Quality Payments – FAQs
Quality Payments – FAQs
This page contains Frequently Asked Questions (FAQs) on the Quality Payments Scheme (last updated on 10th December 2018).
This page will continue to be updated as details are confirmed with NHS England for the February 2019 review point of the Quality Payments Scheme.
Click on a heading below for more information.
Background and general
Q. Do I have to engage with the Quality Payments Scheme?
No. The scheme is voluntary – contractors do not need to engage with it – but PSNC recommends that all contractors should seek to meet as many of the quality criteria as possible (as well as meeting the five gateway criteria). Contractors that successfully meet the requirements will receive Quality Payments which will be funded from a £37.5 million budget.
Q. Which pharmacies are eligible to take part in the Quality Payments Scheme?
All pharmacies on the pharmaceutical list in England (i.e. excluding Local Pharmaceutical Services (LPS) contracts) are eligible to take part in the Quality Payments Scheme, including pharmacies that are part of the Pharmacy Access Scheme (PhAS) and distance selling pharmacies.
Q. Has NHS England issued guidance on the Quality Payments Scheme for the February 2019 review point?
NHS England will be published new guidance ahead of the February 2019 review point of the Quality Payments Scheme, but this is not yet available.
The February 2019 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.
Q. Is the Quality Payments Scheme going to continue after 2018/19?
No decisions have been made by the Department of Health and Social Care and NHS England on the future of Quality Payments beyond 2018/19; this will be a matter for discussion with PSNC, once substantive negotiations commence.
Q. Are distance selling pharmacies eligible to take part in the Quality Payments Scheme?
Q. Are pharmacies that qualify for the Pharmacy Access Scheme (PhAS) eligible to take part in the Quality Payments Scheme?
Q. I am in the process of buying a pharmacy; who is responsible for completing the declaration on the NHSBSA website?
When a pharmacy has changed ownership during the data submission period, the contract holder on the day of the review is responsible for completing the declaration.
Q. I have recently opened a new pharmacy – 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 (15th February 2019) then the pharmacy will be eligible to take part in the scheme.
However, 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. A pharmacy that has recently opened would need to consider how it 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.
If the pharmacy has opened at a time which is close to the review date it may then not have had the opportunity to gather the evidence that would be required to demonstrate meeting a particular criterion.
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 (15th February 2019) 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.
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 065/18: Quality Payments – Evidence checklist (December 2018) 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 15th February 2019. Evidence from previous declarations that does not meet the new timescales and criteria on 15th February 2019 will not be sufficient to meet the criteria.
Q. Are pharmacies that hold local pharmaceutical services (LPS) contracts with NHS England eligible to take part in the Quality Payments Scheme?
No. Pharmacies that hold LPS contracts with NHS England are not eligible to take part in the Quality Payments Scheme. However, where LPS contracts mirror the contractual arrangements of those of the national contractual framework, NHS England may make local payments that are equivalent to the Quality Payments Scheme. These payments would also need to be claimed via the NHSBSA Quality Payments declaration. LPS contractors who are unsure if they would be eligible for such a local payment should contact their local NHS England team for advice.
Q. My pharmacy had an LPS contract but we were informed that we could not receive a local payment on the same basis as the Quality Payments Scheme by our local NHS England team. If the pharmacy reverts to the pharmaceutical list in England, will I be eligibletake 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 (15th February 2019) then the pharmacy will be eligible to take part in the scheme.
However, 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. A pharmacy that has recently reverted would need to consider how it 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.
If the pharmacy has reverted at a time which is close to the review date it may then not have had the opportunity to gather the evidence that would be required to demonstrate meeting a particular criterion.
Q. What are the gateway criteria?
To qualify for payments related to successfully meeting the elements of the Quality Payments, contractors must first meet five gateway criteria on the day of the review (15th February 2019):
- The contractor must be offering at the pharmacy Medicines Use Review (MUR) or New Medicine Service (NMS); or must be registered for NHS Urgent Medicine Supply Advanced Service Pilot;
- The NHS.UK entry, including bank holiday opening hours for the pharmacy must be up to date;
- The results of the last completed Community Pharmacy Patient Questionnaire is publicly available on the pharmacy’s NHS.UK page or for distance selling pharmacies it is displayed on their website;
- Pharmacy staff at the pharmacy must be able to send and receive NHSmail from their shared premises NHSmail account, which must have at least two live linked accounts; and
- The contractor must have consulted the NHS Digital Warranted Environment Specification (WES) and/or their System Supplier(s) and have assured themselves, and can demonstrate, that all their operating system and browser versions currently in use in their pharmacy to link to NHS Digital systems, such as the Electronic Prescription Service and Summary Care Record, comply with the WES; and are therefore supported by NHS Digital for connectivity to NHS Spine systems.
Q. Will I get a Quality Payment for passing the gateway criteria?
No. Passing the gateway criteria will not itself earn a Quality Payment for the contractor.
Q. I did not meet the gateway criteria for the June 2018 review point. Am I still eligible to take part in the Quality Payments Scheme if I meet the gateway criteria by the February 2019 review point?
Yes. If you meet the gateway criteria for the February 2019 review point, then you are eligible to take part in the Quality Payments Scheme and claim for the quality criteria achieved.
Q. How do I check whether my pharmacy meets the gateway criteria?
The NHS Business Services Authority (NHSBSA) publishes a gateway criteria compliance report which is updated every week to show whether contractors have met four out of the five gateway criteria. Contractors are assessed whether or not they have met the Advanced Services, NHS website, Community Pharmacy Patient Questionnaire and NHSmail gateway criteria.
For cyber security reasons, confirmation of the fifth gateway criterion – compliance of the NHS Digital Warranted Environment Specification – will be sent by NHSBSA to each contractor’s shared NHSmail accounts (some companies have requested that information about the WES gateway criterion is emailed to a representative at their head office rather than to individual pharmacy premises-shared NHSmail accounts).
Provision of at least one Advanced service
Q. Do I need to make a declaration anywhere that we offer MURs and/or NMS, or that we are registered for/offering NUMSAS?
If a contractor is offering MUR and/or NMS, they must ensure this is stated on their NHS website profile, in the ‘Services’ section. Contractors will not be able to advertise that they offer NUMSAS as per the NUMSAS service specification; therefore there is no option to list NUMSAS on the NHS website.
NHS website entry up to date
Q. Which Bank Holiday opening hours do we need to edit or validate for the NHS website gateway criterion?
The Bank Holiday opening hours you need to edit or validate are:
|Friday 19th April 2019||Good Friday|
|Sunday 21st April 2019||Easter Sunday*|
|Monday 22nd April 2019||Easter Monday|
|Monday 6th May 2019||Early May Bank Holiday|
|Monday 27th May 2019||Spring bank holiday|
*Although Easter Sunday is not officially a bank holiday, NHS England has requested that contractors add their opening hours for this date to assist local NHS England teams and DoS leads so they know which pharmacies will be open over the Easter weekend.
Contractors are reminded that they are required to edit or validate three sections of their NHS website (NHS.UK) profile between 00:00 on 3rd December 2018 and 23:59 on 15th February 2019. The three sections are:
- their opening hours, including the above Bank Holidays:
- the facilities the pharmacy provides e.g. consultation room, parking, etc; and
- the services the pharmacy provides e.g. Medicines Use Reviews (MURs), New Medicine Service (NMS), etc.
Q. When are we required to update our profiles on the NHS website?
Contractors must edit and/or validate their NHS website entry between 00:00 on 3 December 2018 and 23:59 on 15 February 2019.
Q. I have viewed my NHS website profile and my opening times (including Bank Holidays), the facilities the pharmacy provides and the services the pharmacy provides are all correct. Do I therefore meet the gateway criterion?
No. To meet the gateway criterion, contractors need to have logged in to their NHS website profile and either have edited or validated the opening times (including Bank Holiday opening times), the facilities the pharmacy provides and the services the pharmacy provides during the required time period.
Contractors must validate their profile even if their NHS website profile is correct otherwise they will not meet the gateway criterion and will therefore not be entitled to claim for a Quality Payment.
Q. Once I have edited and/or verified my Bank Holiday opening hours on my NHS website profile, what happens if my opening hours for these Bank Holidays change afterwards?
NHS England’s local teams will use the Bank Holiday opening hours entered in each pharmacy’s profile to plan provision of services on those dates. If the pharmacy’s planned opening hours for these Bank Holidays change after the editing and/or validation of their NHS website profile, they should update the Bank Holiday opening hours within their NHS website profile and they should notify their local NHS England team.
Q. The NHS England guidance states that I need to edit or validate my opening times, the facilities the pharmacy provides and the services the pharmacy provides on my NHS Choices profile. What if I don’t edit or validate all three parts of the NHS website profile?
The NHS England guidance clearly states that all three parts of the NHS website profile need to be edited or validated to meet the gateway criterion (the opening times (including Bank Holiday opening hours), the facilities the pharmacy provides and the services the pharmacy provides) during the required time period. Therefore, if all three sections are not edited or validated, contractors will not meet the requirements of the gateway criterion and will not be entitled to claim for a Quality Payment.
Q. I am having problems accessing my NHS website profile and can therefore not update my profile. What should I do?
Contractors that do not have editing rights to their profile, should email the NHS website service desk (email@example.com). It is preferable for this email request to come from the pharmacy’s premises shared NHSmail account, as use of other email accounts may lead to a delay in editing rights being granted, while the validity of the request for editing rights is confirmed. To apply for editing rights, contractors should supply the below information, ideally by copying and pasting the table below into an email and completing the required information.
‘QPSAPPLICATION’ should be added to the subject line of the email; failure to add the code to the subject line may result in a processing delay and increase the risk of a failure to achieve this gateway criterion.
|Email address (preferably the pharmacy premises shared NHSmail account):||(This will be used as your username on the website).|
Q. How do I upload the CPPQ results to the pharmacy’s NHS website page?
A User Guide on the process to follow to upload the CPPQ onto an NHS website profile is available on the NHS website (The user guide can be found by scrolling to the bottom of the NHS website page and is listed under the ‘User guides’ section as ‘CPPQ user guide for February 2019 declaration’).
Q. I published my 2017/18 CPPQ results on my NHS website profile for the June 2018 review point. I am not planning to carry out my CPPQ until March 2019. Do I need to do anything to meet the CPPQ gateway criterion?
The CPPQ gateway criterion requires contractors to display their ‘last completed’ CPPQ results on their NHS website profile. Therefore, in this example, the 2017/18 CPPQ results would be the latest CPPQ results which are therefore the correct results to be displayed. It would, however, be advisable to review the NHS website CPPQ guidance to ensure the results have been uploaded correctly and follow the naming convention as stated in the guidance.
Q. Has the naming convention changed for uploading CPPQ results to a pharmacy’s NHS website profile?
No. The requirements are the same as for the June 2018 review point; however, contractors are encouraged to read the user guide to ensure they have followed the naming convention correctly and other requirements, for example, that the results have been uploaded as a PDF and that the template introductory text has been added into the ‘description text’ field of the news item have been completed correctly.
Q. How do I apply for an NHSmail account?
Information on how to apply for an NHSmail account can be found at: psnc.org.uk/nhsmail
Q. What is the quickest way of accessing our premises shared NHSmail account?
To quickly access the premises shared NHSmail account of a community pharmacy, save the following URL: https://email.nhs.net/owa/nhspharmacy.xxx replacing xxx with the pharmacy’s NHSmail address. Then when you open the URL, you can log into the shared account with your personal NHSmail email address and password
Q. Does the pharmacy shared mailbox owner need to work in the pharmacy?
No. The pharmacy shared mailbox owner can be someone who works in the pharmacy, someone who is field-based or it can be someone who works at the pharmacy’s head office. It would be up to the individual contractor to decide who should take on this role.
Q. Can I be a pharmacy shared mailbox owner for more than one pharmacy?
Yes. An individual can be appointed as the pharmacy shared mailbox owner for all the pharmacies that a contractor owns or a pharmacy shared mailbox owner can be appointed for each individual pharmacy. It is up to the individual contractor to decide on the approach to take.
Q. What is the role of the pharmacy shared mailbox owner?
The pharmacy shared mailbox owner has the responsibility of managing the shared pharmacy NHSmail account, authenticating personal NHSmail accounts and linking them to the shared pharmacy NHSmail account or deleting the links.
Q. Does using your personal NHSmail account to log in to the premise-shared NHSmail account help to ensure your account is kept live?
Q. Are pharmacy technicians allowed access to the premises-shared NHSmail account or is it only to be accessed by the pharmacist?
Any member of staff who has a personal NHSmail address that is linked to the premises-shared NHSmail account can access it; this does not need to be the pharmacist or pharmacy owner.
Q. How many members of staff need to have a live, linked NHSmail account to meet the NHSmail gateway criterion?
To meet this gateway criterion, contractors are required to have a premises-shared NHSmail account with at least two live linked personal NHSmail accounts. Please note, the linked accounts should belong to users who are involved in providing pharmaceutical services on a day-to-day basis at the individual pharmacies their account is linked to.
Q. How do you check which of your employees have their personal NHSmail accounts linked to the premises-shared NHSmail address?
The pharmacy shared mailbox owner will be able to view linked accounts and add or remove users.
Q. Do individual NHSmail users have to log into their personal account or to the shared account to meet the NHSmail gateway criterion?
A premises-shared NHSmail account needs to have personal NHSmail accounts linked to it to enable access. Unless a contractor can send and receive email from their shared NHSmail account, they will not meet the gateway criteria. Sending and receiving email from a personal NHSmail account will not be considered as having met the gateway criterion.
Q. What is meant by two live linked NHSmail accounts?
A live linked NHSmail account is one that has been accessed within the last three months and is enabled to allow the user access to the premises-shared NHSmail account.
Q. Does a ‘super user’ personal NHSmail account linked to a pharmacy’s shared NHSmail account contribute to the requirement of having two active linked NHSmail accounts for the gateway criteria?
No. A super user account is not considered as an active, linked personal account and will not contribute to the requirement to have a minimum of two linked accounts. The linked accounts should belong to users who are involved in providing pharmaceutical services on a day-to-day basis at the individual pharmacies their account is linked to.
Q. Do I need to share or advertise my NHSmail address anywhere to prove my pharmacy has one?
No. However, you could share your NHSmail address with local GP practices and other local community pharmacies to support collaborative working and communications.
Warranted Environment Specification
Q. How can I check to see if my pharmacy meets the WES gateway criterion?
Contractors can check that all the operating system and browser versions currently in use in their pharmacy that link to NHS Digital systems, such as the Electronic Prescription Service and Summary Care Record comply with the WES by accessing https://www.whatsmybrowser.org/. You can then check that the operating system and browser version being used is acceptable in the current WES; a list of acceptable operating systems and browser versions are listed on page 21 in the NHS England Quality Payments guidance for the February 2019 review point.
Contractors will also receive an email from NHSBSA to inform them whether or not they comply with the NHS Digital WES. This will be sent to each contractor’s premises-shared NHSmail account (some companies have requested that information about the WES gateway criterion is emailed to a representative at their head office rather than to individual pharmacy premises-shared NHSmail accounts).
Q. If I launch the Summary Care Record (SCR) portal, will that be sufficient to meet the WES criterion?
No. In order to assess whether or not the contractor meets the WES criterion, contractors need to access the SCR portal. Contractors do not need to access an individual patient’s SCR for their pharmacy to be assessed; contractors just need to open the ‘Find a patient’ screen.
This will allow NHS Digital to capture the pharmacy’s operating and browser details; NHSBSA can then use this data to assess whether the pharmacy has met the WES gateway criterion and inform contractors of their compliance status. NHSBSA will send an email to each contractor’s shared premises NHSmail account, which will detail whether NHS Digital has been able to validate the pharmacy as meeting the WES gateway criterion.
Q. Do I have to achieve all the criteria listed in the Quality Payments Scheme to claim payment?
No; contractors can claim for whichever of the criteria they achieve.
Q. Is it possible to achieve some of the points for a quality criterion at a review point if you partially meet the criterion, for example, if only 40% of pharmacy staff working in patient facing roles are trained ‘Dementia Friends’ instead of 80% can I claim half the points?
No. A contractor will either meet the criterion or not; it is not possible to achieve only some of the points in this way.
Q. Has the SCR criterion been retired?
Yes; this criterion is no longer included in the Quality Payments Scheme.
Patient safety report
Q. What duration of time should my pharmacy’s written safety report cover?
To meet the February 2019 review point, contractors that previously wrote a report for the June 2018 review point must have updated that written safety report since 29th June 2018 (the last review point) to incorporate learnings since that date. Contractors who have not previously claimed for the patient safety report quality criterion, will need to ensure their report covers the last 12 months.
In addition to the above, contractors must also evidence learning on prevention of NHS Improvement’s list of top five look-alike sound-alike (LASA) errors and put in place actions to prevent these. More information is available on the Quality Payments – Patient safety report page.
Q. Is there a template patient safety report that must be used to meet this quality criterion?
A template patient safety report is available on the Quality Payments – Patient safety report page; however, contractors do not have to use this template to meet this quality criterion. If contractors choose to create their own report, they should ensure it includes all the information required by NHS England. Details on the requirements can be found on the Quality Payments – Patient safety report page.
Q. Does completion of the patient safety report replace the need to report patient safety incidents to the National Reporting and Learning Service?
No. Reporting patient safety incidents to the National Reporting and Learning Service (NRLS) is a contractual responsibility and pharmacy teams should continue to do this.
Q. Does the written patient safety report need to be submitted to NHS England?
No. The report does not need to be submitted routinely to NHS England, but contractors should ensure that a copy of the report is kept in the pharmacy.
Q. The quality payment criterion states that a ‘written’ safety report at premises level needs to be available for inspection; does this need to be handwritten or can it be computer generated (typed)?
The report can be either hand written or computer generated (typed).
Q. If we do not have a LASA incident to report to the NRLS, will we still meet the requirements for the patient safety report criterion?
If there is no LASA incident to report, the contractor can still meet the requirements provided they have embedded the process of identifying, reporting and learnings from LASA incidents within their Standard Operating Procedures and meet the other requirements of the patient safety report quality criterion.
Q. Can we continue to submit incident reports via a third party, for example, the National Pharmacy Association rather than direct to NRLS?
Yes. If the third party reports these errors to the NRLS on your behalf, you are not required to report them directly to the NRLS in addition to the third party.
Q. Who is a registered pharmacy professional?
Registered pharmacy professionals are pharmacists and pharmacy technicians.
Q. The risk management quality criterion states that, on the day of the review 80% of registered pharmacy professionals working at the pharmacy have satisfactorily completed the CPPE Risk Management training; does this include locums?
Yes. This includes locums, so contractors should encourage temporary staff, such as locum pharmacists, to undertake the training and e-assessment.
Q. Are pre-registration students covered by the description ‘registered pharmacy professional’, in regards to the CPPE risk management training?
No. It is, however, sensible for pre-registration students to undertake risk management training.
Q. Are part-time staff included in the risk management quality criterion i.e. do part time registered pharmacy professional need to complete the CPPE risk management training and e-assessment ?
Yes. This quality criterion applies to all registered pharmacy professionals working at the pharmacy. The number of hours a member of staff is employed for is not relevant for this quality criterion.
Q. Does the risk review need to be submitted to NHS England?
No. The risk review does not need to be submitted routinely to NHS England, but contractors should ensure that a copy of the report is kept in the pharmacy.
Q. Does the risk review need to be completed by the pharmacy team or can our head office team complete it?
The report needs to be completed by the pharmacy team at the pharmacy premises for a risk in that pharmacy; however, different strategies can be used to manage risk and the Superintendent Pharmacist may be involved in determining any organisational-level risk minimisation strategies.
Q. I have completed the previous version of the CPPE Risk management e-learning and e-assessment. Do I also need to complete the new CPPE e-learning and e-assessment?
If pharmacy professionals have completed the previous version of the CPPE e-learning and e-assessment this is acceptable to meet the quality criterion.
However, pharmacy professionals may wish to complete the new e-learning programme to update their knowledge in areas not covered by the old programme.
Completion of the e-assessment will also allow pharmacy professionals to prove their ongoing competence in this important area of practice and provide them with the self-assurance that their knowledge is up to date and in line with current legislation.
Q. When do I need to complete the audit?
Contractors can pick a two-week period between November 2018 and 15th February 2019 to complete the audit; however, contractors are encouraged to not leave completion of the audit until February 2019 in case the data collection period needs to be extended to four weeks if contractors have difficulty in finding ten patients to participate.
Q. Will both of the web-based systems calculate my audit results?
Yes. Both of the web-based systems will calculate a contractor’s results. If PharmOutcomes is used, contractors will be able to access the results in the ‘Reports’ section and can print this off as evidence of meeting the NSAID quality criterion. If the NHSBSA Snap Survey is used and the contractor enters an email address when submitting their results, the contractor will be emailed the results of their audit; this email should be retained as evidence of having met the NSAID quality criterion.
Contractors will, however, need to record how they have incorporated the learning of the audit into future practice elsewhere, as this information cannot be recorded on either of the web-based platforms.
Q. Do we still have to do another clinical audit as part of our contractual requirement or can we use the QPS NSAID audit as the pharmacy chosen audit for 2018/19?
The NSAID audit conducted as part of the QPS cannot be used as the pharmacy chosen clinical audit, as contractors are separately funded for meeting this criterion under the QPS quality criterion.
Q. I am unable to identify any suitable patients for the NSAID audit despite extending the data collection period to four weeks. Will I still be able to claim for this quality criterion?
Where a contractor is unable to complete the NSAID audit due to the fact that they have not identified any eligible patients during the audit period the contractor should send an email to the NHSBSA Provider Assurance Team at: firstname.lastname@example.org with the following details:
The subject should state “QPS NSAID AUDIT Nil return for [F code]”
The main body of the email should contain:
- Pharmacy F code
- Pharmacy name
- Pharmacy address
- Start date of the audit
- End date of the audit
- The following text should be included in the body of the email:
“I declare that this pharmacy has undertaken the audit of non-steroidal anti-inflammatory drugs and gastro-protection for patients aged 65 or over during the period stated above but no suitable patients have been identified. I am therefore unable to complete the on-line audit tool.
I acknowledge that NHSBSA may carry out checks on behalf of NHS England to determine if any patients over 65 have received dispensed NSAID items from the pharmacy during the period advised”
- Name of person making declaration and their role in the pharmacy
Q. Am I required to search the PMR to identify suitable patients for the audit?
No. contractors are not required to identify patient retrospectively; the audit applies to suitable patients aged 65 years or over who present a prescription for any oral NSAID or COX2 inhibitor.
Having reviewed both systems, PharmOutcomes has the following advantages over the NHSBSA Snap Survey:
- PharmOutcomes can send an automatic referral letter to a patient’s GP practice (if the NHSBSA Snap Survey is used, contractors will need to manually send this referral letter (a template letter is available at psnc.org.uk/qpaudit);
- A permanent patient record will be stored on PharmOutcomes; and
- Contractors will not be required to submit their data once they have entered all their audit data onto PharmOutcomes, the system will automatically do this for contractors (if using the NHSBSA Snap Survey, contractors will need to remember to press the ‘Submit’ button once they have completed all their data entry for this to be submitted to NHSBSA. Failure to submit the data will mean the contractor does not meet the NSAID quality criterion).
If contractors decide to use PharmOutcomes, the following additional patient information will need to be collected (which is not required on the SPS audit data collection form): patient name, whether the patient has an accessible information need, date of birth, address and postcode. Therefore, contractors are advised to either enter the data directly onto PharmOutcomes or use the PharmOutcomes data collection form rather than the SPS audit data collection form to collect the data.
Q. If I have not used PharmOutcomes before, how do I obtain log in details?
If a contractor has not used PharmOutcomes before, log in details can be obtained by sending a message to the PharmOutcomes helpdesk. Contractors will need to provide details of the pharmacy, contact information and an email address to issue the login details to.
Q. Where do I access the NSAID audit on PharmOutcomes?
When you log into PharmOutcomes select ‘Services’; you should see ‘NSAID GI Safety Audit 2018/19’ under the ‘National Audits’ heading.
If you have mislaid your PharmOutcomes login details, visit the Help page.
Healthy Living Pharmacy (HLP) self-assessment and CPPE’s Children oral health training
Other frequently asked questions on HLP can be found on the RSPH website.
Q. What are the criteria for becoming a Healthy Living Pharmacy (HLP) Level 1?
The Healthy Living Pharmacy: Level 1 quality criteria set out the criteria that pharmacies must achieve to gain HLP Level 1 status.
Q. Our pharmacy was locally accredited as an HLP Level 1 and we completed the self-assessment for the first QPS review point. Do I have to repeat the self-assessment process?
Please see the process outlined on page 3 of PSNC Briefing 052/18: Quality Payments – How to achieve the Healthy Living Pharmacy quality criterion.
Q. Do I need to complete a form or any paperwork prior to registering as a HLP to notify RSPH that my pharmacy intends to become a HLP Level 1?
No. Contractors do not need to notify RSPH that they intend to become an HLP Level 1. Contractors only need to notify RSPH once they are ready to register as a HLP Level 1 by completing the assessment of compliance on the RSPH website.
Q. How often (if at all) will the leadership and RSPH training need to be repeated?
There is no reference to the need for repeated training in the HLP quality requirements, so as long as a contractor has staff in post that have undertaken the relevant training, that will meet the requirements.
Q. The HLP quality criteria framework has a criterion which states that the pharmacy team actively works in collaboration with other community organisations to deliver pharmacy outreach and/or services. Can this be done in the pharmacy, as part of the health promotion event that is required to be held every 4 months or do the pharmacy staff have to deliver an event/service away from the pharmacy premises?
The outreach work needs to be carried out off the pharmacy premises, so while it would be good to have collaborative working on the premises, collaborative working off the premises would satisfy that requirement. HLPs have previously done that via attendance at local roadshows for the public, stands in shopping centres, visits to schools and care homes to take part in health promotion work.
Q. I have completed the assessment of compliance on the RSPH website; does that mean my pharmacy is now a HLP Level 1?
No. A pharmacy is not a HLP Level 1 until RSPH has confirmed registration and provided the HLP logo and certificate. RSPH will endeavour to contact contractors by email within 10 working days after they have received the submitted online assessment of compliance.
Contractors are therefore advised to consider this time frame when planning how long it will take to achieve HLP Level 1 to ensure this ‘processing time’ does not prevent contractors from achieving the quality criterion at the June 2018 review point.
Q. Can a Distance Selling Pharmacy (DSP) become a Healthy Living Pharmacy (HLP) Level 1 and therefore meet the quality criterion?
Any pharmacy that wishes to be an HLP must fully meet the requirements set out by Public Health England (PHE). These requirements were developed for bricks and mortar pharmacies, not pharmacies that operate via a distance selling model. DSPs are also prohibited from providing Essential Services, including the Public Health (Promotion of Healthy Lifestyles service), on the pharmacy premises. NHS England or PHE have not issued any guidance on this matter, but for the reasons set out above, PSNC believes it is unlikely that a DSP could fully meet the requirements for being an HLP.
Q. What constitutes a full time equivalent (FTE) member of staff?
A FTE is the hours worked by one employee on a full-time basis. The GOV.UK website states there is no specific number of hours that makes someone full or part-time, but a full-time worker will usually work 35 hours or more a week.
To read about the Working Time Regulations, please visit the GOV.UK website.
Q. Is attendance at face-to-face RSPH training a requirement to qualify for HLP Health Champion training?
The requirements to qualify for HLP Health Champion training will depend on the training provider that the contractor has chosen to use and how their course has been designed to meet the RSPH Level 2 Award in Understanding Health Improvement (the course that needs to be completed for someone to become a Health Champion). Therefore, depending on the course provider, face-to-face training may be required as part of their course. However, it is not stipulated that training must be provided face-to-face in the HLP Level 1 quality criteria guidance published by Public Health England.
Q. Is the RSPH HLP Level 1 register publicly available to view?
Yes. The RSPH HLP Level 1 register is available to view on the RSPH website.
Q. Are non-GPhC registered staff able to register with CPPE to complete the Children’s oral health training?
Yes. CPPE has enabled non-GPhC registered staff members to register on the CPPE as ‘non-registrants’ to complete this training material.
If contractors have members of staff who are unable to register with CPPE, e.g. those not having a work or personal email address to access registration, then they can complete an open assessment for Children’s oral health without registration.
Whilst this will enable the staff member to undertake the assessment and, when successful, print off or save the PDF certificate as evidence of meeting this criterion, however this will need to be done immediately after the assessment as it cannot be saved on the CPPE website. It will not be possible for CPPE to provide any personalised support, feedback or a CPPE record for that member of staff. Contractors are therefore recommended to encourage staff members to register with CPPE to complete the assessment if at all possible.
Q. Are delivery drivers required to complete the CPPE Children’s oral health training?
If a delivery driver has an additional role in the pharmacy in which they provide healthcare advice to patients, then they will need to complete the training.
Directory of Services
Q. Can I change my hours on the DoS Profile Updater without informing my local NHS England team?
No. Under the Terms of Service, contractors:
- wishing to amend the distribution of their core contractual hours must apply to NHS England for permission to change them; and
- wishing to amend any supplementary hours, that they open additional to the core contractual hours, must notify NHS England, giving at least three months’ notice of the intended change.
Full details regarding a contractor’s contractual responsibilities regarding opening hours, including relevant application forms for changes, is available on the PSNC Opening hours page.
Q. I updated my pharmacy’s details on the DoS Profile Updater in October 2018, therefore do I meet the quality criterion?
No. To meet the DoS quality criterion, contractors must check the pharmacy details and submit this information on the DoS Profile Updater between 10am on 5th November 2018 and 11.59pm on 15th February 2019.
Q. There are other bank holiday dates listed (before Easter and after the Spring bank holiday), do I need to add my opening hours for these bank holidays?
No. To meet the DoS quality criterion, contractors must add their opening hours for the bank holidays listed above. Completion of the other bank holidays is not mandatory to meet the quality criterion but if contractors know this information and wish to add it then they may do so.
Q. What do I do if I don’t receive an email confirming that I have submitted information on the DoS Profile Updater?
The email should be received instantaneously after submitting the information on the DoS Profile Updater; however, please allow up to two hours for the email to be delivered. To help ensure contractors receive their confirmation emails, contractors are advised to add email@example.com to their safe senders list before they update their profile. Alternatively, contractors will need to check their junk email folder in case the email has been inappropriately filed. If the emails are not received, please email firstname.lastname@example.org to confirm that the submission has been received.
Q. What do I do if I am experiencing technical difficulties accessing the DoS Profile Updater?
If contractors have any technical difficulties accessing the DoS Profile Updater, they can email the NHS Digital helpdesk (email@example.com) or call them on 0300 303 4034.
Q. Our pharmacy provides the National Urgent Medicine Supply Advanced Service (NUMSAS) and the Digital Minor Illness Referral Service (DMIRS). Can we use the DoS Profile Updater to view or update our email address that NHS 111 uses to send us patient referrals?
No. NHS 111 referrals for NUMSAS and/or DMIRS can only be sent to the pharmacy’s premises-shared NHSmail email address.
To amend your email address held by NHS 111 for your pharmacy, please contact your local NHS England team or local DoS lead.
Referrals for asthma
Q. Are there any resources available to support the referral of suitable patients to an appropriate healthcare professional for an asthma review?
Yes. Further information on this quality criterion and support materials to help contractors implement the requirement are available on the Quality Payments – Over use of asthma treatments page.
Q. Will there be a national template form for recording the referral of patients with asthma that contractors can use?
No. There will not be a national template form; however, PSNC has produced a template data collection form which pharmacy teams can choose to use.
Q. How many patients with asthma need to be referred to a healthcare professional to meet the quality criterion?
There is not a specified number of people with asthma that need to be referred to meet the quality criterion.
Q. If a contractor has not been able to identify any suitable patients with asthma, do they still meet the criterion?
Where no patients are identified for referral, the contractor will still be eligible for payment as long as they can evidence that they have been working to identify suitable patients and that they have a process in place for referral should they identify someone.
PSNC has produced a suggested process for referring patients for an asthma review.
Q. Do I need to go through all the patient records on the PMR system for the last 6 months and identify any suitable patients to meet this criterion?
No. Contractors do not need to review PMR systems to meet this criterion. There must be a process in place to identify these asthma patients as they present to the pharmacy. This process can be incorporated into daily practice (PSNC has suggested a process for referring patients for an asthma review).
Further FAQs on Dementia Friends can be found on the Dementia Friends website.
Dementia Friends has also produced an FAQ document to assist pharmacy team members with any issues.
Q. How do I become a Dementia Friend?
There are various routes by which people can become a Dementia Friend:
- Watch a minimum of two short online videos via your online code (register your organisation to receive a unique code).
- Individuals can register through the organisation route by either using the unique code from a pharmacy they are working in or by registering as an organisation using their name and the words ‘Pharmacy Locum’ e.g. ‘Jane Smith Pharmacy Locum’; or
- Attending a face-to-face Dementia Friends Information Session – some LPCs or CPPE Regional Tutors may be planning to hold these events so consider contacting these organisations if you would like to attend a face-to-face session.
Q. Are part-time staff included in the quality payment criterion ‘On the day of the review, 80% of all pharmacy staff working in patient facing roles are trained Dementia Friends?’
Yes. This quality criterion applies to all pharmacy staff working in patient facing roles. The number of hours a member of staff is employed for is not relevant for this quality payment criterion.
Q. One of the quality criterion states that at least 80% of pharmacy staff in patient facing roles are Dementia Friends on the day of the review; does this include locums?
Yes. The 80% of pharmacy staff in patient facing roles includes locums, so contractors should encourage temporary staff, such as locum pharmacists, to become Dementia Friends.
Q. The Dementia Friends criterion requires on the day of the review, for 80% of all pharmacy staff working in patient facing roles to be Dementia Friends. For distance selling pharmacies (DSPs), does this only require delivery drivers to become Dementia Friends as they may be the only member of staff who has a patient facing role?
No. The criterion for pharmacy staff in patient facing roles would also apply to pharmacists (including locums), pharmacy technicians, dispensary staff, medicines counter assistants, etc. DSPs can provide Advanced and Enhanced Services on the premises (as well as Medicines Use Reviews (with permission from the local NHS England team) away from the pharmacy premises), if Essential Services do not form part of the Advanced or Enhanced Service provided to persons present at the pharmacy. Therefore, these members of staff could be patient facing and the criteria would apply to them.
Q. My pharmacy team have all become Dementia Friends, but we haven’t received our Dementia Friends badges yet. Will we still meet the quality criterion if our badges have not arrived by the February 2019 review point?
Yes. If the pharmacy team has watched the online videos and submitted their details as stated in PSNC Briefing 054/18: Quality Payments – How to become a Dementia Friend, the pharmacy will still meet the quality criterion. Dementia Friends badges are not required to meet the quality criterion.
Q. Is there a way to obtain new Dementia Friends badges?
If you have lost your Dementia Friends badge, please email your details to firstname.lastname@example.org and to arrange for a replacement to be sent out to you.
Q. We met the Dementia Friends criterion for the latest review point and our staff turnover hasn’t changed; will we still meet the requirements for the February 2019 review point?
Q. If a staff member completed the Dementia Friends training at a different pharmacy (under previous employment) are they required to repeat it?
Claiming Quality Payments
Q. How do I claim payment for the Quality Payments Scheme?
To claim for a Quality Payment, contractors will need to complete a declaration via the NHS Business Services Authority (NHSBSA) website (the portal will go live on Monday 4th February 2019 at 9am and will be available until Friday 1st March 2019 at 11.59pm).
Q. When is the review point for the Quality Payments Scheme?
The review point is 15th February 2019.
Q. Do I need to make my declaration for a Quality Payment on the day of the review point i.e. 15th February 2019?
Declarations do not need to be made on this date, but they must be made during the declaration period listed below:
|Monday 4th February at 9am to Friday 1st March 2019 at 11:59pm|
Contractors can use this facility to start entering data as soon as the system goes live on 4th February 201. The final submission must be made before the closure of the declaration form at 11:59pm on 1st March 2019.
Q. How do I make a declaration for the Quality Payments Scheme?
Contractors should make a declaration for the February 2019 Quality Payment Scheme via either Manage Your Service (MYS) or SNAP survey. Contractors should not submit using both declaration methods.
Q. What are the differences between using the Manage Your Service (MYS) application and the SNAP survey tool to submit a declaration?
The MYS application provides added benefits over the SNAP survey tool. This includes the ability to provide contractors, at the time of making their declaration, with confirmation that their pharmacy has been assessed against national datasets as either meeting or not meeting the gateway criteria. This means if contractors have not met the five gateway criteria, they have the opportunity to take corrective action before they make their declaration. There are also longer-term benefits of MYS outside of the Quality Payments Scheme; further information can be found here.
If contractors choose to use this option, they are encouraged to register with the MYS application as soon as possible, to ensure the registration process is complete before the declaration period. Information on how to register is included within the email being distributed by the NHSBSA.
If contractors decide to use the SNAP survey option, verification of the gateway criteria cannot be confirmed in real time, as in MYS, thus reducing the possible time for corrective action. Contractors will however be able to check the status of their compliance with four of the gateway criteria by accessing the NHSBSA gateway validation report. Contractors will have their gateway criteria verification confirmed by email within a week of their SNAP submission.
Q. I’ve accidentally made a Quality Payments Scheme declaration via MYS and through the SNAP survey. What should I do?
Where a contractor makes a declaration via MYS and the SNAP survey, the NHSBSA Provider Assurance Team will complete validation using the MYS declaration only. For further information please contact the NHSBSA Provider Assurance Team on email@example.com.
Q. The declaration portal opens on Monday 4th February 2019 which is before the review point (Friday 15th February 2019). Can I submit my declaration on the NHSBSA website for a Quality Payment before the review date?
Contractors can access the NHSBSA portal to make their declaration before the review point and it would be up to the contractor to decide if it is appropriate to submit their declaration before the review point.
Contractors can start adding data and will be able to re-enter the portal to add information at a later date before the portal closes; however, contractors must remember to re-enter the portal and submit the declaration before Friday 1st March 2019 11.59pm otherwise they will not be entitled to a Quality Payment.
Contractors can also submit their declaration before the review point, if they know they will definitely meet the criteria they are claiming for before the review date.
Q. Do I need to make a declaration if my pharmacy does not meet the gateway criteria?
No, contractors are only required to make a declaration if they intend to claim a Quality Payment. If contractors do not meet all five of the gateway criteria they would not then be eligible to claim a payment, therefore there is no requirement to make a declaration on the NHSBSA website.
Q. Once I have submitted my declaration on the NHSBSA website for the Quality Payments Scheme, will I get a confirmation email?
Yes. Once the declaration has been submitted the contractor will receive an email from the NHSBSA confirming that the declaration has been successfully submitted and confirming the details that have been declared. This email should be retained by the pharmacy as proof that the declaration was submitted and the date of submission.
Q. Who will decide if a contractor meets the gateway and quality criteria at the review point?
The contractor will complete the declaration on the NHSBSA website; therefore, it is for the contractor to decide if they have met all of the gateway criteria and some or all of the quality criteria.
Q. Is it possible to partially complete the NHSBSA declaration for my Quality Payment, and then submit it later before the deadline?
Yes. However, if contractors partially complete the form, they will need to ensure they remember to complete the declaration and submit this by the deadline. Contractors who only partially complete the declaration and do not submit it will not be eligible for a Quality Payment.
Q. Does the email which the pharmacy receives after they have submitted their declaration for a Quality Payment include a summary of the information that was declared?
Yes, the email will contain a summary of the answers provided to the gateway and quality criterion questions.
Q. Do you need to use an NHSmail email address when completing the declaration on the NHSBSA website to claim for a Quality Payment?
If contractors are using the Manage Your Service (MYS) application, they must use an NHSmail address when making a declaration. You will not be able to proceed with your declaration if you do not provide an NHSmail account.
If you are making a declaration using the SNAP survey tool, you do not need to enter an NHSmail email address when you are first asked for your email address as part of the declaration process. Contractors can choose which email address they want to use to receive information from NHSBSA confirming that the declaration has been successfully submitted and confirming the details that have been declared once their declaration has been submitted.
Q. Do I need to submit evidence to the NHSBSA to show that I have met the gateway and quality criteria when I submit my declaration?
No. Evidence does not need to be submitted during the declaration process. However, contractors’ declarations of compliance with the gateway and quality criteria will be subject to checks by the NHSBSA.
Q. How much is each point worth?
The funding will be divided between qualifying pharmacies based on the number of points they have achieved, up to a maximum of £64 per point. Each point will have a minimum value of £32, which is the value of a point if all pharmacy contractors achieving maximum points.
Q. Why is there a minimum and maximum value for each point of the Quality Payment Scheme?
As there is no reconciliation payment, the exact value of each point will be between £32 and £64. This will depend on how many contractors participate in the Quality Payments Scheme and how many points they have achieved.
Q. Will there be a reconciliation payment?
No. Unlike the previous declarations, there will not be a reconciliation payment made to contractors, as there is only a single declaration point for this scheme and the payment made to contractors will therefore be calculated to distribute the full £37.5 million funding.
Q. When will I receive my payment for the Quality Payments Scheme?
Payment for the February 2019 review point will be paid as part of the full payment for the March 2019 submission to the Pricing Authority (which contractors will receive at the start of June).
Q. Why will the payment for the February 2019 review point be received as part of the final payment for the March 2019 submission?
The NHSBSA declarations portal closes in March 2019 so therefore this payment will be calculated as part of the full value of services for March 2019 and will be received in the payment which contractors receive at the start of June 2019.
Q. Are Quality Payments made according to which quality criteria are met at the review point?
Q. How will the PhAS payment be affected if contractors do not achieve the full quality criteria?
When the funding that PhAS pharmacies receive is calculated, it is assumed that the contractor will achieve 100 points of the Quality Payments Scheme. The value of those Quality Payment points is deducted before the final PhAS payment is set. PhAS pharmacy contractors can earn back the deducted Quality Payments by earning as many points as possible, the same way as other contractors.
The contractor will be paid a Quality Payment according to which criteria they have achieved; the PhAS payment remains unchanged irrespective of whatever Quality Payment is received by the contractor.