Common use of Tier 3 Clause in Contracts

Tier 3. 4.3.1 Tier 3 describes those services that currently are provided for via homecare or might form part of a hospital at home solution where such services are being devised. Medicines and regimens in this tier would be those that require a significant level of pharmaceutical care beyond that traditionally provided by community pharmacy teams. This tier would provide an alternative to traditional homecare routes of supply for medicines that require, for example, direct cold chain supply to patients supplemented by administration of injectable medicines and follow up monitoring in the patient's home or training the patient to self-administer. Often medicines in this tier will require the input of non-pharmacy staff or very specialist pharmacy input and requires multiagency

Tier 3. 4.3.1 Tier 3 describes those services that currently are provided for via homecare or might form part of a hospital at home solution where such services are being devised. Medicines and regimens in this tier would be those that require a significant level of pharmaceutical care beyond that traditionally provided by community pharmacy teams. This tier would provide an alternative to traditional homecare routes of supply for medicines that require, for example, direct cold chain supply to patients supplemented by administration of injectable medicines and follow up monitoring in the patient's home or training the patient to self-administer. Often medicines in this tier will require the input of non-pharmacy staff or very specialist pharmacy input and requires multiagencymultiagency cooperation and coordination. It is anticipated that tier 3 would need to be resourced for those elements of service over and above the national arrangements.