HOSPITAL PHARMACY TRANSFORMATION PROJECT Andrew Davies, Professional Lead for Hospital Pharmacy, NHS Improvement @HospChiefPharm Aamer Safdar, Principal Pharmacist Lead for Education and Development, Guy s Hospital, London @asafdar1
Session Plan (60 mins) Welcome and introductions (10 mins) Introduction and background (15 mins) Developing the pharmacy workforce (15 mins) Discussion (20 mins)
Welcome and Introductions HelloMyNameIs What do I do? Where do I do it? Why do I do it?
Introduction to HPTP
Carter Recommendations Hospital Pharmacy Transformation Programme HPTP 80% pharmacist time on clinical activity Electronic prescribing and medicines administration High Cost Drugs coding Drug savings Drug Procurement - CMU Supply chain Specialised Pharmacy Service, Procurement, NHS Manufactured Medicines Catalogue
Hospital pharmacy transformation creates headroom for medicines optimisation 2015/16-45% of time 2015/16-55% of time Transformation 6
HoPMOp Key Work to Deliver Recommendations Pharmacy Staff & Medicines Cost per WAU Medicines Optimisation ( 7.6billion) Clinical Use - Eliminate Waste - Medicines Review - RightCare Top 10 Medicines List Biosimilars Switching Infrastructure, Cost and Supply Optimisation e-trading: e-ordering e-trading Aseptic Units & manufactured medicines Hospital Pharmacy ( 0.7billion) Workforce Optimisation 80% Pharmacists Clinical Activity Job Planning and KPIs Total Medicines Expenditure Including PBR; and non-pbr Coding of High Cost Drugs e-prescribing Commercial Medicines Unit ESR & e-rostering Increase to 50% No. of active prescribers Sunday ward presence >5 hours HPTP Plan Implementation Enablers NHS Digital; dm+d, EPMA, FMD, Secondary Uses, Clinical Communication STP Collaboration 7 DH NHS England Spec Com CQC HEE NHSI GIRFT Model Hospital Key Stakeholders & Interdependent Programmes
Pharmacy Workforce Optimisation Goal to release pharmacist time from non-clinical duties to support the following clinical activities & best utilise Pharmacy Technicians skills driving overall workforce efficiencies: Releasing time from other professional groups Focus on Medicines Optimisation/ Best practice in prescribing Reducing patients stay in hospital Increase number of pharmacists as independent prescribers (+ potential Pharmacy Technicians using PGD s) Pharmacy input to inpatient drug rounds Pharmacy team presence in Emergency Departments Pharmacist-led outpatient clinics Medicines reconciliation to reduce polypharmacy and deliver patientcentred care Medicines reviews using STOPP/START tool De-prescribing Anti-microbial stewardship to ensure antibiotic usage is in line with clinical best-practice Faster dispensing of discharge medications Prescribing discharge medication Developing improved pathways between hospital & community services Homecare chemotherapy and IV antibiotics 5 saving in patient care costs for each 1 spent on clinical pharmacy input
Key NHS E funded NHS I funded ALB regional medicines optimisation and pharmacy infrastructure SPS funded (NHS E) HEE funded Professional accountability Regional oversight networks Deputy Chief Pharmaceutical Officer (NHS E) Chief Pharmaceutical Officer for England Deputy Chief Pharmaceutical Officer (NHS I) + wider Medicines Leadership Team working across NHSE & NHSI North Regional Pharmacy Dean Mids & East Regional Pharmacy Dean London Regional Pharmacy Dean Regional Pharmacy Lead (London) Regional Pharmacy Lead (Mids & East) Regional Pharmacy Lead (North) Regional Pharmacy Lead (South) South Regional Pharmacy Dean Regional Medicine Optimisation Committee London Regional Medicine Optimisation Committee Mids & East Regional Medicine Optimisation Committee North Regional Medicine Optimisation Committee South Regional Pharmacy Deans HEE NHS Trusts and FTs and primary care providers Supported by Specialist Pharmacy Service
Developing the Pharmacy Workforce Pharmacy Assistants Apprenticeships Ward based roles Community pharmacy based roles Pharmacy Technicians Ward based patient facing roles Advanced roles Pharmacists Ward based patient facing roles Independent prescribing
Our workforce Following patient pathways Right person undertaking the right activity with the right skills underpinned by the right training and support System wide educational infrastructure
Our challenges Hearts and minds Money Collaboration Culture Team Pharmacy
Our workforce SCARF Sustainable Capable Adaptable Responsive Flexible
Implementing the plan It takes a teamwork plan how to get to the top of a mountain Once the plan is in place, the implementation can be like a marathon it can take a long time!
Discussion Talk to the person next to you and identify your top 3 key issues
Thank you for listening What will you do differently having attended this workshop?