Quality Payments Made Simple Webinar: Wed 6 th June 2018, 7.30pm-8.30pm Presented by: Nicola Feeney, Community Pharmacy Lancashire Louise Gatley, Bolton LPC Fin Mc Caul, Greater Manchester LPC Dipesh Raghwani, Greater Manchester LPC
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Quality Payments Made Simple Webinar: Wed 6 th June 2018, 7.30pm-8.30pm Presented by: Nicola Feeney, Community Pharmacy Lancashire Louise Gatley, Bolton LPC Fin Mc Caul, Greater Manchester LPC Dipesh Raghwani, Greater Manchester LPC
Presenters Dipesh Raghwani, Fin Mc Caul, Greater Manchester LPC Greater Manchester LPC Louise Gatley, Nicola Feeney, Bolton LPC Community Pharmacy Lancashire
What we’ll cover • Overview • Key changes • Lessons from last year • Gateway criteria • Quality criteria • Support & resources • Submitting your claim
Key documents NHS England guidance: • Guidance for June 2018 declaration • Gateway criteria • Quality criteria PharmOutcomes module https://www.england.nhs.uk/commissioning/primary-care/pharmacy/framework-1618/pqp/
Overview Value: Review date: Points available: £32-£64 Fri 29 th June 100 per point Quality Payments aren’t complicated! And they’re well worth your time… NHS BSA claims portal open 09.00 on Mon 11 th June until 23.59 on Fri 13 th July
Key changes NHSmail: Pharmacies now need shared NHSmail inbox. Personal accounts no longer sufficient – you’ll FAIL the gateway criteria. NHS Choices: Profiles must now include pharmacy bank holiday opening details. NHS 111 DoS: Profile must now include bank holiday opening. New processes for updating profiles. HLP level 1 & SCR: Time periods have changed. Check new requirements. Others: New reports/reviews required. E.g. you cannot use same CPPQ, safety report, asthma review details as last year.
Lessons from last year NHS Choices: Not validating all 3 sections in time period. Not using correct wording. NHSmail: No evidence of application. (This time must be able to send & receive.) MUR/NMS: No evidence of offering the service. NHS 111 DoS: Not checking / validating correctly. Not using correct wording. Summary Care Record (SCR): Realising too late that use too low in Period 2 – use calculator tool to check. HLP Level 1: Not meeting criteria or not following correct process to demonstrate it.
Gateway criteria Must meet all 4 gateway criteria in order to claim any Quality Payments : • Provision of an advanced service (NMS/MUR/NUMSAS). Must have evidence • Ongoing use of EPS • NHS Choices profile up-to-date • NHSmail access in pharmacy There have been major changes to the NHS Choices & NHSmail requirements – don’t get tripped up.
Gateway criteria: NHS Choices • Must check & validate all 3 sections. • Must now include bank holiday opening details. • Process for DSPs has changed. Checking & validating: Check all 3 sections between 00.00 on Mon 9 th April and 23.59 on Fri 29 th June. Bank holidays: Include all future checked/validated before May bank holidays, must have included them. If now, just include 27 th Aug, 25 th Dec, 26 th Dec & 1 st Jan.
NHS Choices: bricks-and-mortar pharmacies You must create a ‘Public holiday & other special day’ entry on your NHS Choices profile. • NHS Choices user guide explains how (available on nhs.uk). General information • Use the NHS Choices Provider Information Management System (PIMS) – user guide explains how. • Must update opening hours, services you provide, facilities available. • Opening hours: Only include core and supplementary. • Lost password? Reset here.
NHS Choices: bricks-and-mortar pharmacies If you don’t have access to your NHS Choices profile: • Contact nhschoicesservicedesk@nhs.net to request access. • Put ‘QPSAPPLICATION’ in subject header. • Send the email from your NHSmail account, as this will speed up validation. • Email your request by 21 st June for guaranteed access by 23.59 on 29th June. • Include the following information:
NHS Choices: distance-selling pharmacies (DSPs) DSPs do not have access to edit their NHS Choices profiles. Instead, check your listing in the Internet Pharmacy section: • Pharmacy name must be your trading name (not company name if different). • Check your address, phone number & website URL are correct. • Check EPS provision details are correct. • Email nhschoicesservicedesk@nhs.net. Put QPSJUNEREVIEW and your ODS code in the subject header (e.g. QPSJUNERWVIEW FAB01 ). • If you don’t use that wording, you will FAIL validation & not be eligible for QP. • Confirm whether your entry is correct or inform them of required corrections. • You must email them by 23.59 on Fri 29 th June. Internet pharmacies are listed here: https://www.nhs.uk/Service-Search/pharmacies/internetpharmacies
NHS Choices: distance-selling pharmacies If your DSP isn’t listed as an internet pharmacy of NHS Choices: • Contact nhschoicesservicedesk@nhs.net. • Put UNABLETOVERIFYPROFILE in the subject header. • Include your: o Pharmacy trading name o ODS code o Address o Phone number o Website URL o EPS enabled – yes / no (indicate which) • If you’ve been listed as a community pharmacy by mistake, include that information as well so they can correct it.
Gateway criteria: NHSmail Pharmacy staff must be able to send & receive NHSmail from premises shared NHSmail account on 29th June. • Personal NHSmail access no longer counts. • If you don’t have a shared NHSmail mailbox for your pharmacy branch, you will FAIL and be unable to claim any Quality Payments. • Shared mailboxes generally have the format: nhspharmacy.location.pharmacynameODScode@nhs.net (Some old shared mailbox addresses may include the organisation that set it up.)
Gateway criteria: NHSmail Meeting the criteria: • Log into the NHSmail portal using your personal user account. • Check the list of NHSmail shared mailboxes. • Send an email from the shared mailbox to a linked personal account before 23.59 on 29 th June. Keep it as evidence. If you don’t have a shared mailbox: • Act now! Register for a new account at https://portal.nhs.net/Help/joiningnhsmail. • You can request up to 3 linked personal accounts when you register. (Staff use these to access shared mailbox.) • If needed, you can request additional linked personal accounts by contacting england.gmtop@nhs.net (Gtr Man) or england.lancsat-medical@nhs.net (Lancs)
Quality criteria Quality criteria Points (value) Written patient safety report 20 (£640-£1,280 Safeguarding Level 2 (80% registered staff) 10 (£320-£640) CPPQ survey results published 5 (£160-£320) Healthy Living Pharmacy Level 1 20 (£640-£1,280) Increase in Summary Care Record access (or >100 times in each period) 10 (£320-£640) NHS 111 Directory of Services (DoS) entry up to date 5 (£160-£320) Asthma review 20 (£640-£1,280) Dementia Friends (80% of all patient-facing staff) 10 (£320-£640)
Written patient safety report 20 points: £640-£1,280 Aim: Foster a culture of learning and continuous improvement in every pharmacy with regard to patient safety and requires you to complete a written safety report Requirements: • The report must have been written/updated since 24th November 2017 . • It must be available on the premises (i.e. in branch) for inspection. • It must include analysis of incidents and incident patterns (taken from an ongoing log), evidence of sharing learning locally and nationally, and actions taken in response to national patient safety alerts.
Patient safety report How to meet it: • Collate incidents and near misses from an ongoing log • Analyse these and look for patterns • Reflect on the learning from these • Take actions to minimise future risk from repeated errors • Share your learning (both locally and nationally) Then document it in a written patient safety report . Include evidence of specific actions taken by the pharmacy in response to local errors and national patient safety alerts issued by the Central Alerting System (e.g. the recent valproate safety alert).
Patient safety report Options for sharing locally: • Meetings with GP practices and/or local pharmacies. • LPC, LPN, LPF meetings. • Newsletters or other written communications. Templates have been developed by PSNC for monthly and annual reports. These reports need to be retained at the pharmacy for monitoring purposes.
Patient safety report: Annual template
Patient safety report: Annual template
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