Transforming Community Equipment Programme

1
Transforming Community EquipmentProgramme

• Phil Stephens
• Head of Market Development
• NAEP Conference 25th 26th June 2008
• Blackpool

2
The National Catalogue
3
I will be talking about

• The National Catalogue and how it was developed
• How the catalogue has been verified
• How the catalogue will be used by all the various
  stakeholders

4
Components of the Retail Model

• These products will be obtained by the user
  exchanging a prescription for the product

• There will be a contract created for a national
• Loan Equipment Home Delivery Service

• Bespoke/specials will continue to be managed
  locally

• Users will be able to top up to a different
  colour or style of product as long as it is
  within the functional range of the prescription

• The service could
• be provided through
• a regional distribution
• network

ePrescription
Prescription
Bespoke or Specials
Loan Equipment Home Delivery Service
Aids to Daily Living
Equipment loaned to User
Equipment owned by User
Equipment loaned to User

• The contract will be managed by the National
  Commissioning Body on behalf of Local
  Authority/NHS partners

• Prescription products will be from the national
  catalogue and there will be one price, the
  national tariff, paid across England

5
National Catalogue Development Process (1)

• We analysed the current equipment purchasing data
  collected from a number of CE Stores
• All items where more than 20 units purchased from
  any one CE Store in a year were identified.
• If less than 20 items were ordered it was assumed
  the item was a bespoke special product

6
National Catalogue Development Process (2)

• These were grouped into Product Groups and Sub
  Groups (For Illustrative Purposes Only)

Bathing Aides
7
National Catalogue Development Process (3)

• Products further divided into Prescription
  Items and Nationally Commissioned / Home
  Delivery Items
• Prescription Items are those that are low value
  (typically under 100), high volume items that
  are unlikely to require servicing or maintenance
  and will be supplied by prescription from the
  retail market
• But not exclusively, i.e. Slings and High Back
  Chairs fit this criteria but will be from the
  Nationally Commissioned section
• Nationally Commissioned Items are likely to be
  high value, likely to require servicing and
  maintenance (electrical and hydraulic) and likely
  to be specialist products that general retailers
  are unlikely to want to sell. It is intended that
  these will be supplied using a National Supply
  Chain Home Delivery solution.
• But not exclusively, i.e. Bath Lifts fit this
  criteria but are likely to be from both sections

8
National Catalogue Development Process (4)

• The National Catalogue does not contain Bespoke
  products
• Bespoke Products are those products that are
  normally unique to an individual user. These will
  remain Locally Commissioned items.
• However
• Some Bespoke products are modular in design.
  These modular components may be stocked by the
  Nationally Commissioned Home Delivery Service
  provider and assembled to the individuals
  specification. (i.e. Bariatric modular chairs,
  some paediatric seating systems etc)
• And
• Some products that are Bespoke or Special to
  one Authority may be in the National Catalogue as
  they are not Bespoke or Special to another.
  Special products are often standard products
  that are either rarely purchased or expensive
  items that are not stocked by an Authority. These
  may be stocked Nationally

9
National Catalogue Development Process (5)

• Both sets of items were validated by specialist
  Health Professionals from Local Authorities and
  PCTs (OTs, Physiotherapists, Tissue Viability
  Nurses, Paediatric Specialists, Bariatric
  Specialists, District Nurses, Sensory Impairment
  Specialists)
• They removed duplicate items and added necessary
  items that were missing.
• They helped write generic specifications for each
  item
• The output from this group was further validated
  by a Professional Body (College of OTs)

10
National CatalogueDevelopment Process (6)

• The catalogue does not contain specific products
  (i.e. Bath Step X from Supplier Y)
• The catalogue does contain a generic description
  and specification for all relevant products (i.e.
  Adj. Bath Step of approx 450mm x 350mm x 25mm
  100mm, for users up to 27 Stones 175kgs)
• This is a deliberate decision based on-
• Legal Advice
• Market Dynamics
• Retailer Sourcing Practices
• The catalogue does not contain specials or
  bespoke items. These will continue to be locally
  commissioned

11
How The Catalogue Will Be Used
12
National Commissioning Body
Sets tariff for each product
Retailers
Home Delivery Organisation
Local Authority PCT Partners
To allow sourcing and stocking of products
To allow procurement of products
To allow local decisions on which products may be
prescribed
13
Local Authorities and PCTs identify which
products theywill allow their Prescribers to
prescribe
14
The National Tariff

• The National Tariff will be available from the
  end of June 2008
• An Initial Tariff was created by calculating
  the lower quartile of current CE Stores
  purchasing costs for each item. To this lower
  quartile price a profit was added to manage
  expected retailer costs and expectations
• The Initial Tariff was then sense checked
  against agreed retailer costs from State Bodies
  who have already implemented a retail model
• A Final Tariff will be available by end
  September. This will be created by obtaining
  commercial rates from Manufacturers and Suppliers
• The National Commissioning Body will maintain the
  Tariff by continuously monitoring commercial
  rates for products

15
Retail Prescription Equipment Scope of products
and activities
Products
Retail Services

• Bath Boards
• Bath Seats
• Shower Stools
• Other Low Level Bathing Aids
• Toilet Seats
• Toilet Frames
• Commodes
• Other Low Level Toilet Aids
• Personal Care Dressing Aids
• Kitchen Eating Aids
• Mobility Aids
• Sensory Aids
• Grab Rails
• Low Level Bedroom Aids
• Perching Stools
• Trolleys
• Chair and Bed Raisers

• Product Demonstration
• Product Advice
• Home Delivery (Prescribed by State)
• Home Delivery (Commissioned by User)
• Home Fitting (Prescribed by State)
• Home Fitting (Commissioned by User)
• Assessment (Self Funders)

16
Large Equipment Home DeliveryScope of products
and activities
Products
Services

• Bath/shower chair
• Bath Lifts
• Profiling Beds
• Cot sides/bumpers
• Mattresses
• Back rests/pillow lifters
• Hoists
• Slings
• Pressure Relieving Cushions
• Pressure Relieving Mattresses
• Suction Machines

• Equipment Purchase
• Storage
• Restocking
• Home Delivery
• Home installation demonstration
• Home servicing routine maintenance
• Home Emergency maintenance
• Collection from home
• Decontamination
• Refurbishment
• Providing management information

17
Options for Providers of Complex Equipment Service

• A partnership between NHS Supply Chain and
  current existing CE Stores acting on a regional
  basis
• Leveraging the skills of existing CE Stores on a
  Regional basis
• Contracting out to Private Sector organisations
  who could act on a Local, Regional or National
  basis

18
Choice of Complex Aids

• National Purchasing Efficiencies
• It is envisaged that by combining National
  Volumes for Complex Aids to Daily Living (CADLs)
  that significant purchasing efficiencies can be
  gained. The NCB will award contracts for items
  within the National Catalogue that meet the
  generic specifications using normal procurement
  decision processes.
• Local Authority/PCT familiarity with specific
  products.
• We have learnt that there are practical issues
  relating to specific pieces of equipment used by
  individual State Bodies particularly relating to
  Health Professional training
• Transfer from State Bodies to NCB
• As part of our transition process State Bodies
  will be required to identify each individual item
  (CADL) in their community and stores (Supplier,
  product, model, age, value, maintenance history
  etc) so that the ownership of these items can
  transfer to the NCB
• During the initial period (to be defined), State
  Bodies will identify the make of product they
  wish to be issued to their users on the
  Prescription
• Training of Health Professionals
• The NCB will be required to arrange sufficient
  staff training of any new products introduced to
  an area before these can be used to fulfil
  prescriptions

19
Hospital Discharge and Out of Hours Services

• Best practice
• will be crucial to making the model work.
  Following good practice will mean that the
  National Delivery Operation can readily provide
  the right package in time for a users arrival
  at home
• Friday afternoon discharges
• There will be a premium service to respond to
  requests for delivery within 2 or 4 hours
• Flexible packages (both Simple and Complex Aids
  for Daily Living) can be delivered as a
  one-stop solution
• Out of hours services
• will be handled by emergency stores as you do now
• replenishing your emergency stock would be done
  through local retailers and an arrangement with
  the National Delivery Service

20
Thank You