Managing Capacity of New Regimes jointly working with Background - PowerPoint PPT Presentation

jointly working with Durham, Darlington & Tees Valley Managing Capacity of New Regimes

jointly working with Background • Constant flow of new approvals • Consultant led process – Requests for treatments with minimal notice – Always a patient waiting – No capacity impact assessment – Once ce you u have tak aken en on new w work rk manage anageme ment nt assu sumption ption you u must st have capacit pacity y to deliv liver • Increasing “Free of Charge” medicines – Capacity constraints – Unfunded supply process – Governance issues with supply chain • Staff Vacancies • Small approvals x many

jointly working with Process Funding Approval NICE CDF EAMS Free of Charge NHS England

jointly working with Process Funding Clinician Approval Submission Improved Request Form

jointly working with Process Funding Clinician Approval Submission Pharmacy Capacity Nursing Impact Chair Clinic Imaging Biochem ’ etc

jointly working with Process Funding Clinician Meeting Build Approval Submission Review Protocol Capacity Impact

jointly working with Process Reviews and Prioritises Work Funding Clinician Meeting Approval Submission Review Multi-disciplinary Oncologists Capacity Impact Haematologists Nurse Pharmacy Management

jointly working with Process High Admin Burden Reviews and Low Evidence Prioritises Work Funding Clinician Meeting Approval Submission Review Curative Regime Capacity NICE Approval Impact Capacity Saving

jointly working with Process Clinicians Notified (48hrs) Funding Clinician Meeting Build Approval Submission Review Protocol Capacity Impact

jointly working with Requests Monthly number of new protocol requests submitted and cumulative number of approvals 25 Requests Approval 20 Number of Requests 15 10 5 0 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18

jointly working with Capacity Impact Cumulative Anticipated Capacity Impact of New Cancer Medicines Approvals Across Durham & Tees Valley 1400 3.00 Number of Additional Infusions Required from Whole Time Equivalent Nurses / Chairs Pharmacy 1200 2.50 Nurse Chair 1000 2.00 Pharmacy per Anum Per approval: 800 1.50 • 1 infusion per week 600 • <2 hrs Nurse time 1.00 • <5hrs Chait time 400 0.50 200 0 0.00 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18

jointly working with Challenges • Emergencies • Private Patients / Additional Private Care • Need – off the shelf “capacity release” plan • Need to track predicted vs actual impact • Not currently capacity assessing Oral / In-patient • FYE may take 2 years to materialise