Beth Loudon

Procurement & Distribution Interest Group Symposium 10th June 2010 Beth Loudon – Business Development Manager

 What is the NHS Commercial Medicines Unit?  What is our role and governance?  What is a Commercial Support Unit (CSU) and what is its potential role in medicines management?  How is the procurement landscape developing for medicines management?

NHS CMU – Who? A team within PICD (Procurement, Investment and Commercial Division) at Department of Health from 1st January 2010. Previously Pharmacy Directorate of NHS Purchasing and Supply Agency, roles and responsibilities remain unchanged. Teams in Reading and Runcorn and 11 Homeworkers Core purpose is to: deliver efficiencies for the NHS and DH in the procurement of medicines support purchasing for safety of those medicines ensure an efficient and effective supply chain of medicines to the patient.

NHS CMU Governance Department of Health – Procurement, Investment and Commercial Division (Peter Coates)

NHS COMMERCIAL MEDICINES UNIT Chris Theaker – General Manager Teams based in Runcorn and Reading

Efficiency We deliver efficiencies through: the delivery of national and regional contracts for medicines for secondary care in the NHS the delivery of best value on all DH central procurement of medicines, including vaccines and flu pandemic products the use of our unique national spend and usage data collection system, to provide information and analysis to identify efficiency opportunities available to the NHS and DH, and to support them in measuring and reporting on those efficiencies the offer of supply chain efficiency opportunities to the NHS e.g. improvements in purchase-to-pay systems

Safety We support purchasing for safety of those medicines through: a bespoke quality control system (PharmaQC) which provides a route from supplier to pharmacist for product safety and quality information working closely with the national QC group to ensure all contracted products have been QC approved ensuring safety considerations are a core criteria in the design and award of our contracts close relationships with the National Patient Safety Agency to ensure that we are supporting the DH in the implementation of policy the use of our professional networks and communication routes to ensure that secondary care pharmacists are instantly aware of any safety alerts

Supply chain We ensure an efficient and effective supply chain of medicines to the patient through: arranging the storage and distribution for centrally procured medicines analysing the national usage data to forecast and plan for shortages in partnership with the Medicines and Pharmaceuticals Industry Group (MPIG) the use of our relationships with industry to influence the supply chain of medicines and their raw materials, to ensure that we can scenario plan for shortages and put contingencies in place

What are Commercial Support Units (CSU)?  Set up in each region and began operating from April 2010  Aim is to build commercial skills within the NHS by improving commercial acumen and enabling the NHS to drive up quality and facilitate efficient use of resources  They will work with established local structures to determine the best collaborative approach to meet the commercial requirement.

What will a CSU do? Key functions for Commissioners might include

Key functions for Providers might include

• Developing effective patient and public engagement to inform decisionmaking • Using information effectively to make investment decisions • Using innovation to improve quality and reduce cost • Managing and developing suppliers effectively • Actively managing contractual performance • Undertaking service review • Procuring services and using contractual levers to drive productivity

• • • •

Developing a thorough understanding of NHS markets Using patient and public involvement to inform developments Identifying business opportunities Understanding effectiveness and cost structures of existing organisational arrangements • Having clear and consistent systems that measure quality and value for money of all services • Securing business and income • Using innovation to improve quality and reduce cost

The CSU National Pharmacy Workstream

 To address the following key questions:

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-What are the gaps in the provision of support for achieving optimal commercial effectiveness in the use of pharmaceuticals? -How could a CSU deliver services to fill these gaps? Work has been undertaken in 4 regions (London, South Central, West Midlands and North West) to support SHA and CSU leads in developing greater insight and guidance on the role of CSUs in enabling commercially effective use of pharmaceuticals. Key stakeholders were identified in each region and 1-2-1 interviews were carried out with a workshop to follow up. Output is in final draft under consultation

Emerging themes….

Draft Medicines Management Functions…. Functions

Associated services

Core

Prescribing and spend analysis (including opportunity identification)

Business Intelligence and Modelling

Benchmarking Scenario modelling

Facilitation of Collaborative Working

Opportunity identification

Implementation support for national strategies

Baseline analysis

Project management support for collaboration

Resource modelling Audit support

Adoption of Best Practice and Innovation

Identification of best / innovative practice Benefits tracking for best / innovative practice Facilitation of sharing materials associated with best practice

NonCore

Operational performance

Clinical productivity and efficiency assessments Medicines management capability assessments

Systems

E-enablement opportunity identification E-enablement implementation support

Market Management

Contract management support Homecare provider management

How is the procurement landscape changing?  Increased emphasis on commercial rather than procurement tasks and activities  Skills required beyond traditional procurement  Increasing efficiency targets leading to…  Increased pressure on the procurement function  More appetite for radical solutions