patient contacted to discuss service
and delivery arrangements
Ongoing patient orders
Invoice and reports sent to hospital.
New Rx requested as appropriate
Patient contacted 7 days prior
to delivery (stock levels checked)
Delivery made and clinical
waste collected as required
Order processed, picked, checked
and dispensed
3. Quality Assurance
Operating procedures
Training
Feedback from customers and patients
Complaints and incidents procedure
Inspection and audit
Operating procedures &
training
 All departments work to documented operating procedures that
are subject to regular audit
 Written procedures are available for inspection as required
 All staff receive general company induction training followed by
detailed training on work practices and procedures within the
department
 Procedure and service training is supplemented by training on
the treatment and impact on patients. This training is provided
by Clinovia pharmacists, nurses, patients and health care
professionals from specialist centres
Feedback from customers
and patients
 Feedback is an essential component to monitoring
the quality of our service in order that we can identify
areas for improvement
 Obtained through regular formal surveys, phone calls
and receipt of comment cards provided to all patients
 98% of patients see Clinovia’s service as good or
excellent
Complaints and incidents
procedure
 All complaints and internal incidents are recorded,
investigated and appropriate corrective action taken
 All complaints receive a written reply within 7 working
days (a copy is also sent to the appropriate referring
hospital)
 Clinovia’s SMT review all complaints
Inspection and audit
 Clinovia operates within a highly regulated environment and
meets the standards set by the following bodies:
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Health & Safety
ISO 9001:2000
Commission for Social Care Inspection
Royal Pharmaceutical Society of Great Britain
Scottish Commission for the Regulation of Care
Medicines & Healthcare Products Regulatory Agency
 In addition a comprehensive internal audit program exists
4. Commercial
Financially secure
Established relationships with pharmaceutical
companies
Clinovia’s future
Financially secure
40
35
MS
30
Haemophilia
HPN
25
Pulmonary Hypertension
20
IVIGG
Complex care
Antibiotics
15
Growth Hormone
10
Anti TNF
Thallassaemia
5
Other
0
Therapy
Clinovia turnover for financial year 05/06 = £102 million
Established relationships with
pharmaceutical companies
 Clinovia has excellent relationships with all of the
pharmaceutical companies who supply clotting
factors
 We are supplied with single batch allocations of drug
where possible, with maximum shelf life
Clinovia’s future
 On 1st December Clinovia became part of the BUPA Group, the
UK’s leading independent health and care organisation
 Clinovia will trade as a separate company within the BUPA
group. The existing SMT will remain with Clinovia
 This development brings additional stability to Clinovia (BUPA
currently has a turnover of circa £4.2bn), investment over the
coming years and great opportunity for growth
Implementation support
Pre implementation support
• Dedicated account manager
– Experienced in establishment of new contracts
– Experienced in delivery of haemophilia home delivery
services
• Implementation plan for all centres
Implementation support
 Post implementation support
• One point of contact with escalation protocol
• Prescription management
• Invoices
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Consolidated/non-consolidated
Sent with a signed copies of the delivery notes (proof of delivery)
Hospital specified purchase orders can be shown if required
Internal financial co-ordinators to minimise invoice issues
• Management reports
• Regular service reviews
Summary
Why Clinovia?
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Experienced in the home delivery of clotting factors
Ability to conform fully to service specifications
Operational site in Scotland which will service this contract
Operates within a recognised and accredited quality
management system
• Financially secure
• Established relationships with pharmaceutical companies
• Local, experienced staff able to offer support before, during
and after the implementation of this contract
Questions?