Transforming Community Equipment Services Health & Wellbeing Board 26 th October 2011.
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Transcript of Transforming Community Equipment Services Health & Wellbeing Board 26 th October 2011.
Transforming Community Equipment Services
Health & Wellbeing Board 26th October 2011
Understand the background to TCES and explain the retail model
What has been achieved
What we plan to do and challenges to overcome
Answer any of your questions
The purpose of this presentation is to:
What is TCES?
The model had to support central government policy and the nationwide Personalisation agenda (2007) aimed at:
– Early Intervention and Prevention: Creates a growing, accessible marketplace for community equipment empowering individuals to self help
– Choice & Control: Gives power and control to individuals to shape the services they need
– Social Capital: Facilitates the development and sustainability of a vibrant and innovative third sector
– Universal services: To meet the needs of the whole population not just those
supported by the state
A collaborative model for equipment service delivery that puts users and carers at the heart of the service,
leveraging the strengths of the third and private sectors
0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0
2009
2014
2019
2024
2029
Hillingdon Demographics Older People 2009 - 2029
65-74 75-84 85+
Total Increase of 33%
65 – 74 up by 32%
75 – 84 up by 28%
85+ up by 48%
Increase in ‘000’s
The key drivers for a new model include:Changing Central Government policy
Increased demand on services due to an increasing older and disabled population
Budgetary constraints
The key drivers for a new model include:Changing Central Government policy
Increased demand on services due to an increasing older and disabled population
Budgetary constraints
What is “Community Equipment”?
Community Equipment is the term used to describe products that help disabled, vulnerable and older people live as independently as possible in their own homes
They have been separated into ‘Simple Aids to Daily Living’ (£0 - £100) or ‘Complex Aids to Daily Living’ (£100+)
Equipment is currently loaned by the council or the NHS through a contract that exists with Medequip. Prescribers (e.g. an OT) orders the equipment from a central store. Medequip deliver and collect all community equipment in Hillingdon
The retail model recommends a separate solution for simple and
complex equipment
The Retail Model means Simple Aids for Daily Living will be provided through the retail marketplace
Users will receive a prescription enabling them to obtain products free of charge
Users have the option to ‘top up’ should they prefer a product that better suits their lifestyle, within the same functional range, and pay the difference
In the future users will receive a prescription that they can redeem at a retailer of their choice
Reimbursement by the
State
Reimbursement by the
State
Redemption at Accredited
Retailer
Redemption at Accredited
RetailerPrescriptionPrescriptionNeeds
AssessmentNeeds
Assessment
1 2 4
Users will continue to have their
needs assessed as currently
Users who are entitled to
equipment will be issued with a prescription
Retailers will exchange the
prescription for simple aids to
daily living
Retailers will be reimbursed for redeeming prescriptions
3
The prescription model is supported by a National Catalogue and Tariff
The National Catalogue covers all equipment any Local Authority or NHS Trust is likely to prescribe
It has been decided locally which products will be prescribed from the National Catalogue
The products have generic product specifications which retailers then source
Retailers choose which products to stock, where to source products, and what products to physically display
A national tariff has been set across England for each product in the national catalogue– This is the value retailers will receive in payment for the items
issued on prescriptions
15
Live Prescribing Boroughs x 17 Undertaking model launch TBC x 12
Other x 4
Retail Model in London – September 2011
Ealing
Hounslow
Richmond
Merton
Sutton
Lambeth
Southwark
Greenwich
Bromley
Havering
Barking &Dagenham
Redbridge
Westminster
H&F
Camden Islington
Haringey
Waltham Forest
Enfield
Barnet
Harrow
Hackney
RBKC
Newham
Croydon
Tower Hamlets
Lewisham
Hillingdon
Brent
Wandsworth
Kingston
Bexley
City
To 30Sept 201115,500+ prescriptions
issued with over 240 accredited retailers
•20 - 25 local retailers; pharmacies and 3rd sector partners are being accredited
•All retailers are being trained prior to accreditation to ensure correct advice/ support and have to offer delivery and installation if requested
•Neighbouring Ealing has processed over 1000 prescriptions in 6 months
National Accreditation Standards
Physical Criteria:Physical Criteria: Competency Criteria:Competency Criteria:
1. Fulfilment of prescriptions face to face at a physical retail premises (i.e. not internet shopping or mail order)
2. Ability to display and demonstrate equipment in a form convenient to the business
3. Premises open at normal retail hours including weekend opening to suit the individual business requirements
4. Ability to offer qualified home delivery, and fit as a chargeable service (optional)
5. The existence of customer-facing staff, trained to a minimum level of competence, who are capable of:
– Communicating effectively with Users– Offering advice on suitability of
products to the User– Supporting decision making
1. Fulfilment of prescriptions face to face at a physical retail premises (i.e. not internet shopping or mail order)
2. Ability to display and demonstrate equipment in a form convenient to the business
3. Premises open at normal retail hours including weekend opening to suit the individual business requirements
4. Ability to offer qualified home delivery, and fit as a chargeable service (optional)
5. The existence of customer-facing staff, trained to a minimum level of competence, who are capable of:
– Communicating effectively with Users– Offering advice on suitability of
products to the User– Supporting decision making
1. At least 3 years experience in the disability / mobility / health retail sector, with proof that they have received equipment specific training
2. 6 months in the disability / mobility / health retail sector plus professional training (i.e. Occupational Therapist, Physiotherapist, Doctor, Pharmacist, Community Nurse etc) with evidence of equipment specific training
3. Already be accredited
4. Commitment to attend appropriate accreditation training within 6 months
1. At least 3 years experience in the disability / mobility / health retail sector, with proof that they have received equipment specific training
2. 6 months in the disability / mobility / health retail sector plus professional training (i.e. Occupational Therapist, Physiotherapist, Doctor, Pharmacist, Community Nurse etc) with evidence of equipment specific training
3. Already be accredited
4. Commitment to attend appropriate accreditation training within 6 months
Customer facing staff will need to demonstrate competency in Assistive Technology gained from one of the following:
Map of retailers in the Borough
Accreditation
Overall benefits of TCES• Normalisation / mainstreaming of the service - moving away from
institutionalised equipment • Increased innovation, choice and quality of equipment• User empowered to self help and has control over their independence• Reduced demand on the service for an assessment involving smaller
items• More trusted knowledgeable and competent staff in the marketplace• Increased information to understand options through our
communications campaign• Efficiency review of current equipment catalogue and authorisation
processSpecific state funded user
benefits:• Choice of Hillingdon retailer
to redeem prescription• Choice of when to redeem
prescription• Choice of brands of
equipment• Choice to personalise
equipment, “top-up”• User empowered to self help
and has control over their independence
Specific state funded user benefits:
• Choice of Hillingdon retailer to redeem prescription
• Choice of when to redeem prescription
• Choice of brands of equipment
• Choice to personalise equipment, “top-up”
• User empowered to self help and has control over their independence
Specific self funder user benefits:• Easily accessible supply of
simple aids and equipment• Removal of equipment
provision ‘horror stories’• Opportunity to have informed
support from accredited Hillingdon retailers
• Non-dependency of having to come to the service
Specific self funder user benefits:• Easily accessible supply of
simple aids and equipment• Removal of equipment
provision ‘horror stories’• Opportunity to have informed
support from accredited Hillingdon retailers
• Non-dependency of having to come to the service
So what has been achieved so far?
• Series of Prescriber & Retailer working groups • New equipment catalogue agreed• Prescription form defined • Prescriber criteria finalised• Financial benefits scoped and approved• Retailer event & visits conducted and accreditation approved • Waste management solution approved • Back office system developed to process prescriptions • Communications and awareness campaign developed including:
- Service user leaflet- Dedicated information on Hillingdon LA/NHS webspace - Presentation to Disabilities assembly, Carers forum, HCILL user group and Health & Wellbeing board
• Senior Management Team and Project Board approval obtained
What is left to complete to implement TCES in Hillingdon?
• Retailer training on 8th and 9th November 2011 at DASH/ HCILL
• Retailer launch event on the 16th November in the Middlesex Suite.
• Prescription training starts late November 2011- 432 Prescribers across 23 teams trained over 3 months
• Finalise Hospital Discharge involvement in TCES• Work with Neighbouring Boroughs Ealing and Hounslow
to allow freedom of movement for service users.
• First prescription planned for early December.
Thank you for listening – any further questions?