Quality Payments Scheme
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.
This briefing explains how the scheme will work and it details guidance and resources for community pharmacy contractors on what they need to do to engage successfully with it.
The Quality Payment scheme is designed to reward pharmacies for achieving outcomes.
DH has said it will allocate £75 million to fund the Quality Payments in 2017/18, which will be funded from the overall funding for 2017/18 of £2.592 billion.
Payments will be made to eligible contractors depending on how many criteria they have met (and therefore how many ‘points’ they achieved). DH expects the value of each point to be set at £64. This is set at a level that would deliver £75 million assuming 100% of pharmacies achieved all 100 points.
Payments due from each review point will be paid as part of the full value of services for that month, i.e. payment from April’s review point will be paid at the end of June/beginning of July.
However, it may be the case that not all pharmacies will achieve all of the quality criteria across the two review points. Therefore, after the two review points, there will be a reconciliation process, at which the remaining funding will be divided between qualifying pharmacies based on the number of points they have achieved over the two review points. This reconciliation payment will not have to be claimed and will be paid with the full value of services payment for March 2018 (i.e. end of May/beginning of June).
To ensure the overall amount earned by one contractor for Quality Payments remains proportionate, a cap of £128 per point will be allowed in totality including the reconciliation payment. To reach the cap would require less than 50% of pharmacies achieving less than 50% of the quality criteria.
Full details of the pharmacy Quality Payment scheme can be accessed on the PSNC hub