Quality Payments – NHS 111 Directory of Services

Quality Payments – NHS 111 Directory of Services

The Quality Payments Scheme has now ended for 2017/18. The review points have now passed and contractors can no longer claim payment for the scheme. 

No decisions have been made by the Department of Health and NHS England on the future of the Quality Payments Scheme beyond 2017/18. 

Community pharmacy contractors passing the gateway criteria will receive a Quality Payment if they meet one or more of the quality criteria. The Department of Health 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.

One of the quality criteria is:

‘On the day of the review, the pharmacy’s NHS 111 Directory of Services entry is up to date.’


Click on a heading below for more information.

NHS England guidance

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

  • NHS England – Pharmacy Quality Payments Guidance for the November 2017 declaration (published 2nd October 2017)

The November guidance, should be read in conjunction with NHS England’s gateway criteria guidance and the quality criteria guidance which was issued ahead of the April review point:

  • 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).

All three 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 November review point.

Quality criterion points and values

The value of this quality criterion is as follows:

Number of review points at which it can be claimed Two
Points at any one review point 2.5
Total points over the two review points 5
Value of total points £320

Directory of Services

The Directory of Services (DoS) is a central directory which provides NHS 111 call handlers with real time information about services available to support a particular patient. Pharmacies are included in the DoS and it is important to the efficient working of NHS 111 and some other urgent care providers that information on pharmacy services is accurate in order to allow patients to be appropriately referred to community pharmacies.

The DoS is not publicly available, as it contains information such as private telephone numbers for use by healthcare professionals, but some pharmacies can already access DoS (via a web-based system called MiDoS) and can therefore check their DoS entry is accurate. NHS Digital is currently finalising the development of the Mobile Directory, which is designed to allow real time access to the DoS via a web browser or mobile device (such as a mobile phone or tablet). It is likely that this will be the route by which most pharmacies will be able to check their DoS entry.

Aim/rationale of this quality criterion

For NHS 111 to refer patients appropriately to community pharmacies it is critical that they have access to accurate information about pharmacies, their location, opening hours, and services provided. The aim of this quality criterion is to enable pharmacy contractors, for the first time, to view their NHS 111 DoS demographic profile and to provide corrections to that information where necessary. This is so that patients are always given the correct information when they dial NHS 111 for help.

Types of DoS profiles

An individual pharmacy’s DoS entry could be made up of one, two or three different DoS profiles, depending on the different services that each pharmacy provides.

Each DoS profile sits in one of four service types on the database:

A. Pharmacist

B. Pharmacist – Extended Hours

C. Pharmacist Enhanced Service

D. Pharmacist Urgent Prescription

Every NHS pharmacy will have one profile for its main service provision sitting in either A or B, depending on the extent of its full opening hours (core and supplementary).

Pharmacies delivering additional services (e.g. minor ailments service, NHS Urgent Medicine Supply Advanced Service) will have extra profiles in C and/or D.

All DoS profiles that make up an individual pharmacy’s DoS entry need to be checked to meet the quality criterion.

How to achieve this quality criterion

NHS England has been working with NHS Digital since the April 2017 review date to develop an improved DoS profile updater (previously known as the DoS Checker tool) for the second review point (24th November 2017).

For the November declaration, contractors will be required to edit or confirm the information about their pharmacy is correct on the DoS profile updater by 11:59pm on 24th November 2017 to meet the quality criterion.

Guidance on how to edit or confirm the information about a pharmacy is correct is available on the DoS profile updater website (these can also be accessed by clicking on ‘Help’ at the bottom of the screen on the DoS profile updater homepage). Contractors are strongly advised to read the guidance to ensure they fully understand how to meet the quality criterion.

Once the details on the DoS profile updater have been submitted, the contractor will receive an email to confirm this. This email should be retained as evidence of meeting the DoS quality criterion.

The email should be received instantaneously after submitting the information on the DoS profile updater; however, please allow up to two hours for the email to be delivered. If the email is not received after this time period, please check your junk/clutter folders to ensure the email has not been inappropriately filed in this folder. If this is not the case, please email: Exeter.helpdesk@nhs.net for further advice.

Future access to DoS profiles

In the future, it is the intention that contractors may access their live NHS 111 DoS entry directly via one (or more) of the following method(s) facilitated by their Regional DoS team or pharmacy system supplier:

  • mobile search tool such as the NHS 111 Mobile DoS and MiDoS;
  • specific login to the DoS database to view and request changes; and
  • look-up of DoS entry details using the ODS code within a pharmacy system.

Further information about which direct access methods have been enabled in your part of the country will be made available on the NHS England website.

The declaration process

Contractors will be required to confirm through the NHS BSA online declaration page that they have checked and, if appropriate, requested appropriate changes to their DoS entry using the DoS profile updater.

FAQs

Q. I’ve just realised that I made a mistake when I edited my pharmacy’s information on the DoS profile updater. Can I access the DoS profile updater again and edit this information?
It is intended that the DoS profile updater is updated once by each contractor claiming for this criterion. However, if a contractor realises that the details that have been submitted are incorrect, or the details change before 24th November 2017, then the DoS profile updater can be accessed again and the details updated.

Q. The information on the DoS profile updater is correct for my pharmacy. Do I need to complete the whole process on the DoS profile updater?
Yes. You will need to complete the process even if the information is correct as by doing so, you will be confirming the information is correct and will be sent an email to confirm this.

If you do not complete the process, you will not have met the quality criterion and you will not appear on the report that NHS Digital will supply to NHS England which will be used to validate the declaration for the DoS quality criterion.

Q. How quickly will the information I submit be updated on my pharmacy’s DoS profile?

The information provided by contractors on the DoS profile updater will be reviewed by the local DoS lead within 14 calendar days of the information being submitted. Where DoS leads or local NHS England teams have queries regarding the information provided, they will contact the contractor to resolve the query.

This time period is not relevant for meeting the quality criterion as to meet the quality criterion, the contractor just needs to have edited or confirmed the pharmacy’s information on the DoS profile updater by 11:59pm on 24th November 2017 rather than the DoS lead needing to have updated the pharmacy’s DoS profile by this time period.

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