Norfolk LPC Pharmacy Evening Dawn Friend, EPS Implementation Electronic Prescription Service release 2 Norfolk LPC Pharmacy Evening 20th September 2016 Dawn Friend, EPS Implementation Dawn Friend EPS Implementation Team

Electronic Prescription Service – release 2 EPS enables prescriptions to be sent electronically from the GP to the dispenser of the patient’s choice. www.systems.digital.nhs.uk/eps @EPSnhs

EPS Functionality Nomination Electronic signature Electronic submission of reimbursement , exemptions & endorsements Electronic repeat dispensing Electronic cancellation

Deployment Progress - nationally 83.5% of GPs 6,405 practices 99% of pharmacies 93% of DACs Over 20 million patients have a nomination Over 331 million release 2 prescriptions sent Over 745 million items dispensed & claimed http://systems.digital.nhs.uk/eps/stats (9th Sep 2016)

EPS Utilisation Nationally: Over 46% of all prescriptions are now EPS2 Average utilisation in live practices was 56% (estimates for Aug 2016 EPS data)

NHS England - Midlands & East (East) Nominations set: 1,456,147 (32.8%) CCGs in your area with live and planned practices EPS Live CCGs in Norfolk/Suffolk/Cambs Total pracs Live pracs Planned pracs % Live GP pracs Ave % EPS utilisation (live sites) Great Yarmouth & Waveney CCG 25 100% 67% Norwich CCG 23 22 1 96% 70% South Norfolk CCG 24 10 8 42% 43% West Norfolk CCG 21 6 48% 31% Cambridgeshire & Peterborough CCG 105 67 64% 53% Ipswich & East Suffolk CCG 40 12 30% 46% West Suffolk CCG 3 14 13% 59%

Nominations When discussing nomination ensure the patient understands that all future scripts will come to you unless they request otherwise Inappropriate nominations cause confusion and frustration Nominations should be entered into your system promptly Direction of prescriptions is not allowed Inducement is not allowed Nominations do not expire; they can be changed or removed, but only at the request of the patient Nomination is suitable for most patients, especially those on regular repeats and using a regular pharmacy Patient consent doesn’t have to be in writing but you do need to have an auditable process in place

EPS stats and progress

Nomination data – published online

Nomination data – weekly change

Controlled Drugs (CDs) New legislation was passed to make it legal for Schedule 2 and 3 Controlled Drugs to be prescribed and dispensed via EPS Release 2 on 1 July 2015. Initially system suppliers were required to update their systems to include both words and figures in the EPS messaging for CDs to make it a reality. We are now getting closer. We will soon be testing a way of sending CDs through EPS. If tests prove successful, once prescribing systems have been updated, it will be possible to send CDs by EPS

The future of EPS?

Next steps – ‘Phase 4’ EPS will become the default method for prescribing, dispensing and processing claims for Primary Care prescriptions in England. Paper prescriptions will continue to be available, for some circumstances, but the vast majority of prescriptions will be sent and processed electronically.

How ‘Phase 4’ will work There will be 2 main options for patients when Phase 4 becomes live: Patients continue to have their prescriptions sent to their nominated dispenser (as with EPS2). Where no nomination is in place (or the patient wishes not to use their nominated dispenser) the patient will be given a token to take to the dispenser they choose to visit. Many pre-requisites to work through (planning, training, consent model, legislation, testing, communications etc.) but the plan is for Phase 4 pilots to begin in 2016/17

What to do now Visit the EPS website for information, advice & guidance http://systems.digital.nhs.uk/eps Continue talking to your regular patients and setting nominations Maintain communication with practices, attend business change meetings Make sure you know how to use EPS in your pharmacy system Smartcards, printers, EPS tracker…

EPS Prescription Tracker https://portal2.national.ncrs.nhs.uk/prescriptionsadmin