New! Quality Payment Claim – June 2018 Important!

New! Quality Payment Claim – June 2018 Important!

April 3, 2018

A Community Pharmacy Quality Payments Scheme, which forms part of the Community Pharmacy Contractual Framework (CPCF), was introduced from 1st December 2016 until 31st March 2018. A total of £75 million was paid to community pharmacies for meeting a number of quality criteria.

As part of the interim arrangement for the first six months on 2018/19 it was agreed a further £37.5 million is to be invested into a six month extension of the scheme, with a June 2018 declaration. This declaration point will operate similarly to previous declarations and will continue to reward community pharmacies who successfully meet the quality criteria.

The interim Quality Payments Scheme 2018/19 is largely similar to the Quality Payments Scheme 2017/18  except for a few minor changes, including changes to the Gateway criteria. 

Summary of the changes to the scheme : PSNC-Briefing-016.18-The-interim-Quality-Payments-Scheme-2018-19-–-A-summary-of-changes-to-the-Scheme

To be eligible to collect the points necessary to claim a Quality Payment, the contractor must meet four gateway criteria (click on the links below for more information):

Contractors passing the gateway criteria will only receive a Quality Payment if they meet one or more of the quality criteria listed in the table under the ‘Quality criteria’ subheading below. Therefore, meeting the gateway criteria will not, in itself, attract a Quality Payment; it is subject to how many of the quality criteria the contractor meets.

Contractors passing the gateway criteria will receive a Quality Payment if they meet one or more of the quality criteria listed in the table below. The Department of Health and Social Care has weighted these based on an assessment of the difficulty of achieving them and the benefit to patients for doing so, with each criterion being designated a number of points.

The total number of points that each contractor can qualify for is 100.

Click on the links below for more information on each of the quality criteria.

Domain Criteria Total points available at review point in June 2018
Patient Safety Written safety report (updated since 24 November 2017 i.e. the last review date where claimed before) at premises level available for inspection at review point, covering analysis of incidents and incident patterns (taken from an ongoing log), evidence of sharing learning locally and nationally, and actions taken in response to national patient safety alerts. 20
Patient Safety 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. 10
Patient Experience On the day of the review, the results of the Community Pharmacy Patient Questionnaire from the last 12 months is publicly available on the pharmacy’s NHS Choices page or for distance selling pharmacies it is displayed on their website and the NHS Choices service desk has been notified as per the NHS England guidance document, “Pharmacy Quality Payments – Quality Criteria Guidance”. 5
Public Health On the day of the review, the pharmacy is a Healthy Living Pharmacy level 1 (self-assessment). 20
Digital On the day of the review, the pharmacy can demonstrate a total increase in access to Summary Care Records (from Monday 1 May 2017 to Sunday 26 November 2017 compared to Monday 4 December 2017 to Sunday 1 July 2018). Where the pharmacy can demonstrate total access to Summary Care Records of 100 times or more in both time periods (Monday 1 May 2017 to Sunday 26 November 2017 and Monday 4 December 2017 to Sunday 1 July 2018) they will have been deemed to have met this criterion whether there has been an increase or not. 10
Digital On the day of the review, the pharmacy’s NHS 111 Directory of Services entry is up to date. 5
Clinical Effectiveness 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 month period, have since 24 November 2017 (i.e. the last review date) been referred to an appropriate health care professional for an asthma review. 20
Workforce On the day of the review, 80% of all pharmacy staff working in patient facing roles are trained ‘Dementia Friends’. 10
Total number of points: 100

further information is available at : http://psnc.org.uk/services-commissioning/essential-services/quality-payments/




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