Anticoagulation Services at Sandwell and West Birmingham Hospitals - - PowerPoint PPT Presentation

anticoagulation services at sandwell and west birmingham
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Anticoagulation Services at Sandwell and West Birmingham Hospitals - - PowerPoint PPT Presentation

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


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SLIDE 1

Anticoagulation Services at Sandwell and West Birmingham Hospitals NHS Trust

Joanne Malpass and Rachel Clarke

6th October 2015

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SLIDE 2

Anticoagulant Services at SWBH

Consultant Lead Multidisciplinary approach

Biomedical scientists (BMS) Nurses Senior Assistant Technical Officers (SATO) Administration

Nationally Accredited – CPA /UKAS

6th October 2015

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SLIDE 3

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

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SLIDE 4

Funding

Nationally Agreed tariffs (PbR) Locally Agreed Tariffs

  • Block Payment
  • Cost per case
  • Payment by activity
  • Tolerance/caps
  • Any Qualified provider (AQP)

6th October 2015

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SLIDE 5

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2012 NHS Initiative Local Enhanced Services (LES) withdrawn (CCGs) Aims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

6th October 2015

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SLIDE 6

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

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SLIDE 7

Step 1:Expression of Interest

https://www.contractsfinder.service.gov.uk

6th October 2015

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SLIDE 8

Step 2:Complete Submission

6th October 2015

8.5.2 Describe how you would demonstrate the application of the 7 pillars of clinical governance.

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SLIDE 9

Step 3:Review by CCG

AQP Contract Awarded

Service of the year Award

6th October 2015

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Pitfalls - Time

6th October 2015

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

  • f 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.

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SLIDE 11

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 Additional text box Text Additional text box Text Additional text box Text 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 Additional text box Text Additional text box Text Additional text box Text

  • Business

Development Team

  • Specialist knowledge
  • Interpretation of

service specification

  • Expectations of CCG
  • TIME

6th October 2015

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SLIDE 12

Financial Risk

  • No guarantee of

activity or income

  • Set up costs
  • Business cases
  • Accurate capture of

activity

  • Marketing costs
  • Loss of income
  • Administration

6th October 2015

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SLIDE 13

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

6th October 2015

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SLIDE 14

Reflection

  • What went well?
  • What would we have done differently?
  • Going forward

6th October 2015

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SLIDE 15

Thank you

Any Questions Please?

  • joanne.malpass@nhs.net
  • rachel.clarke10@nhs.net

6th October 2015