Compare and Save Dressings and wound care
Today s panelists Stacie Croxton (Chair) Customer Services Director Email: stacie.croxton@supplychain.nhs.uk Gareth Hudson Dressings and Wound Care Procurement Manager Email: gareth.hudson@supplychain.nhs.uk Karen Hudson Clinical Nurse Advisor Email: karen.hudson@supplychain.nhs.uk Ruth Annington Dressings and Wound Care Senior Buyer Email: ruth.annington@supplychain.nhs.uk Gareth Harvey Account Manager Email: gareth.harvey@supplychain.nhs.uk
Agenda Our efficiencies and savings programmes Compare and Save Why dressings and wound care Category overview and products in scope Supporting your clinical and procurement teams Summary and our ask of you
Our efficiencies and savings programmes As nurses we use millions of pounds worth of clinical products, we need to lead on the value initiatives to help support the front line Mandie Sunderland, Chief Nurse Nottingham University Hospitals NHS Trust /savings
What is Compare and Save? A support programme helping you identify and achieve realistic efficiencies and savings by moving to comparable products What is it? Underpinned by a data programme providing a granular level of detail, not previously available Efficiencies and saving opportunities depend on the category and your trust It requires your commitment. What s new for 2015? *Maximum national savings potential New for 2015 More support - investment in additional clinical and non clinical support Focus on three key categories in line with your feedback: Haemostats - 3.7m* Wipes - 2.9m* Dressings and wound care - 13.1m*
What s been delivered so far Since 2013 we ve supported trusts save 7,968,822 Who has benefited? And how? Between January and March 2015 NHS trusts have saved 1,727,961 208 trusts are currently achieving efficiencies and savings by moving to lower cost comparable products through Compare and Save. NHS Supply Chain has the information about what we are using and the price of all the alternatives. They do the hard work for us and obtain the samples which stop individual companies knocking on our door taking up our time. We have found it to be a really positive experience. Bernadette Harwood, Tissue Viability Nurse Infection prevention and control Wirral University Teaching Hospital NHS FT
Our Compare and Save support team Accelerated Cost Reduction Team Identify opportunities through Compare and Save Suppliers Clinical Teams Category Specialists Account Manager Support with defining and delivery of your work plan, project management and internal team engagement Clinical Nurse Advisor Support trust clinical engagement, with product evaluation and review Implementation Co-ordinator Support with system change
Why dressings and wound care Dressings and wound care products are widely used across all NHS settings. Category currently offers a wide range of suppliers, with comparable products, at varying prices Supports the potential for standardisation, reducing risk to patients and nursing teams - whilst also driving efficiencies and savings 75% (568) of nurses surveyed think wound care dressings could be more efficiently purchased, saving money for their organisation Lower cost comparable products are used across the NHS Source: Nursing Times Survey, December 2014.
Gareth Hudson Dressings and Wound Care Procurement Manager Category overview Products in scope
Dressings and wound care overview NHS Supply Chain Market Share Savings Programmes Available Compare and save Commitment discounts / rebates Banding available above band 1 and 2 Suitable for mini-comp Bespoke pricing linked to commitment Collaboration Market Overview Advance Wound Care Contract details General Wound Care Pricing Total Market Size 300m NHS Supply Chain market share Estimated 43% of total market Acute 90% Community 20% Market drivers Seeing a move away from historical strong clinical brand preference Adherence to formulary. Contract term July 2012 - June 2016 Suppliers 32 Products Complete range with leading suppliers of advanced wound care dressings and topical negative pressure therapy products including: foams, wound contact layer, gelling fibre, hydrocolloid. Contract term May 2013 - April 2017 Suppliers 50 Products Complete range of products used in every healthcare environment offering choice, value and quality including: film dressing, barrier creams, cotton wool, swabs, dressing pads and tapes. We ve held prices since 2012 Prices have remained stable, despite drug tariff increases year on year Supplier price ranking sheet - introduced to our suppliers to increase commercial tension in the market In development -driving value for money on high volume, high usage products: a core list catalogue working with the Department of Health.
Dressings and wound care overview Product categories and products in scope Adhesive Remover Adhesive Tapes Alginate Ambulance Dressings Bandages Burns Management Capillary Action Cotton Wool Creams and Ointments Dermatology Products Dressing Pads Film Dressings First Aid Kits Foam Gauze Absorbents Gauze Swabs Gelling Fibre Dressing Hydrocolloid Hydrogel Maternity Pads Medical Preparation Swabs Nasal Swabs/Tampons Non Woven Balls Non Woven Island Dressings Non Woven Swabs Odour Control (Carbon) Oral Swabs Plasters Protease Modulator Sanitary Products Scar Management Specialist Foam Specialist Wound Care Super Absorbents Topical Negative Pressure Therapy Type 13 Gauze Swabs Wound Contact Layer Wound Irrigation/Surfactant X Ray Detectable Swabs
Dressings and wound care overview Product categories and products in scope Category Sales ( ) Maximum national potential saving (%) Film dressings 24.6m 17.4% Creams and ointments 5.4m 8.6% Foams and specialist foams 22.2m 28.8% Wound contact layer 11.4m 15% Gelling fibre 6.3m 3.9%
Examples of current price differentiation Product Specification Current pricing ( ) Maximum potentialsaving per each ( ) No. of trusts currently using lower cost comparable products IV Film Dressing 7cm x 8.5cm 0.18-0.41 23p 225 No Sting Barrier Film 1ml 0.07-1.13 1.06 228 Foam Adhesive included Adhesive border 10 x 10cm 1.19-2.49 1.30 232 Specialist Foam Silicone included border 10 x 10cm 1.82-2.48 66p 216 Wound Contact Layer Impregnated Polymer 5cm x 5cm 0.18-0.23 5p 206 Gelling Fibre Standard 10 x 10cm 1.76-1.85 9p 134
Take up of lower cost comparable products Compare and Save provides the opportunity to move to lower cost comparable products, working closely with your trust s clinical experts, without compromising patient safety. 316 trusts Are already using lower cost comparable products across dressings and wound care It s about keeping the standards high. Having quality products, maintaining education for staff and saving money. Bernadette Harwood, Tissue Viability Nurse Infection prevention and control Wirral University Teaching Hospital NHS FT 53% Saving achieved by Wirral University Hospital NHS Foundation Trust by moving to lower cost comparable products. Delivering improved patient outcomes and reduced costs through standardisation. I wasn t particularly looking forward to it initially but then there were productive meetings with procurement and NHS Supply Chain and suppliers have been really responsive, providing us with the products we need and getting back to us quickly on questions. David Wynne, Specialist IV Access Nurse Infection prevention and control Wirral University Teaching Hospital NHS FT
Karen Hudson Clinical Nurse Advisor - North Supporting your clinical and procurement teams
Engaging and supporting your nursing teams Support from our fully trained Clinical Nurse Advisors includes: Internal trust engagement - helping you bring your non clinical and clinical teams on board with new projects Organisation of samples and evaluation days Help manage supplier relations Specialist clinical framework based support e.g. dressings and wound care Standardisation and Rationalisation projects All clinical efficiency savings initiatives Karen Hudson Clinical Nurse Advisor - North Email: karen.hudson@supplychain.nhs.uk Jane Glover Clinical Nurse Advisor - North Email: jane.glover@supplychain.nhs.uk Elena Slater Clinical Nurse Advisor West Midlands Email:elena.slater@supplychain.nhs.uk Ellie Addison Clinical Nurse Advisor South East Email: ellena.addison@supplychain.nhs.uk
Engaging and supporting your nursing teams Engaging the nursing workforce to provide input on patient safety, product quality, innovation and value for money, helps to influence the diverse range of clinical products available to them for patient care Key clinical factors to consider from the start. Securing guidance, direction and support from your clinical teams Some moves to comparable products will be easier and quicker to achieve versus others. Others may take greater investment, but deliver greater return Agreeing focus, priorities and support required and defining your plan is essential Our fully trained nurses Karen, Ellie, Elena and Jane are here to provide independent clinical assistance to you and your clinical teams.
Clinical Nurse Advisors With you every step of the way 1 Working with your Account Manager we ll facilitate an initial meeting with your trust procurement teams Trust review tailored trust Compare and Save data Trust establish potential broad categories and products that could be in scope 2 3 4 5 Facilitate further meetings with trust procurement and clinicians from specialist areas We ll facilitate further meetings with your trust procurement and clinicians from specialist areas Trust interrogate tailored trust Compare and Save data Establish realistic, specific categories and products to progress Trust interrogate tailored that trust will Compare satisfy requirements and Save data Establish realistic, specific categories and products to progress that will satisfy requirements Support sharing of good practice Support sharing of good practice We ll arrange samples and facilitate table top evaluation day with your specialist clinicians and suppliers To establish the lower cost comparable products that are potentially fit for purpose and suitable for trial To establish the lower cost comparable products that are potentially fit for purpose and suitable for trial We ll arrange samples to support your trial in specialist areas Trust trials preferred comparable products, against trust agreed performance criteria Trust agrees comparable product they are happy to move to Trust trials preferred comparable products, against trust agreed performance criteria Trust agrees comparable product Across they all or are selected happy to departments move to We ll support implementation and standardisation across your trust Support our implementation and customer services teams to capture when you start to order, to ensure a smooth transition to the comparable product Start to track savings Across your trust as required
Engaging and supporting your nursing teams small changes, big differences Empoweringnurses to make choices around the purchase and use of clinical supplies, which contribute to patient safety, support the frontline and deliver efficiencies and savings for their organisation. www.rcn.org.uk/smallchanges /smallchanges Clinical supplies - quality, safety and value at the frontline
Stacie Croxton Customer Services Director Summary and our ask of you
Summary The Compare and Save programme will help your trust identify and commit to delivering realistic efficiencies and savings, supporting standardisation and improved patient and staff safety. Reports are available now for you to review with your Account Manager Our support teams are ready to help you progress Additional information is also available at: /savings/compare-and-save/ Our ask That your trust procurement teams work with your NHS Supply Chain Account Manager and Clinical Nurse Advisor to: Review your bespoke Compare and Save data to establish potential broad categories and products that could be in scope for progression Meet with your clinical teams to establish realistic, specific categories and products that can be progressed Commit to a work plan with us and next steps.
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A defined process to delivery Following commitment from you and your clinical teams, we ll work with you against a clearly defined process to support the realistic delivery of your objectives.
Dressings and wound care overview Advanced wound care framework Product categories Adhesive Remover Alginate Gelling Fibre Dressing Burns Management Capillary Action Dermatology Products Foam Specialist Foam Hydrocolloid Hydrogel Odour Control (Carbon) Protease Modulator Scar Management Specialist Woundcare Topical Negative Pressure Therapy Wound Contact Layer Wound Irrigation/Surfactant Suppliers 3m Health Care Ltd Smith & Nephew Healthcare Ltd Molnlycke Health Care Ltd Aquilant Surgical Convatec Ltd Urgo Ltd Systagenix Wound Management Paul Hartmann Ltd Kci Medical Ltd Aspen Medical Europe Ltd (Ex Unomedical) Coloplast Limited Bsn Medical Ltd Crawford Pharmaceuticals Synergy Healthcare (UK) Ltd Advanced Medical Solutions (Plymouth) Ltd Advancis Medical Activa Healthcare H&rRHealthcare Ltd Advancis Medical Clinimed Ltd Derma Sciences Europe Ltd Covidien UK B.Braun Medical Ltd Unomedical (Convatec) Ferno (UK) Ltd Talley Group Ltd M & A Pharmachem Spiracur Inc Archimed Llp Charles S Bullen Arjohuntleigh UK Effjey Ltd View the contract information page: /product-news/contract-launch-briefs/2014/june/advanced-wound-care/
Dressings and wound care overview General wound care framework Product categories Ambulance Dressings Adhesive Tapes First Aid Kits Creams and Ointments Plasters Non Woven Island Dressings Bandages Dressing Pads Film Dressings Cotton Wool Non Woven Balls Sanitary Products Maternity Pads Non Woven Swabs Medical Preparation Swabs X Ray Detectable Swabs Nasal Swabs/Tampons Gauze Swabs Oral Swabs Type 13 Gauze Swabs Gauze Absorbents Super Absorbents Suppliers 3M Health Care Ltd Smith and Nephew Healthcare Ltd Molnlycke Health Care Ltd Aquilant Surgical Urgo Ltd Systagenix Wound Management Paul Hartmann Ltd Unisurge International Ltd Aspen Medical Europe Ltd (Ex Unomedical) BSN Medical Ltd Crawford Pharmaceuticals Synergy Healthcare (UK) Ltd Advancis Medical Activa Healthcare H&R Healthcare Ltd Clinisupplies Ltd Bard Ltd Robinson Healthcare Limited Shermond(div Bunzl Ret Sup) Clinimed Ltd Richardson Healthcare Ltd Sallis Healthcare Ltd Crest Medical Ltd Covidien UK Bastos Viegas Optimum Medical Solutions Unomedical (Convatec) Reliance Medical Ltd Blue Box Medical Ltd Rocialle Nice-pak International Ltd Alliance Pharmaceuticals Ltd Vygon UK Ltd Carefusion UK 306 Ltd Healthline 365 Healthcare Ltd Aero Healthcare Physiorite Medicareplus International Ltd Martindale Pharmaceuticals Williams Medical Supplies Plc Macdonald and Taylor Ltd Newcampe Medical Ltd Benecare Medical/Benefoot UK Fannin UK Ltd Espere Healthcare Ltd Steroplast Ltd Medline Industries Ltd Aquilant Medical Wallace Cameron & Co.Ltd. View the contract information page: /product-news/contract-launch-briefs/2014/march/general-wound-care/