National User Group Meeting 21st January 2010 Ophthalmic Payments National User Group Meeting 21st January 2010

Electronic Links Activity Details 201 activation requests processed 192 active stores 182 Specsavers 8 Optix practices 1 Vision Express 1 Independent 109 stores using automatic process 83 PCTs over 42 payment agencies

Electronic Links Claims Volumes Period May 2007 – Jan 2010 919,581 manual approvals 1,055,749 automatic approvals 1,975,330 total claims Counts taken on 18/01/10 @ 10:30

Electronic Links GOS 6 claims Pilot expected with Healthcall Early in 2010 Pilot site within West Yorkshire CSA

Electronic Links GOS 3, GOS 4 & GOS 5 NHS development completed for April 2009 Ocuco have sent test GOS 3, GOS 4 & GOS 5 claims for processing No supplier asked to be accredited to submit GOS 3, GOS 4 or GOS 5 claims to live payment system

Electronic Links Processing Possible Duplicates More individual GOS 1 claims stored More possible duplicate claims identified Raised questions regarding the GOS Regulations when a patient is tested and advised otherwise on their previous sight test date

Electronic Links Processing Possible Duplicates DoH response: providing that the sight test is done in good faith, claim should be paid a matter of judgement locally as to whether the PCT thinks the patient was deceptive or mistaken and then whether they want to pursue

Electronic Links Processing Possible Duplicates Electronic processing changes for possible duplicates: validation checks updated to enable PCT to control how to proceed on each possible duplicate claim indentified Check Possible Duplicate Electronic Claims menu to list possible duplicate claims

Check Possible Duplicate Electronic Claims

Check Possible Duplicate Electronic Claims

Electronic Links Processing Possible Duplicates Manual approval changes for possible duplicates: extended duplicate check automatically enabled on approval all patients previous claims available for viewing

Check Possible Duplicate Electronic Claims The extended duplicate check will be available, even when the PCT has not enabled its operation when entering manual claims.

Closed Change Requests 3092 Suffolk, Claims user role to include pre-notification premises details 14th July 3084 Dudley, Retain practice code for entry of next individual claim 24th July 3105 Kent, Private Sight Test statements, including email option 31st July 3202 North Yorks, Retain performer code for entry of next claim 14th August

Closed Change Requests 3106 Kent, Statement adjustment fields (+/-) for Glaucoma 10th September 3124 Lancashire, 10 new local enhanced services codes 3110 Lancashire, Submission date shown for EC batches 29th September 3122 Birmingham, Frequency of re-test reason report by practice 11th November

Closed Change Requests 2742 Dorset, Batched Additional Services claims 24th November 3125 Lancashire, Batched Additional Services claims 3132 Cambridge, Select payment cycle when using EC batch approval 26th November 3334 Essex, NHS number on all PPC letters 2nd December

Closed Change Requests 2851 Hampshire, Improve linking of pre-notification lists to residential homes 4th December 3150 Essex, Monthly Expenditure Report 8th December 3388 Cumbria, display service date when listing possible duplicate claims 12th December 3332 Kent, Monthly Expenditure Report 22nd December

Closed Change Requests 3502 Cornwall, GO & DOM added to the Type target on the Contractor List 24th December 17 CRs closed since July 2009

Open Change Requests 3231 Essex Extend the possible duplicate check to only use the previous 6 months 3340 Suffolk Pre-notification module to highlight higher fee when more than 2 GOS6 claims generated for same address

Open Change Requests 3341 Suffolk An extra column could be added to the 'Create new patient' screen in which a user could enter either a 1, 2 or 3 and this could be carried over to the Pre-notification Details screen 3342 Suffolk A 6 month warning check on a GOS1, GOS5 or GOS6 claim (currently in peer testing)

Open Change Requests 3392 Lancashire New report to show electronic submission batch details (currently in development) 3395 Lancashire Enhanced service report to list claims using payment periods 3464 Kent New PCT user role

Open Change Requests 3470 Salford A parameter switch to select to use the PCT telephone number or paying organisation telephone number on all reports/letters 3528 West Yorkshire A performance indicator report to show small glass supplements for GOS4 claims only 3529 Devon Monthly expenditure reports to show number of claims per type

Open Change Requests 3530 Devon Monthly expenditure reports to all have CSV option 3531 Devon Monthly expenditure reports to have the ability to select multiple payment periods

Open Change Requests 3532 Bromley Include patient search when processing electronic claims 3533 Bromley Open Exeter patient search does not always locate patient 3596 Cambridge Monthly expenditure reports to have the ability to select multiple payment periods, include claim counts and total spend values 14 open CRs. All raised since July 2009 (last meeting)

Import Pre-notification details CR 2851 Pilot at Hampshire Started on 13th February 2009 Completed on 3rd November 2009 Released Nationally on 4th December 2009 Refer to online help prior to use

Import Pre-notification details CR 2851

Import Pre-notification details CR 2851

Import Pre-notification details CR 2851

Import Pre-notification details CR 2851

Import Pre-notification details CR 2851

Import Pre-notification details CR 2851

Import Pre-notification details CR 2851

Import Pre-notification details CR 2851

Import Pre-notification details CR 2851 Excel form approved by Domi Eye Care Committee, FODO, AOP and OPUG New form available from import screen & online help Encryption to protect patient details NHS Ophthalmic Encryption Utility

NHS Ophthalmic Encryption Utility Practice responsible for protecting patient data Practice can use this utility for free Utility has ability to:- encrypt a data file for transmission decrypt files with .ecf extension

NHS Ophthalmic Encryption Utility Available to NHS personnel only at https://nww.openexeter.nhs.uk/nhsia/opthelp/Ophthalmics/eng/indexElectronic.html Pass the utility to the practice Terms & conditions for use apply FAQ’s available The NHS Ophthalmic Encryption Utility is available from the Available Downloads section on the Ophthalmic Payments Electronic Links web site at: https://nww.openexeter.nhs.uk/nhsia/opthelp/Ophthalmics/eng/indexElectronic.html

NHS Ophthalmic Encryption Utility

English GOS Fees 2010/2011 Voucher values and sight test values will be available on 1st April 2010 No back pay for 2010/2011

Welsh GOS Fees 2010/2011 Voucher values and sight test values should be available on 1st April 2010 Possibly no back pay for 2010/2011 Waiting for confirmation from the Welsh Assembly

LHB Restructuring & Ophthalmic Payments Completed during October 2009 No outstanding issues