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<p>Homecare providers are assessed on a monthly basis against national Key Performance
Indicators (KPIs) for National Health Service framework agreements and regionally
for local contracting. Regular formal assessments are made through face-to-face meetings
with the National Homecare Medicines Committee (NHMC) and NHS England. These KPIs
include delayed deliveries and missed doses.</p><p>When KPIs or NHS hospitals report
that service levels do not meet the relevant standards, the NHMC enacts an escalation
process. Where this process is in place, the affected homecare provider will provide
each NHS organisation with a summary of the issues, mitigations and expected timescales
for recovery. If necessary, the Care Quality Commission and the General Pharmaceutical
Council are also informed.</p><p>The National Clinical Homecare Association is working
with the British Society for Rheumatology to arrange discussions with its members,
the NHMC and NHS England regarding the safety and performance of the Homecare Medicine
Delivery Service.</p>
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