Recommendation 28

NHS England should designate a senior, named person with responsibility for the homecare system. That person should be given sufficient powers and resources to discharge that responsibility. Responsibilities should include: (a) Setting clear national KPIs for organisations commissioning and providing homecare medicines services to use. (b) Collecting data on those KPIs, and publishing data on those KPIs in a way which supports public scrutiny of the homecare medicines system. (c) Holding relevant bodies such as individual providers, Chief Pharmacists, the National Medical Homecare Committee and pharmacy teams to account for work on homecare medicines services. (d) Responsibly using new powers to issue appropriate penalties to under-performing providers. (e) Ensuring trusts or hubs procuring homecare medicines services have access to sufficient financial and expert procurement advice and information, including template legal agreement frameworks, so they are able to effectively deliver value for money services and influence the homecare medicines services market. (f) Achieving value for money and increasing transparency on homecare funding. (Paragraph 118) Next steps