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Next Steps for the Pharmacy Quality Scheme

Next Steps for the Pharmacy Quality Scheme. Kelvin Rowland-Jones, Senior Programme Lead (Community Pharmacy ), NHS England and NHS Improvement Alan Ball, Provider Assurance Lead, NHS Business Services Authority 7 October 2019. Covering. Previous Quality Payment Scheme 5 year deal

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Next Steps for the Pharmacy Quality Scheme

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  1. Next Steps for the Pharmacy Quality Scheme Kelvin Rowland-Jones,Senior Programme Lead (Community Pharmacy), NHS England and NHS Improvement Alan Ball, Provider Assurance Lead, NHS Business Services Authority 7 October 2019

  2. Covering Previous Quality Payment Scheme 5 year deal Aspiration payment Introduction to the Pharmacy Quality Scheme (PQS) & Gateway criteria Overview of the six domains PQS declaration Provider Assurance and Contractor Support Useful websites

  3. NHS will build on these achievements to develop and improve the quality of pharmacy services Quality Payments Scheme enabled the NHS Long Term Plan Health and Wellbeing: Dementia Friends – over 70,000 patient-facing staff Healthy Living Pharmacies – 9,562 Level 1 HLPs proactively promoting wellbeing by February 2019; from starting point of 1,801 in April 2017 Dental health – 74,500+ staff completed child oral health training for National Smile Month Patient Safety: Written patient safety report – supporting identification of incident patterns and the National Reporting and Learning System NSAID audit – identifying at risk patients and preventing harm Safeguarding – 33,000+ pharmacy professionals completed Level 2 training Risk management – 28,000+ pharmacy professionals completed training and took risk minimisation actions. Digital Integration: NHS Mail – 40,000+ new accounts for pharmacies and staff, around 98% (11,433) of pharmacies Summary care record –rolled out to 95% of pharmacies to support safer clinical care (NUMSAS and DMIRs) Directory of services –enables real-time referral to community pharmacy from NHS111, GP, A&E NHS.UK website – easily accessible and up-to-date information about community pharmacies for the public

  4. 5 year deal • The deal recognised the success of the Quality Payments Scheme (QPS). • It continues for the next five years under a new name, the Pharmacy Quality Scheme (PQS). • £75 million twill be delivered to community pharmacy through the PQS in the second half of 2019/2020.

  5. Aspiration Payment • Contractors to indicate via MYS which domains they intend to achieve before the end of the declaration period in February 2020. • Payment must be claimed between 30 September 2019 and 1 November 2019. • A pharmacy must have claimed at one or both of the review points in 2018/19 to be eligible. • Maximum number of points that can be claimed is 70% of their average number of points achieved across the two review points in the 2018/19 QPS. Value of the point is set at £64. • The aspiration payment will be reconciled with payment for the 2019/20 PQS on 1 April 2020.

  6. PQS 2019/20 – Gateway criteria To qualify for a PQS 2019/20 payment, pharmacy contractors must be able to demonstrate meeting four gateway criteria on the day of their declaration: Must be offering the New Medicine Service (NMS) and/or the NHS community pharmacy seasonal influenza vaccination service; and Must be able to send and receive NHSmailfrom their shared premises specific NHSmail account, which must have at least two live linked accounts; and Must update/validate NHS website profile as specified; and 80% of all registered pharmacy professionals must have achieved level 2 safeguarding status for children and vulnerable adults. To provide an advanced service a contractor must be meeting all of their terms of service requirements

  7. PQS 2019/20 – Quality criteria Pharmacies who pass all of the gateway criteria on the day of the declaration will receive a PQS payment if they meet one or more of the domains specified. PQS 2019/20 includes six domains: Risk management and safety Medicines safety audits complementing GP Quality Outcomes Framework (QOF) Quality Improvement (QI) module Prevention Primary Care Networks (PCNs) Asthma Digital Enablers

  8. Risk management and safety domain (30 points)

  9. Medicines safety audits complementing QOF QI domain (25 points)

  10. Prevention domain (25 points)

  11. PCN domain (22.5 points for PCN lead; 12.5 non-PCN lead)

  12. Asthma domain (5 points)

  13. Digital enablers domain (2.5 points)

  14. 2019/20 Pharmacy Quality Scheme Declaration Contractors must claim payment for the 2019/20 PQS during the declaration period between 3 February 2020 and 28 February 2020. No review point date. Contractors must be able to demonstrate meeting the gateway criteria and the domain(s) on the day that they make their declaration during the declaration period stated above. A declaration must be made to the NHS BSA using the Manage Your Service (MYS) application. Pharmacies will be paid at a minimum of £64 per point up to a maximum of £128 per point. Total funding for the scheme is £75 million.

  15. 2020/21 Pharmacy Quality Scheme Detail to be negotiated Agile, iterative and escalates to drive and embed continuous Quality Improvement in priority areas of urgent care, healthy living, medicines safety and digital integration Announced already: Suicide prevention training for pharmacy staff Audits focused on inhaler technique and anticoagulation

  16. NHSBSA Provider Assurance

  17. Our role The NHSBSA Provider Assurance (PA) team support NHS England with the Quality Payment Scheme (QPS): • From April 2017-June 2018 we performed post payment verification • In February 2019 we performed pre-payment verification

  18. Quality Payment Scheme 2017-2019

  19. QPS key figures 2017-2019 £150 million paid out to contractors Over 40,000 QPS declarations handled Approximately £600,000 recovered

  20. QPS key figures 2017-2019 43 appeals received by NHS Resolution 259 accounts sent to PSRC 89 out of 10,708 contractors not validated for February 2019 100% success rate on appeals being upheld

  21. We’re committed to helping you In 2017, we worked collaboratively with contractors to get their NHSmail accounts validated. This reduced the number of unverified contractors for this criterion from 1,381 to 36. In 2018, we helped contractors move from an NHSmail legacy account to a shared mailbox ready for the February 2019 declaration opening.

  22. We’re committed to helping you Over the four reviews we’ve handled Over 5,000 QPS phone calls Over 7,500 QPS emails

  23. Pharmacy Quality Scheme (PQS) 2020

  24. February 2020 PQS Pre-payment verification will be used during the February 2020 declaration. We’re here to help you meet the criteria, so you can receive the PQS payment. We will be: Publishing a weekly data set Contactable by email Contactable by telephone

  25. Further Information Pharmacy Quality Scheme Guidance 2019/20 available at: https://www.england.nhs.uk/wp-content/uploads/2019/09/pharmacy-quality-scheme-guidance-2019-20.pdf NHSBSA web page to support the PQS https://www.nhsbsa.nhs.uk/pqs PSNC webpage: https://psnc.org.uk/services-commissioning/pharmacy-quality-scheme/ CPPE PQS webpage: https://www.cppe.ac.uk/services/pqs

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