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


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.

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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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Prescription Hub Services


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

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

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.

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