Contract – Palliative Care (East & Rutland CCG)
In accordance with guidance issued by NHS England, from 1st April 2014, East Leicestershire CCG has procured from participating Pharmacies a Community Based Supply of Palliative Drugs Service using the NHS Standard Contract CCGs are no longer able to commission services using the Local Enhanced Service (LES) contract.
Following a review of services commissioned in 2013/14, West Leicestershire CCG has continued to invest in community based services delivered through Pharmacy and have commissioned the Supply of On demand Palliative Care and other specialised medication using a single tender action procurement process.
Duration of Contract: 1st April 2014 – 31st March 2016
- Service users with a terminal illness can often experience, towards the end of life, new or worsening symptoms or they may require parenteral administration via a syringe driver
- Service users may be prescribed a different type or strength of medication which they need to access urgently. If service users or their carers find they have a delay in accessing this medication it can cause distress
- The aim of the service is to provide service users with prompt access to a range of palliative care and specialist medications when they are required
- The demand for these specialist medicines maybe urgent and / or unpredictable
- It’s recognised that the supply of palliative care drugs from community pharmacy and the nature and demand for palliative care drugs means they are not always readily available from community pharmacies especially those which are rarely used in other circumstances and that access and continuity of supply for these types of drugs needs to improve
- If service users can access the required palliative care medication in a timely manner, they can stay at home rather than being admitted into hospital for symptom management
- This service supports the reduction of pressure on Secondary Care Providers
Aims and objectives of the Service
- Provide a service which is available closer to home
- Improve access and choice for service users
- Service users are treated with dignity and respect
- Prevent unnecessary and inappropriate emergency admissions which has an emphasis on providing better value for money
- Improve health and wellbeing and care outcomes for service users
- Support the service user’s end of life pathway and the option to die in their usual place of residence.
- The provider must stock a range of palliative care and other specialist medication indicated in the relevant formulary
- When presented with an NHS prescription for medication, the provider is required to dispense this for the service user within 1 hour by an accredited pharmacist (qualified pharmacist including locums). If appropriate the pharmacist could arrange for the medication to be delivered to the patients home
- The accredited pharmacist at point of dispensing this medication is expected to undertake an accuracy check, consider interactions and contraindications.
- If the provider is not able to dispense the required medication on the same day, the provider must make arrangements on behalf of the service user or carer for another provider locally to dispense the required medication (e.g. telephone another local pharmacy on the list of providers that has been provided by the commissioner to check they have the required medications, help to get the prescription sourced). This should be recorded as an internal incident so the provider can learn from this
It’s important that the provider can work on an integrated basis with a range of services / providers including:
- Primary Medical Care Providers
- Community Pharmacies
- Secondary Care Providers
- Community Hospital Providers
- Community Nursing Services including district nurses and Macmillan nurses
- Palliative care specialist teams
- Carer Services
- Nursing and Residential Homes
- Single Point of Access
- Out of Hours Service
- NHS 1111
The NHS standard Contract requires providers to submit an invoice and monitoring information to the Commissioner electronically by the 11th day of each quarter as specified below:
|Quarter||Period Covered||Submission Date for Invoices|
|One||1st April – 30th June||11th July|
|Two||1st July – 30th September||11th October|
|Three||1st October – 31st December||11th January|
|Four||1st January – 31st March||11th April|
1. Each participating pharmacy is required to complete an invoice with
- Partners/Pharmacy Name
- Correct Pharmacy Address
- Post Code
- Contact Details
2. The Invoice must have a meaningful invoice number which ELR-CCG can use as a reference
3. The invoice must show the date of submission to the CCG
4. The Pharmacy must submit one invoice for claiming the annual signing up fee using the Palliative Care Drugs Invoice Template
5. Each Pharmacy must submit quarterly invoices for claiming the cost of date-expired drugs using the Palliative Care Expired Drugs Invoice Template.
6. Supporting information must be provided on the Palliative care Drugs Monitoring Form and emailed separately to email@example.com.
7. Please ensure you enter the Supplier Details and Invoice Number on the monitoring form.
8. Please adjust the description line to input the correct period your activity relates to ie. Apr-Jun, Jul-Sep, Oct-Dec or Jan-Mar
|Step by step guidance notes on the process (East CCG)||Step-by-Step Guidance – Palliative Care Drugs FINAL|
|Palliative Care Drugs invoice template (East CCG)||Palliative Care Drugs Invoice Template FINAL|
|Palliative Care Expired Drugs invoice template (East CCG)||Palliative Care Expired Drugs Invoice Template FINAL|
|Palliative Care Monitoring Forms (East CCG)||Palliative Care Monitoring Form|
Primary Care Contracts & Provider Performance Manager,
E-Leics & Rutland CCG