NWL0161 Provision of Medicines Management Prescribing Decision Support System in North West London

NHS NW London ICB is considering procuring a contract for the provision of Medicines Management Prescribing Decision Support System services in North West London. The aim of the service is to provide service users access to a Prescribing Decision Support System (PDSS) which supports the increased effectiveness, safety and cost effectiveness of prescribing in general practices.

The purpose of this PIN is to invite interested providers to an online engagement event on Thursday 3rd August 2023 to introduce the likely delivery requirements, and invite a two way conversation to develop ideas on the design and delivery of the proposed approach. Email [email protected] by 17:00, 2nd August 2023 to register.

Requirements of the decision support systems could include:

• Computerised support to increase the effectiveness, safety and cost effectiveness of prescribing and that works well with TPP SystmOne, EMIS Web or equivalent. • Available as a complete off the shelf package system (COTS) with minimal customisation except for the loading of profiles and associated adjustments. • Provides clear and concise suggestions of more effective, safer or cost effective medicines early in the process when a prescriber has begun to prescribe a medicine that is deemed likely to be a suboptimal choice, taking into account relevant national guidance. • Enables prescribers to switch easily to the suggested medicine, at an appropriate dose and frequency if the switch suggestion is accepted. • Enables efficient management of the profile of switch suggestions and messages displayed, adding and deleting suggestions and messages, deciding whether to switch specific suggestions on or off, and refining the content of messages the system displays to prescribers. • Allows the switch profile to be updated centrally and remotely for all user practices (i.e. visits to practices not required). • Generates Reports to include: - net savings or increases of prescribing expenditure - acceptance and rejection rates for individual switch suggestions and for the aggregated total of switch suggestions - rates of prescribing for formulary and non-formulary medicines - reasons for prescribers' rejection of individual switch suggestions where recorded • Training for the use of the available functionality in Medicines Optimisation available for medicines management teams • Customer support desk • Any other innovative elements

Additional information: The Integrated Care Board in North West London (NW London) is called NHS North West London Integrated Care Board. It is the statutory NHS organisation responsible for developing a plan for meeting the health needs of the population, managing the NHS budget and arranging for the provision of health services in NW London. Now ICBs are legally established, clinical commissioning groups (CCGs) have been abolished.

The Authority serves a population of over 2.5 million people who live across the eight boroughs of North West London.

Whilst the ICB considers its procurement options for these services going forward, it may extend its arrangements with the current provider until a new contract is awarded.