NHS Commissioned Centralised Prescribing Hubs

Commissioners throughout England are finding that implementing centralised prescribing for stoma and/or urology appliances is proven to:

- Improve patient outcomes - Reduce emergency admissions - Lower costs to the NHS

Our Prescription Hub Services

MARSS

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LUAMS

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BLMK

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COMiNG SOON

CQC Registration

Bullen Healthcare are CQC registered and have robust systems to ensure the best possible patient experience. The protocols in place ensure patients' care and treatment integrates with their other health care providers (following our consenting guidelines) and patients are signposted where appropriate. The organisation aims to deliver on the ‘make every contact count’ agenda whilst supporting and promoting self-care.
The services provided are for sensitive conditions and all staff are trained to ensure dignity and respect. Monthly patient and post clinic surveys are obtained to ensure high level of care is provided and patients are actively involved in their care.

Our Specialist Nursing Team

A dedicated nursing team works closely with the stoma and/or urology nursing teams in hospitals and the community. Specialist Nurse Prescribers release all prescriptions and in addition can provide a telephone, virtual or community service as required.

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National Frameworks simplify commissioning

For commissioners looking to implement a service quickly and efficiently using a light touch procurement, there are two National Frameworks that offer fully compliant commissioning routes for all NHS and public sector bodies.

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What do we offer for patients?

A monthly proactive outbound phone call to every patient (or inbound call, email or online if patients prefer) to undertake a wellbeing and stock check

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"Very happy with the nurse. She showed us so much we did not know that we should have learnt from the hospital. Very pleased with her result. She had so much time and listened to us."
MARSS Nurse Survey 2023

"Can't praise the nurse, Kim, enough. She was so professional and nothing was any trouble to her. An asset to the service. I feel safe with her advice."
MARSS Nurse Survey 2023

Our Specialist Nursing team

Bullen Healthcare takes great pride in its specialist nursing services, which are designed to deliver personalised care and support to patients in need. The nursing team comprises highly skilled professionals with extensive experience in stoma and urology.

Key points about Bullen Healthcare's specialist nursing team:

Expertise and Experience: The nursing team consists of seasoned professionals who bring a wealth of knowledge and experience to their roles. Their expertise enables them to address the unique needs of patients effectively.
Patient-Centred Approach: The team follows a patient-centred approach, recognising the importance of tailoring care to meet individual needs. They can work closely with patients and their families to create personalised care plans aligned with specific requirements and goals.
Range of Specialities: The nursing team covers a wide range of specialities, including wound care, stoma care, continence care, and nutrition support. They stay up-to-date with the latest techniques and best practices to provide high-quality care to patients.
Education and Empowerment: The nurses at Bullen Healthcare are committed to educating patients about their conditions, treatment options, and self-care techniques. By empowering patients with knowledge, they encourage active participation in managing their health.
Continuous Professional Development: The nursing team engages in regular training and continuous professional development to stay updated with the latest advancements in healthcare. This commitment ensures evidence-based care and maintains the highest standards of practice.

Bullen Healthcare's specialist nursing team is dedicated to delivering compassionate, patient-centred care. Their expertise, experience, and commitment to ongoing development contribute to the excellent care and support provided by Bullen Healthcare.

National Framework for Centralised Prescription Services

For commissioners looking to implement a service quickly and efficiently using a light touch procurement, The National Framework offers a fully compliant commissioning route for all NHS and public sector bodies. Bullen Healthcare were the highest scoring supplier on every lot on the framework, averaging the following on Lots 1-3 (prescription services for Bladder and Bowel):

- Bullen Healthcare: 100%
- Supplier B: 88%
- Supplier C: 64%

This framework is built to help free up GP time and improve prescribing control through the persistent application of the prescribing guidance. By shifting responsibility over to a team of specialist nurses patients can receive added clinical value to their prescribing process. The unique set up of this service will ensure regular patient contact which in turn reduces complications and provides more accessible community support.

In addition to the patient benefits, there are also benefits of this framework for the ICBs. This framework will free up both GP and primary care admin time, reduce prescribing costs and reduce patient complications and bladder and bowel related emergency admissions. The framework supports ‘light touch procurement’ and you can choose to direct award or run a mini competition.

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"The new Merseyside and Region Stoma Service is very good. I'm on the Wirral and the communication before the service started was clear and informative, the team who contact me each month to order my stoma products are friendly and helpful"
MARSS PATIENT, SEPTEMBER 2021

"This service is just fantastic. I know it's just a phone call away and there will be someone at the end of the line to help me. I've had my stoma for nearly two years now and I can’t fault the service/advice I have received."
MARSS Patient, Survey 2023

What do we offer patients?

A monthly proactive outbound phone call to every patient (or inbound call, email, online if patients prefer) to undertake a wellbeing and stock check
Easy access to specialist nurses and specialist clinical pharmacist
Annual reviews with a specialist nurse in a choice of physical or remote setting
Ad-hoc reviews identified on the monthly call or patients proactively requesting
Prescription requests are informed by the patient’s stock check with quantities amended as appropriate
Prescriptions are raised on EMIS and delivered by EPS within two working days of request to the patient’s chosen dispenser which is verified on each call
Product reviews are delivered on an individual patient basis by an appropriately qualified nurse, ensuring appropriate, cost-efficient products are prescribed.

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Prescription Hub Services

Bedfordshire, Luton and Milton Keynes Stoma prescription Service

Bullen healthcare worked with Bedfordshire, Luton, and Milton Keynes to launch the Bedfordshire, Luton, and Milton Keynes Stoma prescription Service (BLMK SPS) on June 1, 2023, for 2500 patients.

The service is brand new for Bedfordshire and Milton Keynes.

The new service is easy to use; it has been designed to ensure that patients receive the right products for their needs to improve their quality of life. Prescriptions can be ordered by telephone, email, or by ordering online. The team of personal advisors and specialist stoma nurses work closely with local hospital stoma nurses to provide correct advice and clinical support to the patients.

The service works alongside the existing treatment, care, and support those patients receive from their GP, District Nurse, and associated healthcare professionals.

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"Great service - I could not ask or expect anymore. This has helped my mental well-being knowing that the service is there to help and support you. I recently went on holiday for the first time since stoma. They gave me extra supplies should this be needed. Nothing was too much trouble. Thank you to all"
MARSS Patient, Survey 2023

Merseyside and Region Stoma Service

Bullen Healthcare and 6 ICBs (Knowsley, Liverpool, St Helens, Warrington, Halton and Wirral) worked collaboratively to mobilise and launch the Merseyside and Region Stoma Service (MARSS) between July and November 2021 for over 5,000 patients. This centralised community service has been specifically designed to improve the quality of prescribing of stoma products and appliances via specialist nurse input which can deliver significant impact in terms of quality of life, ensuring the best use of NHS resources and freeing up GP time.

This centralised community stoma service ensures patients receive the support from specialist stoma nurses as part of their appliance prescribing and ongoing care as well as provide more accessible community support for patients following discharge from hospital. This new service aims to improve the quality of life for stoma patients by ensuring the service they receive is well co-ordinated, responsive and ensures they receive the correct advice, products and support whilst also releasing GP time and reducing the risk of stoma patients needing urgent or emergency interventions. As part of the new service, patients still have full choice of which community pharmacy or dispensing appliance contractor dispenses their stoma appliances.

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"I am very happy with my service, the phone staff are always polite and helpful especially my advisor. Excellent service."
LUAMS Patient, Survey 2023

"I find the service excellent. I have a go to person if there are any problems who is always very helpful. I am very happy with this service."
LUAMS Patient, Survey 2023

Liverpool Urology Appliance Management Service

LUAMS is a centralised prescribing hub commissioned by Liverpool ICB.
Since the LUAMS service went live Bullen successfully on-boarded 4,674 patients onto the service. The LUAMS service is handling approximately 200 more patients each six months
New patients to the service are 45% less expensive. The average cost per patient per month reduced from £93.55 to £77.13 per patient per month in June 2019 – a 17.5% reduction.

This was initially a tendered two-year pilot, which was subsequently formally tendered and awarded to Bullen for 3+2 years

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Find out how you could benefit from a centralised prescribing hub

If you would like to discuss how you could work with Bullen Healthcare to deliver cost savings in your area of expertise (NHS Trust, ICB, PCN, GP) please call us on 0800 888 501 or alternatively click here and one of our senior managers will give you a call as soon as possible.