Quality Payments – NHS Choices entry

Quality Payments – NHS Choices entry

To be eligible to collect the points necessary to claim a Quality Payment, community pharmacy contractors must meet four gateway criteria, one of which is:

‘On the day of the review, the NHS Choices entry, including bank holiday opening hours, for the pharmacy must be up to date.’

This criterion must be complied with before any payment can be achieved.


Click on a heading below for more information.

NHS England guidance

NHS England has published new guidance ahead of the June 2018 review point of the Quality Payments Scheme:

  • NHS England – Pharmacy Quality Payments Guidance for the June 2018 Declaration (published 30th April 2018).

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.

NHS Choices

NHS Choices (www.nhs.uk) was launched in 2007 and is the official website of the NHS in England. With over 48 million visits per month, it has become the UK’s biggest health website accounting for a quarter of all health-related web traffic.

NHS Choices contains a directory of services available to patients which can be searched to identify services that are appropriate to the individual. Community pharmacies are listed on this directory and they have been able to register to self-manage the content of most of their individual NHS Choices profile for several years.

How to achieve this gateway criterion

Contractors are required to edit or validate three sections of their NHS Choices profile to meet the gateway criterion between 00:00 on 9th April 2018 and 11.59pm on 29th June 2018. The three sections are:

  • their opening hours, including Bank Holidays for 2018/19;
  • the facilities the pharmacy provides; and
  • the services the pharmacy provides.

All three sections will need to have been edited or validated for the contractor to meet the NHS Choices gateway criterion, which is a requirement, to be eligible to then claim for a Quality Payment based on the quality criteria they meet. Even if all three sections are correct, contractors will still need to log into their profile and validate this information during the above time period.

A User Guide for managing NHS Choices profiles to support the Quality Payments Scheme is available on the NHS Choices website.

The Bank Holidays during 2018/19 which occur during or after the period that contractors must edit and/or validate their NHS Choices entry are:

Monday 7 May 2018 Early May Bank Holiday
Monday 28 May 2018 Spring Bank Holiday
Monday 27 August 2018 Summer Bank Holiday
Tuesday 25 December 2018 Christmas Day
Wednesday 26 December 2018 Boxing Day
Tuesday 1 January 2019 New Year’s Day

Where Bank Holiday opening hours have not been added, NHS Choices will default to normal opening hours. Failure to add Bank Holiday opening hours to the pharmacy profile will result in non-compliance with the gateway criteria.

Once a contractor has updated the three sections of their NHS Choices profile, they are advised to visit the patient facing page of their NHS Choices profile. By doing this, an additional check can be carried out to ensure the information and the dates listed on the page (which show when the sections were last updated) have changed to the date when the contractor edited and/or validated their profile. If possible, taking a screen shot of the three sections once they have been edited and/or validated would also be useful, so this information can be retained as evidence of having met the gateway criterion.

Any inaccuracies between a contractor’s NHS Choices profile and their contractual opening hours, facilities and the services provided is the responsibility of the contractor. As this is a gateway criterion, an inaccurate NHS Choices profile may then jeopardise the entire payment claimed for under the Quality Payments Scheme.

Services provided at the pharmacy

Contractors must update or validate their list of services which is displayed in the ‘services’ section of their NHS Choices profile.

Services are classified into the following three sections:

Pharmacy services Advanced Services and other services which are useful for patients to know about. Essential Services will be included on profiles in due course and these will be auto-populated onto each pharmacy profile.
Pharmacy (NHS) services Services commissioned by local authorities or Clinical Commissioning Groups.
Pharmacy (Non-NHS) services Patient-funded services (private services)

Contractors who plan to declare to the NHS BSA that they are offering either Medicines Use Reviews or the New Medicine Service or both services under the Advanced Services gateway criterion must also ensure that the service is visible on their NHS Choices profile.

Registering for profile editing rights or requesting a lost password

Contractors that do not have editing rights to their profile, will need to email the NHS Choices service desk (nhschoicesservicedesk@nhs.net). 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.

The code ‘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.

Name:
Email address (preferably the pharmacy premises shared NHSmail account): (This will be used as your username on the website).
Telephone number:
Job title:
Organisation:
ODS code:

If a contractor has lost their password, they can request a new password on the NHS Choices website.

NHS Choices profile – not listed on the website

Contractors that have a pharmacy which is not listed on the NHS Choices website (not including distance selling pharmacies) should contact their local NHS England team. An NHS Choices profile is set up following authorisation from the local team. Making the local team aware that a profile has not been set up will then initiate this process. As soon as your profile is set up you will need to follow the instructions above.

Contractors with multiple pharmacies

Contractors with multiple pharmacies will need to decide whether to complete the review of NHS Choices profiles at head office or pharmacy level. Each profile is specific to that pharmacy and when a profile is edited or validated, staff will need to ensure that the pharmacy details submitted are accurate for that particular pharmacy at the time of completion. Any inaccuracies that result from editing by head offices and local pharmacy teams will be the responsibility of the contractor.

Automating the NHS Choices profile update process

An Application Programming Interface (API) is available to automate the process of updating profile information on NHS Choices. This will be useful for contractors with multiple profiles to manage. Rather than using the NHS Choices PIMS to enter the information, pharmacies can use the API to connect their IT systems to NHS Choices to create an automated way of updating their profile information saving time and ensuring that their information, on NHS Choices is always up-to-date. Contractors can make changes to the editable fields listed above using the API.

For further information on using the API, please email the NHS Choices Service Desk (email address is nhschoicesservicedesk@nhs.net) requesting a call back from the Syndication team. Please add ‘Organisation API’ in the subject field of the email and include one contact person per organisation.

Distance selling pharmacies - How to achieve this gateway criterion

NHS Choices profile – already listed on the website

The requirements for this Gateway criterion have changed since the November 2017 review point for DSPs, as the survey requested in November 2017 is no longer required.

Contractors will be required to:

  1. Check the name of their pharmacy on NHS Choices – it must be the trading name rather than the registered company name (unless the registered company name is the same as the trading name);
  2. Check the address, telephone number and website URL on their profile;
  3. Check the provision of EPS is correctly indicated on their profile; and
  4. Email the NHS Choices service desk (nhschoicesservicedesk@nhs.net) including “QPSJUNEREVIEW” and the pharmacy ODS code in the subject line, and confirming in the body of the email that the current information is correct or providing the correct information.

Failure to add the ODS code or “QPSJUNEREVIEW” in the subject line will result in the email not being recorded in the NHS Choices summary report to NHS England of DSP contractors who have achieved this gateway criteria; and the contractor failing the validation process.

DSPs will need to send their email to the NHS Choices service desk between 00:00 on Monday 9th April and 11:59pm on Friday 29th June 2018.

NHS Choices profile – not listed on the website

DSP contractors that are not listed on NHS Choices should email the service desk (including ‘UNABLETOVERIFYPROFILE’ in the subject line) with the following information:

  • Pharmacy name
  • ODS code
  • Address
  • Telephone number
  • Website URL
  • EPS enabled (Yes/No)

DSPs will need to send their email to the NHS Choices service desk between 00:00 on Monday 9th April and 11:59pm on Friday 29th June 2018.

The declaration process

Contractors will be required to declare, through the NHS BSA online declaration page, (this webpage is not live yet) that they have edited and/or validated their NHS Choices entry.

Distance Selling Pharmacy (DSP) contractor

DSP contractors will be required to declare through the NHS BSA online declaration page that they have sent an email to the NHS Choices service desk.

FAQs

Q. I have viewed my NHS Choices 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 Choices 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 Choices 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 NHS Choices, 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 Choices profile, they should update the Bank Holiday opening hours within their NHS Choices 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 Choices profile?
The NHS England guidance clearly states that all three parts of the NHS Choices 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 Choices 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 Choices service desk (nhschoicesservicedesk@nhs.net). 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.

Name:
Email address (preferably the pharmacy premises shared NHSmail account): (This will be used as your username on the website).
Telephone number:
Job title:
Organisation:
ODS code:

Further FAQs on the Quality Payments Scheme can be found on the Quality Payments – FAQs page.

Return to the Quality Payments hub page



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