Jeff Blankley MRPharmS Chair Birmingham Local Pharmaceutical Committee Value-based Decision Making in Community Pharmacy Funding Cuts and Quality Payments – Session 5 Jeff Blankley MRPharmS Chair Birmingham Local Pharmaceutical Committee Wolverhampton Local Pharmaceutical Committee Nov 2017 Intro Seen the style of slides before Thank to previous presenter For contractors there are decisions to be made as the business’s profit will come under pressure And this starts from Dec 16

Value-based Decision Making in Community Pharmacy Objectives of Session 5 Recap of cuts and changes to the funding structure Review QPS claimed in April Highlight some value-based decisions Agree priority actions for November Provide key actions to maximise payments

Value-based Decision Making in Community Pharmacy My Expectations Information is provided today to enable contractors to make GOOD decisions – that will add value to you, your business and PATIENTS Provide the latest information available. Normal disclaimers apply To share - if a contractor has got a tip which others could benefit from Reminder of CPWM Website is highlighted http://psnc.org.uk/cp-west-midlands/

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 Signposting local alternatives Signposting essential allied events Role of the Contractors Committed to claiming maximum points Completing actions on time Could do with a link to CPWM and a screen shot of the site

Value-based Decision Making in Community Pharmacy Funding Changes in 17/18 Establishment Payments – 20% cut December 17 & April 18 Single Activity Fee Then: Cat M NIC Item numbers

Value-based Decision Making in Community Pharmacy Some actions taken or being considered Increase Advanced Services MURs NMS ‘Flu Reduce Trading Hours Reduce Staff costs Pharmacist locum Pharmacy team Apprenticeships Increase Enhanced Services Umbrella Smoking Information is right at a certain point in time…….and new information is being received regularly

Value-based Decision Making in Community Pharmacy SUCCESS STORY IN BIRMINGHAM MUR Activity (Draft PNA) 2012/13 2015/16 % Change 2015/16 % Strike Rate BLPC 258 282 9.3 70.5 West Mids 267 280 4.9 70.0 England 292 73.0 Information is right at a certain point in time…….and new information is being received regularly

Value-based Decision Making in Community Pharmacy Recap - Quality Payments in 17/18 Total of 100 points £64 per point = £6,400 per contract Size of the prize Birmingham = £1.862m 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 – Detail from April 2017   England BLPC Wol LPC Wal LPC San LPC 11053 277 63 68 82 % No/Blank Gateway All FOUR 0.9 2.2 4.4 Quality - Written Patient Safety 45.9 38.3 25.4 56.7 45.1 Quality - Safeguarding 6 6.8 7.9 4.5 8.5 Quality - CPPQ 15.7 12.3 6.3 11.9 10.9 Quality - HLP 83.7 88.4 80.9 86.6 92.6 Quality - SCR 7.2 14.8 13.4 7.3 Quality - NHS 111 DoS 1.1 2.5 3.6 Quality - Clinical Asthma 5.3 9.3 8.9 Quality - Dementia Friends 2.8 6.4 4.3

Value-based Decision Making in Community Pharmacy General Information for Quality Payments WAVE 2 claiming Activities need to in place on 24th November Website for declarations 09.00 13th Nov – 23.59 Friday 8th Dec Compliant with ALL terms of Service requirements eg IG, campaigns Avoid last minute completion No “second chance” for Gateway non-compliance Plan early and receive certificates/approvals in good time Expect delays to accreditations as 24th Nov approaches Expect an email confirmation of details submitted. Check it There WILL be validation checks

Value-based Decision Making in Community Pharmacy General Information for Quality Payments WAVE 2 claiming Links for support: BSA for claiming from 16th October – 10th November https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/dispensing- contractors-information/community-pharmacy-quality-payments-scheme

Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 17/18 EPS is active and used NHS Choices is up to date and maintained Active NHS Mail address and active Delivery of at least ONE specified Advanced service

Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 17/18 EPS is active and used NHS Choices is up to date and maintained Active NHS Mail address and active Delivery of at least ONE specified Advanced service

Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 17/18 EPS is active and used Day job….

Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 17/18 NHS Choices is up to date and maintained Validated OR edited between 11th September and 24th November 2017 Opening times Services offered Facilities Results of CPPQ for 16/17 NO SECOND CHANCE IN NOVEMBER DSPs NEW. Online survey completed by 24th November Link: nhschoicesservicedesk@nhs.net

Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 17/18 Active NHS Mail address and active Must be able to send and receive mail via NHS Mail address Activate account 90 day expiry of password 180 day deletion Password needs to be changed on all devices Still too many INactive Question: Can we use your NHS Mail account to sent LPC comms?

Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 17/18 Active NHS Mail address and active If a pharmacy has a shared mail address and has linked it to their personal NHS mail and has used it then great! If a pharmacy has a shared mail address but hasn’t linked it to their personal one because they either haven’t got a personal one, or they haven’t got a password for their personal one, or they just can’t link them for some reason, then they need to email pharmacyadmin@nhs.net and clearly explain what they need (please include your ODS code in the heading) If they haven’t got a shared mail address then they need to apply through the portal Links: http://psnc.org.uk/our-news/quality-payments-action-required-if-you-havent-got-a- pharmacy-nhsmail-account/

Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 17/18 Delivery of at least ONE specified Advanced service MUR NMS NUMSAS Make a claim AND Make sure services included in NHS Choices information Be prepared for MUR reconciliation requests from BSA - ongoing

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 1 Can only claim ONCE and lowest claims % No/Blank Points   England BLPC 20 Quality - Written Patient Safety 45.9 38.3 Quality - HLP 83.7 88.4

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 1 Patient Safety Written Patient Safety Report SPECIFIC to contractor and covering: Collated incidents inc near misses Patterns, reflections, and actions to minimise repeat occurrences Learnings shared nationally and locally Evidence of actions for Patient Safety Alerts

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 1 Patient Safety The NPA can provide Medicines Safety Officer (MSO) support for all pharmacies in groups up to 50 Links: https://psnc.org.uk/our-news/quality-payments-patient-safety-report-resource- published/ http://psnc.org.uk/contract-it/essential-service-clinical-governance/patient-safety- incident-reporting/patient-safety-information/ https://www.npa.co.uk/services-and-support/practical-support/medication-safety- officer/

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 1 HLP (No change – more support) “On the day of the review, the results of the Community Pharmacy Patient review, the pharmacy is a Healthy Living Pharmacy level 1 (self-assessment) Compliance with HLP criteria contractors will need to keep, and build on, an evidence portfolio Training certificates - RSPH L2 Understanding Health Improvement and Leadership Photos of Health Promotion Zones and details of campaigns Information on local health needs An HLP action plan which could include notes from team meetings Evidence of outreach work Signposting information Details of local services including charitable organisations Commissioners details Sources for up to date resources

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 1 HLP (No change – more support) Limited HLP Resource Packs (Pharmacy Complete) still available from LPC (compliments of NHSE) Ensure that you have your Health Champions and Leaders in place and that you are actively participating in health promotion campaigns: Staywell this winter – including Flu – October. AMR in November Know Your Numbers in February. Links: https://www.youtube.com/watch?v=sQb4pwwm4p4&feature=youtu.be https://www.rsph.org.uk/our-work/policy/measuring-public-health-impact/e-learning.html

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Can only claim ONCE Not a FOCUS CPPQ 87.7% claimed in April Displayed on NHS Choices or On DSP Website Link to support upload on to NHS Choice Website http://www.nhs.uk/aboutNHSChoices/professionals/Pages/manage-profiles- faq.aspx

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 Can claim TWICE % No/Blank Points   England BLPC 5 x 2 Quality - Safeguarding 6 6.8 Quality - SCR 7.2 14.8 2.5 x 2 Quality - NHS 111 DoS 1.1 2.5 10 x 2 Quality - Clinical Asthma 5.3 9.3 Quality - Dementia Friends 2.8 6.4

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 Claims in April apply to APRIL Claim in November to receive payment in February Can claim in November even if NOT claimed in April

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 Safeguarding “On the day of the review 80% of registered pharmacy professionals working at the pharmacy have achieved level 2 safeguarding status for children and vulnerable adults in the last two years.” Make sure NEW staff are taken into account and qualification is still within 2 years when calculating your 80%

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 SCR “the pharmacy can demonstrate a total increase in access to Summary Care Records (from Monday 3 October 2016 to Sunday 30 April 2017 to Monday 1 May 2017 to Sunday 26 November 2017) OR where the pharmacy can demonstrate total access to Summary Care Records of 100 times or more in both period 1 (Monday 3 October 2016 to Sunday 30 April 2017) and period 2 (Monday 1 May 2017 to Sunday 26 November 2017) they will have been deemed to have met this criterion whether there has been an increase or not”

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 SCR Quality Payments SCR Viewing calculator has again been provided Check it NOW, so you know your next step Links: https://digital.nhs.uk/summary-care-records/community-pharmacy/calculate- scr-use-quality-payments

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 NHS 111 Directory of Services “For the November declaration, contractors will be required to edit or confirm the information about their pharmacy is correct on the DoS profile updater by 11:59pm on 24th November 2017 to meet the quality criterion” All DoS profiles should now contain an ODS code (F code) DSPs are the same

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 NHS 111 Directory of Services The contractor will receive an email to confirm entry within 2 hours. Keep it To meet the DoS quality criterion contractors need to declare opening hours for: 25th Dec, 26th Dec 2017 & 1st Jan 2018 Consider signing up for Mobile DoS Links: https://dos-profile.service.nhs.uk/#/ https://digital.nhs.uk/directory-of-services/profile-updater-guidance

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 Clinical – Asthma (No change) “On the day of the review, the 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 months period, are referred to an appropriate health care professional for an asthma review” Where no patients are identified for referral, you will still be eligible for payment if you can evidence that you have been working to identify suitable patients and that you have a process in place for referral should you identify someone Links: http://psnc.org.uk/wp-content/uploads/2017/03/PSNC-Briefing-014.17-Referrals-for- asthma-review-v2.pdf

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in November Focus 2 Dementia Friends (No change) “On the day of the review, 80% of all pharmacy staff working in patient facing roles are trained ‘Dementia Friends’ “ Make sure NEW staff are taken into account and qualification is still within 2 years when calculating your 80% Links: https://www.alzheimers.org.uk/ www.dementiafriends.org.uk/register-partner-admin

Value-based Decision Making in Community Pharmacy Thank you Any Questions?

Value-based Decision Making in Community Pharmacy Safe Journey Home jeff.blankley02@gmail.com