Ask PSNC: Quality Payments FAQs

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Ask PSNC: Quality Payments FAQs

May 8, 2018

The team at PSNC has received a number of queries on the interim Quality Payments Scheme. Below are some of the questions asked in recent weeks.

Q. Has NHS England issued guidance on the Quality Payments Scheme?
Yes. NHS England has published new guidance ahead of the June 2018 review point of the Quality Payments Scheme.

The June 2018 guidance should be read in conjunction with NHS England’s gateway criteria guidance and the quality criteria guidance:

  • 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).

These 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 June 2018 review point.

Q. What evidence should I keep to demonstrate I have met the gateway and quality criteria requirements?
Different evidence is required for each different gateway or quality criteria. PSNC has published PSNC Briefing 026/18: Quality Payments – Evidence checklist which outlines what evidence may help you to prove that you have met the relevant criteria.

Q. Can I use evidence from previous declarations?
Contractors should not rely on evidence from previous declarations because the timescales have changed for the criteria and there are a couple of additional requirements that contractors must meet. There may be some evidence that is sufficient, such as the Healthy Living Pharmacy certificate issued by the Royal Society for Public Health, however contractors must ensure that they meet the criteria with the appropriate evidence on 29th June 2018. Evidence from previous declarations that does not meet the new timescales and criteria on 29th June will not be sufficient to meet the criteria. PSNC Briefing 026/18: Quality Payments – Evidence checklist provides contractors with examples of what constitutes acceptable evidence.

Q. I did not meet the gateway criteria for the 2017 review points. Am I still eligible to take part in the Quality Payments Scheme if I meet the gateway criteria by the June 2018 review point?
Yes. If you meet the gateway criteria for the June 2018 review point, then you are eligible to take part in the Quality Payments Scheme and claim for the quality criteria achieved.

Q. I have recently taken ownership of a pharmacy and the ODS code has changed; will I be eligible to take part in the Quality Payments Scheme?
As long as the pharmacy is on the pharmaceutical list in England on the day of the review period (29th June 2018) then the pharmacy will be eligible to take part in the scheme.

The new contractor would need to consider how they would be able to provide evidence of meeting each of the gateway criteria to be eligible for a payment; and for each of the quality criteria it would wish to claim a payment for. The contractor will only be able to claim the quality points for the criteria that it is able to provide evidence of meeting at that review point. The new contractor would not be able to use the evidence that had been collated by the previous contractor as, in effect, new contractual arrangements have come into place as and when the ownership of the pharmacy changed. For example, the new contractor could not use a patient safety report generated by the previous owner to claim the safety report criterion.

If the pharmacy has changed ownership at a time which is close to the next review date it may then not have had the opportunity to gather the evidence that would be required to demonstrate meeting a particular criterion.



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