1. New Contract Quality Criteria March Session – are you ready to claim?
Fiona Lowe
Chief Officer Coventry, Warwickshire, Herefordshire & Worcestershire LPCs
This meeting has been supported by the following Companies Christie’s and Kyowa Kirin International plc through the purchase of the Exhibition stand space. These Companies have had no involvement with the Speaker selection or content of this meeting

2. Introduction

3. Agenda 6:30 pm Registration and refreshments
7:15 pm Christie’s presentation
7:30 pm Introduction and overview
7:40 pm Getting the Basics right
7:55 pm Gateway Criteria
8:20 pm Q&A Gateway
8:30 pm Quality Criteria including HLP
9:00 pm Q&A Quality Criteria
9:15 pm PharmOutcomes
9:30 pm Close & feedback forms

4. Christie’s Presentation 7.15pm
Jassi Sumner

5. Introduction and Overview
Fiona Lowe

6. Highlight the submissions needed for March 31st 2017
Overview
Highlight the submissions needed for March 31st 2017
Updates for Quality Points – gateway and payments
PharmOutcomes data capture – all pharmacies now have access
Provide some handouts to support compliance

7. Basics
Remember that before you get to Gateway Criteria you need to be meeting ALL your essential terms of service for the Pharmacy Contract
So make sure that you have everything in place and have completed any CPAF actions issued by NHSE as part of any monitoring visits
Plus completed all your annual returns:
Topic
Requirements
By when?
Information Governance (IG) Toolkit
To complete and submit an annual IG Toolkit.
31 March 2017
Community Pharmacy Patient Questionnaire (CPPQ)
To conduct an annual CPPQ and publish the results (see Gateway Criteria info)
Clinical audit
To conduct two audits each year: one on a topic of your choice and one determined by NHS England (please note, no national audit has been determined for 2016/17).
Don’t forget annual complaints report – template on PSNC and nil returns required

8. Help and Support from the LPC
CPWM Website:
LPC Websites: ;
LPC Office:
Unit 24 Basepoint Business Centre; Crab Apple Way, Vale Park, Evesham, WR11 1GP
Office Phone: ; (Admin Support: Monday to Friday)
Fiona Lowe ( contactable: 9-6 Monday - Friday)

9. Getting the Basics Right
Cat Sheil
Assistant Contract Manager NHSE

10. Covering The Basics: Essential and Advanced Services
Quality Payments – Are You Claim Ready?

11. Back To Basics
Gateway Criteria for Advanced Services and Quality Payments scheme require compliance with Terms of Service.
Non compliance means not eligible for participation in ‘clinical’ future
NON-COMPLIANT PHARMACIES WILL NOT BE ALLOWED TO QUALIFY FOR QUALITY PAYMENTS SCHEME NOR RECEIVE THE ADDITIONAL FUNDING

12. Essential Services Paperwork Submissions
Deadline to Complete – 31st March 2017
Clinical Audit
Community Pharmacy Patient Questionnaire
Annual Complaints Report
IG Toolkit
Submit to NHS England by 10th April 2017

13. Advanced Services Paperwork Submission
Deadline To Submit 10TH April 2017
MUR Quarterly Report
NMS Quarterly Report
Submissions now made through NHSBSA

14. ICO Registration 100 Hour Monitoring
The Data Protection Act 1998 requires every data controller (e.g. organisation, sole trader) who is processing personal information to register with the Information Commissioners Office (ICO)
Needs to be renewed annually
Fines of up to £10,000 for failure to register
100 Hour Monitoring
All 100 Hour Pharmacies need to submit 100 hour monitoring forms every 4 weeks.

15. How Do I Know That I’m Compliant?
CPAF Self Assessment due in June 2017
Full CPAF Questionnaire Template for last year is available to view on NHSBSA website
onServices/CPAF_Full_Survey_-_ pdf
Sign up to the Pharmacy Information Service on NHS Networks

16. Quality Payments Scheme Updates
Jin Samra
Senior Prescribing Adviser
Midlands & Lancashire Commissioning Support Unit
Wednesday 1st March 2017

17. Overview
Objectives
Ensure contractors can pass gateway criteria for the QPS scheme at the first review date.
Ensure contractors know how to claim QPS quality points.
Ensure contractors know how to track and record their progress towards achievement of QPS Criteria via the PharmOutcomes assessment framework.
*Updates based on newly released NHSE guidance, available from: comm/pharmacy/framework-1618/pqp/
Plan
Gateway Criteria Update
Quality Criteria Update
Quality Payments PharmOutcomes assessment framework
3 Objectives
I strongly recommend all contractors view this guidance to help them meet the QPS criteria.
Fiona will provide a H/O of new NHSE guidance tonight as part of this evenings pack
Plan

18. NHS Urgent Medicines Supply Advanced Service (NUMSAS)
Registrations for premises specific shared mailbox accounts to provide NUMSAS, will be prioritised by NHS Digital.
To request a premises specific shared mailbox, register at digital.citizenspace.com/digital- medicines/nhsmail-west-midlands/ by 7th April 2017.
The Pharmacy shared mailbox owner will:
Activate the mailbox & enable access to the shared mailbox for colleagues by
facilitating the setting up of up to 3 linked personal NHS mail accounts for colleagues to access the shared mailbox.
Once shared mailbox is set up – the pharmacy can register for NUMSAS on NHS BSA website at
NUMSAS service spec available from: content/uploads/2016/11/numsas- service-specification.pdf
PSNC further guidance from: news/numsas-registration-now- open/
The roll out of shared mailboxes to be able to register for NUMSAS is behind schedule – if you have applied for an NHS mail account as part of meeting GW criteria you will be contacted by NHS Digital in due course.
Citizen space requests info on: Pharmacy name, address, F code etc. but also the pharmacy address and name of pharmacy shared mailbox owner

19. How to Claim Quality Payments via the NHS BSA online declaration website
Pharmacies to complete the online declaration on the NHS BSA website at
Review Point One, 28th April 2017:
Website open for declarations between Monday 10th April 2017 to Friday 12th May
Payments to contractors made at end of June 2017
Review Point Two, 24th November 2017:
Website open for declarations between Monday 13th November 2017 to Friday 8th December 2017.
Payments to contractors made at end of Feb 2018
The POAF support tool should be used as an evidence portfolio prior to completing the BSA online declaration.
The BSA online declaration tool is NOT YET linked to the PharmOutcomes Assessment Framework (POAF) support tool.
Before I begin talking about QPS specifics, I’d like to explain the process for claiming quality points.
The assumption is the tool will be similar to that used for CPAF.
BSA are intending provide additional support to contractors via WebEx sessions –dates are not yet confirmed.
To book in April: Please send your request as follows to
Dates AM PM
Monday 3rd 11:00-12:00 , 2:00-3:00
Tuesday 4th 9:30-10:30, 2:00-3:00
Thursday 6th 11:30-12:30,
Friday 7th 9:00-10:00, 11:00-12:00

20. Introduction to Quality Payments Scheme (QPS)
The QPS Scheme
From 1st December 2016, DH has introduced a new QPS scheme on community pharmacies.
Focus on recognising and rewarding quality rather than dispensing volume within the CPCF.
2 review dates for payments: April 28th and 24th November.
Gateway Criteria must be fulfilled for eligibility to QPS payments.
Gateway Criteria Updates
To qualify for payments on the first review date, contractors must first meet the following gateway criteria:
NHS Mail set up and active
Up to date NHS Choices entry:
EPS set up and active
Delivery of at least one specified advanced service from: NMS, MUR or NUMSAS.
*Contractors declaring on the BSA website that they are offering NMS or MUR must have the service visible in the services section of their NHS choices profile by the first review date.
Just to recap, a brief re-introduction to QPS, WE KNOW that
NHS Mail:
For April review date evidence of an application for an NHS mail account by the 1st Feb is sufficient.
Not to be confused with the RQMTS for NUMSAS which is contractors need to have a shared pharmacy mailbox NHS mail account to be able to register to provide the NUMSAS service.
More detail on NHS Choices coming up

21. NHS Choices Gateway Criteria Update
To meet GW criteria at the first review point; contractors must amend/validate their NHS Choices profile by 28th April.
Specifically:
Opening hours
Pharmacy facilities
Pharmacy services (Advanced & Enhanced)
Pharmacies that don’t currently have profile editing rights can register for web editor rights at:
Existing web editor passwords can be reset at:
User guides for managing the NHS choices profile are available from s/manage-profiles-faq.aspx
Slide first then….
Please note:
One Web editor account will be issued per pharmacy.
Pharmacies not listed on NHS Choices need to contact NHSE local team to do so
NHS Choices will also maintain a record of when each contractor last updated its NHS Choices profile
Pharmacy Services includes:
Advanced services and other services which are useful for patients to know about. Please note that there is no listing for essential services in the first review period. For the second review period, essential services will be included but auto-populated onto each provider profile.
Pharmacy (NHS) Services i.e. services commissioned by NHS England, Local Authorities and Clinical Commissioning Groups (CCGs)
Pharmacy (Non-NHS) Services i.e. Patient-funded services

22. NHS Choices and Distance Selling Pharmacies (DSP’s)
Gateway Criteria by 28th April 2017:
DSP’s to review their NHS Choices entry and the NHS Choices service desk :
If DSP is NOT listed on NHS Choices: the service desk with subject: No DSP profile and provide info as per table.
If DSP is listed on NHS Choices: the service desk with subject: Distance selling pharmacy to confirm accuracy of their profile and provide info as per table.
DSPs to complete their online declaration on the BSA website to confirm the service desk has been ed accordingly.
NHS Choices will further engage with & survey DSP’s to collect info to be added to their NHS Choices profiles.
Gateway Criteria by 24th November:
DSPs to complete survey and the service desk with subject : DSP survey
DSPs to complete their online declaration on the BSA website that the DSP survey has been sent.
Show of hands if any contractors are present with Distance selling pharmacies?
This slide is specific to DSPs.
DSPs do not currently have full NHS Choices entries, instead there is an A to Z list including name/web address/telephone and EPS status.
Slide: To meet Gateway criteria by 28th April 2017……

23. Any Questions?

24. QPS Quality Criteria Domain Criteria, On the day of the review:
Points obtainable per review point
Review points at which can be claimed
Patient Safety
Written safety report at premises level available for inspection at review point 20
One
80% of registered pharmacy professionals working at the pharmacy have achieved level 2 safeguarding status 5
Two
Patient Experience
Results of the Community Pharmacy Patient Questionnaire from the last 12 months is publicly available on the pharmacy’s NHS Choices page
Public Health
Pharmacy is a Healthy Living Pharmacy level 1 (self-assessment)
Digital
Pharmacy can demonstrate a total increase in access to Summary Care Records between 1 December 2016 and 28 April 2017 in comparison to the previous 5 months;
Pharmacy’s NHS 111 Directory of Services entry is up to date.
2.5
Clinical Effectiveness
Pharmacy can show evidence of asthma patients, for whom more than 6 short acting bronchodilator inhalers were dispensed without any corticosteroid inhaler within a 6 month period, are referred to HCP 10
Workforce
80% of all pharmacy staff working in patient facing roles are trained ‘Dementia Friends’.
6 DOMAINS. 8 CRITERIA.
Potential 100 points available across the 2 review dates.
2 of the quality criteria , account for 40 points and can only be claimed at ONE of the TWO review dates i.e. HLP & Safety reports

25. Safety Criteria: Safety Report
“Production of a written report that demonstrates evidence of analysis, learning and action taken in response to near misses and patient safety incidents, including implementation of national patient safety alerts and having shared learning.”
Claim at one review point only: worth 20 points.
In order to meet this quality criterion, contractors should:
Include evidence of actions in response to CAS alerts.
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; and
share learning e.g. via LPC.
Document in a written patient safety report – can use annex 1.
Annex 1 available from comm/pharmacy/framework-1618/pqp/
Already requirement of the CPCF essential services to record patient safety incidents in an incident log
SLIDE
If part of a corporate, you will have your own template for recording safety incidents. If not you can use annex 1.
Annex 1 monthly patient safety report template: allows you to collate and review patient safety incidents each month. Contractors can use the outputs of these forms to complete their annual written patient safety report. The template will likely be made uniform going forward.
Annual report looks identical to Annex 1 except has an additional section to record monthly summaries of incidents.

26. Safety Criteria: Safeguarding
“80% of registered pharmacy professionals (pharmacists, locums and technicians) have achieved level 2 safeguarding status for children and vulnerable adults within the last 2 years.”
Can be claimed at two review points: worth 10 points.
80% of all registered Pharmacy professionals working in Pharmacy on 28th April will have needed to complete a level 2 safeguarding course within the last 2 years and have certification to prove this.
Training is available from:
CPPE safeguarding children and vulnerable adults eLearning 2017 and the associated…
CPPE safeguarding e-assessment level 1 & 2 (2017).
Local Safeguarding children and vulnerable adults workshops
Once e-assessment is completed, a certification of completion can be downloaded from CPPE and saved as evidence.
Best practice to train all members of staff and regular locums - should by default end up c 80% coverage.
If completed training before 29th April 2015 (> 2 years ago) will need to complete the e-assessment and may need to re-do the training as in 2017 new updates to the CCPE training, to include child sex exploitation and care act 2014.
If completed face to face training within the last 2 years, if you haven’t done so you will still need to complete the e-assessment.

27. Patient Experience Criteria
“On the day of the review, results of patient experience survey from the last 12 months published on the pharmacy’s NHS Choices page.”
Claim at one review point only, worth 5 points.
All Pharmacies are required to conduct an annual community pharmacy patient questionnaire (CPPQ) for patient feedback.
For further information on how to complete your CPPQ go to
PSNC website contains an adaptable Standard national survey template developed to collate and analyse CPPQ responses.
Standard national survey template visual (annex 3 of new guidance).
Results of the CPPQ must be uploaded via pdf. to the Pharmacy’s NHS choices profile. User guide available via community-pharmacy-patient-questionaire.pdf
CPPQ results upload user guide visual.
DSPs may display results of their CPPQ on their website & notify NHS Choices service desk.
In the longer-term, NHS Choices will be developed to allow for the CPPQ to be uploaded in a way that is more accessible to NHS Choices users and will ensure that the CPPQ information for each pharmacy looks the same and can be compared.
Must follow naming conventions when uploading i.e. CPPQ 2016/2017 if not the pharmacy will not appear in the report from NHS choices to NHSE, that validates the pharmacy meets this criterion.

28. Public Health Criteria
“Health Living Pharmacy (HLP) Framework for self-assessment.”
Can be claimed at one review point: worth 20 points.
On first review date the Pharmacy must meet PHE requirements for HLP level 1 status or have been accredited as an HLP locally after 01/12/14.
Pre-requisites necessary to achieve HLP Level 1:
Pharmacy has a consultation room, compliant with the Advanced Services standards.
In the past year, the pharmacy has provided both MURs and NMS, and has proactively engaged in health promoting conversations.
In the past year, the pharmacy has participated in the provision of the NHS Community Pharmacy Seasonal Influenza Vaccination Advanced Service or has actively referred patients to other NHS providers of vaccinations.
Contractors will only be able to complete the HLP declaration assessment of compliance when they have met the General Pharmaceutical Council’s Standards for Registered Premises and Standards of Conduct, Ethics and Performance and comply with the NHS Community Pharmacy Contractual Framework (CPCF) requirements.

29. Public Health Criteria
“Health Living Pharmacy (HLP) Framework for self-assessment.”
HLP Level 1 – Quality Criteria Self Assessment on PharmOutcomes
Contractors are required to complete the self assessment Evidence Portfolio which corresponds with PHE HLP Level 1 Quality Criteria.
Criteria for HLP Level 1 status are split into:
Workforce development
Engagement
Environment
HLP Quality Criteria Self Assessment visual
HLP Level 1 – Assessment of Compliance PharmOutcomes Framework
Part 1: Contractors to indicate compliance with statements via Y or N
Part 2: Contractors to provide evidence of compliance
Part 3: Declaration of compliance made
Part 4: Once declaration is complete, RSPH will provide HLP certificate.
HLP Assessment of Compliance visual
Hand-over to Fiona RE: HLP
PharmOutcomes have developed 2 platforms for contractors to record evidence & progress for HLP
SLIDE
The examples of suggested evidences from Public Health England, such as completion of the CPPE module, indicate the types of suitable evidence to demonstrate compliance.
It is important to note that  there should be at least one example of evidence for each criteria and the same evidence could be used to support more than one criterion.
NPA website has lots of resources

30. HLP sign off and update
Fiona Lowe

31. HLP sign off options
An entry in the Royal Society for Public Health (RSPH) online register profession- led self-assessed HLP level 1 that has not been previously accredited; or
A copy of the signed and dated documentation that demonstrates that between 1 December 2014 and 28 April 2017 the pharmacy was accredited as a HLP level 1 locally. Pharmacies that have been accredited between 1 December 2014 and 28 April 2017, do not need to go through the profession- led self-assessment process led by PHE to qualify for the quality payment and therefore do not need to register with the RSPH registry; or
A copy of the signed and dated documentation that demonstrates that the pharmacy was accredited as a HLP level 1 prior to 1 December 2014 and that the contractor has completed the profession led self-assessment and are meeting the requirements of a level 1 HLP as defined by PHE on the day of the review, without the pharmacy being listed on the RSPH registry

32. LPC Support and PharmOutcomes
We recommend that you use PharmOutcomes to register your progress so that we can support you with sign off. You can either use the RSPH (until end of March only) to obtain your certificate after self-assessment has been completed or arrange through the LPC who are working with local Public Health teams to provide approved accreditation certificates. You will need to complete PharmOutcomes to support this sign off process. As part of the sign off we will need copies of your Leader and HC certificates and photos of your information zone, which must be a signposted dedicated area (it does not need to be large space). You also need to complete all the criteria listed in the national guide including a folder to retain evidence of signposting, health campaign support, MECC training etc.
The LPCs will also, in conjunction with NHSE, be obtaining Pharmacy Complete HLP booklets and evidence storage folders. These will be made available as soon as possible for those who are on the HLP journey.

33. Any Questions?

34. Digital Criteria: Summary Care Records (SCR)
“Demonstration of having accessed the summary care record and increase in access since the last review point.”
Can be claimed at two review points: worth 10 points.
If you don’t have SCR access:
Attend a face to face learning event
Complete current CPPE eLearning package
Submit the acceptable user agreement form
For the first Review date:
The Pharmacy needs to demonstrate a total increase in access to SCR from Monday 27th June 2016 to Sunday 27th November 2016 compared to Monday 28 November 2016 to Sunday 30 April
SCR usage calculator accessed at: records/community-pharmacy/calculate- scr-use-quality-payments
Contractors are advised to review and maximise their approach to the use of the SCR
NHS Digital will publish the number of times a Pharmacy has accessed SCR, on a weekly basis.
Contractors can check their SCR figures via QPS SCR Viewing calculator.
Contractors to confirm via the NHS BSA online declaration page that their use of SCR has increased.
Complete CPPE e-assessment
Attend training.
Complete AUA form
Share CPPE certificate with RA’s
SCR access granted via NHS smartcard
SCR calculator easy to use – enter your f code to access your pharmacies information.

35. Digital Criteria: NHS 111 Directory of Services “On the day of the review, the pharmacy’s NHS 111 Directory of Services entry is up to date.”
Can be claimed at two review points: worth 5 points.
The Directory of Services (DoS) is a central directory (NOT in the public domain), which provides NHS 111 call handlers with real time information about services available.
To ensure your DoS profile is up to date:
Visit the DoS checker website via
Enter Pharmacy credentials e.g. ODS code, postcode or Pharmacy name.
If you cannot find your Pharmacy using all three fields: using DoS as the subject.
Click on your Pharmacy profile and check information displayed is correct.
Note down any inaccuracies ready for when NHS 111 DoS lead contacts you for this information
Please note the process to follow to update your DoS profile, is different to that stated in the NHS England guidance. Contractors should follow the process on the NHS England website; the process is also listed below

36. Digital Criteria: NHS 111 Directory of Services cont… “On the day of the review, the pharmacy’s NHS 111 Directory of Services entry is up to date.”
If there is more than one entry, repeat steps 4 to 5 above for each profile.
Complete the survey form available at: even if all information is correct. This informs your local NHS 111 DoS Lead you have checked your DoS entry.
Once the survey is complete, retain the confirmation as evidence that this quality criterion has been met.
Further information available from directory-of-services-checker-now-available/
Although the quality criterion states ‘On the day of the review, the pharmacy’s NHS 111 Directory of Services entry is up to date’ NHS England has confirmed that as long as the above process is followed, contractors will meet the quality criterion for the April review point even if changes are not made to a pharmacy’s DoS entry by the local NHS 111 DoS Lead by the April review point.

37. Clinical Effectiveness Criteria: Over use of Asthma Treatments
“Asthma patients dispensed more than 6 short acting bronchodilator inhalers without any corticosteroid inhaler within a 6 month period are referred to an appropriate health care professional for an asthma review.”
Can be claimed at two review points: worth 20 points.
The Asthma quality criterion reporting tool is available via the services tab.
The tool allows the secure referral of appropriate patients to their GP in a similar manner to GP notifications for the national FLU service.
Contractors are advised to download reports for this service platform to act as evidence when completing the POAF.
Asthma Referrals service platform visual
Where no patients are identified for referral, the contractor will still be eligible for payment as long as they can evidence that they have been working to identify
Suitable patients and that they have a process in place for referral should they identify someone.
The surveillance required focuses on the use of SABA inhalers and could be a combination of one or more of the following:
monitoring the number of SABA inhalers dispensed in a rolling 6-month period
through the pharmacy patient medication records (PMR) or through routine or
opportunistic access to SCR;
monitoring patient emergency supply requests for SABA inhalers;
monitoring out of hours or urgent prescriptions for SABA inhalers;
monitoring emergency supply requests through the NUMSAS service;
monitoring repeat prescription requests for SABA inhalers;
monitoring the number of SABA inhaler dispensed as part of a MUR or NMS;
and
monitoring non-collection of prescriptions for steroid inhalers.

38. Workforce Criteria
“80% of all pharmacy staff working in patient facing roles are trained ‘Dementia Friends.”
Can be claimed at two review points: worth 10 points.
The Dementia Friends initiative was developed by the Alzheimer's society in 2012 and is supported by Public Health England.
How to register as a dementia friend for organisations:
Register your pharmacy on the Dementia Friends website at
A unique code will be sent which allows access to the Pharmacy dashboard and videos.
Each staff member should watch a minimum of 2 from 5 short online videos
Contractors should order Dementia Friend badges by ing
Contractors will need to declare via the NHS BSA online declaration tool that this criterion has been met. The above can be used as evidence.
LAST CRITERIA
Individuals e.g. new starters or locums can use a pharmacies unique code or they can register via the organisational route using the words e.g. Jane Smith Pharmacy Locum

39. QPS Assessment Framework on PharmOutcomes
Access the framework at
The framework can be accessed using your existing log in details.
If you do not have a log in contact Pinnacle Support at
From the home page click on the “Assessments” tab to access the framework.
Framework Visual
Saving details on the framework will automatically update the summary of quality payments report.
The PSNC have developed a quality framework on PharmOutcomes.
The framework allows monitoring of compliance and progress with the Quality Criteria by the contractor and the LPC.
Payment will be made at each review point (28th April 2017 & 24th November 2017) once contractors have made their declaration to the NHS BSA.
POAF designed for contractors to track & record progress with regards to achieving QPS criteria. EVIDENCE PORTFOLIO can also be a physical folder
LPC are able to log in and direct support to contractors via the POAF.
The POAF contains links to further information on PSNC website

40. Any Questions?

41. Thank you to our sponsors Thank YOU for attending Safe journey home
Before you go….
Local information
Thank you to Jin & Cat
Thank you to our sponsors
Thank YOU for attending
Safe journey home
Feedback forms and handouts