Quality Payments – Dementia Friends

Quality Payments – Dementia Friends

Please note, the interim Quality Payments Scheme for the first six months of 2017/18 has now ended. No decisions have been made by the Department of Health and Social Care and NHS England on the future of Quality Payments beyond the first six months of 2018; this will be a matter for discussion with PSNC, once substantive negotiations for 2018/19 commence.

Community pharmacy contractors passing the gateway criteria will receive a Quality Payment if they meet one or more of the quality criteria. One of the quality criteria is:

‘On the day of the review, 80% of all pharmacy staff working in patient facing roles are trained ‘Dementia Friends’.


Click on a heading below for more information.

NHS England guidance

NHS England has published new guidance ahead of the June 2018 review point of the Quality Payments Scheme:

  • NHS England – Pharmacy Quality Payments Guidance for the June 2018 Declaration (published 30th April 2018).

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.

PSNC strongly encourages all contractors to read the new NHS England guidance, as well as the previous guidance, to ensure they are fully briefed on the requirements of the Quality Payments Scheme ahead of the June 2018 review point.

Dementia Friends

The Dementia Friends initiative is about giving people an understanding of dementia and the small things that could make a difference to people living with dementia in their community. It has been developed by the Alzheimer’s Society, is supported by Public Health England (PHE) and forms part of the Prime Minister’s Challenge on Dementia.

Quality criterion points and value

The value of this quality criterion is as follows:

Total points for the June 2018 review point 10
Value of total points £320-640*

*The funding will be divided between qualifying pharmacies based on the number of points they have achieved. Each point will have a minimum value worth £32 and a maximum of £64.

Aim/rationale of this quality criterion

The aim of this quality criterion is to help patient-facing pharmacy staff to learn a little more about what it is like to live with dementia and small ways we can all help people living with dementia and their carers. They can commit to turning that understanding into action in their day-to-day role in the pharmacy. These small actions by patient-facing pharmacy staff throughout the whole of England will make a huge difference to the lives of those living with dementia.

How to achieve this quality criterion (includes PSNC resources)

Many staff, including locums, may already have become Dementia Friends. There is no need to become a Dementia Friend again for this quality criterion.

There are various routes by which people can become a Dementia Friend – please read PSNC Briefing 021/18: Quality Payments 2018/19 – How to become a Dementia Friend (April 2018) which describes the process.

For organisations

For individuals

  • Individuals can register through the organisation route by either using the unique code from a pharmacy they are working in or by registering as an organisation using their name and the words ‘Pharmacy Locum’ e.g. ‘Jane Smith Pharmacy Locum’; or
  • Attending a face-to-face Dementia Friends Information Session – some LPCs or CPPE Regional Tutors may be planning to hold these events so consider contacting these organisations if you would like to attend a face-to-face session.

It is advisable that contractors seeking to achieve this criterion should aim to ensure that all staff who work in roles where they deal with patients (e.g. pharmacists, pharmacy technicians, dispensary staff, counter assistants and delivery drivers) become Dementia Friends. The requirement for this quality criterion is that at least 80% of pharmacy staff in patient facing roles are Dementia Friends on the day of the review; this includes locums, so contractors should encourage temporary staff, such as locum pharmacists, to become Dementia Friends.

Contractors should keep evidence that staff have become Dementia Friends. If staff have registered through the organisation route, this could be a copy of the email sent to request Dementia Friend badges.

If contractors are claiming this quality criteria for the second time, they should review staff turnover to ensure that this criterion is still met. NHS England advise that any new patient facing staff should routinely, as part of their induction, be advised to become a Dementia Friend.

Patient-facing pharmacy staff

Pharmacy staff with a patient-facing role should include all registered pharmacy professionals, all pre-registration graduates, everyone working in the dispensary, all medicines counter assistants and all delivery drivers (it also includes locums). Contractors may also have other staff that can be identified as having patient-facing roles. Although it is not required for the quality payment, NHS England would encourage all pharmacy staff to become Dementia Friends.

In order to calculate the total number of staff working in patient-facing roles in the pharmacy on the day of the review, each full or part-time member of staff working in roles listed above counts as one.

For example, if on 29th June 2018 the following staff are working at the pharmacy:

  • One locum pharmacist – 1
  • One pharmacy technician – 1
  • Two full-time delivery drivers – 2
  • Two part-time medicines counter assistants – 2

In this example, the total number of patient facing staff working on the day of the review is six. Therefore at least five of those staff must have become Dementia Friends in order to meet the quality requirement.

Record sheet

PSNC has created a record sheet which contractors can choose to use to keep a record of their staff members and temporary staff, such as locums, that have become Dementia Friends.

Dementia Friends Record Sheet (Word)

Dementia Friends Record Sheet (PDF)

The declaration process

Contractors will be required to declare through the NHS BSA online declaration page that they meet this quality criterion.

FAQs

Further FAQs on Dementia Friends can be found on the Dementia Friends website.

Dementia Friends has also produced an FAQ document to assist pharmacy team members with any issues.

Q. How do I become a Dementia Friend?
There are various routes by which people can become a Dementia Friend:

For organisations

For individuals

  • Individuals can register through the organisation route by either using the unique code from a pharmacy they are working in or by registering as an organisation using their name and the words ‘Pharmacy Locum’ e.g. ‘Jane Smith Pharmacy Locum’; or
  • Attending a face-to-face Dementia Friends Information Session – some LPCs or CPPE Regional Tutors may be planning to hold these events so consider contacting these organisations if you would like to attend a face-to-face session.

Q. Are part-time staff included in the quality payment criterion ‘On the day of the review, 80% of all pharmacy staff working in patient facing roles are trained Dementia Friends?’
Yes. This quality criterion applies to all pharmacy staff working in patient facing roles. The number of hours a member of staff is employed for is not relevant for this quality payment criterion.

Q. One of the quality criterion states that at least 80% of pharmacy staff in patient facing roles are Dementia Friends on the day of the review; does this include locums?
Yes. The 80% of pharmacy staff in patient facing roles includes locums, so contractors should encourage temporary staff, such as locum pharmacists, to become Dementia Friends.

Q. The Dementia Friends criterion requires on the day of the review, for 80% of all pharmacy staff working in patient facing roles to be Dementia Friends. For distance selling pharmacies (DSPs), does this only require delivery drivers to become Dementia Friends as they may be the only member of staff who has a patient facing role?
No. The criterion for pharmacy staff in patient facing roles would also apply to pharmacists (including locums), pharmacy technicians, dispensary staff, medicines counter assistants, etc. DSPs can provide Advanced and Enhanced Services on the premises (as well as Medicines Use Reviews (with permission from the local NHS England team) away from the pharmacy premises), if Essential Services do not form part of the Advanced or Enhanced Service provided to persons present at the pharmacy. Therefore, these members of staff could be patient facing and the criteria would apply to them.

Q. My pharmacy team have all become Dementia Friends, but we haven’t received our Dementia Friends badges yet. Will we still meet the quality criterion if our badges have not arrived by the June 2018 review point?
Yes. If the pharmacy team has watched the online videos and submitted their details as stated in PSNC Briefing 021/18: Quality Payments – How to become a Dementia Friend, the pharmacy will still meet the quality criterion. Dementia Friends badges are not required to meet the quality criterion.

Dementia Friends has also produced an FAQ document to assist pharmacy team members with any issues.

Further FAQs on the Quality Payments Scheme can be found on the Quality Payments – FAQ page

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