choice and medication subscription guide

The Choice and Medication Website is a product of Mistura Enterprise Limited

Company Registration No: 7012554 Registered Office: Arch Centre for Enterprise, Lintonville Parkway, Ashington, Northumberland, NE63 9JZ

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Final Version 3: 1st June 2012

Bespoke Website Portal

Subscription Guide 2012

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www.choiceandmedication.org

Probably the biggest, best and most comprehensive independent website for

patients, carers and professionals for information about:

Choice and Mental Health Medication

Subscription Benefits

Bespoke Organisational Branding

Customised Web Portal

Free Access Via Own Organisational Website

Print-off comparison “Handy Charts”

Print-off “Handy PILs” Information Leaflets

Print-off “Handy QuILLS” Illustrated Leaflets

Print-off “Handy BILLS” Information Leaflets

Summary Dashboard Statistical Reports

Comprehensive Analytics Data Reports

Top Conditions Visited

Top Drugs Visited

Top Questions Visited

Please visit bespoke customised portal examples: http://www.nwmhft.nhs.uk (Link from Learn More about Medication)

http://www.choiceandmedication.org/cheshire-and-wirral/

http://www.choiceandmedication.org/coventry-and-warwickshire/

http://www.choiceandmedication.org/coventry-and-warwickshire/

http://www.choiceandmedication.org/

http://www.nwmhft.nhs.uk/

http://www.choiceandmedication.org/.uk/cheshire-and-wirral/

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SUBSCRIPTION GUIDE – INDEX

Page No:

1: MISTURA ENTERPRISE LIMITED 4 1.1 Company background

1.2 Company details

1.3 Choice and Medication© web solution

2: PROPOSAL OUTLINE 7 2.1 Bespoke branding: Portal Development and Connection

2.2 Exclusive Handy PILL and HandyQuILL Information Leaflets

2.3 Exclusive Handy Charts

2.4 Analytics and Reporting Service

2.5 Website Facilities

3: TECHNICAL SPECIFICATION 14 3.1 Portal admin panel

3.2 Hosting

3.3 Supporting platforms

3.4 Technical support for the codebase

3.5 Server backup and recovery

4: DEVELOPMENT PROCESS 15 4.1 Quality assurance

4.2 Installation monitoring process

4.3 Documentation

4.4 Client liaison

4.5 Installation

4.6 Maintenance

5: OWNERSHIP, USAGE AND EXPLOITATION 17 5.1 Service level agreement

5.2 Intellectual property rights

5.3 Commercial exploitation

6: COSTS AND CHARGES 17 6.1 Bespoke Portal Development and Connection

6.2 Annual Subscription Licenses

6.3 Maintenance Support Agreement

6.4 Additional Products for Purchase

6.5 Reconnection

6.6 Payment Schedule

7: TERMS AND CONDITIONS 20 8: CONTACT DETAILS 20

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1: MISTURA ENTERPRISE LIMITED 1.1: COMPANY BACKGROUND Mistura Enterprise Ltd was established in September 2009 as a private spin-off company of the UKPPG (United Kingdom Psychiatric Pharmacy Group). This was to ensure maintenance, development and growth of the “Choice and Medication©” website. As UKPPG, and now the College of Mental Health Pharmacy (CMHP), have a profit share in Mistura, one aim of the company, in addition to maintenance and development, is to provide an independent income stream to support education and training of specialist mental health pharmacy staff. 1.2: COMPANY DETAILS Company Name: MISTURA ENTERPRISE LIMITED Registration Number: 7012554 VAT Number: GB 101 1559 67 Registered Office: Office G12, Arch Centre for Enterprise Lintonville Parkway Ashington Northumberland NE63 9JZ Tel: 07732 623547 Office: 01670 528451 Office Fax: 01670 528440 Email: [email protected] [email protected] 1.3: CHOICE AND MEDICATION© WEBSITE SOLUTION Choice and Medication© is probably the biggest, best and most comprehensive independent website for patients, carers and professionals regarding medication in mental health. Developing originally from a National Institute for Mental Health in England (NIHM-E) inspired project, it boasts excellent credentials of the site owners and was launched in October 2008 at the House of Commons, Westminster, London. The College of Mental Health Pharmacy (CMHP) supports and approves Choice and Medication© and it is continually monitored by specialist mental health pharmacists by way of the CMHP membership (over 700 in the UK) to ensure that the standards are maintained.

The content includes: Answers to at least 29 of the most commonly asked questions about over 135

psychotropic drugs Answers to at least 13 of the most commonly asked questions about 20 mental health

conditions Over 2600 separate sections All sections are fully printable from a “print this page” link Access to unique and exclusive comparative “Handy Charts” - a patient decision aid,

comparing the range of medications, usual dose, probable mode of action and relative associated side effects for all mental health conditions. Details of how long the medicine takes to work, for how long it could or should be taken and how to discontinue treatment are also compared.

The site is unique and independent i.e. has no adverts, no pop-ups, no industry sponsorship, and meets at least 75% of the stringent IPDAS (International Patient Decision Aid Standards1) criteria.

mailto:[email protected]


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As of April 2010 the website became a completely independent product commercially available to organisations via a subscription process. As part of the annual subscription the package includes:

A unique customised portal branded to the subscriber’s own organisation. The website therefore appears as the subscriber’s own development

Professional indemnity for all of the content from the website

Information as dashboard and analytical reports regarding the access of information via the organisation’s bespoke portal, which can address key strategic organisational questions

Choice and Medication© is available to NHS Trusts, specialist interest pharmacy groups, community pharmacies, independent healthcare providers and charitable mental health organisations. MAIN AUTHOR

Prof. Stephen Bazire MBE is Consultant Pharmacist for Norfolk and Suffolk NHS Foundation Trust, Honorary Professor for the School of Pharmacy at University of East Anglia, author of the Psychotropic Drug Directory (24 editions since 1993), Fellow of the Royal Pharmaceutical Society of Great Britain, former Chairman of the UK Psychiatric Pharmacy Group, a director of the College of Mental Health Pharmacy and a member of Council of the British Association for Psychopharmacology. MANAGING DIRECTOR Dawn Price is currently progressing a post graduate doctorate to determine healthcare related clinical benefits and outcomes from use of the Choice and Medication Website. Former appointments include Deputy Chief Pharmacist/Head of Clinical Pharmacy, Northumberland, Tyne and Wear Mental Health Trust, Acting Chief Pharmacist Cheshire and Wirral Partnership NHS Foundation Trust 2008-9 and Chief Pharmacist South of Tyne and Wear NHS Trust 2003-6. She is a registered independent prescriber, an AMBA business school graduate, a former vice chair of United Kingdom Psychiatric Pharmacy Group and a former director of the College of Mental Health Pharmacy. IT AND TECHNICAL ADVISORS Rowan Purdy, Director, Surepoint, is responsible for the technical development. GOVERNANCE The process of development for Choice and Medication© is targeted to meet compliance with the robust requirements of IPDAS (International Patient Decision Aid Standards) criteria. IPDAS, developed in 2006 by a worldwide web-based Delphi process, outlines twelve quality domains covering the requirements for any decision aid. These include:

A systematic development process being used The full range of questions that need answering All the options (including doing nothing) Probabilities of getting better Statements about potential conflicts of interest Extra requirements for web access

http://www.cwp.nhs.uk/

http://www.nmhct.nhs.uk/


http://www.uea.ac.uk/pha

http://www.uea.ac.uk/pha

http://www.amazon.co.uk/Psychotropic-Drug-Directory-Professionals-Handbook/dp/0954483960

http://www.rpsgb.org.uk/

http://www.ukppg.org.uk/

http://www.ukppg.org.uk/

http://www.ntw.nhs.uk/

http://www.cwp.nhs.uk/

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In addition to the requirements to maintain a balanced presentation, use plain language and be up-to-date. The Choice and Medication© website is currently about 75% compliant with these standards. This is at least 30% more than other equivalent resources. We are aiming for the realistic target of 90% compliance within the development program and subsequent accreditation. The website is subject to Internal Governance, scrutiny and oversight of the content, language and development plan by various processes. These include: 1. College of Mental Health Pharmacy directors and membership 2. Members of the service user council from Norfolk and Suffolk NHS Foundation Trust 3. Ad hoc meetings of specialist practioners and professionals 4. The on-line administration feedback system for visitors DEVELOPMENT PROGRAMME Mistura Enterprise Ltd aim to ensure an extensive growth and development programme for the website, this can be seen from both the progress so far in addition to the future planned program of activities. The developments during 2010-2012 included the following:

1. Expansion of the therapeutic areas: a. rapid tranquillisation/acute mental health emergencies b. alcohol dependence and alcohol withdrawal

2. A comprehensive collection of “Handy PILLs” 2-page patient information leaflets, now numbering over 130

3. An expanding collection of exclusive “Handy QuILLs”, 2-page illustrated patient information leaflets aimed at younger people, with over 40 available

4. A new comprehensive collection of over 120 “Handy BILLs”, one page large print brief or basic information leaflets

5. A new page from which all leaflets can be accessed 6. A bimonthly newsletter for subscribers to communicate the updates and share hints

and tips to improve website usage 7. A faster more robust server migration with improved quality of service for website

users 8. Migration to a new global domain to allow a broader range of subscribers outside

the UK 9. All sections with date of last updating of the information 10. Links to the manufacturer’s PILs and links to a range of independent easy-read

leaflets aimed at people with some learning disabilities 11. Arrangement of the Q&As into sections 12. Additional Questions and Answers for all medication including interaction with

smoking, interaction with illicit drugs, doses, and a revised women’s health section e.g. emergency contraception, breastfeeding etc...

13. Recruitment of two well-known and respected authors to assist writing sections

The developments planned during 2012-2013 include the following:


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1. Aiming for 90% compliance with IPDAS by answering the questions: ”what happens if I do nothing”, and “what may happen if I have treatment”

2. Expansion of therapeutic areas to include Personality disorder and Opiate dependence and Withdrawal

3. Pictorial and graphical representation of “how the drugs work” 4. A mobile browser development to allow access via mobile phones 5. Facebook and twitter page developments to raise awareness of the website 6. Country specific references where appropriate to specific recommendations e.g.

driving, self help and support groups 7. Collaboration with the European Medicines Association regarding patient safety

information 8. Evidence based “outcomes & benefits realisation” research

2: PROPOSAL OUTLINE The Choice and Medication© website is a comprehensive and independent source of help and advice for service users, carers and professionals on mental health medicines. This document provides a detailed specification and associated costs to subscribe to the Choice and Medication website© which includes the production and implementation of your organisation’s bespoke Choice and Medication© “website portal.” Three options of bespoke portals are available but, regardless of your choice, each bespoke portal utilises the Choice and Medication© main website server content to facilitate the effective delivery within the context of your organisation’s IT infrastructure. In a process known as “white labelling” your bespoke portal gives the appearance of being your own branded web information site. With a unique website portal, “hits” to the website via this portal can be tracked to your organisation. The detail of the information can be tracked to a level that provides your organisation with statistics relating to the specific questions being asked, the conditions being viewed and/or the individual drugs being researched. Analytics reports of your bespoke portal data can therefore provide you with evidence to assure that “choice” is being offered within your organisation. The website is:

Centrally maintained Updated on a regular basis in-line with changing national guidance Developed in line with feedback to Mistura Enterprise Limited and Surepoint Quality assured and supported by the College of Mental Health Pharmacy (CMHP) Includes viewable & downloadable patient information leaflets on medication Includes viewable & downloadable comparison handy charts Provides statistics about your website visits Provides detailed reports about website behaviour including top drugs, top

conditions and top downloads Therefore, for a modest annual charge, subscription offers you and your service users, customers and staff access to a high quality, credible, up to date, useful information source with print off leaflets on the majority of mental health medication and conditions, which looks as if it is your own organisation’s development. The bespoke solution is developed in collaboration with your organisation, and so all we require is a contact person from your IT, communications and pharmacy department

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team. Although the amount of direct organisational input required is minimal (which includes e.g. supplying graphics, linkages to intra/internet sites and portal test check), additional support for your team and training can be provided for any IT department, communications departments and healthcare professionals on aspects of the website if required. For a small additional administrative charge, regular reporting on website visitors and usage statistics is available if required and includes:

a. Summary Dashboard Statistics (SDS) reports b. Analytics Comprehensive Data (ACD) Reports

Although both end of year annual reports are included in the subscription charge, ad-hoc reports for your bespoke website portal can be provided (for an additional cost per report generated) if and when required and is available at any time during the subscription period. 2.1: BESPOKE BRANDING: PORTAL DEVELOPMENT AND CONNECTION The bespoke branding of the website will incorporate the organisation’s preferred logo. Three branding options are available (which are upgradable at any time should the organisations preference change). OPTION 1: Basic Connection Small branding and trust name in the top right hand corner of the website Logo dimensions: 299 x 72 pixels Logo position: Top right Development Cost: Included in the annual subscription charge Connection Fee: A connection fee of £563.75 will apply OPTION 1:

Your Organisation’s Logo

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OPTION 2: Header Connection Complete header branding to span across the top of the website Logo dimensions: 950 x 130 pixels Logo position: Top left, spanning full width of header Development Cost: £1,127.50 cost prior to connection in year one only Connection Fee: Included in development cost Please note: Updates can be performed at any time during the term of

connection but will incur additional cost on application OPTION 2:

OPTION 3: Fully Bespoke Connection

Unique customised colour palate of subscriber’s choice Bespoke modification to the colours of style-sheet, elements and graphic assets to blend the full site with the organisations logo Logo dimensions: 950 x 130 pixels Logo position: Top left, spanning full width of header and beyond as required Cost: Additional £1,998.75 implementation cost to subscription in 1st year only

NB: Updates can be provided at a later date but will incur an additional cost (price on application)

Your Organisation’s Logo

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OPTION 3:

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2.2: EXCLUSIVE HANDY PILL, QUILL & BILL INFORMATION LEAFLETS All bespoke portals have access from the website to a range of current patient information leaflets about each specific mental health medicine. These are as 2-page standard leaflets, 2-page easier-read leaflets and 1-page larger print basic leaflets. There are also a range of unique Handy Charts to cover the treatment options available. These form the most up-to-date and comprehensive collection of non-manufacturer leaflets on mental health medicines available anywhere from one website source. They are continually reviewed within the work-plan process and are recognised and supported by the CMHP. 2.3: EXCLUSIVE HANDY CHARTS All bespoke portals have access from the front page to both viewable and print-off versions of the unique “Handy Charts”. These charts compare all medication available for the condition together with the associated side effects, which are rated to give the user of the site informed choice on available treatment options. These are also available separately as a ring-bound booklet containing:

All of the available charts A customised front and back cover Good quality art-text card for durability

Purchased in bulk for use in your wards and departments, these can be widely used by clinical staff when discussing medication with service users and carers.

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2.4: ANALYTICS REPORTING SERVICE Mistura sets up a Google analytics account for your organisation with tracking codes onto the pages of your site so that visitor traffic can be monitored. We use this to manage the analytics account and produce both the following:

a. “Dashboard” SDS: Summary Dashboard Statistics Reports (visitor usage and quality metric statistics) in addition to

b. Analytics Comprehensive Reports”: ACR: This outlines the detail behind your top conditions, top drugs and top content and compares the results to the national average.

Both reports provide key information about visits to your portal. If required, Mistura will work with your organisation to facilitate the development of analytics reports tailored to your Quality and Performance requirements. Reporting can be provided regularly on a monthly, quarterly or annual bases depending on the organisational need. An additional administration fee is applicable for regular reporting and ad-hoc reports will always be available for purchase should this be required.

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2.5: WEBSITE FACILITIES The Choice and Medication© website contains a link to a “screen-reader”, which opens Thunder – free downloadable Internet reading software for the blind, available in other languages including Estonian French, German, Italian and Slovakian. The Choice and Medication© website supports the Google Translate toolkit. This is a free translation service that provides instant translations between 57 different languages. It can translate the web pages to make information universally accessible and useful, regardless of the language in which it’s written. When Google Translate generates a translation, it looks for patterns in hundreds of millions of documents to help decide on the best translation. By detecting patterns in documents that have already been translated by human translators, Google Translate can make intelligent guesses as to what an appropriate translation should be.

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This process of seeking patterns in large amounts of text is called "statistical machine translation". Since the translations are generated by machines, not all translation will be perfect therefore the subscription indemnity cover does not apply for usage of the information in these circumstances.

3: Technical Specification 3.1: SUBSCRIBER LOGO REQUIREMENTS Subscribers will supply Mistura with their corporate logos as image files that meet the following minimum technical requirements.

Image resolution: 300 dpi Image width: 1250 pixels Image height: 400 pixels Image format: .jpg, .png, .eps

3.2: PORTAL ADMIN PANEL Mistura will supply your organisation with either

An account to access an administrative panel through which you can manage the information that appears on the front page of your portal

Configure or update the front page portal on behalf of the Trust

3.3: PORTAL ANALYTICS Mistura will supply your organisation with an analytics report that shows you how visitors found and explored your portal. The report covers the performance of the:

most visited content most visited medications most visited conditions, and the patient information leaflets downloaded from your portal.

3.4: HOSTING The system is hosted on a dedicated server leased from a leading UK based hosting provider. Server specification:

High quality Dell hardware Quad Core Intel Xeon CPU Memory 4GB DDR3 at 1333Mhz Storage 2x 250GB SATA RAID 1 Dual Power Supplies, fed from redundant UPS supplies Linux Centos OS Plesk Control Panel UltraFire Enterprise-class firewall UltraVault Managed Backup service

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Service guarantees:

Dedicated account manager Power availability 100% Network availability 99.95% Hardware replacement within 4 hours Security patching Enterprise-class firewalls 24/7 Emergency support

3.5: SUPPORTED BROWSERS AND DEVICES The Choice and Medication© websites are designed to function correctly across the majority of web browsers. This ensures that the websites are accessible to the largest possible audience without any loss in performance. In response to the growth of web access via mobile and handheld devices, during 2012 Mistura will ensure that the websites function correctly across the majority of devices and screen sizes. 3.6: TECHNICAL SUPPORT FOR THE CODEBASE The Mistura technical support team spend up to 1 day each month undertaking a range of technical management activities to support the codebase which underpins the Choice and Medication© websites. The codebase includes HTML, XHTML, CSS, PHP scripts, JavaScript and MySQL databases. Routine technical management activities include:

administration of any tasks required to support the codebase regular examination and analysis of event logs, and any tasks suggested by the

logs which assist in the support of the codebase regular assessment of server loads and performance, and recommendations that

arise from this analysis undertaking any tasks required to assist in the security of the codebase codebase backups, restorations and fixes liaison with hosting providers

3.7: SERVER BACKUPS AND RECOVERY To prevent any loss of data there are daily iterative server backups and a complete server backup once per week. In addition the Mistura technical support team undertake regular codebase backups. 4: DEVELOPMENT PROCESS 4.1: QUALITY ASSURANCE Choice and Medication© has a well-established and structured development methodology that incorporates both internal (CMHP) and external (service user/carer) assurance procedures to ensure the technical and subject matter quality.

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4.2: INSTALLATION MONITORING PROCESS Mistura work in partnership with their clients in order to provide high quality bespoke solutions that meet specific needs and therefore the connection, maintenance and feedback process. Subscription therefore is supported by an installation monitoring process. A help-line contact is available should this be necessary and there is ongoing monitoring available directly from website users via an online feedback system.

4.3: DOCUMENTATION The above process is supported by a standard set of documentation covering the connection and operation of the website. Connection

Service Level Agreement Support contact numbers Installation procedure and check sheet Installation feedback and sign off sheet Analytics system manual

4.4: CLIENT LIAISON AND SUPPORT To facilitate the implementation:

Mistura will work closely with representatives from your organisation, who will provide the IT, communications and pharmacy contacts for development of the bespoke website and collaborate in the review of the completed package

Mistura will provide all appropriate documentation (see above) associated with the development of the bespoke website

Mistura will provide the necessary guidance and support to the Trust’s staff, together with Surepoint, to coordinate any updates and address any problems due to connection or technical failures

Mistura will provide delivery of the technical aspects for the connection, maintenance and the training (if required) for the analytics tool

Mistura will provide technical, content and system administration support via telephone or email during office hours, for the life of the subscription

Mistura will resolve any technical issues arising within the website and will provide any service bulletin releases necessary to resolve such issues

4.5: INSTALLATION Mistura will liaise directly with the organisations staff, coordinating internal stakeholders and working with IT personnel, to facilitate the installation within the organisations network infrastructure. 4.6: MAINTENANCE Mistura will facilitate all maintenance of the information for the branding as and when appropriate, or at the direction of the Organisation. Support and maintenance is provided to ensure continuity of service provision for the branded portal and the downloadable branded portal products. Changes by the organisation are not permitted within the scope of the Service Level Agreement.

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5: OWNERSHIP, USAGE AND EXPLOITATION 5.1: Service Level Agreement Mistura provides a Service Level Agreement to your Organisation to use the information for the purpose of delivering the Choice and Medication© website information to its employees and service users. 5.2: Intellectual Property Rights No Intellectual Property will be transferred to or from either party. Mistura retain all commercial rights and copyright in the content, text, concept, underlying systems, server-side scripts and computational code related to the Choice and Medication© website. 5.3: Commercial Exploitation Any other commercial exploitation other than that outlined in the Service Level Agreement will require the written agreement of Mistura. 6: COSTS & CHARGES FOR CHOICE AND MEDICATION© 6.1: Front Page Portal Development Costs for Connection To build and connect the bespoke front page portal Includes first year annual portal maintenance charge

OPTION DESCRIPTION COST

A Small right hand side logo Free of Charge

B Standard header package £1,127.50

C Full bespoke colour palate branding package £1,998.75

Package A will incur a connection fee of £563.75

This included within package B & C

6.2: Annual subscription agreement

i) Annual subscription cost per NHS Trust (£1,255 for 600k population)

Population Served (K)

Subscription Costs (£)

Population Served (K)

Subscription Costs (£)

700 1,455 1400 2,629 800 1,625 1500 2,793 900 1,789 1600 2,962 1000 1,958 1700 3,131 1100 2,127 1800 3,295 1200 2,291 1900 3,465 1300 2,460 2000 3,634

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ii) Annual subscription cost per Private Provider / Community Pharmacy: Price to be confirmed direct on application

6.3: Annual portal maintenance agreement Bespoke Portal IT support & maintenance (from Year 2 onwards) £525

6.4: Administration reporting requirements

Summary Dashboard Stats [SDS] (1 per annum at subscription end) F.O.C.

Analytics Comprehensive Report [ACR] (1 per annum at subscription end) F.O.C.

NB: All package prices shown exclude VAT

6.5: ANNUAL PORTAL MAINTENANCE SUPPORT AGREEMENT To perform bespoke portal technical checks, back-up and maintenance support for branded portal and the branded products. This is included in the connection costs so is applicable from year 2 onwards.

Annual cost per organisation from April 2012: £525.00

6.6: ADDITIONAL PRODUCTS FOR PURCHASE 6.6.1: Handy Chart Booklets

The Handy Charts are available in hardcopy booklet form for use within a service Price supplied to each trust direct upon application

Description:

Customised front and rear cover (template available) Copy of each handy chart Printed in four colour process Printed throughout on durable 250gsm matt art-text card Wire-o-bind on the left hand side with clear 180micron acetate front and rear Price includes delivery to single trust address only

Type Frequency Cost (£) Dashboard Statistics SDS

Single (Ad hoc) 25 Quarterly (3

reports) 65

Annually (11 reports)

200

Comprehensive ACR

Single (Ad hoc) 250 Quarterly (3

reports 600

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6.6.2: Administration System Reports Two types of report are available. A summary dashboard of website statistics and a more in-depth report detailing the top content usage over time (including top drugs, top conditions and top questions) which is interpreted in comparison with the National average. 6.6.3: Google Analytics Quality Account Reports: These are comprehensive detailed report documenting top conditions, top drugs, top questions asked, top downloaded handycharts/handypills/handyquils. This includes graphical representation together with the interpretation of the results in comparison to the national summary data behaviour. This can be valuable to highlight areas of e.g. non-formulary drug activity vs formulary drug activity, new product activity in relation to potential pharmaceutical company activity. Also these reports can identifying potential “focus group” areas for additional education and training sessions. End of year annual report Free Additional Quarterly reports (each) £250 Regular Quarterly reporting (saving £150 on cost of 3 individual reports) £600 6.6.4: Statistical Data Dashboard Report These are summary documents as concise pdf reports which contain website statistics. This includes the number of visits, unique visits vs return visits, the time on the site, the bounce rate, map of the origin of the access to name a few. These can be valuable to determine the growth in access of the website by your service users in relation to your publicity and internal promotional campaigns. Annual Site Usage Report Free Individual reports £25 Regular Quarterly reporting (saving £10 on cost of 3 individual reports) £65 Regular Monthly (saving £75 on cost of 11 individual reports) £200 6.6.5: Branded Handycharts, Handypills & Handyquills Hard copy, high quality, double sided, colour leaflets or CD ROMs of Organisational branded products as PDF files are available to purchase. These support access for services with limited internet connection.

Dual Sided Hard Copy HandyPILL Information Leaflets: Available in 130 paper, dual sided, branded to trust high quality, colour, 130gsm silk, sorted and delivered: Price on Application

Per CD Rom: Current subscribing organisation (admin, posting, packing, support) £60 Organisation not subscribing (includes license for content use & support) £1,000

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6.7: RECONNECTION Following disconnection after late-payment of annual subscription (payment due on invoice with terms of payment within 28 days) £550 6.8: PAYMENT SCHEDULE Placement of order Bespoke portal charge due Completion of bespoke portal Annual subscription charge due 7: TERMS AND CONDITIONS

Prices shown in the document are exclusive of VAT which is applicable at 20% Costs are quoted based upon the specification provided at the time of the request

and are subject to time-limited period of 28 days Any changes in charges for annual subscriptions will be communicated to the

organisation prior to expiry of the annual subscription Any subscription payment overdue for more than 28 days will be disconnected and

therefore a re-connection fee is applicable Mistura retain all Intellectual Property rights for the website content, underlying

systems, server-side scripts and computational code related and therefore no reproduction, use of the material or content other than in the Service Level Agreement is permitted

8: CONTACT DETAILS

For any further information, request an information pack or a quotation please contact: Email: [email protected]

Telephone: 07732 623547

Office: 01670 528451/400

Fax No: 01670 528440

________________________________________________________________________ 1. Elwyn G, O’Connor A, Stacey D, Volk R, Dewards A, Coulter A et al. Developing a quality criteria framework for patient decision aids: online international Delphi consensus process. BMJ 2006;333:417


choice and medication subscription guide

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