Locally Commissioned Services

BLOOD GLUCOSE METER SWITCH

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Documents


Service Specification

ADEPT Training

APC BG Self-Monitoring Schedule

APC Blood Glucose Testing Strips

APC Quantity Guide

BGM Service Platform

EOI Platform

GP Notification (Acceptance)

GP Notification (Decline)

“In the UK, more than 2.7 million people are diagnosed with type 2 diabetes whilst a further 750,000 people are believed to have the symptoms but are yet to be diagnosed with the disease.”


Frequently Asked Questions and Additional Support


  • What are the aims and objectives of the Blood Glucose Meter Switch service?
  • What is the care pathway for this service?
  • What are the requirements for providing the Blood Glucose Meter Switch service?
  • Who is eligible for the Blood Glucose Meter Switch service?
  • How does the Pharmacy get paid for providing the Blood Glucose Meter Switch service?
  • What are the data reporting requirements?
  • How do I report the outcome of the intervention?
  • What notice period is required to terminate the service?
  • Can the Commissioner remove a Provider from this service?
What are the aims and objectives of the Blood Glucose Meter Switch service?

The aims and objectives of the service are to rationalise the use of Blood Glucose Meters and associated reagents across the West Midlands by:

  • Ensuring appropriate frequency of testing of blood glucose
  • Increasing the use of formulary meters and appropriate use of test strips
  • Reducing the use of non-formulary meters and test strips
  • Better utilising the Community Pharmacy for interventions linked to repeat prescriptions
What is the care pathway for this service?

Patients attend pharmacy up to 14 times per annum so this initiative uses community pharmacies to facilitate change at adhoc patient attendance rather than specific targeting.

It is anticipated that approximately 50 patients per pharmacy will require BGM swap so the swaps will be conducted over 6 months.

Pharma will supply the new range of meters

Pharmacies will provide Pharmacist led review/consultation with patients [15 – 20 minutes] covering:

.  Diabetes management – lifestyle, hypo, signposting etc.
. Appropriateness of BGM , testing frequency etc, including validation with secondary care that specialist meter is required
. Switch of meter and instruction on how to use including strips and lancets if incompatible with patients remaining supplies
. Update to GP with new prescription requirements including read code
. Completion of Pharmoutcome claim and evidence including read code

What are the requirements for providing the Blood Glucose Meter Switch service?

Ensure that all members of the delivery team have up to date competencies and have successfully completed the BGM module from ADEPT

Ensure that all members of the delivery team are familiar with the criteria and aims of the intervention to ensure that consistent advice is given to all patients.

Provide details of staffing mix, staffing levels and with appropriate qualifications which will be agreed with commissioners as minimum standards.

To ensure competency standards are met. The Pharmacist is accountable to ensure that they and their team are competent to provide this service.

Who is eligible for the Blood Glucose Meter Switch service?

In the first phase the service will be available to all adults aged 18 years and above, registered with a Coventry & Rugby CCG GP practice.

Inclusion Criteria:
– All adult patients with Type 2 diabetes
– The scheme will include Diabetic patients (Type 2) who are self-testing blood glucose, who are not under specialist care (secondary care) and have not previously been approached to switch their meter.

Exclusion Criteria:
– Patients with Type 1 diabetes
– Adults living outside of the CCGs geographical footprint who are not registered with a C&RCCG GP Practice
– Children & adolescents
– Pregnant women with established & gestational diabetes

How does the Pharmacy get paid for providing the Blood Glucose Meter Switch service?

The commissioner will provide access to a web-based system (PharmOutcomes) for the recording of relevant service information for the purposes of audit and the claiming of payment.

Consultations will be reimbursed to the provider at £10 per consultation, with an additional £5 paid for consultations that result in a switch of meter to one of the preferred brands.

The service provider will enter details of the supply on the online PharmOutcomes system which will in turn generate a monthly claim for the pharmacy.

What are the data reporting requirements?

The service will be required to routinely collect and report on the following:

Routine data collection via Pharmoutcome including:

  • How the patient was recruited (self-referral, prescription intervention, leaflet, pharmacist, GP, Other)
  • Patient consent and details (non-patient identifiable data collected)
  • Inclusion Criteria to include patients GP practice.
  • Exclusion Criteria – drop down list to define eligibility
  • Appropriateness of testing
  • Current Blood Glucose Meter (BGM) details to include current strips and lancets quantity ordered per month
  • New meter supplied – new BGM details to include recommended current strips and lancets quantity to be ordered per month
  • Patient Support – advice offered in the form of: MUR, NMS, Testing frequency, hypo management, lifestyle, signposting and/or Referral to a local Structured Education programme
  • Does patient agree to switch? Is a prescription required?

The outcome of the consultation will result in a notification going to the GP highlighting that a meter has or hasn’t been switched and whether or not a prescription is required.

How do I report the outcome of the intervention?

Inform the patient’s GP in writing of the outcome of the intervention (including DNAs and the failure of any patients to engage with the programme or refuse to switch meters). This includes obtaining patient consent to sharing their information with the GP.

What notice period is required to terminate the service?

This locally commissioned service will run from 15th November 2018 to 14th November 2019. No further notice period will be required unless the service is terminated before the 14th November 2019, in which case the notice period will be three months.

The exception to the above is where a provider fails to meet any of their obligations. In such circumstances they will be notified in writing of the nature of the breach. Where the breach is not remedied within appropriate time-frames or the commissioner deems it is not capable of remedy, the commissioner will be entitled to terminate this agreement with immediate effect.

Can the Commissioner remove a Provider from this service?

Yes. If a pharmacy has not undertaken any interventions within the first three months following the formal 2019 launch, the commissioner reserves the right to remove the provider from the service and arrange the return of the meters provided.


Reference
(1) www.diabetes.co.uk

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