DISPENSING IN EPS Release 2
As soon as a pharmacy contractor is in a position to operate an EPS Release 2 enabled system, regardless of the pharmacy location, they can start accepting electronic prescriptions and may make use of other functionality offered by Release 2 including the ability, at a patient’s request, to ‘nominate’ the patient’s preferred pharmacy.
Nomination is the process that is provided as part of Release 2 Electronic Prescription Service. It gives patients the option to choose, or ‘nominate’ a pharmacy to which their electronic prescription(s) can be sent electronically by the GP. Patients must nominate a pharmacy if they wish to use the electronic prescription service.
Nominations can be set at any EPS R2 pharmacy or GP practice.
YOUR CURRENT PATIENTS
Patients who are currently registered with a community pharmacy for a prescription collection service cannot be automatically “migrated” on to EPS for nomination purposes. However these patients may be approached by the pharmacy individually where appropriate and the patient will have to register to nominate.
SETTING PATIENT NOMINATIONS
If a patient is considering signing up to the service, it is mandatory that they are given the information necessary for them to make their choice. It is up to the nominator (prescriber or dispenser that is setting the nomination on behalf of the patient) to ensure the patient has been given, and fully understands, this information.
This information can be found on the patient leaflets and laminated EPS information guide provided by one of the following:
- Connecting for Health
- Your pharmacy organisation
- Pharmaceutical companies
This information should help the patient make an informed decision as to whether or not nomination is suitable for their circumstances. Nomination is a patient’s choice, and is not suitable for all patients.
Patients can nominate only one community pharmacy and only one dispensing appliance contractor at a time.
In each case a specific location must be nominated. An organisation or chain of premises cannot be nominated.
When a patient is nominating either at a pharmacy or appliance contractor, a signed nomination form should be signed by the patient or carer. This form should include the patients name, address, date of request. The completed form should be retained by the pharmacy. If the nomination is set at the GP practice, they will retain the form. A nomination form example is attached; however, you can use forms of your own design.
Once the patient has completed a nomination form, a member of staff can set the nomination on the patient’s personal demographics service (PDS) record within a timely manner. Nominations can be collected up to 6 weeks before you go live with EPS R2.
To record the nomination, staff with the necessary rights authorised on their smartcard can process the nomination by searching for the patient’s name, registered address, date of birth and gender. They can also use just the NHS number to locate the patient if this is available. The record can then be updated with the patients chosen dispensing contractor.
KEY PRINCIPLES OF NOMINATION
To ensure nomination is used in an appropriate way, four Key Principles of Nomination have been developed:
Principle 1– Patients must be provided with sufficient information about the EPS before nomination is captured
Principle 2– Patients must not be influenced to nominate a specific dispensing contractor.
2a– Dispensing contractors must not offer any type of inducement to encourage patients to nominate them.
2b– Primary medical care contractors shall not seek to persuade a patient to nominate a dispenser recommended by the prescriber or the contractor.
Principle 3– Dispensing contractors will need to capture, record and act on a patient’s nomination request in a timely manner.
Principle 4– Prescribers and dispensing contractors must establish standard operating procedures for nomination.
TOP TIPS FOR SPLIT SCRIPTS
Complaints about nomination from patients or staff will be thoroughly investigated. The PCT will have access to a number of different nomination reports to enable us to investigate any complaints thoroughly.
When your system is enabled for EPS Release 2 you should check that your entry on NHS Choices reflects this. You should also display an EPS sticker so your patient’s know that you are offering the service. If you would like any communications resources please let me know.
Your system supplier is responsible for providing your EPS system training. I would strongly recommend that you arrange for your staff to attend this training. You are also advised to ensure that you obtain a copy of your system supplier’s EPS Release 2 guidance manual, and keep it in a safe place – you will need it!
For EPS concept training, you should guide your staff to the Connecting for Health e-learning tool. This can be accessed from anywhere (i.e. you do not need an N3 connection to access it). The e-learning tool can be found here:
EPS NATIONAL STATISTICS – updated 25/9/14
|GP practices live||2666||32%|
|Dispensing Appliance Contractors live||73||65%|
|Release 2 prescriptions sent||41,011,755|
|Items dispensed and claimed||94,314,877|
|Average live site usage||35%|
EPS LOCAL STATISTICS for MILTON KEYNES – updated 25/9/14
Confirmed ‘go-live’ dates
EPS LOCAL STATISTICS for NORTHAMPTONSHIRE – updated 25/9/14
Confirmed ‘go-live’ dates
Dr Dutta & Partners
- GEM CSU anticipates EPS will be in the GP contract for 2015-16
- The EPS Team at HSCIC are looking to extend the Business Case for EPS until December 2016 to include the following development:
- Controlled drugs in to scope (this has now gone to public consultation)
- The return of dispensing information to the prescriber
- Allowing dispensers to amend claim information
- Making the RD authorization token optional
- Ability to have a one off nomination
- The following developments are being considered as part of EPS R3
- Improving patient experience choice and control, possibly removing mandatory nomination
- Using EPS in other care settings, e.g. mental health and secondary care
- Improving communication flows
- Scoping a number of other developments including web-based prescription management for patients to track scripts etc., multiple nominations, electronic claiming for PA drugs, better PRN management. Increasing number of items on a script, inclusion of a new field for medication reason, automatic push in pharmacy, improvements in 7 day prescribing, electronic exemption signature capture
TOP TIPS FOR USING EPS 2
By Donna Skoyles, IM&T Team Manager
- Scan as many Release 1 (barcoded) prescriptions as you can. This will help when adding nominations as it means that the patient’s personal medical record (PMR) will already be updated.
- Collect EPS nominations from your prescription collection service patients and managed repeats first. As a general rule of thumb, those patients with a barcode on their script will be eligible for EPS R2.
- Some pharmacies using AAH or RX Proscript are requesting scripts by using the F1 key. This can sometimes lead to delayed scripts, and so it is recommended that F1 is not used. F6 should be used, on the EPS screen.
- Send your dispense notifications straight after the patient has collected their prescription items. This is good practice for a couple of reasons. If the GP wishes to cancel the prescription, they will know it is with the patient. Also, with Repeat Dispensing scripts, this will also ensure that the next issue appears in your queue 7 days before it is due.
- Always get a reference number when phoning your system supplier’s helpdesk and keep a log of calls raised. Chase up with the supplier if you don’t receive a resolution within a reasonable time.
|Tracker Guide||Prescription Tracker Spine 2|
|Preparing for EPS in your Pharmacy||Pharmacy Checklist HSCIC|
|Pharmacy EPS Checklist||pharmachecklist|
|HSCIC Guidance||HSCIC Guidance 20131216|
|GEM CSU||IM&T Team Manager||Donna Skoyles||01604 651449||Donna.Skoyles@gemcsu.nhs.uk|
|SERVICE DESK (Smartcards)||0300 123 1020|
|GEM CSU||Maternity cover for Donna from 31/3/2015||Alison Patrick||01604 651234/07500126465||Alison.email@example.com|
WE ARE GOING LIVE
|Danes Camp Surgery, Northampton –||
Weston Favell Health Centre: Favell Plus (Drs. Abbas & Takla), Northampton –
Weston Favell Health Centre: Dr Jameel –
|Fishermead Medical Centre, MK –||
|Wolverton Health Centre, MK –||
|Studfall Medical Centre, Corby: (Dr Kumar’s Practice) –||
|Springfield Surgery, Brackley –||
|Headlands Surgery, Kettering –||
|Long Buckby Surgery, Long Buckby –||
|Milton Keynes Village Surgery, MK –||
|Ashfield Medical Centre, MK –||
|Westcroft Medical Centre, MK||
Rothwell & Desborough Health Centre,
If you would like to know which GP Practices are going live with EPS in neighbouring counties you can search on the HSCIC website here.
Please be aware that if your system is ready for EPS you could be sent an EPS prescription by any live GP practice. Please familiarise yourself with how EPS works in your system now – do not wait for your nearest GP practice to go live.
I have attached a checklist to help you to ensure that your pharmacy is ready for EPS. There is further information about EPS on the HSCIC website here. You can sign up for the National EPS bulletin here.
Please be aware that I will be on Maternity Leave from 31st March. After this date please direct any EPS queries to Alison Patrick who is covering EPS during my absence. Ali can be contacted in the following ways: