Clotting Factor Home Delivery Service

A Presentation for

National Procurement, NHS National Services Scotland

4th January 2007

Clinovia team today

Susan Wood – Regional Manager for Scotland

Stephen Hart – Director of Medicines Management

Presentation Structure

Introduction to Clinovia

Clinovia’s ability to meet contract award criteria

1. Technical merit

2. Order process

3. Quality assurance

4. Commercial

Implementation support

Questions

Introduction to Clinovia

• Established since 1975• Employ over 400 staff• Work with over 600 NHS organisations• Support over 8,500 patients• National capability, local service network

We aim to provide consistent, high quality, cost effective services to the NHS

Medicines management

Multiple sclerosis

Haemophilia

Pulmonary arterial hypertension

Growth hormone treatment

Assisted conception

Immunology

Rheumatology

Dermatology

Care packages

Parenteral nutrition

Cystic fibrosis

Chemotherapy

Infection management

Thalassaemia

Complex care

Neuro-rehabilitation

Home Ventilation

Spinal injury

Neurodegenerative

Multiple conditions

Respite

Complexity

Core services

Therapy areas

1. Technical Merit

Able to conform fully to service specification Operational site in Scotland which will service

this contract

Able to conform fully to service specification

Experienced in the home delivery of clotting factors

Clinovia provides home delivery services to over 400 haemophilia patients

Able to conform fully to the service specification in Tender PHP036

• Clinovia will be responsible for the purchase, storage and delivery of product to the patients home

Operational site in Scotland

Susan WoodRegional Manager

Eileen McGuireSenior Co-ordinator

BDMKenneth Corner

Warehouse SupervisorLindsay McDonald

DriverAvril SymePharmacist

Joseph LockhartWarehouse Operative

John KellyDriver

Linda McFarlanePharmacist

Lesley AllanCo-ordinator

Fiona DoigCo-ordinator

Ann MarshallCo-ordinator

June LoudenCo-ordinator

Leigh MurrayLead Nurse

Jane McKellarLead Nurse

Scottish operational team (Jan 07)

Scottish Business

Scottish team current provides home care services to over 1,000 patients (Nov 06)

985 deliveries were made in November 2006

2, 4, 8 & 12 weekly delivery schedules

Our services are currently commissioned by 12 out of the 15 Scottish Health Boards

Deliveries made to patients across the length and breadth of Scotland (including the Scottish Islands)

Geographical spread of patients serviced by Clinovia

AB

DD

DG

EH

FK

G

HS

IV

KA

KW

KY

ML

PA

PH

TD

Deliveries made to patients in Scotland (Nov 06)

2. Order process

New patient orders Ongoing patient orders

New patient orders

1. Installation form and Rx received (fax/post)

4. Order picked, checked & dispensed

5. Delivery made by Clinovia driver

2. Rx checked by pharmacist andpatient details entered on system

3. Patient contacted to discuss service and delivery arrangements

Ongoing patient orders

Patient contacted 7 days prior to delivery (stock levels checked)

Order processed, picked, checked and dispensed

Delivery made and clinical waste collected as required

Invoice and reports sent to hospital. New Rx requested as appropriate

3. Quality Assurance

Operating procedures Training Feedback from customers and patients Complaints and incidents procedure Inspection and audit

Operating procedures & training All departments work to documented operating procedures that

are subject to regular audit

Written procedures are available for inspection as required

All staff receive general company induction training followed by detailed training on work practices and procedures within the department

Procedure and service training is supplemented by training on the treatment and impact on patients. This training is provided by Clinovia pharmacists, nurses, patients and health care professionals from specialist centres

Feedback from customers and patients

Feedback is an essential component to monitoring the quality of our service in order that we can identify areas for improvement

Obtained through regular formal surveys, phone calls and receipt of comment cards provided to all patients

98% of patients see Clinovia’s service as good or excellent

Complaints and incidents procedure

All complaints and internal incidents are recorded, investigated and appropriate corrective action taken

All complaints receive a written reply within 7 working days (a copy is also sent to the appropriate referring hospital)

Clinovia’s SMT review all complaints

Inspection and audit

Clinovia operates within a highly regulated environment and meets the standards set by the following bodies:

• Health & Safety• ISO 9001:2000• Commission for Social Care Inspection• Royal Pharmaceutical Society of Great Britain• Scottish Commission for the Regulation of Care• Medicines & Healthcare Products Regulatory Agency

In addition a comprehensive internal audit program exists

4. Commercial

Financially secure Established relationships with pharmaceutical

companies Clinovia’s future

Financially secure

0

5

10

15

20

25

30

35

40

Therapy

MS

HPN

Haemophilia

Pulmonary Hypertension

Complex care

IVIGG

Antibiotics

Growth Hormone

Anti TNF

Thallassaemia

Other

Clinovia turnover for financial year 05/06 = £102 million

Established relationships with pharmaceutical companies

Clinovia has excellent relationships with all of the pharmaceutical companies who supply clotting factors

We are supplied with single batch allocations of drug where possible, with maximum shelf life

Clinovia’s future

On 1st December Clinovia became part of the BUPA Group, the UK’s leading independent health and care organisation

Clinovia will trade as a separate company within the BUPA group. The existing SMT will remain with Clinovia

This development brings additional stability to Clinovia (BUPA currently has a turnover of circa £4.2bn), investment over the coming years and great opportunity for growth

Implementation support

Pre implementation support

• Dedicated account manager– Experienced in establishment of new contracts – Experienced in delivery of haemophilia home delivery

services

• Implementation plan for all centres

Implementation support

Post implementation support

• One point of contact with escalation protocol• Prescription management• Invoices

– Consolidated/non-consolidated– Sent with a signed copies of the delivery notes (proof of delivery)– Hospital specified purchase orders can be shown if required– Internal financial co-ordinators to minimise invoice issues

• Management reports• Regular service reviews

Summary

Why Clinovia?

• Experienced in the home delivery of clotting factors• Ability to conform fully to service specifications• Operational site in Scotland which will service this contract• Operates within a recognised and accredited quality

management system• Financially secure• Established relationships with pharmaceutical companies• Local, experienced staff able to offer support before, during

and after the implementation of this contract

Questions?