Transformation of Pharmacy Services at South Warwickshire NHS FT

South Warwickshire NHS FT established a wholly owned subsidiary, SWFT-CS, in 2011 to manage outpatient pharmacy services. The subsidiary expanded to include a pharmacy at the Stratford site and introduced new services like clinical screening and dispensing. The transformation led to a reduction in dispensing activity, staff redeployment, and improved patient care through increased ward-based technician input. Future plans include further embedding pharmacy services into ward activities.

• Pharmacy services
• NHS
• Partnership
• Clinical services
• Transformation

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1. NHS-Private Partnership A response to Carter Sumara Parvez- Head of Pharmacy- SWFT Andrew Williams- Responsible Pharmacist- SWFTCS

2. Background South Warwickshire NHS FT- set up its own Wholly Owned Subsidiary in 2011 The subsidiary is referred to as South Warwickshire Foundation Trust- Clinical Services (SWFT-CS) In 2013- set an outpatient pharmacy service at Warwick site recruiting staff from retail In 2015- commenced management of estates & second pharmacy- Stratford site

3. Previous service via outpatients Dispensing of Out-patient prescriptions M-F working to match clinic times TTOs for 6 wards local to outpatient pharmacy OTC and Pharmacy Medicines , Smoking Cessation , Shoe fitting

4. 2018 Carter Hospital Pharmacy Transformation plans produced Review of infrastructure activity Contract review for outpatient pharmacy service due New Head of Pharmacy at SWFT New Finance Director role at SWFT-CS

5. New Pharmacy service All TTOs via SWFTC- under new contract Clinical screening via SWFT with dispensing at SWFT Enabler-IT Exemptions: legal- VAT rules Some community hospitals Logistics Phased Roll out Near completion

6. Benefits Reduction in dispensing activity outsourced approx.150 TTO items per day Re-deployment of staff into patient facing roles from Dispensary Staff Group Senior Assistants (B3) Pre-Rollout 3.8 WTE Post Rollout 2.8 WTE (1 x WTE converted to B4 and utilised on wards) 1 WTE (1.8 x WTE utilised on wards) 0.1 WTE (ACT Sessions higher use of B4 ACT & less workload) Technicians 2.8 WTE Senior Technicians 0.6 WTE (ACT Sessions)

7. Benefits Help with stretch on ward based activity increased our ward-based technician input by 2.8 WTE at B4 & 0.5 WTE at B5 pre-rollout- approx. 73% of in patient worked turned around within agreed time. This has increased to 96% Critical meds/missed doses reduction? anecdotal feedback that the wards generally like SWFTCS dispensing TTOs- due to locality and a simpler Controlled Drug supply

8. Future Plans Increased ward presence to allow embedding into MDT- with focus on: increased counselling involvement in discharge process- release nursing time Focus on one start of patient journey Proactive not Reactive Data collection using shared tracker system TTO turnaround data is still not verifiable and being worked through