Tailored Dispensing Service (TDS) Abigail Barry Senior Prescribing Advisor 6th December 2017
Introduction and Overview • Current service • Feedback • Meeting the challenge • Re-commissioning? • Preparation and support 6th December 2017
Feedback • Patients • GPs and other stakeholders • TDS providers 6th December 2017
Meeting the challenge • Improving the quality of patient care • Improving clinical outcomes • Reducing medicines waste • Financial challenge • Evidence 6th December 2017
Service Changes • Reviewed list of TDS items • Identification of unused medicines - Scale and waste - Patient impact • Repeat prescription ordering • Records of significant interventions 6th December 2017
AQP Procurement • To apply for the service you must look out for the advert on the Government Contract Finder website • Not a competition but an accreditation process • The CCG will hold another briefing session on Wednesday 10 th January, after publishing the advert • The CCG will offer further guidance and support in relation to the application process and service requirements – oreolorun.ojo@nhs.net 6th December 2017
Qualification Timetable Milestone Date Advert and application document available 03/01/2018 on Contracts Finder Deadline for clarification questions 31/01/2018 Application deadline 07/02/2018 07/02/2018 – 07/03/2018 Evaluation of applications Providers informed of outcome April 2018 April 2018 – 03/06/2018 Service Mobilisation Contract start date 04/06/2018 6th December 2017
Preparing to apply • Look at opportunities to collaborate; look at your partners and if they can offer support • Look at national body (PSNC) for support • Identify what we can do now – register on Delta as a supplier, look at Safeguarding, IG and QAF requirements – info is available on the CCG website • Identify any gaps • Plan to meet the key dates 6th December 2017
The Application and Guidance All application questions will be on the Delta e sourcing portal • Questions 1 – 6: Government Standard Supplier Questionnaire • Questions in section 7 are CCG standards and key requirements • Safeguarding (golden thread) • Information Governance • Clinical Governance and Resilience (QAF) • IM&T 6th December 2017
Safeguarding Children and Young People, and Looked After Children & Adults at Risk “The safety and welfare of Children, Young People, Children Looked After and Adults at Risk is of paramount importance to Bromley Clinical Commissioning Group (BCCG). We work diligently to ensure that all of the services we commission ensure high quality safe effective care. In order to achieve this we have robust arrangements in place to provide strong leadership, vision and direction for safeguarding. All staff members have a responsibility for reporting abuse and neglect in accordance with relevant legislation, statutory guidance and best practice” 6th December 2017
Safeguarding Commissioning Framework BCCG has adopted a Commissioning Framework for safeguarding Children and Young People, and Children Looked After, & for Adults at risk. The safeguarding procurement standards component of this Framework outlines how Bromley CCG will assure itself that bidders and commissioned service providers are compliant with these requirements 6th December 2017
Safeguarding Procurement Standards The Procurement standards are divided into: • Essential Safeguarding Threshold Standards, which set out the extensive legal basis for safeguarding, including statutory guidance and also the Pan London safeguarding requirements and • Additional Safeguarding Quality Standards, which define elements of best practice that are applied proportionally to each individual procurement exercise 6th December 2017
Safeguarding Procurement Standards Continued Prospective bidders must provide evidence of their compliance with the Essential Safeguarding Threshold Standards. The CCG Safeguarding Team will scrutinise bidder responses, including the policies and guidance for: • Safeguarding Children and Young People, and Children Looked After • Safeguarding Adults at Risk • Consent to treatment • Mental Capacity, including Deprivation of Liberty • PREVENT, and • Accountability and Assurance diagram The Framework and Standards documents are embedded as attachments in the BCCG procurement pack, and are also available on the CCG webpage. 6th December 2017
Minimum Training Requirements Level 1 Safeguarding – All staff providing the service should have had this training Level 2 – 80 % of Pharmacist and Technicians should have had this training 6th December 2017
Quality Assurance Framework Requirements 6th December 2017
What is the QAF? The Quality Assurance Framework sets out the minimum criteria that all locally commissioned services are expected to evidence It is designed to assist potential and actual service providers to demonstrate how the organisation meets the quality criteria. 6th December 2017
TDS QAF Tailored to consider type of provider Narrative with supporting evidence (where possible) required from provider Support available from CCG to achieve standards (where appropriate within a set timeframe) 6th December 2017
Considerations To encourage Providers the CCG will acknowledges that: • Providers may have supporting evidence but in different policies/procedures • Providers may have existing practices which are broadly aligned to the QAF • Providers may be willing to work towards achieving standards over a period of time 6th December 2017
Information Governance Bidders must identify and describe how Data Records of NHS patients will be managed within the service and the safeguards that will be in place to ensure confidentiality of patient information . 1. How your organisation will demonstrate compliance with Information Governance legislation, national standards and NHS policies and guidance in the delivery of this service (Level 2 IG Toolkit, ICO Registration, Code of Practice) 6th December 2017
2. Confirmation that your IM&T Systems do not require any patient- identifiable data to be transferred outside the European Economic Area (EEA). You must list any countries outside England you plan to transfer client identifiable data to 3. How your IM&T Systems will manage the security, confidentiality and quality of patient information and include in your response the use of the standards, good practice, and statutory obligations (consent, dissent, Role Based Access, data quality) 6th December 2017
4. Your mechanism for managing risks of information governance breaches 5. Assurance that staff providing this service are aware of any IG matters arising from provision of care Data Protection Act NB: On 25th May 2018 the Data Protection Act will be superseded by the General Data Protection Act. 6th December 2017
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