Jeff Blankley MRPharmS Chief Officer Value-based Decision Making in Community Pharmacy Quality Payments – The last leg??? February 2019 Jeff Blankley MRPharmS Chief Officer Birmingham & Solihull and Wolverhampton Local Pharmaceutical Committees January 2019 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 Agenda - Wolverhampton & Walsall LPCs Usual disclaimer/conditions apply Reminder of the Basics Overview QPS for February 2019 Highlight CHANGES/NEW and RISKS for the latest round Gateway Quality Payments HLP

Value-based Decision Making in Community Pharmacy Agenda Usual disclaimer/conditions apply Thank the Sponsors: Bally - Ark Aurora Fozia – Thrive To Work Reminder of the Basics Overview QPS for February 2019 Highlight CHANGES/NEW and RISKS for the latest round Gateway Quality Payments HLP

Birmingham and Solihull Wolverhampton Local Pharmaceutical Committee Local Pharmaceutical Committee http://psnc.org.uk/cp-west-midlands/ LPCs Contract Briefings 2018-19: Issue 1: The Basics November 2018 LPCs Contract Briefings 2018-19: Issue 2: Gateway Criteria November 2018 LPCs Contract Briefings 2018-19: Issue 3: Quality Points December 2018

Value-based Decision Making in Community Pharmacy Supporting YOU to be ready Getting the BASICS right (existing CPAF requirements) MUR & NMS reporting activity quarterly (Oct – Dec 2018). Keep evidence of patient consent Clinical Audit completion (Flu and Diabetic Patients) (Dec 30th 2018) Pharmacy Audit – retain evidence in-store and report at CPAF (exc NSAID/QPS audit) Completion of 100 hours opening monitoring forms and returning to NHSE monthly Publish CPPQ results (31st Mar 2019) Submit annual complaints report (asap after 31st Mar 2019) Complete and publish IG Toolkit now called Data Security and Protection (DSP!!!) (contractor session 23rd/24th January – NPA plus FMD) Complete annual CPAF screening questionnaire and return Retain evidence to support mandatory campaigns And don’t forget GPhC Pharmacist registration 1st Jan 2019 And annual approval of non-standard CD cabinets with WMids Police Retain Certificates of Conformity Reports and file safely – may move to PharmOutcomes Report non-opening of contracted hours to NHSE every time

Value-based Decision Making in Community Pharmacy Supporting YOU to be ready. Summary of Changes Funding levels held at £2.592bn for 2018/19 So we’re £33m better off than anticipated! SAF = £1.26 from Nov 2018 (-3p) Recovery of excess margin re-started after summer pause @£10m pm Cat M until Mar 19 Quality payments made from a £37.5m fund with contractors paid at least £32 per point Up to a max of £64 per point Pinch point in January 2019 Indicative Income Tables and Cashflow Calculator at: https://psnc.org.uk/funding-and-statistics/funding-distribution/indicative-income-tables/

Value-based Decision Making in Community Pharmacy General Information for Quality Payments Activities need to in place on 15th February 2019 Website for declarations: 09.00 4th Feb 2019 – 23.59 Friday 1st March 2019 Compliant with ALL Terms of Service requirements eg IG, campaigns Avoid last minute completion “Second chance” for Gateway non-compliance Plan early and receive certificates/approvals in good time There WILL be validation checks https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2016/12/pharm-qual- payments.pdf

Value-based Decision Making in Community Pharmacy Gateway Criteria MUST BE VALID ON 15TH February 2019 FIVE criteria for this phase SCR no longer a Gateway Criteria Validated by BSA within 7 days of submission: pass or fail (followed by a request to submit further evidence if assesses as “fail”) Advanced Services NHS UK (formerly Choices) NHS Mail CPPQ IT Systems Compliant With NHS Digital Warranted Digital Specification (WES)

Advanced Services – no change Contractors need to be offering Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments Advanced Services – no change Contractors need to be offering MURs or NMS or Registered to provide NUMSAS Listed on NHS UK Profile Except Distance Sellers Complied with any Verification Checks

NHS UK – No change other than the name Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments NHS UK – No change other than the name Opening hours up to date and validated Include Bank Holidays and Easter Sunday Services available Facilities available Evidence of validation from 3rd Dec 2018 – 15th Feb 2019 Distance Sellers to email NHS UK Service Desk

NHS Mail – New Requirement Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments NHS Mail – New Requirement Pharmacy staff at the pharmacy must be able to send and receive NHS mail from their shared premises NHS mail account, which must have at least two live linked accounts’ Active, not dormant, not suspended Note: NUMSAS suspensions when contractor NHS email NOT active LPC happy to receive an email from your account! https://psnc.org.uk/contract-it/pharmacy-it/nhs-mail/

CPPQ – now a Gateway criterion Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments CPPQ – now a Gateway criterion Results are publicly available on contractor’s NHS UK site Distance Sellers to display CPPQ results on their website Likely to be the same report used last time

NHS Digital Warranted Digital Specification (WES) Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments NHS Digital Warranted Digital Specification (WES) The contractor must have consulted the NHS Digital Warranted Environment Specification (WES) and/or their System Supplier(s) and have reassured themselves, and can demonstrate, that all their operating system and browser versions currently in use in their pharmacy to link to NHS Digital systems Verification details delayed The browser versions listed in the current WES are: Microsoft Internet Explorer (IE) 11 Microsoft Edge Google Chrome Mozilla Firefox

MUST HAVE PASSED THE GATEWAY CRITERIA ON 15TH February 2019 Value-based Decision Making in Community Pharmacy Quality Payment Criteria for February 2019 MUST HAVE PASSED THE GATEWAY CRITERIA ON 15TH February 2019 SEVEN criteria for this phase Patient Safety Report 20 points Patient Safety CPPE Risk Assessment 20 points Patient Safety NSAID Audit 20 points Clinical Audit 20 points HLP 15 points Digital/Urgent Care DoS 2.5points Workforce 2.5points

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 2019 Patient Safety Report Written Patient Safety Report SPECIFIC to contractor, updated since the last QPS claim 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 ****To include LASA drug risks and actions*** What have you done? What is the evidence?

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 2019 Patient Safety CPPE Risk Assessment 80% of “Registered” Staff working in the pharmacy on the day of the review have completed and passed the e-assessment from CPPE. Certificates available for inspection (inc locums) (based on head count) https://www.cppe.ac.uk/services/quality-payments#navtop To have available at the time of the review an example of a risk review from something identified in the pharmacy, together with risk minimisation actions taken or planned

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 2019 Patient Safety NSAID Audit On the day of the review the pharmacy must have completed the audit of non-steroidal anti-inflammatory drugs and gastro-protection for patients 65 or over. Taken over a 2 – 4 week period notified the patient’s GP where professional concerns were identified share their anonymised data with NHS England and incorporated the learning of the audit into future practice https://www.sps.nhs.uk/articles/nsaid-safety-audit-2018-19/ Report findings on PharmOutcomes or BSA snap survey

Clinical Audit – Asthma Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 2019 Clinical Audit – Asthma 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 and since the November input!!!! ***Can evidence that they have ensured that all children aged 5-15 years prescribed an inhaled corticosteroid for asthma have a spacer device where appropriate and have a personalised asthma action plan. Refer to an appropriate healthcare professional where this is not the case***

Value-based Decision Making in Community Pharmacy Quality Payments Claiming February 2019 HLP Compliance with HLP criteria contractors will need to keep, and build on, an evidence portfolio 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. 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

NHS Digital - Directory of Services Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 2019 NHS Digital - Directory of Services All DoS profiles should now contain an ODS code (F code) Submit the information has been reviewed, RECEIVE a confirmatory email back and RETAIN for evidence Distance Sellers are the same https://dos-profile.service.nhs.uk/#/index

Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 2019 Dementia Friends On the day of the review, 80% of all pharmacy staff working in patient facing roles are Dementia Friends (Alzheimer’s Society) Make sure NEW staff are taken into account (and staff who have left) when calculating your 80% www.dementiafriends.org.uk/ www.cppe.ac.uk/gateway/dementia

Thank you Any Questions? Value-based Decision Making in Community Pharmacy Links: https://www.england.nhs.uk/commissioning/primary-care/pharmacy/framework/pqp/ psnc.org.uk/QualityFAQs https://www.virtualoutcomes.co.uk/quality-payment-scheme-2019/ Thank you Any Questions?

Book FMD/DSP Workbook Event on Walsall LPC website 23rd January, 2019 https://psnc.org.uk/walsall-lpc/our-news/fmd-and-dsp-workbook-event/

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