Electronic Prescription Service EPS support provided by NHSBSA
Agenda • Icebreaker • Introduction to the NHSBSA and Prescription Services • The Electronic Prescription Service: Benefits • Increasing your EPS use: NHSBSA Support • Your CCG data • Group Session 1 • eRD: The Basics • Group Session 2 • Cancellations and the Tracker • Increasing your eRD use: NHSBSA Support • Phase 4 • Group Session 3 • Contact us
ICEBREAKER! What % EPS is your practice at?
NHS Business Services Authority The NHSBSA‟s services include : – helping patients pay for their health costs – providing EHIC cards – calculating reimbursement and remuneration to dispensing contractors and NHS dentists – providing prescribing and dispensing information to the NHS – assessing bursary claims from healthcare and social care students – preventing and investigating fraud, and protecting NHS staff – administering pensions for NHS staff
History of NHS Prescription Services • There has been a prescription pricing function since at least 1911. • We‟ve gone through a number of different identities over the years, but since 2008 we‟ve been called NHS Prescription Services, part of the NHS Business Services Authority (NHSBSA). • We handle all the processing work for English dispensing contractors from three regional offices; Middlebrook (Bolton), Newcastle and Wakefield.
Our processing volumes • The NHS spends £9.4 billion* a year on prescription drugs in primary care in England. • We process over 1.1 billion* prescription items from over 11,500 contractors in England including pharmacy contractors, dispensing doctors and appliance contractors. • The amount of prescriptions we process increases every year by around 5%. * based on the Prescription Cost Analysis report 2018
The Electronic Prescription Service The Electronic Prescription Service (EPS) creates savings by making prescribing and dispensing processes more efficient while improving patient care. EPS currently accounts for 66% of all primary care prescribing*, which has already created significant benefits across the NHS. If the level of EPS use reached its full potential (currently 91%), the associated benefits would be huge. *as of Feb 2019
Benefits for prescribers, patients and the wider NHS
Benefits for prescribers, patients and the wider NHS
Benefits for prescribers, patients and the wider NHS
Benefits for Dispensers • Automated downloads, making prescription processing more efficient. • Less time spent on administration and collecting prescriptions, which means more time for helping customers. • Improved stock control and greater accuracy. • A prescription collection service no longer required between pharmacy and practices.
Benefits for Dispensers • Improved patient satisfaction through reduced waiting times. • Increased accuracy, meaning fewer prescription queries. • Less sorting and less paper to send to NHS Prescription Services.
NHSBSA Offering • We are working in collaboration with NHS Digital and are committed to supporting CCGs, practices, pharmacies and other NHS organisations in maximising their EPS use, delivering the best possible service to patients. • To help us understand the support required, we work on an individual basis with practices, maintaining a close working relationship throughout the EPS process. We can offer a range of reports and other resources to help your organisation at each stage of the journey towards making the most of EPS. • We have developed an EPS Prescribing Dashboard which offers key metrics on EPS use, electronic repeat dispensing volumes and EPS opportunity items.
Data Our dashboards and comparators help CCGs and practices to identify opportunities for increasing EPS which can be found at www.nhsbsa.nhs.uk/EPSDashboard. We can also discuss potential admin time savings based on these opportunities.
Increasing EPS use – Patient engagement • Many patients not using EPS may not be convinced by the benefits to themselves. • The NHSBSA has developed content specifically to engage these patients looking more at the impact to the wider NHS. • This content is available for use: • As a slide show • Text messaging content • We also have other resources to help engage pharmacy and identify suitable patients for EPS. TOP TIP: Search for patients on repeats and send them this content via SMS (iPLATO /MJog ) to inform them of the EPS service.
Increasing EPS use – Nominations • EPS still relies on patient choice through nomination. • Patients must be fully informed about EPS before the nomination can be set on the system. • Nomination consent doesn't have to be in writing , but you do need to have an auditable process. TOP TIPS: • Set monthly nomination targets. • Incorporate a section on recording patient consent for EPS nominations in New Patient Registration Processes. • Set up alerts to remind GPs to speak to non-nominated patients during consultations. • Encourage local pharmacy to nominate prescription collection service patients. • Promote EPS and acquire nomination information on recall letters. • Promote EPS to all patients using online access.
Increasing EPS use – Other useful tips • Correct and consistent smartcard use. • Ensure no PDS mismatches. • Staff training – both existing and new staff. • Regularly monitoring stats. • Use searches regularly to identify suitable patients. • Use the EPS Tracker. • Use EPS for Appliances with patient consent.
Increasing EPS use – Identifying challenges & addressing these • Communication is key. • Arrange workshops with local pharmacies. • Educate and inform patients. • Work with PPGs.
Barnet CCG 90.00 80.00 70.00 60.00 50.00 40.00 30.00 20.00 EPS 10.00 eRD 0.00
Barnet CCG 100.00 90.00 80.00 70.00 60.00 50.00 40.00 30.00 20.00 10.00 EPS eRD 0.00
Benefits for Barnet CCG EPS and admin time: • Barnet CCG current EPS 68.15% , potential 98.07% , admin time saved approx. 164 hours per month. eRD and GP time: • Barnet CCG current eRD 18.14%, Top 10 Region Average 39.17% , GP time saved approx. 343 hours.
Group Session 1 What is the most effective tool/technique/method you have implemented in your practice to increase EPS utilisation? What is the biggest challenge you have faced when trying to push EPS? Let‟s share some best practice !
Electronic Repeat Dispensing (eRD) • Up to 410 million repeat prescriptions are generated every year, which is equivalent to an average of more than 375 per GP, per week. • Two thirds of prescriptions issued in primary care are repeat prescriptions. • This accounts for 80% of NHS medicine costs for primary care.
eRD – Making it work • https://wessexahsn.org.uk/projects/120/electronic-repeat-dispensing
Prescribing an eRD batch When a prescriber issues an electronic prescription for repeat dispensing this will contain the following information: • total quantity per issue. • the intended duration of each issue of the prescription. • how many times the repeatable prescription can be issued before the patient/medication should be reviewed. 2 per day x 28 day duration = quantity of 56 13 issues = 1 year’s supply Content created by NHSDigital
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1 5 6 Review? Content created by Gary Mortimer @ NHSDigital
Community Pharmacy – The 4 Questions • Have you seen any health professional (GP, nurse or hospital doctor) since your last repeat was supplied? • Have you recently started taking any new medicines either on prescription or that you have bought over the counter? • Have you been having any problems with your medication or experiencing any side effects? • Are there any items on your repeat prescription that you don‟t need this month? • eRD and this monthly “review” is part of the Community Pharmacy Contractual Framework
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