1. 28/11/2018
Somerset LPC
Be prepared to Survive & Thrive In The New Pharmacy Contract!
Main topics in presentation are back to basics:
Nomination of patients
EPS and the NHSBSA….
Schedule of payments and impact of incorrect claiming
Prescription tracker
eRD
(c) Devon LPC January 2017

2. National Statistics info in notes and handouts 28/11/2018
Giving national statistics supports the need for a change in mind sets and behaviours regarding EPS. In November it is estimated that over 50% of all claims were electronic…It’s now in the majority. I can update the data nearer the time.
(c) Devon LPC January 2017

3. 28/11/2018
Nominations
(c) Devon LPC January 2017

4. Four Key Principles of Nomination
28/11/2018
Four Key Principles of Nomination
Enforce importance of patient consent and understanding of nomination. With postponement of Phase 4 nomination is key to all pharmacies to maintain and grow their business.
(c) Devon LPC January 2017

5. 28/11/2018
NHSBSA Hints and tips
(c) Devon LPC January 2017

6. How prescriptions are processed?
28/11/2018
How prescriptions are processed?
Regardless of whether the prescription is an EPS Release 2 message or a paper FP10, the rules set out in the NHS England and Wales Drug Tariff are followed.
The rules for EPS are the same as for FP10.
(c) Devon LPC January 2017

7. 28/11/2018
Referred Backs…
EPS Release 2 prescriptions are referred back to the contractor for ‘missing information’ far less than paper FP10s
The most common reason is no price – find out from your system supplier how you can identify products in dm+d with no price so that you can endorse an IP with price, pack size and supplier
When a generic product is prescribed and insufficient information about the dispensed product is supplied may lead to a referred back. In order to be reimbursed correctly the NHSBSA need to know the brand, manufacturer or wholesaler. Please return information about the actual dispensed product supplied. This will allow them to identify the supplier.
(c) Devon LPC January 2017

8. NHSBSA – Schedule of payments
28/11/2018
NHSBSA – Schedule of payments
Main topics in presentation are back to basics:
Nomination of patients
EPS and the NHSBSA….
Schedule of payments and impact of incorrect claiming
Prescription tracker
(c) Devon LPC January 2017

9. NHSBSA – Schedule of Payments
28/11/2018
NHSBSA – Schedule of Payments
Back ground information in NHSBSA Special edition…regarding expiry dates etc….importance of claim message being sent in appropriate time frame. What if I don’t?
(c) Devon LPC January 2017

10. 28/11/2018
Prescription tracker
(c) Devon LPC January 2017

11. EPS Prescription Tracker
28/11/2018
EPS Prescription Tracker
Ensure you can access the Prescription Tracker.
Provides a detailed prescription event history
Some pharmacy systems have the Internet blocked but access is obtained through intranet - check with your IT helpdesk
Suggested recommendation – save tracker link to desktop.
Add to Favourites
Hands up who is using the Tracker?
If you don’t know what the prescription tracker is or what it looks like we are going to look at a screen shot in a minute and there is a hand out in your pack
but it basically lets you look into the Spine to see a detailed history of the prescription for every step of the process using the prescription ID or a patients NHS number.
As it says on the slide – some systems do or can block access but if you just call the systems IT helpdesk they can help as they are fully aware of what the tracker is and does. Or you can use the link provided on the screen
For a lot of people who use the tracker it often becomes their best friend and go to place if they need to locate a prescription or find out its history and it can save users a lot of time and effort so please make the most of it when you can.
(c) Devon LPC January 2017

12. Electronic Repeat Dispensing (eRD)
28/11/2018
Electronic Repeat Dispensing (eRD)
(c) Devon LPC January 2017

13. eRD and the Community Pharmacy Contractual Framework
28/11/2018
eRD and the Community Pharmacy Contractual Framework
As you may be aware NHSE see the increased use of eRD as a key opportunity and NHS Digital have been supporting with a suite of tools. Please take the opportunity to review. What are the benefits for pharmacy?
(c) Devon LPC January 2017

14. eRD - Benefits for the Pharmacy
28/11/2018
eRD - Benefits for the Pharmacy
Improved stock control.
Increased efficiency.
Effective time management.
Reduction in managed repeat workload for GPs reception & admin team and Pharmacies.
IT integrates us digitally.
Enhances patient care.
as pharmacists will be able to order stock and prepare prescriptions in advance – reduction in owings
Dispensing work can be done in quieter times in the pharmacy,
Reduction in Managed Repeats
Reduction in queries
(c) Devon LPC January 2017

15. 28/11/2018
Smartcards
(c) Devon LPC January 2017

16. Smartcards SWCSU Contact – South West Commissioning Support Unit.
28/11/2018
Smartcards
SWCSU
Contact – South West Commissioning Support Unit.
Website :
NHS Digital:
Joe Doherty: Registration Authority Agent (RA)
Tel:
When you have SCR access you can then access SCR……
(c) Devon LPC January 2017

17. Summary Care Records (SCR)
28/11/2018
Summary Care Records (SCR)
Professionally!
(c) Devon LPC January 2017

18. Summary Care Records (SCR)
28/11/2018
Summary Care Records (SCR)
Checking medication details
• Prescription unclear
• Patient can’t remember/unsure about medicines
• Emergency supplies
• New patient to the pharmacy
• Checking possible dispensing/prescribing error
• Checking interactions with:
• Prescribed medicines
• OTC medicines
• Herbal products and supplements
Enlarged detail from previous slide re MEDICATION DETAILS
(c) Devon LPC January 2017

19. Summary Care Records (SCR)
28/11/2018
Summary Care Records (SCR)
Checking information about the patient • Drug allergies • Previous ADRs • ‘Additional information’ such as care plans, blood test results: immunisation history, intolerances.
PATIENT INFORMATION
(c) Devon LPC January 2017

20. Summary Care Records (SCR)
28/11/2018
Summary Care Records (SCR)
Use of the NHS Summary Care Record (SCR)
On the day of the first review, the 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; and on the day of the second review, the pharmacy can demonstrate a total increase to access to Summary Care Records between 1 May 2017 and 24 November in comparison to the previous 7 months.
No evidence is required as the local NHS England team will be able to verify this information from information that will be provided to them by NHS Digital.
…. And you’ll be needing to do this because….. It’s one of the quality criteria!
(c) Devon LPC January 2017

21. Summary Care Records (SCR)
28/11/2018
Summary Care Records (SCR)
Accessing SCR • Make it easy! •
How to access it… through the NHS portal
(c) Devon LPC January 2017

22. Where to find further information?
NHS Digital EPS homepage
GP and surgery staff information
Dispenser information
FAQs
Prescription Tracker
Progress and Statistics
Nomination Data
All practices usage data
EPS Bulletin sign-up
Enquiries
11/28/2018

23. REFERENCE SLIDE Endorsements in EPS R-2
28/11/2018
Do not handwrite endorsements on an EPS Token. These will not be used for pricing.
Find out from your supplier how to apply each endorsement electronically in EPS.
REFERENCE SLIDE Endorsements in EPS R-2
REFERENCE SLIDE
All endorsements must be made electronically
All prescriber endorsements (SLS, ACBS, AF and CC) must be in the ‘prescriber endorsement field’ of the prescription message
All dispenser endorsements must be in the ‘dispenser endorsement field’ of the electronic claim message
must always be user initiated and never automatic
it may be appropriate for a dispensing system to prompt the user if a price endorsement or supplier is required
Some EPS endorsements are just a code selected from a drop down menu e.g. BB, SP, ED, MF
Others are a code plus an associated additional field e.g. IP, XP, NCSO
(c) Devon LPC January 2017

24. REFERENCE SLIDE Endorsements with additional information
28/11/2018
IP - Invoice Price
Allows you to endorse the price, pack size, supplier/brand.
In addition for Non Part VIIIB ‘specials and imports’ also the specials/importers licence number and batch number
[IP] [£486.00, 100ml, Specials Ltd, ML12345, BN ]
Remember
It must be the price per pack size and not the price for the total quantity dispensed
It must be the pack size used for dispensing – the system must not default to the ‘special order pack size of 1’ e.g. 1ml, 1gram, 1 tablet
For specials and imports it must be the invoice price per pack size from which the product was supplied less discount/rebates
January 2017
(c) Devon LPC January 2017

25. REFERENCE SLIDE Endorsements that only need a code
BB - Broken Bulk
When it is applicable and you need to claim broken bulk make sure you add the BB endorsement
[BB]
We also need the pack size so remember to return the actual pack you dispensed as that is where we get the pack size
SP – Unlicensed medicine
When it is applicable and you need to claim an additional fee for an unlicensed medicine manufactured under a MHRA special license or sourced under a MHRA importers licence
[SP]

26. Assorted Flavours
For food replacement / food supplement products where the prescriber does not wish to specify the flavour(s) they will prescribe a ‘flavour not specified’ product:
Ensure Plus milkshake style liquid (Flavour Not Specified)
Fortisip Bottle (Flavour Not Specified)
The prescriber should add the ACBS prescriber endorsement and can also add an AF (assorted flavours) prescriber endorsement - these are specific prescriber endorsement codes
If the prescriber has put AF, assorted flavours or multiple flavours in the dosage instructions or instructions to dispenser then these are not acceptable endorsements – prescriber endorsements must be in the prescriber endorsement field to be identified and extracted for reimbursement.