Quality Payment Achievement – Guidance and Resources


The Department of Health (DH) is introducing a Quality Payments scheme as part of the Community Pharmacy Contractual Framework in 2017/18. This will involve payments being made to community pharmacy contractors meeting certain quality criteria, with funding taken from the overall funding for 2017/18 of £2.592 billion.

QPS – claim date – June 2018 

A Community Pharmacy Quality Payments Scheme, which forms part of the Community Pharmacy Contractual Framework (CPCF), was introduced from 1 December 2016 until 31 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.

It is never too early to start preparing for the June Review Point of quality payments and we would strongly encourage you to reflect on your action areas although please note that a number of the criterion cannot be taken forward as yet due to the necessary resources and timescales that are not yet available or live. 

Pharmacies are strongly encouraged to pull together a quality payments evidence folder that is readily accessible in the pharmacy should they be requested to provide evidence of meeting quality payments in the future by NHS England.

Please note that if you are part of a group of pharmacies before working through the attached document you should check with your head office about implementation to meet the quality payments to ensure you are adhering to their processes as they may be undertaking some of the work centrally on your behalf.

NHS England and PSNC Guidance

Pharmacies are also strongly encouraged to visit PSNC’s excellent hub webpage that has a wealth of information and supportive materials: http://psnc.org.uk/services-commissioning/essentialservices/quality-payments/. Please sign up to PSNC newsletters as info on updates will be published on the website and in their newsletters – psnc.org.uk/enews.

NHS England will be publishing new guidance ahead of the June 2018 review point of the Quality Payments Scheme. Details will be made available as soon as possible.

The June 2018 guidance should be read in conjunction with NHS England’s gateway criteria guidance and the quality criteria guidance:

  • NHS England – Pharmacy Quality Payments Gateway Criteria Guidance (published 23rd December 2016); and
  • NHS England – Pharmacy Quality Payments Quality Criteria Guidance (published 27th February 2017).

These documents are available on the NHS England website.

A PSNC briefing outlining changes to the Quality Payments Scheme is available below:

PSNC Briefing 016/18: The interim Quality Payments Scheme 2018/19 – A summary of changes to the Scheme (March 2018)

CPPE Training Resources to achieve the quality criteria

This maps the quality criteria to the CPPE Resources available to achieve them

quality-criteria-cp-2017-cppe-resources-final

To be eligible to collect the points necessary to claim the Quality Payment, the contractor must meet four gateway criteria:

How to achieve this ;

  1. Delivering advanced services; NMS, MUR and NHS Flu service
  2. psnc-briefing-062-16-nms-guide-for-other-healthcare-professionals
  3.  mur-poster-target-groups-jun-2015
  4.  PSNC contractor checklist for flu delivery
  5. NHS choices up to date  download this document for details  how-to-manage-pharmacy-profiles-nhs-choices-guide
  6. NHS mail ( as of feb 2017 NHSE will be supporting this process of rollout )
  7. ongoing utilisation of EPS

Contractors passing the gateway criteria will only receive a Quality Payment if they meet one or more of the criteria listed in the table under the ‘Quality Payment 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 and their teams will need to decide how to approach achieving the gateway and quality criteria in a way that works for them; there will be no ‘one size fits all approach’, but we suggested one approach which contractors may want to consider adopting. The plan covers all elements of the Quality Payment scheme and we have prioritised the plan so that criteria that can be achieved at both review points are generally first, as it is important that an early start is made on achieving them

NHSE Quality Criteria Guidance (published Feb 2017) – key points below;

NHSE have now published new guidance on achieving the quality payment and claims information (link above)

This Contains details of the timeframes and windows that the BSA website will be open for claims at http://www.nhsbsa.nhs.uk/QualityPaymentscheme details on p.8

  1. the timeframe For review Point One (28 April 2017) will open from Monday 10 April 2017 at 09:00 and will close on Friday 12 May 2017 at 23:59, claims cannot be made outside of this period.
  2. In order to determine the impact of the quality payments scheme and to inform future development of the CPCF, NHS England will be evaluating the scheme. One element of this evaluation is to include some questions when pharmacies are completing their declaration. Declaration questions and evaluation questions will be clearly identified. Declaration questions are mandatory. We would encourage every contractor to complete the evaluation questions to support future developments in payments for quality on ref: p.9
  3. Ensure you meet the NHS gateway criteria – please note this includes NHS mail for which details have not been released yet.
  4. NHS Choices  Pharmacies are required to edit or validate their opening times, services and facilities information within their NHS Choices profile listing to meet the gateway criterion. For the first review point, contractors must edit and/or validate their NHS Choices entry between 00:00 on 7 February 2017 and 23:59 on 28 April 2017.  Detail and links to gain editing rights are on page 11.
  5. Contractors making declarations to the NHS BSA that they are offering either the NMS or MURs under the advanced service gateway criterion must ensure that the service is visible on their NHS Choices profile on the relevant review date.  Contractors declaring that they are offering either the NMS or MUR service at the first review point must have the service visible in the services section of their NHS Choices profile on 28 April 2017
  6. For DSP’s the guidance is on p.12
  7. NHS mail – For the April 2017 review point, evidence of application for an NHSmail account by 1 February 2017 is acceptable. P.14
  8. EPS – demonstrate ongoing usage and declare on the BSA website p.14
  9. Patient Safety Written safety report 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. Guidance on p.15  attached are word templates for monthly and annual reporting ref: p15
  10. Safeguarding – 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. P.19 for guidance on CPPE training for pharmacy staff via CPPE ref p.19
  11. CPPQ for Pharmacies and DSP’s  – 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”.

Please read 21-22 for guidance on how it should be submitted and the specific wording to be used.

Templates available at : http://psnc.org.uk/contract-it/essential-service-clinical-governance/cppq/

13.HLP guidance for contractors who are working towards HLP and grandparenting guidance (for those        pharmacies already HLP accredited) is now available. This can be claimed for in the November claim point as we are working towards this in LLR ref: p.23

14.SCR – On the day of the first review, the pharmacy can demonstrate a total increase in access to Summary Care Records (from Monday 27 June 2016 to Sunday 27 November 2016 compared to Monday 28 November 2016 to Sunday 30 April 2017); p.2

15. On p.25 an SCR viewing calculator link is provided which will go live soon and can be used as evidence of meeting the criteria in the NHSBSA declaration

16.DOS (directory of services) On the day of the review, the pharmacy’s NHS 111 Directory of Services entry is up to date. The process for checking the DoS entry and requesting any appropriate changes for the first review period of the quality payments will be made available in March 2017 and I wil update you on the process and link (p.27)

17.Referral for asthma review p.28 all info and templates are available at

http://psnc.org.uk/leicestershire-and-rutland-lpc/quality-payment-overuse-of-asthma-treatment/

18.On the day of the review, 80% of all pharmacy staff working in patient facing roles are dementia friends

Annex 1, 2 and 3 contain templates for monthly patient safety , annual patient safety and CPPQ template.

Key Resources :

PSNC briefings links and Resources are available at;

http://psnc.org.uk/services-commissioning/essential-services/quality-payments/

psnc-briefing-067-16-quality-payments-guidance-what-do-contractors-need-to-do

FAQ quality payment – PSNC (new jan 2017)

It is Recommended that contractors  set up a folder names Quality Criteria Achievement and print off the checklist and below templates to capture the data 

dementia-friends-record-sheet

asthma-referrals-suggested-process

referral-form-asthma

safeguarding-record-sheet

data-collection-form-patients-referred-for-an-asthma-review

 

LLR initiatives and Support to achieve the quality Criteria ( December 2016 onwards) 

  1. Funding Cuts update meeting on 6th December with business support workshop
  2. We will begin the roll out of HLP training with the City in January 2017 and this is being organised to help you achieve your HLP accreditation. Further details and booking will be open in the next week. This will be for Leadership training for Pharmacists and HLP level (Royal Society of Public Health Training Level 2) for staff ( 1 pharmacist and staff member per pharmacy) using funding we have obtained from Health Education East Midlands earlier this year
  3. We are working with CPPE training to ensure there are safeguarding children training events next year and others relating to helping you achieve quality payments
  4. The LPC board have agreed to fund Pharmoutcomes for contractors so that we have a licence which can ensure we have access to the platform for any services. We will require this to help you to deliver HLP and the quality criteria
  5. we have recently funded an online training platform virtualoutcomes to support CPD and Pharmacy staff to implement and keep up to date with key PH initiatives and delivery of MECC
  6. we will be holding a HLP event “Beyond HLP” on May 15th 2018

Last updated 7.4.2018