Shoppers of the NHS Unite WELCOME

Transcription

1 Shoppers of the NHS Unite WELCOME

2 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

3 Objectives 1. To share best practice through presentations and round table discussion. 2. Identify actions that can improve relationships and promote greater opportunity for nursing and procurement to work together. 3. To develop/expand your network across the region.

4 Introductions On a scale of 1-10 how do you rate the relationship between nursing and procurement why?

5 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

6 Mick Guymer Director NHS NW Procurement Development

7 Shopping has never been so popular.. 2 nd June 2015 It is important that the NHS acts together to ensure we achieve the most from our collective bargaining power and work together to reduce these pressures where we can. David Williams Director General, Finance, Commercial and NHS 4 th June 2015 In a speech at the NHS Confederation conference, Jeremy Hunt said the Carter review s findings would shortly be announced and they are absolutely staggering. The review by Lord Carter has investigated procurement practices across trusts. In September Lord Carter will set out the amount of money trusts could save by adopting best practice procurement processes. Jeremy Hunt said the hard bit starts from January, when trusts will be expected to make specific savings

8 Who we are Established in Spring 2013 Small team of just 4.5 WTE 1 ex DoF of CMFT 2 ex Heads of Procurement Data analyst and Project support Mick Guymer Director Left to Right: Mike Doyle Brian Mangan Alison Mythen

9 It s not about savings! To focus on sustainable development A collective NW Procurement voice Provide a co-ordinated approach in NW for training, CPD and organisational development To develop procurement in the North West Work towards a standardised method of sharing data and knowledge Forum for sharing best practice

10 Challenges Creating a community & culture of collective working Raising the profile of procurement Improving transparency & coordination Providing robust professional and organisational development Developing supplier relationship management Supporting Trusts to deal with the increased pressure for savings

11 Workstreams Data & knowledge Website development Benchmarking GS1/Peppol adoption Forums and Regional groups Collective procurement NHS Supply Chain CRG Pulp, sutures, gloves Share&save Value based procurement Credentialing Excellence in Supply awards PSD Accreditation Oversee Training and development group Apprenticeships Future leaders

12 Promoting community and collectivism Collectivism can be typified as "horizontal collectivism", wherein equality is emphasized and people engage in sharing and co-operation Lancs & Cumbria Greater Manchester Attendance at Economy group DoF meetings Regional Heads of Procurement meetings Joint economy group and AHSN meetings Materials Managers Network NED s forum GS1 group Benchmarking Cheshire & Mersey In development: Deputies CIP Managers Clinical networks

13 Achievements So Far Established a coaching and mentoring network + robust and nationally recognised peer review/accreditation process 39 out of 39 Trust signed up and committed to sharing information Circa 2.5 million savings identified by NWPD and delivered by Trusts so far 9:1 ROI on funding Governance CEO NWC AHSN and 6 DoFs - 2 from each of C&M, GM and L&C

14 In summary + Sense of community + Collective working + Sharing data & knowledge + Developing people and organisations + New ideas Savings & efficiency

15 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

16 Mandie Sunderland Chief Nurse Nottingham University Hospitals

17 NHS Supply Chain Customer Board Working with the NHS to make the savings required to protect patient safety and the frontline

18 Why do we need to make changes? The overspend in the NHS has increased from 100m in 2013/14 to nearly 800m in 2014/15*. The funding gap is expected to reach 2bn in the next 5 years. The NHS spends 4.5bn per year on clinical products in the acute sector alone All trusts are under pressure to make savings, yet we must work together to protect patient safety and the frontline as a priority. Every 30,000 saved equates to one Band 5 nurse If we can buy products more efficiently the NHS, the trust and the patients will benefit There are over 58m savings available for the NHS just on the products which nurses purchase In total trusts could save over 100m in 2015 by working with us on the Compare and Save and Core List programmes (standardisation of clinical consumables and use of the best value clinically viable product) NHS Supply Chain have delivered over 75m of savings for the NHS so far, with a further 75m needed within the next 12 months working with the support of the Customer Board and the NHS we will achieve this together. 18

19 Potential savings Save 6,359,967 on Wipes Save 3,719,451 on Haemostats Save 23,715,031 on Wound Care Which could equate to: 211 Band 5 nurses Which could equate to: 123 Band 5 nurses Which could equate to: 790 Band 5 nurses Total = 1124 Band 5 nurses

20 Customer Board structure London Customer Board Bill Shields Chair Interim Chief Executive, Royal Cornwall Hospitals NHS Trust Southern Customer Board Suzanne Tracey Chair Director of Finance and Business Development, Royal Devon and Exeter NHS Foundation Trust Clinical Reference Board Mandie Sunderland Chair Chief Nurse, Nottingham University Hospitals NHS Trust National Customer Board Sir Ian Carruthers OBE Chair Midlands Customer Board David Melbourne Chair Deputy Chief Executive and Chief Finance Officer, Birmingham Children s Hospital NHS Foundation Trust Northern Customer Board Mick Guymer Chair Director, North West Procurement Development

21 Clinical Reference Board members Surname Role Trust Mandie Sunderland (Chair) Chief Nurse Nottingham University Hospitals NHS Trust Peter Blythin Director of Nursing Trust Development Authority Geraldine Cunningham Associate Director of Cultural Change Barts Health NHS Trust Janet Davies Executive Director of Nursing and Service Delivery Royal College of Nursing Greg Dix Director of Nursing Plymouth Hospitals NHS Trust Professor Suzanne Hinchliffe Chief Nurse/Deputy Chief Executive The Leeds Teaching Hospitals NHS Trust Dr Ruth May Regional Chief Nurse (Midlands & East) NHS England David Newton Mark Radford Matron - Clinical Procurement Chief Nursing Officer Nottingham University Hospitals NHS Trust University Hospitals Coventry and Warwickshire NHS Trust Dee Roach Executive Director of Nursing and Quality Lancashire Care NHS Foundation Trust

22 Clinical Reference Board Objectives Raise awareness of the role clinicians play in achieving best value from clinical products Identify areas for savings and standardisation, linked to the NHS 150m savings challenge, compare and save and core list Support and drive the existing good practice in clinical engagement in procurement Publicise the work of the group and seek opportunities to engage the wider clinical workforce in the challenge Work collaboratively with all the Local Boards to support clinical engagement across they key priorities By facilitating interaction with trusts through the Customer Board at a local level we will be able to help accelerate change and the delivery of the significant savings needed. Sir Ian Carruthers OBE, Chair of National Customer Board Chair of Portsmouth Hospitals NHS Trust

23 Making savings for the NHS possible Requires real partnership between the clinicians and the procurement teams Considers; Which products we choose and why What alternative, better value products are available Whether we can standardise products across wards, departments, Trusts or groups of Trusts Reduce risk Standardise products Improve patient safety

24 Nurses, working alongside their trust procurement professionals are the right people for the job It makes perfect sense for nurses to buy in the products that help us deliver safe patient care that is cost effective. We only hear about costs when we are over spent. The nurses position on the frontline of patient care, using a vast range of clinical products on a daily basis, leaves them uniquely qualified to offer detailed insights on what items do and do not work. Raise awareness that saving money is not all about cutting quality.

25 Which areas do nurses think we should focus on? 74% 1. Dressings 65% 2. Gloves 63% 3. Disposable wipes 53% 4. Incontinence products

26 NHS Core List 6.51m of savings available for the NHS on these products alone. with the list of products set to grow The NHS Core List aims to achieve best value by reducing the range of like-for-like products that the NHS purchases. This allows the NHS to commit to larger volumes of a smaller range of products which in turn allows suppliers to provide improved prices to the NHS as greater economies of scale in manufacturing can be achieved Products which are available through the Core List are; Exam gloves Dry wipes Underpads Stationery Medicare exam gloves case study 99.9% of staff across the trust are using it as a non sterile glove. You would expect to have some problems reported with any change like this we ve had just one, which has not required any support from Occupational Health. Michaela Fairest Clinical Procurement Specialist Sheffield Teaching Hospitals NHS Foundation Trust

27 ENCOURAGING AND EMPOWERING NURSES TO MAKE CHOICES WHICH CONTRIBUTE TO PATIENT SAFETY, SUPPORT THE FRONTLINE AND DELIVER SAVINGS FOR THEIR ORGANISATION. UK / NATIONAL SCALE. Acute and Community Hospitals, Prisons, Mental Health Trusts, GPs, Care Homes. INCLUDING EXAM GLOVES DRESSINGS CONTINENCE CARE POLYMER WIPES PLUS CORE LIST COMPARE AND SAVE AND PRICE RANKING. LAUNCH TUES 24 MARCH RCN HQ, LONDON. DIRECTLY SUPPORTS 58M NURSE LED SAVINGS OPPORTUNITIES. SUPPORTED AND DRIVEN BY MANDIE SUNDERLAND, CHIEF NURSE AT NUH AND CLINICAL REFERENCE BOARD CHAIR. Clinical supplies - quality, safety and value at the frontline.

28 INFORMED BY OUR NURSING TIMES PURCHASING SURVEY AND THEY WANT HOW TO GUIDES 856 RESPONSES NURSES TOLD US THEY DO SEE OPPORTUNITIES TO SAVE, ALIGNED TO KEY CATEGORIES, AND THEY WANT TO GET INVOLVED. TRAFFIC LIGHT SUPPORT SYSTEM (Identified as most essential tool) WEB CASE STUDIES Clinical supplies - quality, safety and value at the frontline.

29 Clinical supplies - quality, safety and value at the frontline.

30 Getting involved Work in partnership with the procurement team at your Trust and agree how you can work together to benefit your patients Contact your local Clinical Nurse Adviser for support Download the small changes, big differences materials from Order the free stockroom sticker packs from Understand the savings your Trust can make through standardising products by visiting and click on the information on Core List and Compare and Save Contact us and share your ideas for savings and your good news stories

31 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

32 Pro s & Con s Engaging Front Line Staff

33 Right Quality Right Quantity What is Procurement? Right Price Right Place Right time STANDARDISE HOLISTIC COMPLIANCE TRANSPARENCY PROCESSES LISTENING INVENTORY ENGAGEMENT

34 Pro s PERSPECTIVE KNOWLEDGE SAFETY BUY IN UNDERSTANDING PATIENT EXPERIENCE VALUE ENTHUSIASTIC

35 Con s NON-CONFORMANCE INEFFICIENCY WASTAGE HARM CONFLICT DUPLICATION OVER SPECIFIED RESOURCE

36 Getting it Right BEST PRACTICE EFFICIENT STANDARDISE EXPERIENCE SAFE PARTNERSHIP NETWORK SAVINGS

37 Questions? Sue Colbeck MCIPS Head of Procurement & Supplies Sue Colbeck

38 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

39 The role of the clinical procurement specialist nurse in procurement Jim Kennett Clinical Procurement Specialist Nurse Countess of Chester Hospital NHS FT.

40 Who am I? Registered General Nurse Acute General Hospital experience 5 years. Operating Theatres 11 years. In post as Clinical Procurement Specialist Countess of Chester since Co-Chair of Clinical Procurement Specialist Network.

41 What is a Clinical Procurement Specialist? A Registered Nurse or similar other clinical professional who works either within the procurement structure of their organization, or assist it, in the procurement of clinical supplies or eqpt.

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43 No one day is the same!

44 The demands of Clinical Procurement Increasing ranges of clinical products. New technologies and innovation. Ensuring patient safety whilst obtaining appropriate product at best value for money. Compliance with procurement processes. Ever increasing pressure to save money. How does an organisation decide what is best for them and their patients?

45 My Role as a Procurement Nurse A conduit/interface between our clinicians and procurement & commercial activity (supplier representatives). Promoting a culture and environment whereby clinicians can approach the procurement team and have innovative ideas addressed quickly. A robust product trial, evaluation and implementation process. Leading the (ongoing) review of clinical products across the organisation. Advising, informed questioning, challenging.

46 Creating the right environment to support clinical procurement Policy and Procedure. - Robust product trial, evaluation and implementation process. - Clearly defined Supplier Representative Policy. Clinical Engagement. - A wide range of clinical experience in order to understand clinical requirements. - Working with the Multidisciplinary Team at all levels to tackle from basic products to clinically sensitive e.g.: gloves, sutures. Product Groups. - Clinical Product Review Group - Tissue Viability Nurses - Infection Control - Specialist Task and Finish Group

47 Procurement Trial Process A product trial should be a structured systematic process, to reduce risk to patients, staff, and the Trust. The Hospital has a policy of product standardisation within the Trust. This reduces the margins of errors through unfamiliarity with products, promotes and supports Clinical Governance, Clinical Benchmarking, Care Formularies and the opportunity for Procurement to obtain Best Value for Money. Trials should be coordinated from a single source. This is via the trust s Clinical Procurement Specialist Nurse initially. It is not possible, nor necessarily beneficial, to trial ALL products. The Trust therefore developed a Justification for Trial form/procedure.

48 Completion of the request to trial a product form enables the procurement team to: Anticipate usage within the Trust and therefore overall cost. Decide if the trial needs to be part of a Procurement competitive exercise as dictated by the Trust's Standing Financial Instructions (SFI's). Identify the area(s) that will trial the product. Identify the Trial Lead Person(s). Decide upon the period of the trial. Consider the involvement of other specialities (e.g.: Infection Control, Tissue Viability, EBME, Manual Handling, Finance, Laser Safety Officer). Agree the evaluation and feedback process (evaluation forms from the Clinical Procurement Specialist Nurse).

49 Standardising and Reviewing Practice and Products Working with the relevant Clinical Leads to: - Standardize products throughout the trust wherever possible. - Justifying reasons for variation (if applicable). Identify training needs and advise upon appropriate product use - Informed interpretation of usage and spend reports to identify inappropriate usage or inappropriate products! - Coordinate supplier audits to evaluate correct product usage.

50 Ensuring a Clinically Focussed Workplan Quality Agreeing quality standards and performance for products in use. Advise, question and challenge and support product selection if required. Utilising clinical networks and market place awareness. Measuring benefits of procurement programmes in both clinical and cost benefits. Safety Reducing variation and standardising practice across Trust. Identifying & promoting safer ways of working (e.g. Safer Sharps). Developing training and implementation plans with clinical teams and suppliers. that ensure staff are competent with new and existing products. Value Managing the supplier market & sales activity. Benchmarking pricing in the NHS. Utilise Procurement Team expertise to ensure Best Value for Money. Working with NHS Supply Chain liaison with their Clinical Advisors.

51 Supporting Innovation & Efficiency An environment promoting clinicians to approach procurement with innovative and cash releasing ideas. Listening to, and understanding feedback from end users. Ability to identify and fast track innovative products. Faster and robust feedback mechanism from users. Procurement at the start of the process ensuring BVM.

52 Clinical Procurement Nurses The Way Forward Support the delivery of efficiency savings whilst maintaining and improving patient care. Enable a patient centered approach to procurement that maintains quality and safety at the forefront of procurement decisions. Enable clinical teams to focus on delivering patient care yet get involved in and influence the procurement process at the right time.

53 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

54 Role of Materials Management Gary Farrimond Logistics Manager

55 Materials Management The replenishment of stocks held within Wards or Departments by Supplies staff. Determining and maintaining a stock level that matches as close as possible its actual usage between deliveries.

56 Day In The Life of Materials Management 08:00 Arrive Check mail Deal with issues Brief Supervisor/Team

57 Day In The Life of Materials Management 08:45 Staff take deliveries to Wards/Departments

58 Day In The Life of Materials Management 10:00 Staff on Wards carrying out ordering, stocktakes and reviews

59 Day In The Life of Materials Management 14:30 Staff place all daily orders on system

60 Materials Management JUST IN TIME Versus JUST IN CASE?

61 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

62 Consumable of the week initiative ST05_Mar12 your hospitals, your health, our priority

63 Background and Rationale Raises profile and awareness at Board level Highlights and generates savings Encourages engagement Started 2013 DoF initiative Supportive of Better procurement, better value, better care Need for WWL to achieve CIP targets your hospitals, your health, our priority

64 The Process One product switch to be presented weekly to Meeting Point as a standing agenda item. Following discussion and preliminary approval the Medical Director will disseminate for review with the pertinent Clinical Leads. There s a 7day standstill period allowing for divisions to discuss any concerns/ queries with Procurement regarding the proposed product switch After 7 days any challenges will be discussed at Meeting Point, or Meeting Point will finally authorise the proposal If the product switch gains approval, Procurement take steps to ensure compliance with the decision and implement the changes/log the saving your hospitals, your health, our priority

65 Product switches Examples put forward include: Disposable cups - saving 9,647 by changing pack qty/cup size Cleaning Cloths - saving 6,155 by changing size dimensions Surgical Gloves - saving c 40k by standardisation your hospitals, your health, our priority

66 Summary of benefits to WWL Introduced part way through the 2013/14 financial year, the programme has resulted in 33 alternative products being put forward WWL have proposed savings of 93,010 of which 74,043 (in year effect) has been actioned for departments Trust wide, releasing money to be reinvested within the Trust. your hospitals, your health, our priority

67 Wider benefits Highlights the value Procurement brings Raises profile of procurement Promotes engagement and can link to the RCN initiative Feeds in to share&save

68 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

69 Margaret Park Materials Management Team Manager Wirral University Teaching Hospital

70 Survey Says. The survey of 850 nurses found that over 80% of respondents thought there was scope to save money in their trust, and a further 86% believed patient safety would be improved if nurses had greater involvement in purchasing Those behind the idea have estimated that nurses working closely together with procurement managers could save more than 30m the equivalent of 1,000 nursing jobs by streamlining the buying of basics, such as wipes and incontinence products. However, the findings also revealed barriers to nurses getting involved in purchasing, with a quarter saying they were currently not allowed to and a further 28% that they did not have enough time. There has never been a better time to look at what nurses are buying and find those opportunities to save money

71 What you the nurses say

72 What we have done. NWPD Has developed a web page to enable all NHS Trusts to share their savings. Since June 2014 collectively we have shared 107K worth of savings That is big money saved for our trusts.

73 How Does It Work? Adding a New Saving Viewing featured savings

74 How Can We Develop It s Good but it Could be Great With your help we could identify a lot more opportunities and deliver more savings for our Trusts. Five things you can do to support Share and Save.Get to know your Procurement and Supplies Team Have a regular process for the review and introduction of new products Tell us if you have an idea or see waste in practice Lets share best practice with others and let them share back Free up clinical time by getting the right products in the right location at the right time.

75 Thank you

76 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

77 Group discussion What practical things can be done to unite shoppers at a Regional and Trust level? Strengths Opportunities Weaknesses Threats Action plan..... Comm s Systems Leadership?????? Incentives

78 Agenda Introductions and welcome Overview of NHS NW Procurement Development Nursing involvement in procurement - a National perspective Engagement with front line staff a Procurement perspective Regional good practice Clinical procurement specialist - Countess of Chester NHS FT Role of materials management - Warrington and Halton NHS FT Consumable of the week - Wrightington, Wigan and Leigh NHS FT Share and Save Wirral University Hospital Break Group session: What practical things can be done to unite shoppers at a Regional and Trust level? Feedback Summarise Close

79 Next steps

80 Objectives 1. To share best practice through presentations and round table discussion. 2. Identify actions that can improve relationships and promote greater opportunity for nursing and procurement to work together. 3. To develop/expand your network across the region.

81