1. Electronic Prescription Service Release-2 (EPSR2)

2. EPS in a nutshell EPS enables prescriptions to be sent electronically from the GP to the pharmacy ready for collection.

3. The Case for EPSR2 1.EFFICIENCY 2.SAFETY 3.COST

4. EFFICIENCY -What happens now? Patient Surgery staff Doctor Surgery staff Patient Pharmacy staff Pharmacist Payment agency Patient

5. EPS is a more efficient way! Patient Doctor Pharmacy Payment agency

6. EPS is a more efficient way! Patient D oc to r Pharmacy Payment agency

7. SAFETY 1.Same data used a.Right Patient b.Right drug c.Right Strength d.Right Quantity e.Right Dose

8. SAFETY 1.Same data used a.Right Patient b.Right drug c.Right Strength d.Right Quantity e.Right Dose f.Correct Payment

9. COST BENEFIT Delivered late and over budget? Cost savings going forward potentially massive a.P.P.D. b.G.P. Practices  Over 3 million hours of GP and Practice time spent processing Repeat Prescriptions  80% could be issued as Repeat Dispensing  EPSR2 facilitates the use of Repeat Dispensing

10. PROCESS 1.PRESCRIPTION GENERATED a.Patient has nominated pharmacy = EPSR2 b.Patient has no nominated pharmacy = EPSR1

11. EPSR2 PROCESS 1.PRESCRIPTION GENERATED 2.PRESCRIPTION AUTHORISED Prescription “digitally signed” and posted to the spine.

12. EPSR2 PROCESS 1.PRESCRIPTION GENERATED 2.PRESCRIPTION AUTHORISED 3.PRESCRIPTION RECEIVED BY PHARMACY a.Requested (polled) by pharmacy b.Received automatically overnight

13. EPSR2 PROCESS 1.PRESCRIPTION GENERATED 2.PRESCRIPTION AUTHORISED 3.PRESCRIPTION RECEIVED BY PHARMACY 4.TOKEN GENERATED Needed for patient exemptions RHS information for patient Picking list and checking aid

14. EPSR2 PROCESS 1.PRESCRIPTION GENERATED 2.PRESCRIPTION AUTHORISED 3.PRESCRIPTION RECEIVED BY PHARMACY 4.TOKEN GENERATED 5.ITEMS DISPENSED

15. EPSR2 PROCESS 1.PRESCRIPTION GENERATED 2.PRESCRIPTION AUTHORISED 3.PRESCRIPTION RECEIVED BY PHARMACY 4.TOKEN GENERATED 5.ITEMS DISPENSED 6.PRESCRIPTION COLLECTED / DELIVERED Spine notifed

16. EPSR2 PROCESS 1.PRESCRIPTION GENERATED 2.PRESCRIPTION AUTHORISED 3.PRESCRIPTION RECEIVED BY PHARMACY 4.TOKEN GENERATED 5.ITEMS DISPENSED 6.PRESCRIPTION COLLECTED / DELIVERED 7.PAYMENT CLAIMED

17. TOKENS The legal prescription is now the electronic message

18. TOKENS The legal prescription is now the electronic message Paper copies of electronic prescriptions are called tokens There are two types of token: Prescribing Tokens (printed at the GP Practice) Dispensing Tokens (printed at the pharmacy)

20. SMARTCARDS Needed when accessing the spine 1.Setting /changing patient nominations 2.Downloading prescriptions 3.Returning prescriptions 4.Claiming payments Once downloaded, prescriptions can be processed without using a smartcard

21. SMARTCARDS Needed by all members of the Dispensary Team Allows access to restricted patient information Use is strictly controlled -Personal use only – NO SHARING -Identifies person accessing records -Rules apply across NHS

22. SMARTCARDS Security 1.No sharing 2.Do not leave on site 3.Keep safe as if it were a credit card Needed to be able to process EPSR2 Minimum of two working smartcards on site at all times

23. SUPPORT & TRAINING Provided by System Supplier -Training may take various formats and quality varies -Contact System Supplier or Area Manager to find out what training is available -First line support if system breaks down or is not working as expected

24. SUPPORT & TRAINING Further support available from the Medicines Management Team (Sue Lawton, Lucy Barlow) prior to go-lives and beyond Resources and information available on LPC website http://www.hampshirelpc.org.uk/node/399 http://www.hampshirelpc.org.uk/node/399

25. KEY POINTS Ensure that everyone in your pharmacy that needs an EPS-R2 smartcard has one – PERSONAL USE ONLY – no sharing! Understand how processes will change - use the training provided by your system supplier and involve the whole team Know how to check, register and amend patient nominations Know what to do when a patient arrives expecting a Rx which you don’t have Search by nomination Retrieve from another pharmacy (patient choice is paramount) Liaise with surgery Trace by GUID using the HSCIC Prescription Tracker

26. What to do when things go wrong Report in the first instance to your system supplier – get a reference number If response is unsatisfactory escalate through the CCG Keep the LPC informed any major issues

27. Questions ?