NHS National Services Scotland Thursday 4th January 2006 Glenn Humphrey

Factor Direct Introduction Factor Direct Overview DVD Process flows Q&A

Factor Direct Factor Direct is the dedicated Haemophilia home delivery service managed and operated by the Baxter Healthcare Ltd Baxter experience in home delivery dates back 29 years with Renal home dialysis, which today supports over 4,500 patients Established in 1999 as part of our commitment to the Haemophilia community, Factor Direct has grown steadily in terms of both patient numbers and reputation

Factor Direct Dedicated Team based in Northampton 1 Manager, 3 Patient Coordinators and Admin Team Support from Baxter warehouse, pharmacists and transport teams

Factor Direct Current Delivery Summary 30 centres (incl. 12 comprehensive care centres) 412 patients

Factor Direct Key Performance Indicators Order accuracy rate over 98% Achieving allocated window slot for over 95% of deliveries Additionally Patient and Centre feedback is important

Factor Direct – Day to Day Operation Initial Set Up Patient Contact Patient Delivery Follow-Up Centre requirements Prescriptions Purchase orders Consent letters Patient information pack Centre information pack Patient requirements

Materials supplied on set-up Factor Direct Service Protocol Hospital and Patient Literature Hospital Information Pack Patient Information Pack Factor Direct Administration Folders

HAEMOPHILIA CARE TEAM FACTOR DIRECT PATIENT Set up checklist Patient consent letters Prescription 1 Discuss home delivery process Supply Patient Pack Patient consent letters signed 2 Set up account meeting Patient details Supply purchase orders Finalise centre requirements 3 Patient information pack Ancillaries Issue delivery schedule 4 Factor Direct set up procedure

Factor Direct – day to day operation Patient ContactInitial set Up Patient Delivery Follow-Up Coordinator introduction Patient pack Delivery schedule (-7/10 Days) determine stock levels of factor & ancillaries (-1 Day) confirm delivery arrangements

HAEMOPHILIA CARE TEAM Factor Direct Coordinator PATIENT Home Patient Management System Confirm stock & requirements 1 Pharmacy 3 2 Check against prescription Advate Dispense product & ancillaries 4 Prepare for delivery

Factor Direct – day to day operation Initial set Up Patient Contact Follow-UpPatient Delivery FD coordinates delivery Non-liveried vehicles Agreed delivery time window/address Deliver product & ancillaries Collect clinical waste Rotate stock if required Patient signs delivery note

HAEMOPHILIA CARE TEAM Factor Direct Coordinator PATIENT (Day –1) Confirm delivery arrangements 1 Delivery process Transport FD Delivery 2 Signed delivery note 3 Delivery note & invoice 4 (Day +1) Confirm delivery OK 5 Advate

Factor Direct – day to day operation Initial set Up Patient Contact Patient Delivery Follow-Up (+1 Day) FD check delivery OK Delivery note & invoice sent to hospital 6 month review Management reports Patient satisfaction survey

In Summary Factor Direct High quality, convenient and cost effective Haemophilia home delivery service that supports your requirement for a comprehensive control of product usage Includes the storage, dispensing and delivery management of Factor, Consumables and the collection of Waste Dedicated Factor Direct Coordinators ensure the process works to meet the needs of your patients, their carers and your staff

Q&A