1. CFS National Service Improvement Programme
Community Funded Schemes (CFS)
CFS National Service Improvement Programme
Respiratory Therapy Products
Primary Care Division

2. Community Funded Schemes (CFS)
Welcome
Welcome & Introductions
Format for Today:
Presentations
Opportunity for Feedback
Lunch
FAQ Session
Primary Care Division

3. Community Funded Schemes (CFS)
Background
CFS are an important component of the Health Services.
Provide access to vital Aids & Appliances to support care plans.
Facilitate hospital avoidance and early discharge.
Ensure the quality of life of individuals living with medical conditions can be maximised.
Primary Care Division

4. Community Funded Schemes (CFS)
In order to ensure the ongoing development and quality of these schemes the HSE has established the National Service Improvement Programme for CFS.
This Programme has the aim of improving the quality and sustainability of the CFS through the establishment of:
National Standards
Equity of Access
Value for Money
Functional Processes
Management System to ensure compliance
Primary Care Division

5. Community Funded Schemes (CFS)
CFS have been sub-divided into the following work streams:
Aids and Appliances
Respiratory Therapy Products
Orthotics, Prosthetics, and Specialised Footwear
Incontinence Wear, Urinary, Ostomy and Bowel Care
Nutrition
Bandages and Dressings
Primary Care Division

6. Community Funded Schemes (CFS)
A National Multidisciplinary Working Group has been established for each of the work streams and Terms of Reference have been agreed upon covering:
National Standards
Procurement Process
Data Management
Asset Management
Primary Care Division

7. Community Funded Schemes (CFS)
National Standards:
National Approved List of items
Prescribing Guidelines, Clinical Criteria
Prioritisation Tool
Standard Operating Procedures
Procurement Process:
Specification of all approved items
Contracts/SLA in place,
Communication of contracts
Primary Care Division

8. Community Funded Schemes (CFS)
Data Management:
National Material Descriptors for all items
National Usage Figures
National ICT system for ordering/managing items
Asset Management:
HSE Asset Management System for tracking of all items supplied
Recycling Contracts/Model to be reviewed
Purchase vs. Rental Model to be reviewed
Primary Care Division

9. Community Funded Schemes (CFS)
In order to oversee the functioning of and coordination between these separate Working Groups a CFS Governance Group has been established.
The Group is accountable to the National Director Primary Care and provides the assurance that the objectives of the CFS Service Improvement Programme are being achieved.
Primary Care Division

10. Respiratory Therapy Working Group Membership
Community Funded Schemes (CFS)
Respiratory Therapy Working Group Membership
Consultant Respiratory Physician – Adult Services
Consultant Respiratory Physician – Paediatric Services
Respiratory Clinical Nurse Specialist x 2 – Adult Services
Respiratory Clinical Nurse Specialist x 2 – Paediatric Services
Airways Clinical Nurse Specialist
Community Physiotherapist
Clinical Specialist Physiotherapist
Community Medicine
Public Health Specialist
Respiratory Physiologist
Procurement Specialist x 2
Clinical Engineering Specialist
IT Specialist
Finance Specialist
National CFS Project Manager
Head of Primary Care Services, CHO Area 2 - Chair
Primary Care Division

11. Community Funded Schemes (CFS)
Why?
The purpose of the Group is to:
Ensure the development and quality of services
Provide a service user focused, equitable, safe & transparent service, regardless of where you live.
Ensure Standard Operating Procedures are in place across HSE.
Ensure formal Clinical Indicators and Guidelines are in place for Clinicians and Administrative staff
Ensure the HSE meets its legal obligations to have formal arrangements in place with suppliers.
Primary Care Division

12. Community Funded Schemes (CFS)
How?
Approved List was formulated from existing equipment currently in use with service users.
This formed the basis for 6 categories of products.
Oxygen
Ventilators
Airway Clearance
Nebulisers
Tracheostomy and Laryngectomy
Monitoring Equipment
Primary Care Division

13. Benefits to Service Users
Community Funded Schemes (CFS)
Benefits to Service Users
National Standards in Place
Equity of Access to Products and Services
Standard Operating Procedures will improve the approval and order process.
There will be uniformity of equipment and service provision regardless of where you live.
Support Admission Avoidance
Facilitate quicker discharge from hospital.
There will be formal agreements in place for provision and maintenance of equipment.
Service User Support Centre including a free phone number will be provided.
All support services will be provided to Clients when on holiday in the Republic of Ireland.
Primary Care Division

14. Community Funded Schemes (CFS)
Set-up and Training
All equipment must be installed and ‘patient ready’ with full onsite training provided to patients, families and carers, as appropriate, by certified trained staff.
Company will provide at least one follow-up call after initial set-up and training.
Company will provide appropriate clinical support as required.
A 24/7 support telephone on-call service will be available to support products supplied.
All trainers/engineers will be fully Garda vetted.
Primary Care Division

15. Community Funded Schemes (CFS)
Safety
Rental equipment supplied will be repaired or replaced within 8 hours from time of notification.
Respiratory Therapy equipment supplied will be serviced in accordance with manufacturer’s specification.
Company will have documented business continuity plans, or contingency plans, in place for events such as adverse weather, flu pandemic, manufacturer/product supply issues.
All support services offered by the Company will be consistent for all HSE areas awarded.
Primary Care Division

16. Community Funded Schemes (CFS)
Procurement Process
HSE currently spend circa €25million per annum on Respiratory Therapies.
HSE are legally obliged to have formal Service Agreements in place with Suppliers.
Under the Terms of Reference the Group are required to put formal arrangements in place.
Contract will be awarded for 3 years with a possibility of a 2 year extension.
Primary Care Division

17. Procurement Evaluation Group (PEG)
Community Funded Schemes (CFS)
Procurement Evaluation Group (PEG)
Membership:
National CFS Project Manager
Procurement Specialists
Consultant Respiratory Physician, Adult and Paediatric.
Respiratory Clinical Nurse Specialists
Community Physiotherapist
Clinical Specialist Physiotherapist
Respiratory Physiologist
Clinical Engineering Specialist
IT Specialist
Finance Specialist
Primary Care Division

18. Community Funded Schemes (CFS)
Approved Product List
6 Pillars or groups of products
Oxygen
Ventilators
Airway Clearance
Nebulisers
Tracheostomy and Laryngectomy
Monitoring Equipment
Primary Care Division

19. Expression of Interest
Community Funded Schemes (CFS)
Expression of Interest
Expression of Interest is live on eTenders until Friday 28th October 2016.
This process allows companies to express their interest in winning the tender.
This Expression of Interest covers the following therapies;
Lot A – Ventilators (NIV & IV); Airway Clearance; Nebulisers, and associated consumables, patient service and monitoring equipment
Lot B – Oxygen Products & Services; Oxygen Concentrators & associated consumables.
Primary Care Division

20. Community Funded Schemes (CFS)
Geographical Areas
Primary Care Division

21. Community Funded Schemes (CFS)
Geographical Split
The contract awards for each Lot will be split on the basis of groups of Community Healthcare Organisations as follows:
Area (A) - CHO1, CHO8, CHO9.
Area (B) - CHO2, CHO3, CHO7.
Area (C) – CHO4, CHO5, CHO6.
Primary Care Division

22. Why did we choose this split?
Community Funded Schemes (CFS)
Why did we choose this split?
3 Geographical area’s.
Rural/Urban mix in each area.
Similar population in each area.
From a servicing perspective it is preferable to have a North/Mid/South split.
The tender process will provide equity across the HSE, regardless of where you live.
Primary Care Division

23. Community Funded Schemes (CFS)
Transition Period
The HSE recognise and are committed to allowing an appropriate period of time to facilitate the transition from old supplier to new supplier, in the event that this is required.
We acknowledge this may be a concern for patients who may be affected by a change of supplier.
Where new equipment is being provided to patients, it will be to the highest manufacturers standard.
We are committed to ensuring that each patient is fully trained and comfortable with their new equipment and service.
Primary Care Division

24. Community Funded Schemes (CFS)
Thank you.
Questions and Answers.
Primary Care Division