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

2. Agenda Reimbursement Remuneration Contractual issues Pharmacy contract
Brexit

3. The Board
Jeff Lee
New board members

4. Reimbursement Unfinished business Met NHS England – too difficult pile
Right prescription for the patient, the NHS and the practice
Remove perverse incentives
Working with PSNC and GPC 3

5. Reimbursement Pharmacy reimbursement went out to consultation
2 references to dispensing doctors
Says will impact DDs
No impact assessment
We have discussed with GPC

6. Reimbursement Cat A from list price to wholesaler price
Cat M similar plus remove margin on branded generics
Part VIII more in part A
Part VIII B get three quotes
Part IX more in tariff
Differential generic and branded claw back

7. Reimbursement Will effect all doctors
Potential increase workload re branded generics
Devil in detail which we are not allowed to be involved with

8. Dispensing fee 2019 Still on the same formulae -20p
No inflationary increase
Staff numbers defined
Worried that does not reflect increasing workload
No change due to increased workload re supply and FMD

9. EPS It is continuing to be rolled out
Secretary of State wants to go paperless
Cost is an issue
DDA working with NHS Digital/NHS England
No need to switch on until available for all your patients despite change to contract
PSUK have a part solution
Looking to pilot EPS4 6

10. EPS
Workload, should decrease if properly implemented, but if not will increase
Risk re loss of scripts issues 111
Pharmacy 2 U
App Greenlife and ECHO
NHS App can change pharmacy but not if a dispensing patient

11. FMD Was to be implemented by February 2019 likely 2020 sometime
Plans still vague
Could have large workload implications
70 suppliers signed up to provide IT and kit
Do not buy anything yet
Part of GP IT

12. PCN
Size
VAT
New staff
Employment terms

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

14. DSQS Timing re payment No part payment Audit needs to be clinical
New timetable for submissions
Need to sign up for this year
Some have been clawed back

15. Shortages Ongoing No solution Prices very fluid this month BREXIT
Mims have an online tool

16. Brexit Generic substitution Change in amounts Class substitution
Prescribe & dispense as normal

17. Change to pharmacy contract
More clinical services
Removal MURs
Less money for dispensing
Hub and spoke

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