1. National User Group Meeting 21st January 2010
Ophthalmic Payments
National User Group Meeting
21st January 2010

2. Electronic Links Activity Details 201 activation requests processed
192 active stores
182 Specsavers
8 Optix practices
1 Vision Express
1 Independent
109 stores using automatic process
83 PCTs over 42 payment agencies

3. Electronic Links Claims Volumes Period May 2007 – Jan 2010
919,581 manual approvals
1,055,749 automatic approvals
1,975,330 total claims
Counts taken on 10:30

4. Electronic Links GOS 6 claims Pilot expected with Healthcall
Early in 2010
Pilot site within West Yorkshire CSA

5. Electronic Links GOS 3, GOS 4 & GOS 5
NHS development completed for April 2009
Ocuco have sent test GOS 3, GOS 4 & GOS 5 claims for processing
No supplier asked to be accredited to submit GOS 3, GOS 4 or GOS 5 claims to live payment system

6. Electronic Links Processing Possible Duplicates
More individual GOS 1 claims stored
More possible duplicate claims identified
Raised questions regarding the GOS Regulations when a patient is tested and advised otherwise on their previous sight test date

7. Electronic Links Processing Possible Duplicates DoH response:
providing that the sight test is done in good faith, claim should be paid
a matter of judgement locally as to whether the PCT thinks the patient was deceptive or mistaken and then whether they want to pursue

8. Electronic Links Processing Possible Duplicates
Electronic processing changes for possible duplicates:
validation checks updated to enable PCT to control how to proceed on each possible duplicate claim indentified
Check Possible Duplicate Electronic Claims menu to list possible duplicate claims

9. Check Possible Duplicate Electronic Claims

10. Check Possible Duplicate Electronic Claims

11. Electronic Links Processing Possible Duplicates
Manual approval changes for possible duplicates:
extended duplicate check automatically enabled on approval
all patients previous claims available for viewing

12. Check Possible Duplicate Electronic Claims
The extended duplicate check will be available, even when the PCT has not enabled its operation when entering manual claims.

13. Closed Change Requests
3092 Suffolk, Claims user role to include pre-notification premises details
14th July
3084 Dudley, Retain practice code for entry of next individual claim
24th July
3105 Kent, Private Sight Test statements, including option
31st July
3202 North Yorks, Retain performer code for entry of next claim
14th August

14. Closed Change Requests
3106 Kent, Statement adjustment fields (+/-) for Glaucoma
10th September
3124 Lancashire, 10 new local enhanced services codes
3110 Lancashire, Submission date shown for EC batches
29th September
3122 Birmingham, Frequency of re-test reason report by practice
11th November

15. Closed Change Requests
2742 Dorset, Batched Additional Services claims
24th November
3125 Lancashire, Batched Additional Services claims
3132 Cambridge, Select payment cycle when using EC batch approval
26th November
3334 Essex, NHS number on all PPC letters
2nd December

16. Closed Change Requests
2851 Hampshire, Improve linking of pre-notification lists to residential homes
4th December
3150 Essex, Monthly Expenditure Report
8th December
3388 Cumbria, display service date when listing possible duplicate claims
12th December
3332 Kent, Monthly Expenditure Report
22nd December

17. Closed Change Requests
3502 Cornwall, GO & DOM added to the Type target on the Contractor List
24th December
17 CRs closed since July 2009

18. Open Change Requests 3231 Essex
Extend the possible duplicate check to only use the previous 6 months
3340 Suffolk
Pre-notification module to highlight higher fee when more than 2 GOS6 claims generated for same address

19. Open Change Requests 3341 Suffolk
An extra column could be added to the 'Create new patient' screen in which a user could enter either a 1, 2 or 3 and this could be carried over to the Pre-notification Details screen
3342 Suffolk
A 6 month warning check on a GOS1, GOS5 or GOS6 claim
(currently in peer testing)

20. Open Change Requests 3392 Lancashire
New report to show electronic submission batch details (currently in development)
3395 Lancashire
Enhanced service report to list claims using payment periods
3464 Kent
New PCT user role

21. Open Change Requests 3470 Salford
A parameter switch to select to use the PCT telephone number or paying organisation telephone number on all reports/letters
3528 West Yorkshire
A performance indicator report to show small glass supplements for GOS4 claims only
3529 Devon
Monthly expenditure reports to show number of claims per type

22. Open Change Requests 3530 Devon
Monthly expenditure reports to all have CSV option
3531 Devon
Monthly expenditure reports to have the ability to select multiple payment periods

23. Open Change Requests 3532 Bromley
Include patient search when processing electronic claims
3533 Bromley
Open Exeter patient search does not always locate patient
3596 Cambridge
Monthly expenditure reports to have the ability to select multiple payment periods, include claim counts and total spend values
14 open CRs. All raised since July 2009 (last meeting)

24. Import Pre-notification details CR 2851
Pilot at Hampshire
Started on 13th February 2009
Completed on 3rd November 2009
Released Nationally on 4th December 2009
Refer to online help prior to use

25. Import Pre-notification details CR 2851

26. Import Pre-notification details CR 2851

27. Import Pre-notification details CR 2851

28. Import Pre-notification details CR 2851

29. Import Pre-notification details CR 2851

30. Import Pre-notification details CR 2851

31. Import Pre-notification details CR 2851

32. Import Pre-notification details CR 2851

33. Import Pre-notification details CR 2851
Excel form approved by Domi Eye Care Committee, FODO, AOP and OPUG
New form available from import screen & online help
Encryption to protect patient details
NHS Ophthalmic Encryption Utility

34. NHS Ophthalmic Encryption Utility
Practice responsible for protecting patient data
Practice can use this utility for free
Utility has ability to:-
encrypt a data file for transmission
decrypt files with .ecf extension

35. NHS Ophthalmic Encryption Utility
Available to NHS personnel only at
Pass the utility to the practice
Terms & conditions for use apply
FAQ’s available
The NHS Ophthalmic Encryption Utility is available from the Available Downloads section on the Ophthalmic Payments Electronic Links web site at:

36. NHS Ophthalmic Encryption Utility

37. English GOS Fees 2010/2011
Voucher values and sight test values will be available on 1st April 2010
No back pay for 2010/2011

38. Welsh GOS Fees 2010/2011
Voucher values and sight test values should be available on 1st April 2010
Possibly no back pay for 2010/2011
Waiting for confirmation from the Welsh Assembly

39. LHB Restructuring & Ophthalmic Payments
Completed during October 2009
No outstanding issues