1. Guild of Healthcare Pharmacists PDIG – Thursday 12 November 3 rd Party Partnerships and Hospital Pharmacy Services Tom Gray Chief Pharmacist, Royal Derby Hospital Pharmacy Lead, NHS East Midlands 3rd Party Partnerships and Hospital Pharmacy Services Guild of Healthcare Pharmacists Procurement & Distribution Interest Group Thursday 12 November 2009

2. Guild of Healthcare Pharmacists PDIG – 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

3. Guild of Healthcare Pharmacists PDIG – Thursday 12 November The Royal Derby Hospital  Background –Teaching hospital  Reshaping services –PFI –Single-site move 2nd largest single- site PFI in country 155,000m 2 75% new build 25% refurbishment 1159 beds 44 wards 35 Theatres 7400 rooms  Pharmacy Vision –Added value –Patient centred  Current services –EL(97)127

4. Guild of Healthcare Pharmacists PDIG – 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

5. Guild of Healthcare Pharmacists PDIG – 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 –3 rd 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

6. Guild of Healthcare Pharmacists PDIG – 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

7. Guild of Healthcare Pharmacists PDIG – Thursday 12 November Next Steps  Implementation Plan  Communication  Governance –SOPs –Contract –Clinical  Monitoring –Compliance  Launch April 2010

8. Guild of Healthcare Pharmacists PDIG – 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’?

9. Guild of Healthcare Pharmacists PDIG – 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