Pharmacy Supply Chain
The Pharmacy Supply Chain consists of teams that procure,
receipt store, manage and distribute the pharmaceuticals and
medical gases used throughout the Trust. A brief overview of each
team is listed below.
The pharmacy has its own Distribution team which provides a
delivery and collection service to and from the pharmacy
department. The CMFT site is one of the largest in the country with
its many buildings, floors and reputedly 8 miles of corridors all
presenting their own logistical problems.
The team are responsible for the daily delivery of patients'
medicines. Their timely delivery to the wards and departments plays
an important part in reducing the turnaround time from the drugs
being written, delivered to the patient and the patient being
discharged if a discharge patient. Many of the distribution
team are now also trained in other aspects of the supply chain,
assisting or providing cover to the other teams when they can.
Returns, Recycling and Waste Management
A hospital with so many wards and departments and a turnover of
over a million patients a year will generate a lot of
pharmaceutical waste. The Returns and Recycling area is responsible
for receiving, sorting and then returning all drugs originating
from the hospital back into the Supply Chain. Many innovative ideas
were put in place to ensure the maximum number of drugs could be
returned to the department. There are processes in place to ensure
all drugs are suitable and safe for re-use and that their origin is
traceable. The drugs re-introduction into the supply chain is fully
documented on the pharmacy accounting system as well as on sheets
detailing their batch numbers and expiry dates.
Dealing with the hospital pharmaceutical returns also means the
team is best placed to manage the Waste Management policy for the
Stock Replenishment Unit
The Stock Replenishment Unit (SRU) is responsible for
re-supplying the wards and departments on the Trust site as well as
some external medical centres. Different levels of the re-supply
service are provided to the wards and departments. These range from
supplying only orders generated by the ward to the complete
management of the ward stock by SRU including the re-ordering and
restocking of the drug locations.
The team is responsible for the procurement of pharmaceuticals
into the department. Many of these products are on national or
regional contracts where prices have already been negotiated.
The Trust has a drugs budget of approximately £65m.
The pharmacy has over 3,000 items located in the dispensary and
stores areas. The storage and maintenance of the stock is
undertaken by the storekeepers. They are responsible for the
correct storage and location of the products. Many products require
temperature specific storage; consequently they are monitored using
the Kelsius temperature monitoring system which the storekeepers
The medical gases are supplied to the wards and departments
either by cylinders or through pipelines. The Medical Gas Team
visit each ward and department in a 'milk round' service exchanging
cylinders one for one. The team also maintains a 24 hour all call
service for pipeline gases.
The CMFT was one of the first Trusts to have an established and
dedicated Clinical Homecare Team. Homecare services had been
established at Booth Hall and Pendlebury so the team was created in
2009 when the Trust was formed on the Central site. It has since
grown from two staff managing 600 patients to six staff managing
over four thousand patients. It has amassed a wealth of experience
on providing homecare services to many therapy groups.
The Trust is committed to increasing patient choice and reducing
the cost of services, the homecare team will continue to play an
important part in both.