1. Jeff Blankley MRPharmS Chair Birmingham & Solihull
Value-based Decision Making in Community Pharmacy Quality Payments – H1 2018
Jeff Blankley MRPharmS
Chair
Birmingham & Solihull
Local Pharmaceutical Committee
June 2018
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

2. Value-based Decision Making in Community Pharmacy Objectives
Thank you to the Sponsors – Christie & Santander
HLP – Michelle Dyoss
Overview QPS for June 2018
Highlight CHANGES and RISKS for the latest round
Gateway
Quality Payments
HLP
The rest

3. Value-based Decision Making in Community Pharmacy My Expectations
Provide the latest information available. Normal disclaimers apply
To share - if a contractor has got a tip which others could benefit from
Reminder of CPWM Website is highlighted

4. Leader ‘Context’ ‘Content’ ‘Process’ Manager Operator
Value-based Decision Making in Community Pharmacy Your leadership within your control .
Leader
‘Context’
Manager
‘Process’
Operator
‘Content’

5. Value-based Decision Making in Community Pharmacy The shadow that you cast
. Link to Michelle

6. Value-based Decision Making in Community Pharmacy Quality Payments Claiming June 2018 – Michelle Dyoss HLP (No change)
Compliance with HLP criteria contractors will need to keep, and build on, an evidence portfolio
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

7. Value-based Decision Making in Community Pharmacy Recap - Quality Payments in 2018
Total of 100 points
£32 per point - £37.5m for community pharmacy
= £3,200 per contract
Size of the prize Birmingham & Solihull = £1.088m
Could increase as additional allocation if less than 100% uptake
No reconciliation payment so £32 will increase

8. Value-based Decision Making in Community Pharmacy General Information for Quality Payments
Activities need to in place on 29th June 2018
Website for declarations th June – Friday 13th July
Compliant with ALL terms of Service requirements eg IG, campaigns
Campaigns 17/18!!!!
Avoid last minute completion
No “second chance” for Gateway non-compliance
MISTAKES CANNOT BE RECTIFIED AFTER SUBMISSION
Plan early and receive certificates/approvals in good time
There WILL be validation checks

9. Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 2018
MUST BE VALID ON 29TH JUNE
EPS is active and used
NHS Choices is up to date and maintained
Active NHS Mail address and active
Delivery of at least ONE specified Advanced service
AND INCLUDED ON NHS CHOICES

10. Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 2018
EPS is active and used
Day job….

11. Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 2018
NHS Choices is up to date and maintained
Validated OR edited ALL 3 SECTIONS
INCLUDING BANK HOLIDAY OPENING (CLOSURE) FOR THE REST OF YEAR
MAKE SURE NHS CHOICES AND DoS INFORMATION IS THE SAME
Opening times
Services offered
Facilities
Results of CPPQ for 17/18
DSPs Review Website and CONFIRM to NHS Choices Service Desk

12. Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 2018
Active NHS Mail address and active
Must be able to send and receive mail via NHS SHARED Mail address
Activate account
90 day expiry of password
180 day deletion
Password needs to be changed on all devices
Still too many Inactive
Access the generic shared account via linked personal NHS mail account
Question: Can we use your NHS Mail account to sent LPC comms?
Information: Non-compliance to Gateway in Nov 17 has been communicated to contrators via this shared account

13. Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 2018
Active NHS Mail address ON 29TH JUNE
If a pharmacy has a shared mail address and has linked it to their personal NHS mail and has used it then great!
If a pharmacy has a shared mail address but hasn’t linked it to their personal one because they either haven’t got a personal one, or they haven’t got a password for their personal one, or they just can’t link them for some reason, then they need to and clearly explain what they need (please include your ODS code in the heading)
If they haven’t got a shared mail address then they need to apply through the portal
Links:
pharmacy-nhsmail-account/

14. Value-based Decision Making in Community Pharmacy Gateway Criteria for Quality Payments in 2018
Delivery of at least ONE specified Advanced service
MUR
NMS
NUMSAS
Make a claim AND
Make sure services included in NHS Choices information
Be prepared for MUR reconciliation requests from BSA – ongoing
DON’T FORGET QUARTERLY RETURNS TO BSA

15. Value-based Decision Making in Community Pharmacy Quality Payments Claiming in June Patient Safety
Written Patient Safety Report SPECIFIC to contractor 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
NEEDS TO BE DIFFERENT FROM THE NOVEMBER REPORT!!!!
Why not send something to the LPC via you NHS Mail account? – for evidence

16. Value-based Decision Making in Community Pharmacy Quality Payments Claiming June HLP (No change)
Compliance with HLP criteria contractors will need to keep, and build on, an evidence portfolio
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

17. Value-based Decision Making in Community Pharmacy Quality Payments CPPQ
Displayed on NHS Choices
Analyse responses, produce a report, publish on NHS Choices
On DSP Website
Link to support upload on to NHS Choice Website
faq.aspx

18. Value-based Decision Making in Community Pharmacy Quality Payments
Safeguarding
“On the day of the review 80% of registered pharmacy professionals working at the pharmacy have achieved level 2 safeguarding status for children and vulnerable adults in the last two years.” (are they still valid??)
Make sure NEW staff are taken into account and qualification is still within 2 years when calculating your 80%

19. Value-based Decision Making in Community Pharmacy Quality Payments
SCR
“the pharmacy can demonstrate a total increase in access to Summary Care Records from P2 compared with P1
OR where the pharmacy can demonstrate total access to Summary Care Records of 100 times or more in both periods, they will have been deemed to have met this criterion whether there has been an increase or not”
A screenshot on the day could be retained as evidence
SCR Viewing Calculator link:
use-quality-payments

20. Value-based Decision Making in Community Pharmacy Quality Payments
NHS 111 Directory of Services
“For the November declaration, contractors will be required to edit or confirm the information about their pharmacy is correct on the DoS profile updater
All DoS profiles should now contain an ODS code (F code)
Submit the information has been reviewed, RECEIVE a confirmatory back and RETAIN for evidence
DSPs are the same
Links:

21. Value-based Decision Making in Community Pharmacy Quality Payments
Clinical – 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!!!!
Where no patients are identified for referral, you will still be eligible for payment if you can evidence that you have been working to identify suitable patients and that you have a process in place for referral should you identify someone
Links:
asthma-review-v2.pdf

22. Value-based Decision Making in Community Pharmacy Quality Payments
Dementia Friends
“On the day of the review, 80% of all pharmacy staff working in patient facing roles are trained ‘Dementia Friends’ “
Make sure NEW staff are taken into account and qualification is still within 2 years when calculating your 80%
Links:

23. Thank you Any Questions?
Value-based Decision Making in Community Pharmacy FAQs AVAILABLE AT PSNC: psnc.org.uk/QualityFAQs
Thank you
Any Questions?

24. Value-based Decision Making in Community Pharmacy
Safe Journey Home