Value-based Decision Making in Community Pharmacy
Funding Cuts and Quality Payments – Session 4
Jeff Blankley MRPharmS
Chair
Birmingham Local Pharmaceutical Committee
Wolverhampton Local Pharmaceutical Committee
February 2017
Value-based Decision Making in Community Pharmacy
Objectives
 Recap of cuts and changes to the funding structure
 Share impact on income
 Updates for Quality Points – gateway and payments
 PharmOutcomes data capture x 3
 Highlight the submissions needed for March 31st 2017
 Provide some handouts to support compliance
 CPWM Website: http://psnc.org.uk/cp-west-midlands/
 Gather some feedback
Value-based Decision Making in Community Pharmacy Contractor
Evening
Supporting YOU to be ready:
for 31st March 2017 and
for 28th April 2017
Session 4:
 Agenda
 18.45 Arrival, Registration & Buffet
 19.15 Welcome & Introductions
 19.30 Main event
 QP Update for April
Jin
 PharmOutcomes inputs for April
Jin
 Contract Deadlines for march 31st 2017
Jeff
 21.00 Close
Value-based Decision Making in Community Pharmacy
Supporting YOU to be ready. Usual disclaimer/conditions apply
 Summary of Changes
 2-year package
 -£113m in 16/17 (4 months)
 17/18 squeeze to make up the lower reduction in 16/17 (late implementation)
 Single Activity Fee (SAF) £1.13 from Dec 16 increasing to £1.24 in April 17
 Reduction in Establishment Payment (-20%) in Dec 16 and a further -20% from Apr 17
 Introduction of Quality Payments from Apr 17 (£75m) (from existing funding)
 Gateway criteria to become eligible for Quality Payments
 Introduction of Pharmacy Access Scheme (PhAS) (4 in Birmingham, 1 in Wolverhampton)
 Introduction of ERMS linked to NHS 111 (Pilot) (£2m in 16/17) (WIGIG) (PhIF)
 Changes to market entry regulations. Mergers, PNAs
Value-based Decision Making in Community Pharmacy
Funding Cuts and Quality Payments
Value-based Decision Making in Community Pharmacy
Quality Payments in 17/18
 Total of 100 points
 £64 per point
 = £6,400 per contract
 Size of the prize Birmingham = £1.862m
 Size of the prize Wolverhampton = £448k
 Could increase as additional allocation if less than 100% uptake
 To a max of £128 per point
Value-based Decision Making in Community Pharmacy
Quality Payments in 17/18
 Role LPC
 Committed to enabling 100% of contractors to claim maximum
points
 Providing own sessions F2F and sequential written updates
 Providing online links and all F2F materials CPWM Website
 http://psnc.org.uk/cp-west-midlands/
 Signposting local alternatives
 Signposting essential allied events
 Role of the Contractors
 Committed to claiming maximum points
Quality Payments Scheme
Updates
Jin Samra
Senior Prescribing Adviser
Midlands & Lancashire Commissioning Support Unit
[email protected]
Wednesday 1st March 2017
8
Overview
Objectives
1. Ensure contractors know what is required of them to pass the gateway criteria for the QPS
scheme at the first review date.
2. Ensure contractors know what is required of them to claim QPS quality points and how to do
so.
3. Ensure contractors know how to track and record their progress towards achievement of
QPS Criteria via the assessment framework on PharmOutcomes.
*Updates based on newly released NHSE guidance, available from:
https://www.england.nhs.uk/commissioning/primary-care-comm/pharmacy/framework-1618/pqp/
Plan
• Gateway Criteria Updates
• Quality Criteria Updates
• Quality payments PharmOutcomes assessment framework
• IG (Jeff Blankley)
• Close
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How to Claim Quality Payments via the NHS BSA online declaration website
• Pharmacies to complete the online declaration on the NHS BSA website at
www.nhsbsa.nhs.uk/QualityPaymentscheme
• Review Point One, 28th April 2017:
• Website open for declarations between Monday 10th April 2017 to Friday 12th May 2017.
• 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 BSA online declaration tool is currently unavailable to view and is NOT YET linked to the
PharmOutcomes Assessment Framework (POAF) support tool.
• The POAF support tool should be used as a portfolio to gather evidence prior to completing the
BSA online declaration.
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Introduction to the Quality Payments Scheme (QPS)
The QPS Scheme
Gateway Criteria Updates
• From 1st December 2016, DH has
introduced a new QPS scheme on
community pharmacies.
To qualify for payments on the first review
date, contractors must first meet the
following gateway criteria:
• Focus on recognising and rewarding
quality rather than dispensing volume
within the CPCF.
• NHS Mail set up and active
• 2 review dates for payments: April 28th
and 24th November.
• Gateway Criteria must be fulfilled for
eligibility to QPS payments.
• 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.
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NHS Choices Gateway Criteria Update
• To meet the first review point GW criteria;
contractors must amend/validate their NHS
Choices profile by 28th April.
• Specifically:
• Opening hours
• Pharmacy facilities
• Pharmacy services.
• Pharmacies that don’t currently have profile
editing rights can register for web editor rights at:
https://www.nhs.uk/web-editor
• Existing web editor passwords can be reset at:
https://www.nhs.uk/Personalisation/ResetPassw
ord.aspx
• User guides for managing the NHS choices
profile are available from
http://www.nhs.uk/aboutNHSChoices/profession
als/Pages/manage-profiles-faq.aspx
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NHS Choices and Distance Selling Pharmacies (DSP’s)
Gateway Criteria by 28th April 2017:
• DSP’s to review their NHS Choices entry and e-mail
the NHS Choices service desk :
• If DSP is NOT listed on NHS Choices will need to
e-mail the service desk
[email protected] with subject: No
DSP profile and provide info as per table.
• DSP’s that are listed on NHS Choices, will need to
e-mail the service desk with subject: distance
selling pharmacy to confirm the 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 e-mailed
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 e-mail the service desk
with subject : DSP survey
• DSPs to complete their online declaration on the BSA
website that the DSP survey has been sent.
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QPS Quality Criteria
Domain
Criteria, On the day of the review:
Patient Safety
Written safety report at premises level available for inspection 20
at review point
One
Patient Safety
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
5
One
Public Health
Pharmacy is a Healthy Living Pharmacy level 1 (selfassessment)
20
One
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;
5
Two
Digital
Pharmacy’s NHS 111 Directory of Services entry is up to date.
2.5
Two
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
Two
Workforce
80% of all pharmacy staff working in patient facing roles are
trained ‘Dementia Friends’.
5
Two
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# of Points
obtainable per
review point
# of Review points
at which can be
claimed
14
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 their learning e.g. via LPC/LPN.
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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 workshop
• Once completed a certification of completion can be downloaded from CPPE and saved
as evidence.
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Patient Experience Criteria
“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 valuable patient feedback.
• For further information on how to complete your CPPQ go to http://psnc.org.uk/contractit/essential-serviceclinical-governance/cppq/
• PSNC website contains an adaptable Standard national survey template developed to
collate and analyse CPPQ responses.
• Standard national survey template visual.
• Results of the CPPQ must be uploaded to the Pharmacy’s NHS choices profile. User
guide available via http://www.nhs.uk/aboutNHSChoices/professionals/Documents/how-toupload-the-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.
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Public Health Criteria
“Health Living Pharmacy (HLP) Framework for self-assessment.”
• Can be claimed at one review point: worth 20 points.
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.
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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
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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
Complete CPPE
e-assessment
Attend training.
Complete AUA 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 2017.
• 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.
Share CPPE
certificate with RA’s
SCR access
granted via NHS
smartcard
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• Contractors to confirm via the NHS BSA online
declaration page that their use of SCR has
increased.
20
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 access DoS for the first time:
• Create a new user account via www.pathwaysdos.nhs.uk
• Complete the online User Request Form and submit.
• Contractors will receive an automatic e-mail with a link to be validated.
• Further confirmation will be sent once the account has been approved by a RA.
• At the first review point the Pharmacy must confirm their DoS entry is up to date via the NHS
BSA online declaration page.
• Contractors can check their DoS entry and request changes via an online form available at:
https://www.england.nhs.uk/commissioning/primary-care-comm/pharmacy/framework1618/pqp/
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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
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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
https://www.dementiafriends.org.uk/
• 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 e-mailing
[email protected]
• Contractors will need to declare via the NHS BSA online declaration tool that this
criterion has been met. The above e-mail can be used as evidence.
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QPS Assessment Framework on PharmOutcomes
• The PSNC have developed a quality
framework on PharmOutcomes.
• Access the framework at
https:///pharmoutcomes.org
• The framework allows monitoring of
compliance and progress with the Quality
Criteria by the contractor and the LPC.
• The framework can be accessed using your
existing log in details.
• Payment will be made at each review point
(28th April 2017 & 24th November 2017) once
contractors have made their declaration to the
NHS BSA.
• If you do not have a log in contact Pinnacle
Support at [email protected]
• 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.
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Thank you for your time…
Value-based Decision Making in Community Pharmacy
Close
Request feedback form
Don’t forget CPWM Website
Thank you to Jin
Thank YOU for attending
Safe journey home
Good night