1. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients”

2. Agenda Reimbursement Dispensing fee EPS FMD NHS supplies Act 2017 CQC
DSQS
Shortages
Rural practice challenging times
Securing the future

3. Reimbursement Unfinished business Seen NHS Employers
Want a system where right prescription for the patient is the right one for the NHS and the practice
Remove perverse incentives
Working with PSNC and GPC 3

4. Dispensing fee 2018 Still on the same formulae No inflationary uplift
Staff numbers defined
Pay cap removed
Fall in October
Should increase in April

5. EPS It is continuing to be rolled out
Pharmacies will be signing up patients
Cost is an issue
DDA working with NHS Digital/NHS England.
Looking to pilot EPS4
There is a potential solution for dispensing doctors 6

6. EPS
Workload, should decrease if properly implemented, but if not will increase
Risk re loss of scripts
Pharmacy 2 U
Amps Greenlife and ECHO
PSUK solution

7. FMD To be implemented by February 2019 Plans still vague
Could have large workload implications
70 suppliers signed up to provide IT and kit
Do not buy anything yet

8. NHS Supplies Allows to ask net price paid for anything
Those with wholesaler dealers licence effected
Hybrids should be ok

9. CQC New Inspection Focused safety Controlled drugs ? Electronic
Cold chain
Signing scripts
SOPs
Uncollected medication

10. DSQS Timing re payment No part payment Audit needs to be clinical
New timetable for submissions

11. Shortages
Ongoing
No solution
Prices very fluid this month

12. Rural practice Challenging times
GP shortage
Workload increase
Solutions urban centric
Poor IT
Less cross subsidy from dispensing as profits falling

13. Challenges
ICS
There is a GP contract within but it will not allow dispensing

14. Securing the future Need NHS and politicians to understand
Look after what you have
New systems will be more expensive
Once lost very difficult to replace
Dispensing is a key to survival
Need rural as well as urban solutions

15. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients”