1. The Adoption of GS1 & PEPPOL Standards in the NHS Medicines & Pharmacy
Iain Davidson
Chief Pharmacist & CCIO
Royal Cornwall Hospitals Trust
HPTP Roadshow Sessions Oct-Nov 2016

2. View from my office!
One of 6 demonstrator sites for the adoption of GS1 and PEPPOL standards- now known as Scan4 Safety

3. Aims of the Session GS1 & PEPPOL and Lord Carter What is GS1 & PEPPOL?
Applications in Pharmacy
The DoH roll-out plan
The Scan4Safety Pharmacy Working Group
What do you need to do?

4. What is PEPPOL? Pan European Public Procurement online
‘Machine to Machine’
eCommerce
Specifications and standards that allow businesses to deal easily electronically.
eProecurement strategey- transparency and efficiency
As for all these standards its not just about whether you are compliant or not but whether you are utilising the benefits that those standards make possible. E.g. we can all say we are PEPPOL compliant

6. Relevance to Your HPTP Plans

7. What is GS1? Stands for ‘Global Standard’
Unique identifier numbers used in bar-codes, RFID and product data management.
Support supply-chain and healthcare.
Badged as ‘Scan4Safety’ for NHS deployment
DoH Adoption of GS1 & PEPPOL Standards
Report by Mckinseys- financial & safety benefits
DoH eProcurement strategy
Carter report
What is GS1? GLN- Global Location Number GTIN- Global Trade Item Number GSRN- Global Service Relation Number ‘Core Enablers’

8. Core Enablers Patient & Staff Identification (GSRN)
Location Numbering (GLN)
Catalogue Management (GTIN)

12. GS1 in Food Industry
Knew within 30mins
‘farm to fork’

13. Compare to Healthcare
Big difference in healthcare is the safety element, on top of the efficiency element

14. GS1 Adoption Objectives
Improved patient safety
Releasing time to Care
Improved Efficiency

15. We’ve got all the Gear! GS1 GS1 GS1 GS1 GS1
V noticeable with deployment that things like inventory management, bread and butter of pharmacy, is bereft in other areas.
Mneion linking the prodcut to pt throughout, GTINs, GLNs and GSRNs etc
Major service change for us.
Getting more pharmacy staff onto the wards to support patients
Describe my utopian process of Dr prescribes out it comes with a label on.
When stock used, automatically ordered through the robot.
Go to north bristol- they’ve even got robots delivering medicines to the wards!
So there is no reason why, with agreed standards that allows data to flow, we can move staff to next to the pt bedside and automate a lot of this.
GS1 standards as the enbaler to interface with them
GS1
GS1

16. Sunderland Royal Hospital Rod Beard- Director of Pharmacy Linking ePrescribing to Robotic Dispensing

17. Linking ePrescribing to Robotics
Four staff were released for re-deployment
£500,000 in stockholding efficiency above that suggested by the business case was identified
Products dispensed by the electronic prescribing - robot system produced zero dispensing errors
The speed of dispensing increased also, as the electronic prescribing - robot combination permitted almost instantaneous dispensing from the point of a doctor entering a prescription

18. Isle of Wight- St Marys Hospital Gill Honeywell- Chief Pharmacist Linking ePrescribing, Ward Stock and Dispensing

19. EPMA-EDC-Robot link 11% reduction in ward drug spend
83% reduction in missed doses
Reduced length of stay
Frees up nursing ‘time to care’
Robust financial audit trail
Return on Investment - 3 years

20. GS1- Interoperability for all!
Major service change for us.
Getting more pharmacy staff onto the wards to support patients
Describe my utopian process of Dr prescribes out it comes with a label on.
When stock used, automatically ordered through the robot. Nurse scans to check right med prescribed and in date etc.
Details are against the pt record to aid recall etc.
So there is no reason why, with agreed standards that allows data to flow, we can move staff to next to the pt bedside and automate a lot of this.
GS1 standards as the enbaler to interface with them
GS1
GS1

21. GS1
FMD
dm+d

22. How Does is Fit All Together?
Unique Identifier
Product Level
GTIN
(dm+d= AMPP)
Product, Supplier & Pack Size
(amoxycillin 500mg capsules, GSK, 21 caps)
GTIN + Extensions
GTIN+ Batch Number, expiry date & serialisation number
The NHS dictionary of medicines and devices (dm+d)
dm+d is a dictionary of descriptions and codes which represent medicines and devices in use across the NHS. It is delivered through a partnership between Health and Social Care Information Centre and the NHS Business Services Authority and provides the recognised NHS Standard for uniquely identifying medicines and medical devices used in patient care.
dm+d enables clear, consistent recording and communication of information relating to medicines and devices used in patient care. It provides consistency in how medicines and medical devices are expressed through a robust published Editorial Policy.
Suppliers not just be to GS1 compliant but handle these extesnions to allow that data to flow around the system

24. DoH Chose 6 Demonstrator Sites
Royal Cornwall
Plymouth
Salisbury
North Tees
Derby
Leeds
Business case with Treasury for next 25 Trusts
- Keen not to re-invent the wheel

25. Pharmacy Scan4Safety Working Group
Demo sites and ‘fast followers’
Consistent message to suppliers.
Feel free to join the grp
The go-to place for advice for suppliers. We are starting with PSC and will also engage with the EDI and automation companies.
Being GS1 compliant, just as being dm&d ‘compliant’ is not enough. It needs to support the functionality we need. The flow of information

26. What do you need to do? eCommerce- get on with it.
Opportunities to utilise bar-codes now?
Make sure GS1 is in your specifications.
Engage with the GS1 Pharmacy Group for guidance.
Co-ordinated challenge to suppliers to have this as a priority in their roadmaps.

27. RCHT- Electronic Drug Ordering
‘GLN’
‘GTIN’
‘GSRN’ ID

28. What do you need to do? eCommerce- get on with it.
Opportunities to utilise bar-codes now?
Make sure GS1 is in your specifications.
Bidding for next round of Trusts
Engage with the GS1 Pharmacy Group for guidance.
Co-ordinated challenge to suppliers to have this as a priority in their roadmaps.

29. Thank You for Listening!
Contact:
GS1 Vision in Healthcare :