A QIPP initiative supported by the
Department of Health
CMU/PMSG MEDICINES
PROCUREMENT PROJECT
Success in hospital medicines
procurement
PDIG Symposium
6th June 2013
1
Promoting excellence in medicines procurement
North Project
Lead
Liz Arkell
University
Hospital South
Manchester
South Project
Lead
David Tutcher
OptraPharm
Ltd
2
Promoting excellence in medicines procurement
Project Background
Phase 1:
To scope current procurement arrangements
in the regions to find out what best regional
procurement practice looks like with the aim of
driving up standards and consistency across
the country.
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Promoting excellence in medicines procurement
3
Overview
• Is there regional variation in medicines procurement?
• What are the key success factors when procuring
hospital medicines?
• Can medicines procurement be improved?
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Project approach
Southern Regional Purchasing Group pharmacists interviewed:
1. current regional procurement arrangements
2. views on what are key elements of good practice
Questionnaire completed by Northern Specialist Procurement
Pharmacists based on:
• 26 identified procurement parameters
• 43 procurement “success factors”
All assessed current status against these defined procurement
parameters and “success factors” to provide a national summary.
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Promoting excellence in medicines procurement
Key variations in regional procurement
annual report
monitored w ork plan
savings / lost
opportunities tracker
clinical engagement
process to scope &
track new initiatives
procurement team
support
Regional strategic
group
Chief Pharmacist
support
0%
10%
20%
30%
40%
50%
60%
70%
re gion confirm ation of procure m e nt param e te r
Number of Regions = 10
Number of acute Trusts per Region varies from 8 to 28.
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Promoting excellence in medicines procurement
80%
“Success factors” importance scores
• 43 “success factors” identified
• divided into core themes
• scored - each regional lead gave view on relative importance
of “success factor”
“Success factor” theme
(number of factors)
Structure / process (5)
7
North
score
41
South
score
42
Resource (12)
95
107
Collaboration (8)
62
66
Engagement (11)
92
96
Assurance (7)
58
57
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Promoting excellence in medicines procurement
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Key “success factors”
• Highest ranked (combined North & South – 10 Regions)
Regional ‘operational group’
Direct access to procurement staff in Trusts
Chief Pharmacists Group strategic steer
Regional procurement lead regular attendance at Chief
Pharmacist meetings
Clinical pharmacy knowledge available
Published annual work plan of regional procurement initiatives
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Promoting excellence in medicines procurement
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Success factor applicability
Success factor applicability score (%)
120
100
80
60
Success factor applicability (%)
40
20
0
A
B
C
D
E
F
G
H
I
J
NHS Regions
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Promoting excellence in medicines procurement
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Can we improve?
Current assessment
Structure /
process
Structure / process
Resource
• differences in
line
management &
funding
arrangements
• disparity in
resource
allocation to
number of
Trusts &
geographical
area
• disparity in
regional
procurement
support
10
Collaboration
• variation in
procurement
initiatives
pursued
Engagement
• disparity in
Chief
Pharmacist
strategic
leadership
• disparity in
clinical input
into purchasing
decisions and
implementation
Promoting excellence in medicines procurement
Assurance
• availability of
consistent
purchasing
data
• availability of
annual
monitored
workplan and
annual report
Structure / process
strategic steer
Chief Pharmacists
Assurance
annual monitored
work plan & report
BEST
PROCUREMENT
PRACTICE
Engagement
establish networks
to engage clinicians
& commissioners
13
11
Resource
access to
procurement team
Collaboration
Specialist
Pharmacy
Services
Promoting excellence in medicines procurement
Exploring the way
forward: Phase 2
Phase 2 North
Collaborative procurement
initiative across 3 regions:
- improve patient experience:
–
–
–
–
manage risk
increase / standardise quality
relevance to most Trusts
meets the requirements of
commissioners
– fits with national / government
strategy
12
Phase 2 South:
- toolkits to share good
practice for procuring &
implementing initiatives
in key therapeutic
areas
- capability work plans to
address gaps in good
procurement practice
at regional level
Promoting excellence in medicines procurement
Exploring the way
forward: Phase 2
Structure /
process
• procurement
capability work
plans
• Strategic
direction from
Chief
Pharmacist
groups
13
Resource
Resource
Collaboration
Engagement
Assurance
• increase /
realign
regional
procurement
capacity
• national
system for
procurement
initiative
sharing
including
toolkits
• Northern
project
working with
patient groups
and Pharma
• Standards for
assurance
will emerge
from
capability
work
planning
• increase
support for
Regional
Specialist
with a
procurement
team
• working
across larger
geographical
area
• clinical teams
and networks
• Area Teams
Commissioners
Promoting excellence in medicines procurement