Expanding your capacity for care - Healthcare centres - LloydsPharmacy Healthcare Centre
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Expanding your
capacity for care
Healthcare centres
2 3
Welcome to greater capacity What’s on offer?
and improved patient experience
Our healthcare centres offer infusion and
injection services, we can help patients with
How can you expand capacity and, at the same time, improve patient a wide range of conditions. Our existing
centres currently focus on oncology and
experience? It’s a colossal, seemingly never-ending, challenge for you
gastroenterology IBD services, but because
and your trust. And it’s where our award-winning LloydsPharmacy every community is different – with different
healthcare centres can be of great help. healthcare needs – our model is deliberately
flexible, with different types of healthcare Healthcare centre
Our out-of-hospital healthcare centres provide nurse-led infusion centre to choose from: A dedicated facility in a community
setting, with free parking
and injection services to patients in the community. They’re a natural
extension of your own services and are designed to give you, your
trust and your patients:
Reduced footfall in hospital and freed up nursing hours
Greater capacity, helping you with your transformation plans
Shortened waiting times and more patient choice
LloydsPharmacy branch Mobile unit
The centres are especially useful for trusts with nursing shortages and Subcutaneous injections can be provided
in a dedicated LloydsPharmacy branch that’s
Particularly useful for NHS trusts with
large geographical areas, the unit can
large geographical areas. And in all cases, they help you work towards accessible to your patients travel to multiple locations
an integrated community model of care – supporting you on your
journey with the Five Year Forward View, the NHS Long Term Plan and
the Lord Carter Report recommendations. It’s an approach that’s already earned accolades But, it’s not just about the awards or the numbers. It’s about
the people behind the headlines. And so, we’re proud that
and glowing patient feedback. Our model won our nurses have supported so many patients and made all
the Most Effective Contribution to Clinical the difference to their health. This brochure explains a little
more about how we are making this difference – and how
Redesign at the 2020 HSJ Partnership we can help you.
Awards, while 71 per cent of our patients think
that their care is better than at the hospital.1
1. LloydsPharmacy Healthcare Centre Patient Survey 2018/2019.
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Where we are and how Greater capacity for trusts, in numbers
we’ve helped trusts so far Through our centres, we’ve helped six NHS trusts release more
than 4707 nursing hours, freeing up their workforce and estate
For example, our Scunthorpe healthcare centre has been for new service opportunities. To give you an idea of how this
Our healthcare centres are already providing a breast cancer treatment service since 2018, could translates for your trust, here’s how our healthcare
established in the UK, where they saving patients up to 14 hospital trips a year out of the total
centres have helped others:
17 treatments they receive – and relieving pressure on the
support trusts and patients from Northern Lincolnshire and Goole NHS Foundation Trust.
small local communities to large cities. Meanwhile, in Wembley and Ruislip, our mobile infusion unit Scunthorpe (Northern Lincolnshire
is helping gastroenterology patients – which in turn is freeing
up the resources of London North West University Healthcare
and Goole Foundation Trust)
NHS Trust to focus on more urgent or complex care.
1177 > 964hrs
administrations chair time released
How more time
could help your trust
St Marks (London North West There is no doubt that you’ll have a
University NHS Trust) very long list of the ways more time
> 1499hrs
could help your own trust. But to
The Newcastle upon Tyne Hospitals
NHS Foundation Trust 1499 illustrate this, here are some typical
examples of how our partner trusts
Subcutaneous Injection Clinic
administrations chair time released have benefitted from their newly-
released time:
Canolfan Ganser Felindre Velindre Cancer
More staff hours to
Centre (Velindre University NHS Trust) provide more dedicated
> 815hrs
Northern Lincolnshire and Goole
one-to-one care for
431
NHS Foundation Trust
patients that are not
Scunthorpe Healthcare Centre
suitable for community
administrations chair time released based treatment
Surrey (Royal Surrey NHS
More time for employee
London North West Foundation Trust) clinical and professional
> 1195hrs
University Healthcare
development
633
NHS Trust
Mobile Infusion Unit
administrations chair time released
More time for you to
focus on your other
Newcastle (Newcastle Upon Tyne areas of transformation
Royal Surrey County Hospital NHS Foundation Trust)
> 234hrs
NHS Foundation Trust
Mobile Infusion Unit
302
administrations chair time released
Mobile Infusion Unit
Administration data from December 2018 - December 2020.
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The benefits of partnering with a
LloydsPharmacy healthcare centre,
beyond extra time
From your patients, to your staff there are a wide range of benefits
to gain from partnering with a LloydsPharmacy healthcare centre.
Transform capacity Improve patient Reduce costs and
in your trust experience drive efficiencies
•R
educe waiting times for patients •9
6% of our patients are seen •R
educe on-site costs as the
receiving treatment in hospital within 10 minutes of arrival2 service is delivered off-site
•G
ain more time to care for •N
one of our patients have • I ncrease activity and
patients, giving them a had to pay for car parking2 associated income
one-to-one service in hospital
•9
0% of our patients like •M
ake savings on workforce
• I mprove motivation and the location of the clinic2 and estate configuration,
satisfaction among your nurses which can be re-invested
•R
educe the number of patient
hospital visits without delaying
their treatment – this is especially
important as the healthcare
system seeks to reduce footfall
in hospital
2. LloydsPharmacy Healthcare Centre Patient Survey 2018/2019.
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The human stories at the heart “You can drive yourself to the appointment, you’re straight in
of our healthcare centres and out, and you make friends” – another patient with cancer
finds an unexpected, positive benefit.
“It gives you a different attitude at the end of your treatment after being so low.
You can drive yourself to the appointment, you’re straight in and out, and you
Behind every LloydsPharmacy healthcare centre is a community of people make friends. In hospital it’s very obvious that you’re there for cancer treatment,
who are making a difference to patients – and a community of patients especially when you’re going through the earlier stages and you lose your hair
like I did. Whereas here you come in literally from the street, and in just a few
that are benefitting from this. Here’s a round-up of their experiences... paces you’re inside. You don’t feel like a patient.”
Linda, LloydsPharmacy healthcare centre patient
“I couldn’t recommend
the service enough”
– the experience of one “It allows the trust to redesign services that they currently
patient with cancer. have if they need to.” – an assistant chief pharmacist’s take.
“I would definitely recommend this to other trusts to consider. I think it’s about
“When I was diagnosed with cancer,
giving them an option with the same assurances of safety and quality. It offers
I really thought my life was over.
flexibility for both the trust and the patients. It allows the trust to redesign
Thankfully I’m still here, and the way
services that they currently have if they need to. Possibly increase activity as well
my treatment is now delivered at
by allowing patients to be treated elsewhere so they free up beds.
the healthcare centre makes me feel
more normal again. I’m not a sick “So, we’ll get the savings, we’ll get the patient benefits, the improved outcomes,
person, I’m someone getting better. the flexibility that this service will offer in terms of internal strategy and
development of the wards and the clinics.”
“As the first patient to have gone
through treatment at the healthcare Paulash Haider, Assistant Chief Pharmacist Northern Lincolnshire and
centre I couldn’t recommend the Goole NHS Foundation Trust
service enough to other women in
my situation. Receiving any form of
cancer treatment is difficult, but the
set up here makes everything easier.
Sue Sugden, LloydsPharmacy
healthcare centre patient
“Awesome team and such an enjoyable partnership with
the patient at the centre” – how one head of nursing feels
“Great at making space for about our centres.
“They’ve got time for me, nothing is
new patients” – one nurse’s too much, they’re really nice.”3 “We have felt exceptionally lucky to have been working in collaboration with
experience. LloydsPharmacy, especially during the Covid-19 pandemic. In a short space
“I think it’s the way forward. It feels like we have of time LloydsPharmacy assisted in mobilising a third day for our mobile unit
“When I make my appointment now, which has responded to our patients needs, especially when they have been
a constant flow of new patients coming into the I can make it before I go to work, in
hospital who fill any spaces we have on the ward. anxious to attend the hospital.
my dinner hour, when I leave. I can
just get on with my life.”3 “The staff are warm, welcoming and have ensured all the infection control
“This service is great at helping make sure we
measures are undertaken to run a Covid-safe service. Awesome team and
have space for these new patients who can’t
such an enjoyable partnership with the patient at the centre – thank you.”
have treatment anywhere else.”
“I think we’re very, very lucky to have Victoria Mumford, Macmillan Oncology Divisional Head of Nursing
Julie, Day Sister, Scunthorpe General Hospital this (healthcare centre).”3 St Luke’s Cancer Centre, Royal Surrey County Hospital
3. Anonymous patient comments from patient
focus group, March 2019.
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How our healthcare
centres help your
patients
Patients are always at the heart of our services – and so we are
naturally aligned to your patient-first approach, helping
your organisation on its transformation journey.
Our innovative healthcare centres model enhances patient
experience, improves healthcare accessibility, supports better
health outcomes and relieves pressure on the NHS. Through
the model, your patients benefit from:
• R
eady access in the community for frequent treatment regimes,
receiving care closer to home
• T
ransfer of traditional hospital-based treatments
How our healthcare centres help you to the community
4. Workforce impact
with the bigger picture
• P romotion of self-management, personalised care
and management
• Dedicated workforce for each service
• Recruitment and retention • Offering patients more choice
• Partnership working • Improved patient-facing time
From the ground up, our healthcare centre model has been designed • Secondment opportunities • L ocal opportunities to meet new friends – such as the patient
• Workforce reconfiguration support group established at Scunthorpe Healthcare Centre
to help the NHS with its transformation. • Training and upskilling • Having
treatment in a convenient location, with free parking,
•H CA to provide more clinical which is quicker than the same procedure would take in hospital
This has been reflected in an a paper by the University of Manchester, which highlights the value to NHS trusts: interventions.
• T
he flexibility of arranging treatment to suit patient’s
“The infusion and injection services have the potential to tackle the ever-increasing demand own daily schedule
within the NHS through decentralisation of hospital care into the community.”4 • Less anxiety and stress associated with regular hospital visits
In developing the model – and running our centres – our focus has always been on six key areas of impact.
96%
They are:
5. Access impact
• I mproved patient access and effective 10
stratified follow up demand.
of our patients are seen within 10 minutes of arrival5
1. Strategic impact
•H ealth economy transformation
• Innovation
2. Quality impact
• Patient choice
• Improved patient facing time
3. Estate impact
• Landlocked ageing estates available
• Hospital site transformation and
6. Financial impact
• Effective cost-management
0%
of our patients have had to pay for parking5
• S ystem-wide demand management • Audit/peer/inspection service capacity reconfiguration
• I ncreased activity and associated
98%
• I ntegrated community model of care improvements, delivery of • Scattered service delivery income from more of the same,
National Standards • Inequitable clinical environment or different treatments
•N ational policy delivery; Five Year
Forward View, the NHS Long Term • Reconfiguration of services • Free up estate for new service •W orkforce and estate configuration
Plan and the Lord Carter Report • To improve patient waiting times. opportunities. savings or re-investment.
recommendations. of our patients are extremely likely or likely to
recommend to a family or friend5
4. Service users’ perceptions of receiving injection treatment in hospital, community and at home. Caoimhe Stewart, James Clark, Li-Chia Chena. 5. LloydsPharmacy Healthcare Centre Patient Survey 2018-2020.
Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, M13.
Our governance, and our
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treatment pathways
Our services meet all the hospital- Putting patient safety first: our
approved protocol, safety and quality Governance Assurance Framework
standards set out by the NHS and the Working with your clinical governance team, we’ll develop an
agreed clinical framework for governance and accountability.
Care Quality Commission (CQC). It will cover:
• L loydsPharmacy Clinical Homecare (LPCH) is registered for
Additionally, your patients will appreciate the comfortable appropriate service type and regulated activities with CQC
and friendly environment when receiving their infused
• Complaints procedure and incident reporting
medicines or subcutaneous injections from our specialist
nurses – as well as the support they receive from our • Safeguarding procedures
pharmacists at our clinical contact centre. • Information and records governance
It’s all backed by our robust safety standards, including: • Requirements relating to workers and staffing
•T
reatments by our national network of specially trained • Education and training
LloydsPharmacy Clinical Homecare nurses • Business continuity planning
• I ntegrated operating systems and pharmacy • Internal control systems – governance and risk
supply/compounding
• Clinical protocols, clinical guidelines and safe equipment etc
•C
o-designed integrated patient referral, management,
• Clarify indemnity position
escalation and end-of-treatment pathways within the
agreed Governance Assurance Framework • Infection prevention
•D
evelopment of specific treatment protocols, including • Audit policy
necessary bloods, observations and reporting. • Lone workers policy
•O
ur nurses work with the hospital teams through clinical
placements and are trained to use your trust’s IT systems.
Our current treatment pathways
To date, our healthcare centres and mobile units have offered the following services. However, as many other conditions
involve treatment with infusions and injections, we welcome discussions around your trust’s specific needs.
Treatment Method Indication
Oncology
Fulvestrant SC Breast Cancer
A closer look at our healthcare
Trastuzumab Emtansine IV Breast Cancer
Trastuzumab SC Breast Cancer
Trastuzumab IV Breast Cancer
centres and mobile units
Goserelin SC Breast Cancer and Prostate Cancer
Bortezomib SC Multiple Myeloma
Pembrolizumab IV Melanoma, on-Small Cell Lung Cancer & Hodgkin Lymphoma
Rituximab SC Lymphocytic leukaemia & Non-Hodgkin Lymphoma
Nivolumab IV Melanoma
Our out-of-hospital services bring Whether the patient is treated in a healthcare centre or mobile
unit they will have access to the same facilities, which include:
Ipilimumab
Bevacizumab
IV
IV
Melanoma
Colon Cancer, Lung Cancer, Glioblastoma & Renal-Cell Carcinoma
treatment closer to home, in a • Free parking
Pertuzumab
Lanreotide
IV
SC
Metastatic Breast Cancer
Neuroendocrine Tumours
convenient, community setting. • Friendly nurses and staff
Atezolizumab
Denosumab
IV
SC
Lung Cancer
Bone
• Welcoming reception Daratumumab IV Multiple myeloma
They’re ideal for patients who may not need care in their Zoledronic Acid IV Advanced malignancies involving bone
home, or have busy day-to-day activities. At accessible • Comfortable waiting area Carboplatin & Etoposide IV Lung Cancer
Pemetrexed IV Lung Cancer
locations, with free parking, they represent the best of • Dementia friendly colours Degaralix SC Prostate cancer
community healthcare. • Multiple therapy chairs and privacy screens
Gastroenterology
• Patient information Infliximab IV Crohn’s Disease and Ulcerative Colitis
Vedolizumab IV Crohn’s Disease and Ulcerative Colitis
• Free refreshments
• Free WiFi Other
Omalizumab SC Allergic Asthma and Chronic Spontaneous Urticaria
The treatment STEP 1
STEP 2
Patient reviewed
journey Patient assessed and referred
The trust recognised consultant Once the patient’s condition has been assessed as stable, suitable for community
identifies suitable patients treatment and they have consented, they are booked onto the service. The trust
for community based recognised clinical team registers the patient and provides the patient a service
treatment. leaflet with all relevant information about the healthcare centre.
tal
ospi
H
STEP 3
The LloydsPharmacy healthcare centre team liaises
STEP 10 with patient to discuss their treatment.
Consultant review
The trust recognised
consultant will STEP 4
remotely supervise If required within the agreed treatment plan the
the treatment patient attends the LloydsPharmacy healthcare centre
pathway of prior to treatment to get bloods taken.
the patient.
STEP 8
Treatment in the
healthcare centre
STEP 9 Patient is assessed and treatment
administered by an appropriately
Patient given next trained nurse. Patient administration
appointment. Any documented and Trust clinical team
required data informed as required.
reported back to
Trust clinical team.
STEP 5
The consultant prescribes
Medication delivered by treatment on the trust's
an appropriately-trained driver. electronic prescribing system
or pre-authorised prescription
template.
STEP 7 STEP 6
Medication dispensed LloydsPharmacy pharmacy team screen the
Medication dispensed or made at LloydsPharmacy Clinical Homecare prescription. If required by the treatment protocol,
compounding facility. Our facility has the infrastructure to manage the the LloydsPharmacy nurse checks bloods, any other
entire prescription journey from manufacturer to administration. required investigations and contacts the patient to
do a remote assessment before the treatment day,
escalating any concerns to the Trust clinical team.
Welcome to greater capacity and improved patient experience. It’s time to… • Transform capacity • Release nurse hours • Improve patient experience …with LloydsPharmacy healthcare centres. Please contact James Clark, Senior Business Development Manager, Oncology and IV Therapies , on 07408 861 159 or email james.clark@mckesson.uk Watch patient and trust case studies and discover much, much more at lloydspharmacyhs.com/healthcarecentres © Lloyds Pharmacy Limited Registered office: Sapphire Court, Walsgrave Triangle, Coventry CV2 2TX. Published January 2021
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