Collaborative Clinical Medicines
Procurement
Procurement & Distribution Interest Group
Autumn Symposium: 11th November 2010
Dr Anthony Grosso
Formulary & Medicines Management Pharmacist
anthony.grosso@uclh.nhs.uk
Outline
Getting value for money: Outline
1. The past…
2. The present…
3. The future…
4. Key messages
The past: NHS Procurement
- Proactive
- Progressive
- Savings ++
- Particularly effective for generic medicines
The past…NHS Clinical
- Passive & reactive initially
- Through collaboration: increased activity
- Statin project: key milestone
- Opportunity
identified
by procurement:
PREDICTED
price drop
Medicine
savings
pathway:
example
- Opportunity assessed by clinical
- Jointly scoped estimated savings per scenario
- Stakeholder consultation
- Modifications
- Barriers identified
- Clinical evaluation
- Implementation
- Marketing & counter-marketing strategy employed
- Tracking & continual management
The present…
- Active collaboration between procurement & clinical
- Opportunities identified by procurement – feasibility-tested and
implementation led by clinical
- Opportunities identified by clinical - forensic examination of
individual drug use and discrete therapeutic pathways
Targets & Implementation
- Allows for generation of multiple targets & savings ++
- Rank by level of saving vs. degree of effort
- Austerity – aids implementation!
- Proven track record e.g. Statins, ARBs, anti-TNFs,
Growth Hormones, 5-ASAs, GCSFs, 5-HT3s etc…
The Future
- Increased clinical input into procurement
groups
- Further adaptation required 2013 + (White
paper, PPRS, VBP, NICE/NPC)
Key messages: NHS
- Clinical + procurement specialists: collaborate more closely to
generate greater opportunities for saving money
- Innovate: look beyond price differences e.g. homecare savings
- Designate more time & resource to implementation activities
- Share ideas among colleagues
- Threats & opportunities
Key messages:
Pharma
- Must adapt accordingly
- Collaborate with clinical-procurement groups
- Develop innovative ideas that are mutually beneficial
- Motivate decision-makers and influencers WITHIN the NHS to
actively market your product for you!