Anticoagulation Services at Sandwell and West … Services at Sandwell and West Birmingham Hospitals...
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Anticoagulation Services at Sandwell and West Birmingham Hospitals NHS Trust Joanne Malpass and Rachel Clarke 6 th October 2015
Transcript of Anticoagulation Services at Sandwell and West … Services at Sandwell and West Birmingham Hospitals...
Anticoagulation Services at Sandwell and West Birmingham
Hospitals NHS Trust
Joanne Malpass and Rachel Clarke
6th October 2015
Anticoagulant Services at SWBH
Consultant Lead
Multidisciplinary approachBiomedical scientists (BMS)
Nurses
Senior Assistant Technical Officers (SATO)
Administration
Nationally Accredited – CPA /UKAS
6th October 2015
SCOPE OF
SERVICE
OPD CLINICS
COMMUNITY CLINICS
GP POSTAL SERVICE
PoCT SUPPORT TO OTHER SERVICES
PATIENT SELF
TESTING
NOACS –PATIENT
EDUCATION AND
SUPPORT
DOMICILIARY VISITS
6th October 2015
DOMICILIARY
VISITS
SCOPE OF
SERVICE
PoCT SUPPORT
FOR WARDS
PATIENT
SELF TESTING
OPD CLINICS
GP POSTAL
SERVICE
NOACS PATIENT
EDUCATION
AND SUPPORT
R&D WITH
PHARMACEUTICAL
COMPANY AND
H.E. INSTITUTES
COMMUNITY
CLINICS
TREATMENT
INTERVENTION
/ ADMISSION
AVOIDANCE
Funding
Nationally Agreed tariffs (PbR)
Locally Agreed Tariffs
• Block Payment
• Cost per case
• Payment by activity
• Tolerance/caps
• Any Qualified provider (AQP)
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AQP
2012 NHS Initiative
Local Enhanced Services (LES) withdrawn (CCGs)
Aims
• Improve choice and access to services
• Improve quality and outcomes
• Drive innovation and efficiency
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AQP
Providers
• Must meet rigorous quality requirements
• Terms and conditions of NHS contract
• Accept tariff for service – no negotiation
• Price is the same for all providers
• Provide assurances of delivery of service specification
• A no volume and no income guarantee contract
6th October 2015
Step 1:Expression of Interest
https://www.contractsfinder.service.gov.uk6th October 2015
Step 2:Complete Submission
6th October 2015
8.5.2 Describe how you would
demonstrate the application of the 7
pillars of clinical governance.
Step 3:Review by CCG
AQP Contract Awarded
Service of the year
Award
6th October 2015
Pitfalls - Time
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Stage Dates
AQP advert published on Contracts Finder 01st
May 2014
Closing date for suppliers to raise queries 17:00pm 12th
May 2014
AQP Submissions to be completed 17:00pm 30th
May 2014
Assessment of submissions 06th
June 2014 to 27th
June 2014
Providers who have qualified notified 11th
July 2014
Contract Issued
Please note you will need to provide evidence
of the appropriate policies being in place at
this point of the process.
From 21st
July 2014
Service Commencement 01st
September 2014
Long Stop date 01st
January 2015
Minimum of 30 Anti-Coagulation patients 1 year from Contract Award.
Support and Expertise
Please provide a detailed implementation plan
describing how you will mobilise the service,
your plan must describe the key tasks and
milestones and their completion dates, as well
as the key roles of those responsible and
accountable within the implementation team.
The plan must also detail where key tasks are
critical and dependent on others and how these
will be mitigated, as well as how you will
interface with existing providers. Text
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Please attach a copy of your implementation
plan Attachment
With reference to the service specification,
please provide a schematic diagram to depict
the care pathway along with any local
integration, specifically identifying the critical
hand-off points, signposting and escalation
mechanisms for clinical concerns and the
process for managing them? Attachment
Please describe how you intend to deliver
patient centred and responsive care. Text
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• Business
Development Team
• Specialist knowledge
• Interpretation of
service specification
• Expectations of CCG
• TIME
6th October 2015
Financial Risk
• No guarantee of
activity or income
• Set up costs
• Business cases
• Accurate capture of
activity
• Marketing costs
• Loss of income
• Administration6th October 2015
Operational ConsiderationsFragmented care• Differing care pathways across
consortia
• Differing care pathways within
consortia
Workforce
• Skill mix
• Resilience
• Administration
Change management
• Service users
• workforce
Capacity and Demand
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Reflection
• What went well?
• What would we have done differently?
• Going forward
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