Stoma Prescribing Service

Mansfield and Ashfield CCG invites expressions of interest from suitable qualified and experience suppliers to provide a Stoma Prescribing Management Service. The service will include a centralised support service that is responsible for all prescribing needs, overseen by clinicians who have an in depth understanding of stoma care, as well as being qualified to identify and resolve clinical concerns to address patient needs has been shown to improve patient care and contain cost growth.

The aim is to improve management and prescribing of ostomy appliances for all patients in the community across Nottinghamshire and to provide easy to access and timely clinical support.

The objectives of the service are

• an efficient, centralised prescribing service that is responsible for all stoma related prescribing needs, overseen by clinicians who have an in depth understanding of stoma care,
• a number of methods available to order prescriptions, each having minimal access times,
• prescribing that responds to patient's clinical needs in terms of quantities, product choice and change of prescription,
• clinical support that is easy to access, responsive and timely,
• flexibility in the provision of clinical support that has capacity outside of regular working hours,
• supply of information and education of patients and carers about stoma care,
• patient centered clinical support to ensure every patient in the service receives as a minimum, an annual review,
• reduction in prescribing costs through prescribing review and reductions in over-ordering and waste aligned to introduction of more tightly managed approach to prescribing initiation and continuation,
• on-going audit of patient data and systems to improve service provision and patient experience,
• positive feedback from GPs and patients.

The following benefits are expected from delivery of the service

• improvements in the on-going support to patients with a stoma,
• reduction in inappropriate prescribing of stoma appliance products and prescribing costs associated with this,
• reduction in wastage of stoma appliance products,
• improvements for patients in their knowledge and understanding about stoma care,
• reduction in consultations with GPs, secondary care and emergency department,
• reduction in waiting times for patients to resolve stoma related clinic care issues,
• improvements in patient care due to more flexibility in appropriate product choice.