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Quality Payments

This page aims to outline where to find tools and resources to help pharmacies meet the gateway and Quality Payment criteria and some key information and actions.

 

The next Quality Payment review point is Friday 15th February 2019.  It is essential that each pharmacy ensures they have a plan in place to maximise their Quality Payment.  Our recent Quality Payments updates can be found below.   

 

For the most up to date information, please visit the PSNC website.  PSNC have also produced a suite of resources to assist pharmacies in meeting each of the quality payments.  These can be accessed from their website: http://psnc.org.uk/services-commissioning/essential-services/quality-payments/.  

 

 

Quality Payments Scheme Review Point – Tomorrow! - 14th February 2019


Gateway Criteria

Contractors must meet ALL the gateway criteria before a claim can be made for the Quality Payments Scheme.  Contractors are encouraged to check if they are meeting the gateway criteria, on the NHSBSA wesbsite.  This report details if contractors have met four of the five gateway criteria: NHS website; Advanced Services; Community Pharmacy Patient Questionnaire (CPPQ); and NHSmail.  

Contractors should have received an email to confirm compliance with the Warranted Environment Specification gateway criterion.  Contractors who have accessed the NHS Spine through connection to the Summary Care Record between 14th November 2018 and 15th February 2019 will have been assessed for compliance for this criterion.  Contractors who have not received an email from the NHSBSA please contact the provider assurance team on nhsbsa.pharmacysupport@nhs.net

Contractors must continue to access the SCR (Summary Care Record) portal from the pharmacy with WES compliant operating systems and browsers to continue to be assessed as having met this gateway criterion. Access of the SCR portal with a non-compliant operating system or browser will lead to the pharmacy being considered non-compliant and therefore not meeting the gateway criterion.

 

Quality Criteria

Contractors must meet one or more of the quality criteria to claim for a quality payment.  Contractors are encouraged to check they meet all the requirements to claim for each of the quality criteria.  Further information can be found here

 

Claiming for Quality Payments

Contractors can make a declaration for a Quality Payments between Monday 4th February 2019 at 9am and Friday 1st March 2019 at 11.59pm. 

Contractors will be able to claim for a Quality Payment via one of two routes: 

  • The Snap Survey tool (as used for previous declarations) or
  • The Manage Your Service (MYS) application.

Further information can be found on the PSNC website

 

 

Claiming Quality Payments and Validation of the Gateway Criteria - 7th February 2019 

Community pharmacy contractors can make a declaration for a Quality Payment for the 15th February 2019 review point between Monday 4th February 2019 at 9am and Friday 1st March 2019 at 11.59pm. 

As for previous declarations, contractors wishing to claim a Quality Payment will be required to submit their declaration online to the NHS Business Services Authority (NHSBSA); however, for the February 2019 review point, contractors will be able to claim for a Quality Payment via one of two routes, the Snap Survey tool (as used for previous declarations) or the Manage Your Service (MYS) application. In addition, there will be a new process for validating a contractor’s submission to confirm if they meet the gateway criteria and actions that contractors will need to take if NHSBSA cannot validate that a contractor’s submission meets all five of the gateway criteria. 

PSNC has published 007/19: Quality Payments – Completing your declaration which provides further information on how to make a declaration and the validation process for the gateway criteria.

 

 

 

NHSmail - New PSNC Briefing - 31st January 2019 

A new PSNC Briefing, 001/19 Quality Payments – meeting the NHSmail gateway criterion has been published to provide contractors with information and a checklist to assist them with meeting the NHSmail gateway criterion of the Quality Payments Scheme. 

The latest NHS BSA gateway criteria report shows that 3,145 contractors have NOT been validated as meeting the NHSmail gateway criterion.  Contractors are therefore strongly encouraged to check the gateway criteria report to see if their pharmacy has been validated as meeting this criterion and to use the checklist contained in the above briefing to ensure that their pharmacy meets or continues to meet the NHSmail gateway criterion.  Further information is available at: ow.ly/G5Xy30niJWv.

 

 

 

Validation of Meeting the WES Gateway Criterion - 24th January 2019 

Contractors should have received an email last week to their premises-shared NHSmail account from the NHS Business Services Authority (NHS BSA), which states 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 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.   Contractors do not need to access an individual patient’s SCR for their pharmacy to be assessed; contractors just need to open the ‘Find a patient’ screen. 

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. 

Information about accessing SCR can be found at https://psnc.org.uk/contract-it/pharmacy-it/electronic-health-records/summary-care-record-scr-home/using-scr-home/using-the-scr-application/.  Contractors who have been validated as meeting the WES gateway criterion should keep the email as evidence of compliance. 

Further information about the Quality Payments Scheme can be found in the NHS guidance: https://www.england.nhs.uk/commissioning/primarycare/pharmacy/framework/pqp/ and the PSNC website: https://psnc.org.uk/servicescommissioning/essential-services/quality-payments/

 

 

 

Quality Payments Scheme-Healthy Living Pharmacy (HLP) - 17th January 2019 

To meet this quality criterion contractors must meet two requirements: 

1. On the day of the review, the pharmacy is a Healthy Living Pharmacy level 1 (self-assessment). 

Contractors are reminded that if their pharmacy was accredited as an HLP Level 1 locally or through the profession led self-assessment process this accreditation is only valid for two years. Therefore, if contractors were accredited before 16th February 2017, the will need to formally re-accredit their pharmacy through the Royal Society of Public Health (RSPH) as an HLP to meet the quality criterion on the day of the review (15th February 2019).

2. On the day of the review 80% of staff working at the pharmacy (including pharmacy professionals) that provide healthcare advice to the public have successfully completed the CPPE children’s oral health training assessment. 

The CPPE Children’s oral health video and e-assessment can be accessed on the pharmacy Quality Payments Scheme page on the CPPE website.  https://www.cppe.ac.uk/services/quality-payments

Further information about the HLP Quality Criterion can be found at https://psnc.org.uk/services-commissioning/essential-services/quality-payments-healthy-living-pharmacy-hlp-self-assessment/.

 

 

 

Quality Payments Scheme- NSAID Audit - 17th January 2019 

For contractors to meet this quality criterion they must assess all patients aged 65 years or over who present a prescription for any oral NSAID or cyclo-oxygenase-2 (COX2) selective inhibitor (this does not include patients prescribed aspirin) and check if they have been prescribed gastro-protection, if this is not the case then these patients should be referred to a prescriber for a review.

Contractors must collect data for two weeks with a minimum of ten patients participating in the audit. In cases where there is difficulty in finding 10 patients to participate, the audit should be extended to four weeks after which contractors can submit the data with the number of patients they have if less than ten. 

Where a contractor is unable to complete the NSAID audit due to the fact that they have not identified any eligible patients during the audit period the contractor should send an email to the NHSBSA Provider Assurance Team following the process outlined by PSNC accessed here: https://psnc.org.uk/services-commissioning/essential-services/quality-payments/quality-payments-nsaids-audit/ 

Further information about the audit and how to submit the data please see: https://psnc.org.uk/services-commissioning/essential-services/quality-payments/quality-payments-nsaids-audit/

 

 

 

Quality Payments Scheme- Risk Management - 17th January 2019 

The risk management quality criterion states that, on the day of the review 80% of registered pharmacy professionals working at the pharmacy have satisfactorily completed the CPPE Risk Management training.  This quality criterion applies to all registered pharmacy professionals including pharmacy technicians and locums working at the pharmacy. 

The CPPE risk management guide and e-assessment can be accessed on the pharmacy Quality Payments Scheme on the CPPE website: https://www.cppe.ac.uk/services/quality-payments

The pharmacy MUST ALSO have available for inspection at the review point, 15th February 2019, at premises level, an example of a risk review that the pharmacy team at the premises have drawn up for a risk in that pharmacy that has been identified and prioritised with identified risk minimisation actions that the pharmacy team is taking. 

Further information and templates to complete the risk management can be found at https://psnc.org.uk/services-commissioning/essential-services/quality-payments/qualitypayments-risk-management/  

Further information about the Quality Payments Scheme can be found in the NHS guidance here: https://www.england.nhs.uk/commissioning/primarycare/pharmacy/framework/pqp/ and the PSNC website: https://psnc.org.uk/servicescommissioning/essential-services/quality-payments/.

 

 

 

Quality Payments Scheme February 2019 – NHS 111 Directory of Services (DoS) – 20th December 2018 

The requirements for this quality criterion have not changed since the 2018 review point. 

For the February 2019 review point, contractors will be required to edit or confirm the information in the pharmacy’s NHS 111 DoS profile is correct on the DoS Profile Updater.   This must be done between 10:00 on 5thNovember 2018 and 23:59 on 15th February 2019 to meet the quality criterion. 

It must include details of your bank holiday opening on the following days: 

  • Friday 19th April 2019 (Good Friday)
  • Sunday 21st April 2019 (Easter Sunday)
  • Monday 22nd April 2019 (Easter Monday)
  • Monday 6th May 2019
  • Monday 27th May 2019 

Contractors can access the DoS Profile Updater here: https://dos-profile.service.nhs.uk/#/index.  Contractors will need the following to access and edit/confirm the DoS profile:

  • An NHSmail account that you can access (contractors who do not have an NHS Mail account can apply for one here: https://portal.nhs.net/pharmacyregistration#/ )
  • the ODS (F) code for your pharmacy
  • the address, postcode and telephone number of the pharmacy
  • the opening times for each of your pharmacy services 

If contractors have any technical difficulties accessing the DoS Profile Updater, they can email the NHS Digital helpdesk (exeter.helpdesk@nhs.net ) or call them on 0300 303 4034. 

Further information about the Quality Payments Scheme can be found in the NHS guidance which can be found at; https://www.england.nhs.uk/commissioning/primary-care/pharmacy/framework/pqp/ and the PSNC website: https://psnc.org.uk/services-commissioning/essential-services/quality-payments/

 

 

 

Quality Payments: Gateway Criteria Report Now Available on NHS BSA Website! – 13th December 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). 

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. 

Further information on the reasons why this report has been introduced, the publication schedule of the weekly report and how to find your pharmacy in the report can be found on the PSNC website

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.

  

 

 

Quality Payments Scheme February 2019 - Dementia Friends – 13th December 2018 

The requirements for this Quality Criterion have not changed from the 2017 and 2018 review points. 

On the day of the review, 15th February 2019, 80% of all pharmacy staff working in patient facing roles are ‘Dementia Friends’.  Contractors who claimed for this criterion in 2018 should review staff turnover to ensure that this criterion is still met on the day of the review.  NHS England would advise that any new patient facing staff should routinely be advised to become a Dementia Friend as part of their induction. 

Further information about the Quality Payments Scheme can be found in the NHS guidance here: https://www.england.nhs.uk/commissioning/primary-care/pharmacy/framework/pqp/ and the PSNC website: https://psnc.org.uk/services-commissioning/essential-services/quality-payments/

If you have any questions about Quality Payments or would like any specific support around any of the criteria, please contact Community Pharmacy West Yorkshire by email info@cpwy.org or by telephone on 0113 2727560.

 

 

 

Quality Payments Scheme February 2019 - Gateway: Updating & Validating your NHS.UK Pharmacy Entry – 6th December 2018 

Contractors must edit and/or validate their NHS website entry between 00:00 on 3rd December 2018 and 23:59 on 15th February 2019.  If you have recently done this (before Monday 3rd December 2018), you must do it again or you will not qualify for Quality Payments. 

This Gateway Criterion has caused most validation issues for pharmacies previously claiming Quality Payments, so please don’t leave it to the last minute. 

Contractors are required to update or validate each of the following three parts of their NHS website profile:

  • Opening hours: core and supplementary hours. Contractors can set up to three opening time slots to account for lunch breaks etc.
  • Services the pharmacy provides, including any advanced services being offered.
  • Facilities available, ie parking. 

Contractors must include Bank Holiday Opening Hours for the following days:

  • Friday 19th April 2019 (Good Friday)
  • Sunday 21st April 2019 (Easter Sunday)
  • Monday 22nd April 2019 (Easter Monday)
  • Monday 6th May 2019
  • Monday 27th May 2019 

If the pharmacy is closed on any of the Bank Holidays contractors must record this on the NHS website. 

Contractors should refer to the NHS guidance  which can be accessed here: https://www.england.nhs.uk/commissioning/primary-care/pharmacy/framework/pqp/ and the PSNC website: https://psnc.org.uk/services-commissioning/essential-services/quality-payments/

  

 

 

Quality Payments Scheme 2019 - Community Pharmacy Patient Questionnaire (CPPQ) Results - 6th December 2018 

Please see the briefing below for the Community Pharmacy Patient Questionnaire (CPPQ) Results Gateway Criterion for the Quality Payment Scheme February 2019 review point.  This has been a Quality Criterion for previous Quality Payment Schemes, however there are some changes to the criterion. 

Quality Payments - CPPQ Briefing 

If you have any questions about Quality Payments or would like any specific support around any of the criteria, please contact Community Pharmacy West Yorkshire by email info@cpwy.org or by telephone on 0113 2727560.

 

 

 

Quality Payments Scheme February 2019 - Changes to the Claims Process - 6th December 2018 

Contractors will only be paid for a Quality Payments claim for February 2019 if they submit their Quality Payments declaration via the NHS BSA Manage Your Service application during the specified claim window (between 09.00 on Monday 4th February 2019 and 23.59 on Friday 1st March 2019).  

The Manage Your Service application will give contractors real-time confirmation of whether they have met the five Gateway Criteria, which must be met before any Quality Payments can be claimed for. 

To access the portal, contractors will receive an automated email by the 10th December 2018 to their shared NHSmail account from nhsbsa.pharmacysupport@nhs.net with a link to the Manage Your Service application; contractors are reminded to check their junk mail if they don’t receive the email as expected.  The email will give instructions on how to register for the Manage Your Service application. 

Contractors who have not received their email by 10th December 2018, should contact the NHS BSA Provider Assurance Team (nhsbsa.pharmacysupport@nhs.net). 

Contractors who do not have a shared NHS Mail should create one following the link https://portal.nhs.net/Help/joiningnhsmail

Further information about the Quality Payments Scheme can be found in the NHS guidance here: https://www.england.nhs.uk/commissioning/primary-care/pharmacy/framework/pqp/ and the PSNC website: https://psnc.org.uk/services-commissioning/essential-services/quality-payments/

 

 

Quality Payment Scheme February 2019 - New NHS England Guidance 29th November 2018 

NHS England has this week published guidance on the Quality Payments Scheme for the February 2019 review point.  The guidance document provides information on how community pharmacy contractors can meet the revised Gateway and Quality Criteria requirements.

Contractors are strongly advised to read the NHS England guidance in order to understand the Quality Payments Scheme requirements. The new guidance should be read in conjunction with previously published NHS England guidance documents on the Quality Payments Scheme:

  • NHS England – Pharmacy Quality Payments Gateway Criteria Guidance (published 23rd December 2016); and 
  • NHS England – Pharmacy Quality Payments Quality Criteria Guidance (published 27th February 2017).

All three guidance documents can be found on the NHS England website. https://www.england.nhs.uk/commissioning/primary-care/pharmacy/framework/pqp/.

  

 

 

Quality Payments Scheme February 2019- Gateway Criteria 29th November 2018 

Please see the briefing below of changes to the Gateway Criteria for the Quality Payment Scheme February 2019 review point. 

Quality Payments – Gateway Criteria Briefing 

 

 

 

Quality Payments Scheme February 2019 – Asthma Referrals – 29th November 2018 

To meet this Quality Criterion on the day of the review, 15th February 2019, contractors must have evidence showing: 

  • Asthmatic patients who have had more than six short acting bronchodilator inhalers dispensed without any corticosteroid inhaler within a six-month period have since the last review date (29th June 2018) been referred to an appropriate health care professional for an asthma review. 

Can evidence that all children aged 5-15 years who have been prescribed an inhaled corticosteroid for asthma have a spacer device where appropriate in line with NICE TA38 guidance and have a personalised asthma action plan (PAAP).  If this is not the case, then the contractor should be able to show evidence the child has been referred to an appropriate healthcare professional. 

Full details about how to meet this criterion can be found at https://psnc.org.uk/services-commissioning/psnc-briefings-services-and-commissioning/psnc-briefing-060-18-quality-payments-asthma-referrals-november-2018/

If you have any questions about Quality Payments or would like any specific support around any of the criteria, please forward these to bushra@cpwy.org.   Alternatively, you can contact Bushra via telephone on 07793 218 060.

 

 

 

Quality Payments Scheme- Act Now!!! – 22nd November 2018 

Please see the brief below which contains information about the changes to the new Quality Payment scheme for the remainder of the financial year 2018/19.  The next review point is on 15th February 2019.  Many changes have been made to the Quality Payment scheme so we encourage contractors to read the PSNC guidance about Quality Payments: https://psnc.org.uk/services-commissioning/essential-services/quality-payments/

Quality Payments Briefing 

Contractors may find it useful to watch the PSNC webinar about the Quality Payment Scheme which can be accessed here:

http://view6.workcast.net/?cpak=6792997868716501&pak=3922101333754408.

  

 

 

Quality Payments Scheme February 2019 - Non-Steroidal Anti-Inflammatory Drugs and Gastro-Protection Audit 

On the day of the review, 15th February 2019, the pharmacy must have completed the audit of non-steroidal anti-inflammatory drugs and gastro-protection.  Full details can be found at https://psnc.org.uk/services-commissioning/essential-services/quality-payments/quality-payments-nsaids-audit

Data must be collected for two weeks between November 2018 and 15th February 2019, with a minimum of ten patients, aged 65 years or over who meet the criterion (see guidance).  The deadline to submit audit data is 15th February 2019.  Contractors are advised not to start this audit in February because there is a likelihood that they may not find the minimum required sample size and will need to extend the data collection period to four weeks. 

Contractors must submit their data to the NHS BSA, failure to submit the data will mean the contractor does not meet the NSAID Quality Criterion.  Contractors can download a copy of the audit guidance at https://www.sps.nhs.uk/articles/nsaid-safety-audit-2018-19/.

If you have any questions about Quality Payments or would like any specific support around any of the criteria, please forward these to bushra@cpwy.org.  Alternatively, you can contact Bushra via telephone on 07793 218 060.

 

 

 

Quality Payments – Directory of Services (DoS) Profile Updater – 15th November 2018 

To meet the DoS Quality Criterion, contractors must check the pharmacy details and submit this information on the DoS Profile Updater between 10am on 5th November 2018 and 11.59pm on 15th February 2019. 

Further information can be found on the PSNC website:  https://psnc.org.uk/our-news/quality-payments-dos-profile-updater-now-available/

NHS England has not issued any guidance that provides the detail of how pharmacies will need to meet the Quality Payment requirements.  As soon as this is available, we will share this with contractors. 

If you have any questions about Quality Payments or would like any specific support around any of the criteria, please forward these to bushra@cpwy.org. Alternatively, you can contact Bushra via telephone on 07793 218 060.

 

 

 

Changes to Quality Payment Scheme for Remainder of the 2018/19 Financial Year – 18th October 2018 

In September 2018 a new Quality Payments Scheme was announced for the remainder of the 2018/19 financial year.  The review point for the scheme is Friday 15th February 2019.  PSNC have produced a brief which summarises the key requirements of the scheme, this can be found at:  https://psnc.org.uk/wp-content/uploads/2018/10/PSNC-Briefing-051.18-A-summary-of-the-second-Quality-Payments-Scheme-2018-19-v2.pdf 

NHS England has not published the new guidance for the February 2019 Review point.  Community Pharmacy West Yorkshire will share this when it is published. 

If you have any questions about Quality Payments or would like any specific support around any of the criterion, please forward these to bushra@cpwy.org.  Alternatively, you can contact Bushra via telephone on 07793 218 060.