Pharmacy Quality Scheme Part 2 (October 2020)


Completion of and claiming for the Part 1 scheme will be a Gateway requirement for the Part 2 scheme.

The scheme will start in October 2020.  There will be 5 domains which will have their own criteria to achieve which must be completed to claim payment.

The funding for this is £56.25m

Initial information from PSNC has been released to allow contractors to start undertaking some of the tasks associated with completion of the various domains if they wish, but it does not reflect the full, finalised, detailed requirements, so these must be consulted once they are published.

 

Infection Prevention and Control and Antimicrobial Stewardship domain

 Infection Prevention and Control

All staff will need to complete the HEE infection prevention and control

  • Level 1 (non registered staff) and Level 2 (Registered Staff) e-learning and assessment.
  • Following the completion of the training, all of the pharmacy team working at the pharmacy must have completed a team review documenting the reflections and actions following the training, and amending standard operating procedures (SOPs) and associated guidance, where appropriate.

This training is being adapted early in September to make the references more relevant to community pharmacy. Contractors are advised to leave completion of this training until late September.

Antimicrobial Stewardship

  • All patient facing pharmacy staff that provide advice on medicines or health care to have completed the ‘PHE Antimicrobial Stewardship for Community Pharmacy e-learning and e-assessment’:

https://portal.e-lfh.org.uk/Component/Details/602874

  • Develop an antimicrobial stewardship action plan for the pharmacy;
  • All patient facing staff that provide health advice should become Antibiotic Guardians and have an awareness of the local antibiotic formulary.

 

Guidelines for Nottinghamshire are found here – https://www.nottsapc.nhs.uk/guidelinesformularies/antimicrobial-guidelines/

Prevention Domain

Suicide awareness and action plan

All patient facing staff must have completed the Zero Suicide Alliance (ZSA) training and also prepare or update an action plan.

Sugar sweetened beverages

Sales by the pharmacy (the registered pharmacy premises) of Sugar Sweetened Beverages must account for no more than 10% by volume in litres of all beverages sold.

Weight management

  • All non-registered patient-facing pharmacy staff that provide health promoting advice to have completed the ‘PHE All Our Health: bitesize training and assessments on Adult Obesity and Childhood Obesity’, https://www.e-lfh.org.uk/programmes/all-our-health/
  • All registered pharmacy professionals to have completed sections 1 and 3 of the ‘CPPE Weight management for adults: understanding the management of obesity training and assessment’: https://www.cppe.ac.uk/programmes/l/weightman-e-01; https://www.cppe.ac.uk/programmes/l/weightmane-a-06/.
  • Develop and implement an action plan of how the team would proactively engage with people to discuss weight and assist a person who would like support with their weight. The action plan should include a list of local support or physical activity groups that the person could be referred to and support materials/tools they could use.
  • On the day of the declaration, the pharmacy team has recorded, over a period of 4 consecutive weeks, the total number of people who:
    1. had a conversation with a trained member of the pharmacy team about the benefits of achieving a healthy BMI and who have been shown how to self-measure and calculate their BMI and self-measure their waist circumference; and
    2. were referred to other services for weight management support, e.g. physical activity.

Risk management domain

Risk Management

  • Registered pharmacy professionals to have completed the ‘CPPE risk management training and e-assessment’:

https://www.cppe.ac.uk/programmes/l/riskman-g-02; https://www.cppe.ac.uk/programmes/l/riskmang-a-03/.

If the training and assessment were satisfactorily completed between 1st April 2018 and 31st March 2020, this does not need to be repeated in 2020/21.

  • A new risk review, or an update of the previous risk review covering the risk of missing sepsis identification and the risk of missing red flag symptoms during over the counter consultations, both with demonstrable risk minimisation actions that have been undertaken.

If the risk review was not completed for 2019/20 then contractors must ensure

  • 80% of all registered pharmacy professionals working in the pharmacy have satisfactorily completed the CPPE sepsis online training and assessment and must be able to demonstrate that they can apply the learning to respond in a safe and appropriate way when it is suspected that someone has sepsis; AND
  • They must have demonstrable evidence that all patient-facing staff have understood the alert symptoms to ensure referral of suspected sepsis to a pharmacist.

 

Primary Care Networks

Influenza vaccination service

The aim of this criterion is to increase the uptake of flu vaccination to patients aged 65 and over. Contractors in the PCN that wish to be involved, should agree how they will collaborate with each other and discuss how they could collaborate with general practice colleagues to achieve the above aim.

These discussions will be facilitated by the Community Pharmacy PCN Lead and they will also engage with the PCN Clinical Director to discuss collaborative working.

In 2020/21, but prior to the day of the declaration, the contractor must have engaged with the Pharmacy PCN Lead to communicate that they would like to be involved in increasing the uptake of flu vaccination to patients aged 65 and over.

To increase the uptake of flu vaccination to patients aged 65 and over and to drive quality improvement in service delivery, the Pharmacy PCN Lead must:

  • engage with all the community pharmacies in the PCN that wish to be involved, to agree how they will collaborate with each other and discuss how they could collaborate with general practice colleagues; and
  • engage with the PCN Clinical Director to agree how community pharmacies in the PCN will collaborate with general practices.

 

Business Continuity discussions

The aim of this criterion is to facilitate a coordinated response through liaison with other contractors and general practices, when a temporary closure of a pharmacy or general practice occurs.

These discussions will be facilitated by the Community Pharmacy PCN Lead and they will also engage with the PCN Clinical Director to discuss the issue.

  • Facilitate discussions between pharmacy contractors that wish to complete the requirements of this domain, with the aim of ensuring all participating contractors understand the high-level business continuity plans each pharmacy contractor has in place should they need to temporarily close the pharmacy and can adopt a collaborative approach to support those plans,
  • Liaise with the PCN Clinical Director (or their appointed lead), and other relevant individuals, to gain an understanding of the business continuity plans for the general practices within the PCN, should one or more have to close or be severely compromised in the services it can provide. Appropriate details of the high-level business continuity plans for the general practices should be shared with the pharmacies in the PCN
  • Collate the following information from each participating contractor and share this with all the contractors within the PCN, the PCN Clinical Director, the Local Pharmaceutical Committee and the NHSE&I regional team:

– contractor contact details for use in an emergency

– the names of the pharmacies and general practices that are most likely to be significantly impacted by a temporary closure of each pharmacy (as a result of patient flows) and the high-level details of any arrangements that have been put in place with them which will be activated in the case of the contractor needing to temporarily close their pharmacy.

  • The contractor must have demonstrable evidence, at the pharmacy, that the discussions and contractor actions described above were completed and, where necessary, updates have been made to the pharmacy business continuity plan, to reflect the collaborative work required in the event of closures.
  • In addition, the Pharmacy PCN Lead must have demonstrable evidence of having undertaken the tasks described above.

For the full details and funding information go to PSNC website