Quality Payments – NHS Choices entry

Quality Payments – NHS Choices entry

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. 

To be eligible to collect the points necessary to claim a Quality Payment, community pharmacy contractors must meet four gateway criteria, one of which is:

‘On the day of the review, the NHS Choices entry for the pharmacy must be up to date.’

This criterion must be complied with before any payment can be achieved.


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.

NHS Choices

NHS Choices (www.nhs.uk) was launched in 2007 and is the official website of the NHS in England. With over 48 million visits per month, it has become the UK’s biggest health website accounting for a quarter of all health-related web traffic.

NHS Choices contains a directory of services available to patients which can be searched to identify services that are appropriate to the individual. Community pharmacies are listed on this directory and they have been able to register to self-manage the content of most of their individual NHS Choices profile for several years.

How to achieve this gateway criterion

Contractors are required to edit or validate THREE sections of their NHS Choices profile to meet the gateway criterion between 00:00 on 11th September 2017 and 11.59pm on 24th November 2017. The THREE sections are:

  • their opening hours;
  • the facilities the pharmacy provides; and
  • the services the pharmacy provides.

All three sections will need to have been edited or validated for the contractor to meet the NHS Choices gateway criterion, which is a requirement, to be eligible to then claim for a Quality Payment based on the quality criteria they meet. Even if all three sections are correct, contractors will still need to log into their profile and validate this information during the above time period.

Contractors who plan to declare to the NHS Business Services Authority that they are offering either Medicines Use Reviews or the New Medicine Service or both services under the Advanced Services gateway criterion must also ensure that the service is visible on their NHS Choices profile.

Even if contractors have recently edited or validated their NHS Choices profiles, they will need to do this again, within the above time period, to ensure they meet the gateway criterion.

Once a contractor has updated the three sections of their NHS Choices profile, it is advised to visit the patient facing page of their NHS Choices profile. By doing this, an additional check can be carried out to ensure the information and the dates listed on the page (which show when the sections were last updated) have changed to the date when the contractor edited and/or validated their profile. If possible, taking a screen shot of the three sections once they have been edited and/or validated would also be useful so this information can be retained as evidence of having met the gateway criterion.

Any inaccuracies between a contractor’s NHS Choices profile and their contractual opening hours, facilities and the services provided is the responsibility of the contractor. As this is a gateway criterion, an inaccurate NHS Choices profile may then jeopardise the entire payment claimed for under the Quality Payments Scheme.

A User Guide for managing NHS Choices profiles to support the Quality Payments Scheme is available on the NHS Choices website.

Services provided at the pharmacy

Contractors must update or validate their list of services which is displayed in the ‘services’ section of their NHS Choices profile.

Services are classified into the following three sections:

Pharmacy services Advanced Services and other services which are useful for patients to know about. Please note that there is no listing for Essential Services in the first review period. For the second review period, Essential Services will be included but auto-populated onto each provider profile.
Pharmacy (NHS) services Services commissioned by local authorities or Clinical Commissioning Groups
Pharmacy (Non-NHS) services Patient-funded services (private services)

Registering for profile editing rights or requesting a lost password

NHS Choices profile – registering to self-manage the content

Contractors that do not currently have profile editing rights can apply on the NHS Choices website. The NHS Choices team is expecting a large number of applications; therefore, contractors may experience a delay in being provided with editing rights. NHS England has recommended that contractors should apply as soon as possible for editing rights to ensure these are obtained before the November review point.

If a contractor has lost their password, they can request a new password on the NHS Choices website.

PSNC website page on NHS Choices and self-management of pharmacy profiles

NHS Choices profile – not listed on the website

Contractors that have a pharmacy which is not listed on the NHS Choices website (not including distance selling pharmacies) should contact their local NHS England team. An NHS Choices profile is set up following authorisation from the local team. Making the local team aware that a profile has not been set up will then initiate this process.

Contractors with multiple pharmacies

Contractors with multiple pharmacies will need to decide whether to complete the review of NHS Choices profiles at head office or pharmacy level. Each profile is specific to that pharmacy and when a profile is edited or validated; staff will need to ensure that the pharmacy details submitted are accurate for that particular pharmacy at the time of completion. Any inaccuracies that result from editing by head offices and local pharmacy teams will be the responsibility of the contractor.

Automating the NHS Choices profile update process

An Application Programming Interface (API) is available to automate the process of updating profile information on NHS Choices. This will be useful for contractors with multiple profiles to manage. Rather than using the NHS Choices PIMS to enter the information, pharmacies can use the API to connect their IT systems to NHS Choices to create an automated way of updating their profile information saving time and ensuring that their information, on NHS Choices is always up-to-date. Contractors can make changes to the editable fields listed above using the API.

For further information on using the API, please email the NHS Choices Service Desk (email address is nhschoicesservicedesk@nhs.net) requesting a call back from the Syndication team. Please add ‘Organisation API’ in the subject field of the email; please include one contact per organisation.

How to achieve this gateway criterion - Distance selling pharmacies

Since distance selling pharmacies (DSPs) do not, currently, have full NHS Choices entries, DSP contractors should refer to PSNC Briefing 065/17: Quality Payments – Process for distance selling pharmacies to meet the NHS Choices gateway criterion for the November 2017 review point (v2) which details the process DSP contractors will need to follow.

The declaration process

Contractors will be required to declare, through the NHS BSA online declaration page, that they have edited and/or validated their NHS Choices entry between 00:00 on 11th September 2017 and 11.59pm on 24th November 2017.

Distance selling pharmacy contractor

For the second review point, DSP contractors will be required to declare through the NHS BSA online declaration page that they have completed the survey, which will be sent to the email address supplied by the contractor, by 11:59pm on 24th November 2017.

FAQs

Q. I have viewed my NHS Choices profile and my opening times, the facilities the pharmacy provides and the services the pharmacy provides are all correct. Do I therefore meet the gateway criterion?
No. To meet the gateway criterion, contractors need to have logged in to their NHS Choices profile and either have edited or validated the opening times, the facilities the pharmacy provides and the services the pharmacy provides during the required time period.

Contractors must validate their profile even if their NHS Choices profile is correct otherwise they will not meet the gateway criterion and will therefore not be entitled to claim for a Quality Payment.

Q. The NHS England guidance states that I need to edit or validate my opening times, the facilities the pharmacy provides and the services the pharmacy provides on my NHS Choices profile. What if I don’t edit or validate all three parts of the NHS Choices profile?
The NHS England guidance clearly states that all three parts of the NHS Choices profile need to be edited or validated to meet the gateway criterion (the opening times, the facilities the pharmacy provides and the services the pharmacy provides) during the required time period. Therefore, if all three sections are not edited or validated, contractors will not meet the requirements of the gateway criterion and will not be entitled to claim for a Quality Payment.

Q. I edited and validated my NHS Choices profile a few days before 11th September as I received a letter from the NHS Business Services Authority advising me that I had not updated all three sections of my NHS Choices profile for the April review point of the Quality Payments Scheme. Do I need to edit or validate the three sections again?
Yes. In order to meet the gateway criterion for the November review point you must edit or validate the information again between 00:00 on 11th September 2017 and 11:59pm on 24th November 2017. If you do not edit or validate your NHS Choices profile during this period, you will not meet the gateway criterion.

Even if the information is correct on your NHS Choices profile, you will need to log into your profile and validate the information in the three sections.

Q. I am having problems accessing my NHS Choices profile and can therefore not update my profile. What should I do?
If a contractor has experienced any difficulty with accessing and editing their NHS Choices profile, please urgently send an email describing the problem you are having to nhschoicesservicedesk@nhs.net with ‘Issues with pharmacy profiles – Quality Payments Scheme’ in the subject line of the email; the NHS Choices service desk team will prioritise these emails for action and will contact the pharmacy to try to solve the problem.

Q. NHS England’s Quality Criteria Guidance published in February 2017 stated that Essential services provided at the pharmacy will be included on pharmacies’ NHS Choices profiles for the November 2017 review point. Will that still be going ahead?
NHS England has advised PSNC that they still intend to have Essential services included on contractors’ NHS Choices profiles but not before the November 2017 review point. Contractors will not need to do anything as the Essential services will be auto-populated onto each provider profile. This does not affect the NHS Choices gateway criterion for the Quality Payments Scheme.

More frequently asked questions (FAQs) on Quality Payments can be found on the Quality Payments – FAQs page of the PSNC website.

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