business plan Flashcards

(43 cards)

1
Q

what does LPC stand for

A

local pharmaceutical comittee

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2
Q

what is the role of the LPC and who do they work with

A
  • LPC collaborates with NHS England Area Teams, CCGs, Local Authorities, and healthcare professionals to plan healthcare services.
  • Negotiates pharmacy services with commissioners and provides advice to community pharmacy contractors.
  • Acts as a resource for those seeking information about local pharmacy services.
  • Liaises with Local Medical Committees to enhance cooperation between GPs and pharmacists for patient service delivery.
  • Works in conjunction with local dental and optical committees.
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3
Q

what is the role of NHS england

A

NHS England is an independent body, at arm’s length to the government. Its main role is to set the priorities and direction of the NHS and to improve health and care outcomes for people in England.
- commissioner for primary care services such as GPs, pharmacists and dentists, including military health services and some specialised services.

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4
Q

what is the role of the newly established health and wellbeing boards

A

to promote integrated working between healthcare and social care

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5
Q

what is a CCG

A

Clinical commisioning group

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6
Q

what is a CCG responsible for

A

They are responsible for about 60% of the NHS budget, commission most secondary care services, and play a part in the commissioning of GP services. The secondary care services commissioned by CCGs are:

  • planned hospital care
  • rehabilitative care
  • urgent and emergency care (including out-of-hours and NHS 111)
  • most community health services
  • mental health services and learning disability services
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7
Q

what is comissioning

A

the procuring of health services. assess the populations needs and plan services to meet those needs within a limited budget. monitor the inititaion of services and the effect they have on the population

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8
Q

what three things should a mission statement have

A
  1. Serve as filters to separate what is important from what is not
  2. Clearly, states which markets will be served and how
  3. Communicate a sense of intended direction
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9
Q

what are the four key elements of a misson statement

A

Value – What is the value of the business to both customers and employees?
Inspiration – Why should people want to work for the company?
Plausibility – Make it sound reasonable
Specificity – Tie it back to the business

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10
Q

what is the structure for a business plan

A

title, contents, intro, executive summary page

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11
Q

what is an executive summary

A

contains the best bits of the business plan.
Overview of your business and plans
Comes first but written last
Executive Summary is max ½ page
It is your ‘Pitch’

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12
Q

what is included in the executive summary

A

What should it contain?

Introduce your Pharmacy
Highlights key points in the plan
Your services, mission and purpose
Positive, impactful wording

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13
Q

what is in the Products and Services section of the business plan

A

this is where the depth of the plan lives. describe the problem youre solving, the solution and how the service fits into an existing competitive landscape.

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14
Q

what does PEST stand for

A

Political, Economical, Sociological, Technological

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15
Q

what is important to consider when desinging and implementing a service

A
  • is it needed, link the proposal to the wider national/local needs. assess info from NHS and public health frameworks
  • is the proposal based on the best clinical evience
  • risk vs benefit. consider this in terms of patient needs and outcomes
  • value for money. costs of equipment, staff, travel, advertising, training etc
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16
Q

what componesnt should be considered in a cost driven formula

A

Personpower:

  • Pharmacist / assistant / technician time (including time to prepare, write up notes / documentation)
  • Determine the cost per day (based on the annual salary, including NI, other company benefits etc)
  • Costs associated with undertaking an audit or getting a report written up
    From there you should be able to arrive at a total figure including fixed and variable costs for the service.

Identify all the tasks that need to be completed and calculate how much of a day is needed to complete them
Other resources:

  • Cost of equipment (non-disposable)
  • Costs of disposable equipment (gloves, sharps bins, lancets etc.)
  • Private space, including furnishings if necessary
  • Documentation, telephone calls and quality control
  • Advertising (prescription bag inserts, posters, window displays, local media, leaflet drop etc)
  • Travel costs, including petrol, insurance etc.
  • Training costs, including venues, trainers, replacement costs (locums)
    Any cost-driven formula should include an element of a fair return for the pharmacy business.
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17
Q

what are some common issues that have come up with each NHS reform

A
  • How much is controlled at the central (government) and regional/local level
  • What treatments and services are included within the NHS
  • Who is responsible for improvement and quality
  • How much freedom each organisation has, for example to set their own budgets
  • How money flows through the system and how activity is paid for.
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18
Q

who funds the NHS

A

Taxes. distributed by government

19
Q

what is NHS improvement

A

oversees trusts and focus rn is on money. trusts need to keep a lid on costs

20
Q

what is the role of the care quality commission

A

ensures the care provided is at a good quality

21
Q

what was the focuses of the NHS five yeay forward view

A

change the focus to preventing conditions- eat healthy, health checks
manage chronic conditions better
patients more in control of their own care
care that would traditionally take place in hospital to take place in homes, eg chemo

22
Q

what is STP

A

Sustaniability and transformational partnerships - a way of working in partnership. eg NHS working with charities and organisation

23
Q

what are ACSs?

A

accountable care systems - set budget that organisations work under to improve health in a particular area

24
Q

how might CCGs have an impact on community pharmacies

A

CCGs decide what money goes where. They analyse local health needs and evaluate what services are needed. They may implement a local service that takes place within a community pharmacy.
CCGs commission local services from pharmacies (e.g. minor ailments, smoking cessation).

Service availability and funding can vary by area.

CCG funding decisions affect pharmacy income and services offered.

CCGs promote integration between pharmacies, GPs, and other healthcare teams.

They can decommission pharmacy services if not prioritised.

Local public health priorities set by CCGs influence pharmacy roles.

CCGs can impact pharmacy workforce needs and training opportunities.

25
what is a PCN
Primary care network. Where GP practices and other primary care providers work together. It means they can have bigger teams of staff and can stay open for longer. It can give patients better access to specialist medical care. Appointments are shared between practices, meaning people can be seen quickly by the correct person.
26
define: expenses
Expenses: All of the costs incurred in running the pharmacy, including the costs of goods sold as well as labour and fixed 'overhead' costs, such as rent for premises, interest on loans.
27
define gross profit:
Gross Profit: The amount the pharmacy makes on sales, calculated by subtracting the costs of goods sold from the revenue
28
define net profit
Net profit: The total profit made after taking all expenses into account, calculated by subtracting expenses from revenue.
29
define revenue
The total money received from goods and services sold for cash and credit
30
what proportion of NHS revenue is made up by OTC sales
10 %
31
what makes up the majoroty of NHS revenue
NHS income
32
what is the biggest cost to community pharmacies
prescription meds
33
what are the 4 key characteristics of services
intangibility simultaneity customer contact heterogeneity
34
define intangibility
* Pharmacy services (like consultations or health advice) are not physical products; their value is experienced, not touched. CCG-commissioned services (e.g. smoking cessation) are hard to measure directly until outcomes like quit rates are seen.
35
define simultaneity
* Service production and consumption happen at the same time. A pharmacy consultation or health check happens in real-time with the patient present — you can't "store" it for later.
36
define customer contact
* Pharmacy services often require high levels of direct patient interaction. CCGs may fund services that depend on face-to-face consultations (e.g. vaccinations, blood pressure checks).
37
define heterogeneity
* Services can vary between pharmacies and between individual consultations. Because CCGs commission based on local needs, service delivery and quality might differ across regions or between pharmacies.
38
how does the hub and spoke model work
the spoke pharmacy recieves the rx. this is scanned and sent to the hub. The hub accesses the PMR from the spoke remotely. A clinical assessment is made and PMR entry made. The hub assembles the rx (labelling, accuracy check, warning labels and contraindications attached to bag). The hub then sends the bag to the spoke pharmacy. the spoke pharmacy team is responsible for counselling and rx handout.
39
how can we map a process (4)
- walk through the patinets journey. how will they get in contact to start with - review cases from collected data - observe the service processes in real time - discuss amonst the group
40
what is a PEST analysis used for (PEST is an acronym for Political, Economic, Social and Technological factors)
business measurement tool The PEST analysis is a useful tool for understanding market growth or decline, and as such the position, potential and direction for a business. Assessing the external market for a business or organisational unit
41
what is a SWOT analysis
Strengths, Weakness, Opportunities and Threats (SWOT) useful tool for understanding and decision making for all situations. good framework for reviewing strategy, position and direction of a company or business proposition it is helpful to complete a PEST analysis prior to a SWOT analysis laid out in a 2x2 grid (S|W X O|T)
42
difference between SWOT and PEST
PEST assesses a market incl competitors SWOT is an assessment of the business itself or its proposition. PEST may be useful before SWOT to help identify SWOT factors.
43
What is PORTERs 5 Forces?
Porter’s five forces model is an analysis tool that uses five industry forces to determine the intensity of competition in an industry and its profitability level. they are: 1. buyer power - quantity of buyers and their power to move costs and product importance 2. threat of substitution - customers may chose to substitute your product for another. what is the competition 3. threat of new entry - are there barriers to entry to the market. How likely are these to stop potential competitors 4. supplier power - quantity of suppliers and the associated costs 5. Competitive Rivalry - more competitors = lesser power of company