Dressings and wound care webinar presentation - NHS Supply Chain

Compare and Save Dressings and wound care

www.supplychain.nhs.uk

Today’s panelists Stacie Croxton (Chair) Customer Services Director Email: [email protected]

Gareth Hudson

Karen Hudson

Dressings and Wound Care Procurement Manager Email: [email protected]

Clinical Nurse Advisor Email: [email protected]

Ruth Annington

Gareth Harvey

Dressings and Wound Care Senior Buyer Email: [email protected]

Account Manager Email: [email protected]


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


www.supplychain.nhs.uk/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?

What’s new for 2015?

*Maximum national savings potential www.supplychain.nhs.uk

•

Underpinned by a data programme providing a granular level of detail, not previously available

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Efficiencies and saving opportunities depend on the category and your trust

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It requires your commitment.

New for 2015 •

More support - investment in additional clinical and non clinical support

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Focus on three key categories in line with your feedback: •

Haemostats - £3.7m*

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Wipes - £2.9m*

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Dressings and wound care - £13.1m*

What’s been delivered so far

Who has benefited? And how?

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Since 2013 we’ve supported trusts save £7,968,822

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Between January and March 2015 NHS trusts have saved £1,727,961

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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 Identify opportunities through Compare and Save Accelerated Cost Reduction Team

Clinical Teams

Suppliers

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

Category Specialists

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

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Supports the potential for standardisation, reducing risk to patients and nursing teams - whilst also driving efficiencies and savings

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75% (568) of nurses surveyed think wound care dressings could be more efficiently purchased, saving money for their organisation

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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

Contract details

Market Overview 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. www.supplychain.nhs.uk

Advance Wound Care

General Wound Care

Pricing

Contract term July 2012 - June 2016

Contract term May 2013 - April 2017

Suppliers 32

Suppliers 50

We’ve held prices since 2012 Prices have remained stable , despite drug tariff increases year on year

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.

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.

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 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%

Category


Examples of current price differentiation

Product

Specification

Current pricing (£)

Maximum potential Saving 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

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.


“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

“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

Jane Glover

Clinical Nurse Advisor - North Email: [email protected]

Clinical Nurse Advisor - North Email: [email protected]

Elena Slater

Ellie Addison

Clinical Nurse Advisor – West Midlands Email:[email protected]

Clinical Nurse Advisor – South East Email: [email protected]

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

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Some moves to comparable products will be easier and quicker to achieve versus others.

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Others may take greater investment, but deliver greater return

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Agreeing focus , priorities and support required and defining your plan is essential

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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 2 3 4 5

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

• Trust interrogate tailored trust Compare and Save data

We’ll facilitate further meetings Facilitate further meetings withwith trust procurement and clinicians from specialist areas • Establish realistic, specific categories and products to progress your trust procurement •and clinicians Trust interrogate tailored that trustwill Compare and Save data satisfy requirements • Establish realistic, specific categories and products to progress that will satisfy requirements from specialist areas • 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 Acrossthey all or selected departments • Trust agrees comparable•product are happy to 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’ Empowering nurses 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 www.supplychain.nhs.uk/smallchanges www.supplychain.nhs.uk

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

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Our support teams are ready to help you progress

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Additional information is also available at: www.supplychain.nhs.uk/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.


Appendix


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: www.supplychain.nhs.uk/product-news/contract-launch-briefs/2014/june/advanced-wound-care/ www.supplychain.nhs.uk

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: www.supplychain.nhs.uk/product-news/contract-launch-briefs/2014/march/general-wound-care/ www.supplychain.nhs.uk