Anticoagulation Services at Sandwell and West Birmingham Hospitals NHS Trust Joanne Malpass and Rachel Clarke 6 th October 2015
Anticoagulant Services at SWBH Consultant Lead Multidisciplinary approach Biomedical scientists (BMS) Nurses Senior Assistant Technical Officers (SATO) Administration Nationally Accredited – CPA /UKAS 6 th October 2015
OPD CLINICS OPD COMMUNITY CLINICS CLINICS DOMICILIARY COMMUNITY PATIENT VISITS CLINICS SELF TESTING DOMICILIARY SCOPE VISITS OF SCOPE OF TREATMENT GP NOACS – SERVICE SERVICE PATIENT INTERVENTION POSTAL EDUCATION / ADMISSION SERVICE AND AVOIDANCE SUPPORT GP POSTAL SERVICE PoCT PATIENT SUPPORT SELF TO OTHER NOACS PATIENT PoCT SUPPORT TESTING SERVICES EDUCATION FOR WARDS AND SUPPORT R&D WITH PHARMACEUTICAL COMPANY AND H.E. INSTITUTES 6 th October 2015
Funding Nationally Agreed tariffs (PbR) Locally Agreed Tariffs • Block Payment • Cost per case • Payment by activity • Tolerance/caps • Any Qualified provider (AQP) 6 th October 2015
AQP 2012 NHS Initiative Local Enhanced Services (LES) withdrawn (CCGs) Aims • Improve choice and access to services • Improve quality and outcomes • Drive innovation and efficiency 6 th October 2015
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 6 th October 2015
Step 1:Expression of Interest https://www.contractsfinder.service.gov.uk 6 th October 2015
Step 2:Complete Submission 8.5.2 Describe how you would demonstrate the application of the 7 pillars of clinical governance. 6 th October 2015
Step 3:Review by CCG Service of the year Award AQP Contract Awarded 6 th October 2015
Pitfalls - Time Stage Dates 01 st May 2014 AQP advert published on Contracts Finder 17:00pm 12 th May 2014 Closing date for suppliers to raise queries 17:00pm 30 th May 2014 AQP Submissions to be completed 06 th June 2014 to 27 th June 2014 Assessment of submissions 11 th July 2014 Providers who have qualified notified From 21 st 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. 01 st September 2014 Service Commencement 01 st January 2015 Long Stop date Minimum of 30 Anti-Coagulation patients 1 year from Contract Award. 6 th October 2015
Support and Expertise • Business Please provide a detailed implementation plan describing how you will mobilise the service, your plan must describe the key tasks and Development Team milestones and their completion dates, as well as the key roles of those responsible and accountable within the implementation team. • Specialist knowledge 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 • Interpretation of interface with existing providers. Text Additional text box Text Additional text box Text service specification Additional text box Text Please attach a copy of your implementation plan Attachment • Expectations of CCG With reference to the service specification, please provide a schematic diagram to depict the care pathway along with any local • TIME 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 Additional text box Text Additional text box Text Additional text box Text 6 th October 2015
Financial Risk • No guarantee of activity or income • Set up costs • Business cases • Accurate capture of activity • Marketing costs • Loss of income • Administration 6 th October 2015
Operational Considerations Fragmented care • Differing care pathways across consortia • Differing care pathways within consortia Workforce • Skill mix • Resilience • Administration Change management • Service users • workforce Capacity and Demand 6 th October 2015
Reflection • What went well? • What would we have done differently? • Going forward 6 th October 2015
Thank you Any Questions Please? • joanne.malpass@nhs.net • rachel.clarke10@nhs.net 6 th October 2015
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