Quality Payments – Use of the NHS Summary Care Record (SCR)

Quality Payments – Use of the NHS Summary Care Record (SCR)

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 second review, the pharmacy can demonstrate a total increase in access to Summary Care Records (from Monday 3 October 2016 to Sunday 30 April 2017 compared to Monday 1 May 2017 to Sunday 26 November 2017).

Where the pharmacy can demonstrate total access to Summary Care Records of 100 times or more in both period 1 (Monday 3 October 2016 to Sunday 30 April 2017) and period 2 (Monday 1 May 2017 to Sunday 26 November 2017) they will have been deemed to have met this criterion whether there has been an increase or not.’


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 value

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 5
Total points over the two review points 10
Value of total points £640

Aim/rationale of this quality criterion

The aim of this quality criterion is to encourage pharmacies to access information about the patient to support clinical decision-making. Summary Care Records (SCRs) should be accessed as part of daily practice when required to support professional decision making. Examples of use in practice include resolving prescription queries, advising patients on suitable medication, providing emergency supplies and when carrying out medication reviews.

How to achieve this quality criterion

To claim for this quality criterion at either review point, the pharmacy must have access to the SCR and must have accessed the SCR on at least one more occasion in period 2 compared to period 1 or have accessed the SCR 100 times or more in both period 1 and period 2 (whether there has been an increase or not), for example, 108 times in period and 104 times in period 2.

NHS Digital report the number of times a pharmacy has accessed the SCR in full weeks (Monday to Sunday) and have published a Quality Payments SCR Viewing Calculator. This shows the number of times a pharmacy has viewed the SCR in period 1 and period 2 (as defined in the table below). NHS England will accept an increase from period 1 to period 2 as shown in the Calculator or that the Calculator shows that the contractor has accessed the SCR 100 times or more in both period 1 and period 2 (whether there has been an increase or not) as evidence of meeting this quality criterion.

Periods for reviewing access to SCR in relation to the second review point

For review point two (Friday 24th November 2017) Period 1 is Monday 3rd October 2016 to Sunday 30th April 2017 Period 2 is Monday 1st May 2017 to Sunday 26th November 2017

This information will be updated weekly on Thursdays (with the previous week’s viewing figures).

Pharmacies that have already got SCR access (for the November review point)

  • Determine the number of times an SCR has been accessed between 3rd October 2016 and 30th April 2017 using the Quality Payments SCR Viewing Calculator
  • Review your approach to use of the SCR to ensure that you are maximising appropriate use; there is guidance and support on use of the SCR available via psnc.org.uk/scr
  • Monitor your ongoing use between 1st May 2017 and 26th November 2017 to ensure you are on target to increase overall use of the SCR or to confirm if you have accessed the SCR 100 times or more in both period 1 and 2)

Pharmacies that have NOT currently got SCR access

  • If you have not undertaken the necessary training, visit psnc.org.uk/scr or contact your LPC to find out how to access SCR training and then get access enabled in your pharmacy
  • If you have undertaken the necessary training, but have not had the SCR role added to relevant pharmacy professional’s smartcards (who have undertaken the necessary training) contact your local Registration Authority (RA) to chase this up. Once the SCR role has been added to smartcards, make sure you access the SCR as soon as possible, to ensure this works in your pharmacy (potentially using the test patient details which should have been provided at the pharmacy level training)
  • If you have undertaken the necessary pharmacy training and pharmacy professional’s smartcards have been updated, but you have not yet accessed the SCR, make sure you access the SCR as soon as possible, to ensure this works in your pharmacy (potentially using the test patient details which should have been provided at the pharmacy level training)
  • Determine the number of times an SCR has been accessed between 3rd October 2016 and 30th April 2017; this will be zero if you did not get access to the SCR until after the end of April 2017
  • Plan your approach to use of the SCR to ensure that you maximise appropriate use; there is guidance and support on use of the SCR available via psnc.org.uk/scr
  • Monitor your ongoing use between 1st May 2017 and 26th November 2017 to ensure you are on target to increase overall use of the SCR using the Quality Payments SCR Viewing Calculator. Alternatively, the contractor’s privacy officer should be able to access this information

The declaration process

Contractors will be required to confirm through the NHS BSA online declaration page that their use of the SCR has increased from period 1 to period 2 or that they have accessed the SCR on 100 or more occasions in period 1 and period 2.

FAQs

Q. Do I need to access the SCR 100 times or more in period 1 and period 2 or just 100 times over the two periods to meet the quality criterion without increasing SCR usage?
Contractors would need to access the SCR 100 times or more in both period 1 and period 2, for example, 108 times in period 1 and 104 times in period 2 to meet the quality criterion without increasing SCR usage.

Q. How often is the SCR calculator updated?
The SCR calculator is updated weekly on Thursdays (with the previous week’s viewing figures).

Q. How can I practice using SCR so that I can learn how to use it quickly for patients under my care?
You can practice using SCR by using the test patient NHS numbers that NHS Digital has provided; this will allow you to access example records and help you become more familiar with the process. Details of the test NHS numbers plus further information on this process can be found on the Using the SCR application on the PSNC website.

Q. Does the SCR usage calculator tool include test patients when it calculates the number of times a pharmacy has viewed the SCR in period 1 and period 2?
Yes. The SCR usage calculator tool is not able to differentiate between test patients and real patients therefore both are included in the calculation of how many times a pharmacy has accessed the SCR.

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

Return to the Quality Payments hub page



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