Similar presentations More Presentation on theme: The guidance is intended to support the development of local formularies that: Avoid duplicating work by collaborating with other local decision- making groups. Proactively identify, consider and implement recommendations in publications from national decision-making bodies, such as NICE, taking appropriate actions see recommendations 2. Ensure local arrangements actively consider: Hold meetings sufficiently frequently to ensure decision-making is robust and decisions are made in a reasonable and practical time frame.
Ensure resources are available to undertake all functions needed as determined by the scope and geographical coverage of the local formulary. Ensure corporate governance arrangements are firmly established with clear lines of accountability for each partner organisation.
Report to relevant corporate governance bodies for each partner organisation appropriately, and as a minimum annually, and by exception when needed. Ensure stakeholder engagement is proportionate to the type of decision being made and the medicine being considered. Include NICE technology appraisals as a standing agenda item in local formulary decision-making group meetings. When a NICE technology appraisal does not recommend a medicine, focus discussions and actions on withdrawing and decommissioning the medicine from the formulary, in line with NICE recommendations.
Ensure these prioritisation criteria are well known, clear and transparent. Applications should be submitted by a clinician, although manufacturers may support evidence gathering. Provide information to the applicant to explain how the process will operate and ensure application forms are readily available. Consider inviting the applicant to a meeting to allow for constructive discussion. This process should take place within 3 months.
Include the medicine within the relevant care pathway s , in line with NICE recommendations. If a NICE technology appraisal states 'option for treatment', adopt the medicine into the local formulary, and if necessary, identify its place in the relevant care pathway s provided by local organisation s , in line with NICE recommendations.
When there is no NICE technology appraisal for a medicine, use NICE clinical guidelines and other sources of high-quality information produced by national and regional horizon scanning organisations, if available. Ensure these are relevant to the medicine and indication being considered.
Avoid duplicating effort locally. If local critical appraisal and evidence synthesis is needed, ensure that individuals with specialist skills and competencies are available. This includes skills in: This could be achieved by having patient safety updates as a standing agenda item see also recommendations 2. Address barriers that may delay the speed of adoption of medicines into the formulary, such as multiple applications to different decision-making groups, delayed or absent business planning, budget identification or service design.
Support individuals in deliberation and decision-making by providing appropriate training and constructive feedback. Determine explicitly how local formulary decision-making groups reach final decisions.
Use a standard format for notes and minutes which ensures that the key points are summarised for all decisions. Ensure secretariat functions are sufficiently competent so that technical information is accurately recorded. Develop decision outputs related to a NICE technology appraisal within a time frame that does not delay the adoption of the medicine into the formulary beyond the statutory requirements see section 1. This includes formulary policies, minutes of meetings, decision outcomes and associated decision outputs.
Ensure relevant information is clear and easily accessible. Clearly define the criteria for a clinician to request a reconsideration of a decision made by the local formulary decision-making group. This should include circumstances in which: This should include circumstances in which the local formulary decision-making group is judged not to have followed the published process.
Ensure the validity of a formal appeal is assessed by an independent appeals panel. The appeals panel should inform the clinician, in writing, if the appeal does not satisfy the defined grounds. The appeals panel should direct appeals that do satisfy the defined grounds to the most appropriate decision- making group for further consideration. Members should together have the skills and expertise necessary to enable them to make the decisions being asked of them. Secure adequate training and resources to operate the appeals process.
Consider collaborating with neighbouring groups to provide independent cross-organisational appeals panels. This includes [continued from previous slide]: Collaborate effectively with relevant stakeholders, including clinicians and other local decision-making groups.
Formulary scope Adopting new medicines Financial and commissioning impact Communication and dissemination Reconsideration and appeals of decisions Review and updating 37 Implementing NICE guidance www.