A summary of the second Quality Payments Scheme 2018/19 – Announcements

December 2018 Update:
PSNC Briefing 066/18 Quality Payments PSNC resources (PSNC LINK)
PSNC Briefing 066/18 Quality Payments PSNC resources (PDF)

September 2018 Update:
PSNC Briefing – Second Quality Payment Scheme 2018/19 (PSNC LINK)
PSNC Briefing – Second Quality Payment Scheme 2018/19 (PDF)


WES Criterion – Non-compliant operating systems and browsers

5th February 2019

If pharmacies have accessed their SCR and have received an email from NHS Digital to say that their systems are compliant and then subsequently received another email to say they are not compliant (or the BHA spreadsheet now shows they are no longer compliant) this is probably due to the pharmacy accessing the SCR through another computer whose operating system/browser is Non-compliant.

To meet the criterion it states that:

Provided that access to the SCR portal from the pharmacy continues with WES compliant operating systems and browsers, contractors will continue to be assessed as having met this gateway criterion. However, any access of the SCR portal with a non-compliant operating system or browser will then lead to the pharmacy being considered non-compliant and therefore not meeting the gateway criterion.

Please ensure that all of the computers that you use to access the SCR are compliant

Contractors are advised to retain the email confirming that they have been validated, as evidence of compliance with the WES gateway criterion.


Quality Payments: Are you sure you’ve updated your NHS website profile correctly?

January 23, 2019
The latest NHS Business Services Authority (NHSBSA) weekly gateway criteria report shows that 2,207 contractors have only updated/validated one or two sections, not the required THREE sections, of their NHS website profile and are therefore, not currently meeting the NHS website gateway criterion. Urgent action is required to ensure all THREE sections have been updated/validated otherwise these contractors will fail the NHS website gateway criterion and will not be eligible for a Quality Payment.

Contractors are reminded that even if one or more sections are correct, they still need to log into their profile and validate this correct information during the required time period (between 00:00 on 3rd December 2018 and 23:59 on 15th February 2019) as well as update any information in the three sections that is no longer correct.

Contractors are encouraged to download the latest NHSBSA weekly gateway criteria report to check whether their pharmacy is listed as not having met the criterion and if required, take corrective action as soon as possible to ensure they meet the NHS website criterion by the review date (15th February 2019).

Meeting the NHS website gateway criterion
To meet the gateway criterion contractors are required to edit or validate three sections of their NHS website (NHS.UK) profile within the above time period. The three sections are:

  1. Their opening hours, including the following Bank Holidays:

Friday 19th April 2019           Good Friday
Sunday 21st April 2019          Easter Sunday*
Monday 22nd April 2019      Easter Monday
Monday 6th May 2019          Early May bank holiday
Monday 27th May 2019        Spring bank holiday

  1. The facilities the pharmacy provides e.g. consultation room, parking, etc; and
  2. The services the pharmacy provides e.g. MURs, NMS, etc.

*Although Easter Sunday is not officially a bank holiday, NHS England has requested that contractors add their opening hours for this date to assist local NHS England teams and DoS leads so they know which pharmacies will be open over the Easter weekend.

A User Guide for managing NHS website profiles to support the Quality Payments Scheme is available on the Manage Provider Profiles page of the NHS website. This  provides step-by-step instructions on how to edit or validate a pharmacy’s NHS website profile.


Quality Payments: Validation of meeting the WES gateway criterion

January 16, 2019

Community pharmacy contractors should today receive an email to their premises-shared NHSmail account* from the NHS Business Services Authority (NHS BSA), which will state whether their pharmacy has been validated as having met the Warranted Environment Specification (WES) gateway criterion of the Quality Payments Scheme.For a pharmacy to be assessed to see if it meets the WES gateway criterion, contractors will need to have accessed the Summary Care Record (SCR) portal from their pharmacy since the 14th November 2018. If the SCR portal has not been accessed from the pharmacy, NHS Digital will not have been able to capture the pharmacy’s operating system and browser details. Therefore, NHS BSA will not have been able to assess whether the pharmacy has met the WES gateway criterion.The email will detail one of three possible scenarios:

  1. The SCR portal has been accessed and the pharmacy has been validated as having met the WES gateway criterion;
  2. The SCR portal has been accessed and the pharmacy cannot be validated as the pharmacy does not currently meet the WES gateway criterion (due to the operating system and/or the browser used to access the SCR portal not conforming to the WES requirements); or
  3. The SCR portal has not been accessed so compliance has not been able to be assessed.

Data used to validate whether a contractor has met the gateway criterion covers the period 14th November 2018 – 10th January 2019.

If the pharmacy has been validated as having met the gateway criterion

Provided that access to the SCR portal from the pharmacy continues with WES compliant operating systems and browsers, contractors will continue to be assessed as having met this gateway criterion. However, any access of the SCR portal with a non-compliant operating system or browser will then lead to the pharmacy being considered non-compliant and therefore not meeting the gateway criterion.

Contractors are advised to retain the email confirming that they have been validated, as evidence of compliance with the WES gateway criterion.

If the pharmacy cannot be validated as the pharmacy does not meet the gateway criterion

Contractors who are assessed as non-compliant are expected to work with their system suppliers to update to an operating system and browser that complies with the WES requirements, as outlined on page 21 of the NHS England guidance by the February review point (15th February 2019).

When this has been completed, contractors should access the SCR portal again to allow compliance to be reassessed. Contractors do not need to access an individual patient’s SCR for validation of this criterion; contractors just need to open the ‘Find a patient’ screen for NHS Digital to be able to capture the pharmacy’s operating system and browser details.

Contractors will receive another email, week commencing 28th January 2019, which will advise if they have been validated and have therefore met this gateway criterion in the next assessment period (11th January 2019 – 24th January 2019).

If the pharmacy’s compliance cannot be assessed as the SCR portal has not been accessed

Contractors should access the SCR portal as soon as possible so that the pharmacy’s compliance with the gateway criterion can be assessed and either validated as having met the gateway criterion or contractors can be advised that the pharmacy does not meet the WES requirements, allowing corrective action to be taken by the February review point. Contractors do not need to access an individual patient’s SCR for validation of this criterion; contractors just need to open the ‘Find a patient’ screen for NHS Digital to be able to capture the pharmacy’s operating system and browser details.

Contractors will receive another email, week commencing 28th January 2019, which will advise if they have been validated and have therefore met this gateway criterion in the next assessment period (11th January 2019 – 24th January 2019).

Further information on the WES gateway criterion can be found at psnc.org.uk/qpwes

*The following companies have requested that the WES gateway criterion email is sent to a representative at their head office rather than to individual pharmacy premises-shared NHSmail accounts:

ASDA; Boots; Britannia Pharmacy; WM Brown (kinghurst) Ltd; Daleacre Healthcare Ltd; Day Lewis plc; Dean & Smedley Ltd; Gorgemead t/a Cohens Chemists; Hollowood Chemists Ltd; The Hub Pharmacy Ltd; Jardines (UK) Ltd; Knights Chemists Ltd; Lincolnshire Cooperative Ltd; LloydsPharmacy; HA McParland Limited; JN McGill Ltd; Manichem Ltd; Medicine Clinic Ltd; Medipharmacy Limited; Midcounties Co-operative Pharmacy Group; Morrisions; MW Phillips Chemists; Paydens Ltd; PCT Healthcare; Pharmacy Care Plus Ltd; Raylane Ltd; Rowlands Pharmacy; Safedale Ltd; Shaunaks Ltd; Steven Lo / Lo’s Pharmacy; Superdrug; Tesco; Waremoss Ltd / Kamsons; Warwick Healthcare Ltd; H I Weldrick Ltd; Well; and X-Pharm Ltd.

 


Guidance for using your NHSmail Account

15th January 2019

Please note below:

On the day of the review (15th February 2019) contractors should retain evidence, to demonstrate how they have met the gateway and quality criteria. To demonstrate how they meet the NHSmail gateway criterion, contractors are encouraged to complete the following actions on 15th February 2019 (contractors need to be able to meet the gateway criterion on the day of the review):

  • Two staff members should send an email to their personal NHSmail accounts, from the premises shared NHSmail account and retain a copy of the email; and
  • A staff member should send an email to a colleague from the premises shared NHSmail account and ask the colleague to reply to it. Retain a copy of the sent email and the colleague’s reply

The following documents will help with any problems you have accessing or using your NHSmail account:
PSNC Briefing 001.19 Quality Payments – meeting the NHSmail gateway criterion
Guide to using NHS mail
Further information can be found by contacting the NHS Digital on:
0333 200 1133
helpdesk@nhs.net


Quality Payments: Risk review resources

11/12/18
PSNC and the Community Pharmacy Patient Safety Group have produced the following resources to assist community pharmacy contractors with meeting the risk review part* of the risk management quality criterion:

  • a template risk review; and
  • a completed example of a risk review.

Both of these resources can be found at: psnc.org.uk/riskmanagement

The risk review part of the quality criterion requires contractors to have available for inspection at the review point (15th February 2019), at premises level, an example of a risk review. The pharmacy team at the premises must have completed the risk review, for a risk in their pharmacy, that has been identified and prioritised with identified risk minimisation actions that the pharmacy team is taking.

Pharmacy professionals are encouraged to complete the CPPE Risk Management guide and e-assessment before the risk review is undertaken in their pharmacy as this will assist them with completing the risk review.

Section 3 of the CPPE guide provides guidance on how to assess risk using a variety of resources, for example, involving the whole team and getting their input into the process, reading previous error reports, etc. It also details information on how to assess the risk using ‘probability’ and ‘severity’ (contractors are required to complete this information on the template risk review that PSNC and the Community Pharmacy Patient Safety Group have produced). Section 4 also details information on how to manage risk, which should assist contractors when thinking about actions that can be taken to reduce risk in their pharmacy.

Contractors can choose to use the PSNC and Community Pharmacy Patient Safety Group template risk review, but it is not a mandatory template and a different template can be used. If contractors choose to use a different template, they should ensure their risk review includes:

  • a description of the risks that have been identified;
  • a risk rating, or completed risk matrix based on:
    • the probability of the risk manifesting into harm;
    • the severity of harm (or potential harm) caused and any associated consequences; and
  • an action plan detailing risk minimisation actions required, details of who will take these actions and timelines for when the actions need to be completed by.

The risk review could also, for example, incorporate a Root Cause Analysis such as the ‘Fishbone’ analysis or use of the ‘Five Whys’ technique; both examples are detailed in the CPPE Risk Management guide (Pages 20-21).

It is also extremely important that actions detailed in the report, are completed and that the risk review is re-visited once the actions have been taken, to document this.

*For the February 2019 review point, there are two parts to the risk management quality criterion that contractors need to meet to be able to claim for this criterion. The first part is that on the day of the review, 80% of all registered pharmacy professionals working at the pharmacy have satisfactorily completed the CPPE Risk Management training; and the second part is that the pharmacy has a risk review as detailed above.

Frequently Asked Questions

  1. Does the risk review need to be submitted to NHS England?
    No. The risk review does not need to be submitted routinely to NHS England, but contractors should ensure that a copy of the report is kept in the pharmacy.
  2. Does the risk review need to be completed by the pharmacy team or can our head office team complete it?
    The report needs to be completed by the pharmacy team at the pharmacy premises for a risk in that pharmacy; however, different strategies can be used to manage risk and the Superintendent Pharmacist may be involved in determining any organisational-level risk minimisation strategies.


Quality Payments: New declaration process

7/12/18

Following the publication of NHS England’s guidance for the Quality Payments Scheme February 2019 review point, NHS Business Services Authority (NHS BSA) will today distribute via email* further information on how contractors can claim for a quality payment when the declaration window opens on Monday 4th February 2019.Contractors will be able to claim for a quality payment via two routes:

  1. Manage Your Service (MYS) application; or
  2. SNAP survey tool (as used for previous declarations).

Pharmacy teams should check with their business owner or head office which route they should use to make a declaration before completing the MYS registration form.

  1. Manage Your Service application

The MYS application provides added benefits over the SNAP survey tool. This includes the ability to provide contractors, at the time of making their declaration, with confirmation that their pharmacy has been assessed against national datasets as either meeting or not meeting the gateway criteria. This means if contractors have not met the five gateway criteria, they have the opportunity to take corrective action before they make their declaration.

There are also longer-term benefits of MYS outside of the Quality Payments Scheme; further information can be found here.

If contractors choose to use this option, they are encouraged to register with the MYS application as soon as possible, to ensure the registration process is complete before the declaration period. Information on how to register is included within the email being distributed by the NHS BSA.

  1. SNAP survey tool

The SNAP survey tool will be available as an alternative option similar to previous Quality Payment Scheme declarations. If contractors decide to use this option, verification of the gateway criteria cannot be confirmed in real time, as in MYS, thus reducing the possible time for corrective action.

Contractors will however be able to check the status of their compliance with the gateway criteria by accessing a spreadsheet which will be published shortly by the NHSBSA (this spreadsheet will not contain confirmation on compliance with the Warranted Environment Specification gateway criterion, but that will be separately confirmed to contractors via an email which will be sent by the NHS BSA).

Contractors will have their gateway criteria verification confirmed by email within a week of their SNAP submission.

The QPS declaration within the MYS application and the SNAP survey tool will both open for declarations for the 15th February 2019 review point on Monday 4th February 2019 at 9am and will close on Friday 1 March 2019 at 11.59pm.

*NHS BSA will send an email today to pharmacy shared NHSmail accounts detailing the two processes, which will also explain how to register for MYS.

Pharmacy teams that work for an organisation that are part of the Company Chemists’ Association or the Association of Independent Multiples pharmacies will not receive this email to the pharmacy shared NHSmail account; head office teams will therefore provide guidance in due course on the process they want pharmacy teams to follow for completing declarations for the February 2019 review point.


Quality Payments: Gateway criteria report now available on the NHS BSA website

December 7, 2018
Community pharmacy contractors are now able to view the first weekly gateway criteria report on the NHS Business Services Authority (NHS BSA) website, which details contractors who have been assessed, using national datasets, as meeting four of the five gateway criteria (Advanced Services, NHS website, Community Pharmacy Patient Questionnaire (CPPQ) and NHSmail).

This weekly report, as detailed in NHS England’s Quality Payments guidance for the February 2019 review point (page 9), means contractors can check whether their pharmacies meet the four gateway criteria and are therefore confident of this, when they complete their declarations for the February review point (15th February 2019).

Contractors are therefore encouraged to check this report to see if the national datasets show they have met the four gateway criteria as detailed above and if not, take corrective action as soon as possible to ensure they meet the criteria by the review point.

The gateway criteria report will be updated each week and will be available by close of business every Friday until the end of the declaration window (1st March 2019); the publication schedule for the report can be found below. Any changes made after each Friday will not be shown until the following week’s update. For example, if a pharmacy’s NHS website profile is updated on Monday 10th December 2018 this will not show on the report on the NHSBSA website until the updated report is published on Friday 14th December 2018.

For cyber security reasons, confirmation of meeting the fifth gateway criterion – compliance with the NHS Digital Warranted Environment Specification (WES) – will be sent by NHSBSA to each contractor’s shared NHSmail account during the first two weeks of December 2018.

Searching for your pharmacy

The report will be found in the ‘Datasets for gateway criteria’ section. Once you have opened it, the simplest way to search for your pharmacy is using a keyboard shortcut: press and hold down the ‘Control’ (Ctrl) key and then press the ‘F’ key or on a Mac, press and hold down the ‘Command’ (Cmd) key and then press the ‘F’ key to open a search box. Enter your pharmacy’s ODS code (F code) and this should then be highlighted. Please check your pharmacy name and postcode are correct on the spreadsheet.

The spreadsheet will display either a green or red box for NHS website opening times, NHS website services and NHS website facilities columns. The dates in these boxes denote when this particular section was last edited or validated; the box will be green if this section has been edited/validated since the 3rd December 2018. If all three boxes are green, the NHS website criterion is deemed to be met.

The spreadsheet also displays a green tick if the pharmacy has been assessed as meeting the gateway criterion or a red cross if the pharmacy has not in the NHS website, Advanced Services, CPPQ and NHSmail columns of the report.

Publication schedule
The weekly report will be available by close of business every Friday from 7th December 2018, and will be updated on the following dates:

Friday 7th December 2018 Friday 18th January 2019
Friday 14th December 2018 Friday 25th January 2019
Friday 21st December 2018 Friday 1st February 2019
Friday 28th December 2018 – No Update* Friday 8th February 2019
Friday 4th January 2019 Friday 15th February 2019
Friday 11th January 2019 Friday 22nd February 2019

*Due to the Christmas holidays, there will be no update to the weekly report on Friday 28th December 2018. Any changes made after Friday 21st December 2018 will not show on the updated weekly report until Friday 4th January 2019.


22/11/18

HLP Accreditation 

Will your pharmacy still be accredited as an HLP Level 1 on the review date?

Community pharmacy contractors are reminded that if their pharmacy was accredited as a Healthy Living Pharmacy (HLP) Level 1 locally or through the profession led self-assessment process this accreditation is only valid for two years.
If a pharmacy was accredited before 16th February 2017, contractors will need to re-accredit their pharmacy as an HLP Level 1 to meet the first part of the HLP quality criterion* at the February review point (15th February 2019) of the Quality Payments Scheme. 
PSNC Briefing 052/18: Quality Payments – How to achieve the Healthy Living Pharmacy quality criterion provides information in the ‘How to meet this quality criterion’ section on page 3, on the process contractors will need to follow if they need to re-accredit their pharmacy as an HLP Level 1.
If contractors need are planning to become an HLP Level 1 for the February 2019 review point, we would encourage contractors to get started as soon as possible. This is to ensure they have adequate time to meet all the criteria required to become an HLP Level 1 and to register on the Royal Society for Public Health (RSPH) register as an HLP Level 1 (registration on the RSPH register is just for pharmacies that are becoming an HLP Level 1 for the first time; if contractors are re-accrediting they do not need to register or re-register) before the review point.
Resources to assist contractors with achieving HLP Level 1; these include full guidance on how to become an HLP, checklists and flow charts and an HLP workbook. Visit the HLP page for these and many more resources.
Re accreditation – We suggest that all pharmacies complete the Assessment-of-compliance HLP and keep it with all your evidence.
RSPH have starting HLP inspection visits but we have not been informed that any have been carried out in Cumbria so far.
If you require any more information about re-accreditation or becoming a HLP pharmacy for the first time please do not hesitate to contact Community Pharmacy Cumbria via email info@communitypharmacycumbria.org

22/11/18

Children’s Oral Health

Public Health – 80% of staff working at the pharmacy that provide healthcare advice to the public have successfully completed the CPPE children’s oral health training assessment 
Useful documents to help the pharmacy team with the Oral Health assessment are below and some can also be found on CPPE website

Guide to Children Oral Health – Pharmacy team –  developed by Community Pharmacy Cumbria

Oral Health video transcript 
A quick guide to a healthy mouth in children
Dental Factsheets
Public Health Matters Dental Health


A summary of the second Quality Payments Scheme 2018/19 – Announcement

PSNC Briefing – Second Quality Payment Scheme 2018/19 

PSNC, NHS England and the Department of Health and Social Care (DHSC) have agreed to update both the gateway and quality criteria for a revised Quality Payments Scheme for the remaining six months of 2018/19.

The revised scheme will have a review point on 15th February 2019, with contractors having a four-week window throughout February in which to make their declarations.

PSNC has negotiated a correction period, so that any contractors who are found by NHS England not to have met the gateway criteria will be given time to correct this so that they can receive any Quality Payments for which they have met the requirements.

The review point has been set to allow for this period, while also giving contractors as much time as possible to meet the updated criteria within this financial year.

The negotiations on the scheme have taken place independently of any discussions on wider community pharmacy funding for 2018/19 because PSNC and NHS England wanted to give contractors as much time to prepare for the upcoming February review point as possible.

PSNC’s objectives were to ensure that all the available funding for Quality Payments would be accessible to contractors, and that any changes to the criteria would be manageable for them.

The changes went through several rounds of negotiations in which they were subject to adjustments proposed by PSNC, before they were agreed.

The changes to the Quality Payments Scheme criteria all help community pharmacy to move in the direction that the sector wants to – contributing to patient safety, clinical effectiveness and public health.

PSNC felt that it was important to signal to HM Government the sector’s ongoing willingness to work in these priority areas at this early stage in rebuilding constructive working relationships with them.
For full details of the new changes and statements from PSNC please visit: ow.ly/TDJL30lYInZ


Quality Payments: Support for meeting the asthma quality criterion

Support is now available from PSNC and on PharmOutcomes to assist community pharmacy contractors with meeting the asthma quality criterion of the Quality Payments Scheme.

PSNC has published Briefing 060/18: Quality Payments – Referrals for asthma review, which provides background information on the asthma quality criterion as well as the following template resources:

Suggested processes for identifying suitable patients – For pharmacy teams to consider following or adapting to incorporate this quality criterion into their daily practice;

  • Briefing document for GP practices – Can be used by contractors to talk local GP practices through the referral process;
  • Letter to GP practices – Can be used in addition to the above GP Briefing document;
  • GP notification form – Can be used to refer a patient to their GP practice to advise that the patient may need their asthma management to be reviewed; and
  • Data collection form – Contractors may be required to provide evidence to NHS England to show that they have met the quality criterion; this form could be used to aid this process.

These resources are all available as standalone documents at: psnc.org.uk/asthmareferrals

PharmOutcomes support

Contractors can also access support on PharmOutcomes for this quality criterion. This support has been made available to all contractors, as PSNC has agreed to use their licence to provide access to the two asthma referral services on PharmOutcomes.

There are two services available; one for patients for whom more than six short-acting bronchodilator inhalers were dispensed without any corticosteroid inhaler within a six month period and one for children who have not been prescribed a spacer device and/or a PAAP. These can be accessing by logging into PharmOutcomes, selecting ‘Services’; and then ‘Quality Payment criterion – Asthma referrals’ and ‘Quality Payment criterion – Children’s asthma referrals’ are listed under the ‘Quality Payment Criteria’ heading.

The PharmOutcomes services allow contractors to record patient details who have consented to be referred to their GP practice. When this data is saved on PharmOutcomes, a referral will automatically be sent to the patient’s GP practice (if an NHSmail email address is held for that GP practice on PharmOutcomes).