How to work in partnership with the LPP
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How to work in partnership with the LPP






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How to work in partnership with the LPP How to work in partnership with the LPP Presentation Transcript

  • LPP: How to work inpartnership with the LPPJasbinder Khambh, Pharmacy & Medicines Use & Procurement Lead for PrimaryCare | NHS London Procurement Partnership
  • Managing Medicinesin the NHS – LondonPerspectiveJas KhambhPharmacy & Medicines Use & ProcurementOperational Lead & Lead for Primary Care, LPPTim RootStrategic Pharmaceutical Lead, LPP
  • Today’s Objectives•An overview of how medicines are managed inthe NHS (in London)•An overview of the Medicines Use andProcurement QIPP Workstreams in London
  • The New Landscape•Abolition of PCTs & SHAs•Commissioning power shared between NHSEngland (was NHS Commissioning Board) andGPs•So we have:NHS England – direct commissioning &oversight of CCG commissioningClinical commissioning groups – directcommissioningLocal authorities: social services, publichealth services
  • Managing medicines•National guidance and priorities• NHS Constitution• Innovation health and wealth• NICE – good practice guidance on developingand updating local formularies (Dec 2012)•Local guidance & priorities• Formularies•Variance across the country• Decision making groups: stakeholderengagement, processes• Criteria for decision making• Decision outputs
  • Managing the introduction of new medicines –factors considered•Patient safety•Budget impact•Strength of evidence• Place in therapy• Clinical effectiveness• Cost effectiveness•Equity of access•Stakeholder views
  • On the horizon?• Continuing fiscal constraint• Value-based pricing• NHS England contracting for medicines• Greater consistency about commissioning for high-costPbRX medicines
  • Pan-London Management of Medicines throughthe QIPP agenda•LPP•Built on• 30 years medicines management & medicinesprocurement expertise in acute trusts• Pharmacy & Medicines Management work of the LPP.•There are 3 workstreams:Primary CareAcute & MH Trusts (Secondary Care)Cross-sector
  • 9Pharmacy & Medicines Use & ProcurementGovernance Model for LondonLPP & Medicines Use andProcurement ProductivitySteering GroupAd hoc projects /Task & finish groupLPP PharmacyMedicinesManagement Group/Secondary careQIPP Sub-GroupLPP Steering BoardCommercial Board /Productivity PLG atNHSLNHS England Trusts and PCTsQIPPguidanceMonthlyQIPPreportingSubscriptionsMonthlyQIPPworkstreamreportingHigh levelcommentonworkstreamMonthly projectreporting againstplanMonthly projectreporting againstplanPrimary Care QIPPSub-GroupProjectinitiation,milestoneand resultsreportingCombined and co-ordinated LPP andproductivityreporting
  • NHS London Procurement Partnership – Pharmacy, Medicines Use& Procurement WorkstreamKey Objectives and Priorities for 2013 - 201532 CCGSand3 CSUsQIPP Promotes & supports across the NHS in London: Evidence based choice of medicines Safe , cost-effective use of medicines (£) Reduced medicines waste (£) Recommendations and advice to prescribers and medicines management teams Specialist analytics & informatics support, key performance indicators anddashboards Management of primary care rebate schemes (£)Medicines Optimisation Safe use of medicines and improved quality of patientcare:optimised patient experience & treatment outcomes Medicines optimisation as part of routine practiceContinuity & quality of care involving medicines use,across theprimary/secondary/tertiary/social care interfaces Specialist pharmaceutical support for optimisation ofprescribing for complex therapeutic areas such as mentalhealth, cancer chemotherapy , nutrition and dietetics (£)Collaboration and sharing of best practice London-wide stakeholder engagement and working groups Pan-London solutions Do once and share : efficient use of limited resources (£) Facilitated access to key advice & information at£) Training and education Collaborative working with external stakeholders e.g.pharmaceutical industryProcurement of the most cost-effectivemedicines for acute & mental health trusts Expert knowledge and specialist expertise from medicinesprocurement specialists Pan-London contracts to secure best value-for-money (£) Strategic clinical medicines procurement (£) Support for management of expenditure on:high cost PBR excluded drugs (£)supply of medicine through Homecare (£)Patient Access Schemes (£)Acute andMentalHealthTrustsNote: All of these objectives aim toimprove productivity and quality ofpatient care. Objectives marked (£)can provide significant financialsavings to the local health economyin London. These savings may bequantified in terms of return ininvestment and against keyperformance indicators.
  • Primary Care QIPP Workstream• Engagement with CCGs/CSUs• Collaborative approach• Primary Care QIPP sub-group• Priority setting• Medicines Information & Specialist Pharmacy Servicessupport• Data collection, analysis & reporting• Dashboards• Rebate schemes
  • 2013/14 priorities• Engagement with new stakeholder groups• CCGs, CSUs, NHS England• Quality & Safety• Cross-sector• Extend & Refine data presentation• Split dashboards• Acute & MH Trusts• Define® benchmarking tool• Primary Care• Financial• Quality & safety• Mental Health• Nutrition
  • Primary Care Clinical Priorities for2012/13Cardiovascular•Renin-angiotensin system drugs•Statins•EzetimibeEndocrine•Diabetes•OsteoporosisCentral Nervous System•Prescribing in mental health•Low dose antipsychotics•Hypnotics•Venlafaxine•Pain controlOther Therapeutic areas•Glucosamine•Prednisolone•Wound care•Specials•Vitamin D•Oral nutritional supplements•Antimicrobials
  • Tools and• Dashboards• KPIs and Red Amber Green ratings• CCG and CSU level (not practice level)• Benchmarked data including savings / lostopportunity• Key messages bulletins with MI• Supporting information for procurement• Newsletters for chief executives• Working groups• Specialist pharmacist advice & tools to supportimplementation• Events
  • LPP website
  • LPP website
  • Trend graphs for PCTs/Clusters
  • Dashboard BenchmarkingGraphs
  • Secondary care dashboard
  • Final points• Engagement with the clinical commissioning groups• Understand new stakeholders & their priorities•Support CCGs and Trusts to improve performance• Support local QIPP plans• Share good practice• Pan-London approach• Collaborative working between primary & secondarycare• Enhance Dashboards• Collaborative working with community pharmacists• Collaborative working with the pharmaceutical industry