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

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managing capacity of new regimes
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Managing Capacity of New Regimes jointly working with Background - - PowerPoint PPT Presentation

Apr 06, 2024 377 likes •506 views

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

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jointly working with

Durham, Darlington & Tees Valley Managing Capacity of New Regimes

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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
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jointly working with

Process

Funding Approval

NICE CDF EAMS Free of Charge NHS England

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jointly working with

Process

Funding Approval Clinician Submission

Improved Request Form

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jointly working with

Process

Funding Approval Clinician Submission Capacity Impact

Pharmacy Nursing Chair Clinic Imaging Biochem’ etc

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jointly working with

Process

Funding Approval Clinician Submission Meeting Review Build Protocol Capacity Impact

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jointly working with

Process

Funding Approval Clinician Submission Meeting Review Capacity Impact

Multi-disciplinary Oncologists Haematologists Nurse Pharmacy Management Reviews and Prioritises Work

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jointly working with

Process

Funding Approval Clinician Submission Meeting Review Capacity Impact

Reviews and Prioritises Work

High Admin Burden Capacity Saving Curative Regime NICE Approval Low Evidence

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jointly working with

Process

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

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jointly working with

Requests

5 10 15 20 25 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 Number of Requests

Monthly number of new protocol requests submitted and cumulative number of approvals

Requests Approval

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jointly working with

Capacity Impact

0.00 0.50 1.00 1.50 2.00 2.50 3.00 200 400 600 800 1000 1200 1400 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 Whole Time Equivalent Nurses / Chairs Number of Additional Infusions Required from Pharmacy per Anum

Cumulative Anticipated Capacity Impact of New Cancer Medicines Approvals Across Durham & Tees Valley

Pharmacy Nurse Chair

Per approval:

  • 1 infusion per week
  • <2 hrs Nurse time
  • <5hrs Chait time
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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