1. 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

2. 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

3. 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

4. Birmingham and Solihull Wolverhampton Local Pharmaceutical Committee Local Pharmaceutical Committee
LPCs Contract Briefings : Issue 1: The Basics November 2018
LPCs Contract Briefings : Issue 2: Gateway Criteria November 2018
LPCs Contract Briefings : Issue 3: Quality Points December 2018

5. 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

6. 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 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 Indicative Income Tables and Cashflow Calculator at:

7. Value-based Decision Making in Community Pharmacy General Information for Quality Payments
Activities need to in place on 15th February 2019
Website for declarations: th Feb 2019 – 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
payments.pdf

8. 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)

9. 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

10. 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 NHS UK Service Desk

11. 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 NOT active
LPC happy to receive an from your account!

12. 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

13. 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

14. 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 points
Patient Safety CPPE Risk Assessment 20 points
Patient Safety NSAID Audit points
Clinical Audit points
HLP points
Digital/Urgent Care DoS points
Workforce points

15. Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 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?

16. Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 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)
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

17. Value-based Decision Making in Community Pharmacy Quality Payments Claiming in February 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
Report findings on PharmOutcomes or BSA snap survey

18. 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***

19. 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

20. 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 back and RETAIN for evidence
Distance Sellers are the same

21. 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%

22. Thank you Any Questions?
Value-based Decision Making in Community Pharmacy Links: psnc.org.uk/QualityFAQs
Thank you
Any Questions?

23. Book FMD/DSP Workbook Event on Walsall LPC website 23rd January, 2019

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