Quality Payments – Use of the NHS Summary Care Record (SCR)

Quality Payments – Use of the NHS Summary Care Record (SCR)

Community pharmacy contractors passing the gateway criteria will receive a Quality Payment if they meet one or more of the quality criteria. One of the quality criteria is:

‘On the day of the review, the pharmacy can demonstrate a total increase in access to Summary Care Records (from Monday 1st May 2017 to Sunday 26 November 2017 compared to Monday 4 December 2017 to Sunday 1 July 2018).

Where the pharmacy can demonstrate total access to Summary Care Records of 100 times or more in both time periods (Monday 1st May 2017 to Sunday 26 November 2017 and Monday 4 December 2017 to Sunday 1 July 2018) they will have been deemed to have met this criterion whether there has been an increase or not.’


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.

Quality criterion points and value

The value of this quality criterion is as follows:

Total points for the June 2018 review point 10
Value of total points £320-640*

*The funding will be divided between qualifying pharmacies based on the number of points they have achieved. Each point will have a minimum value worth £32 and a maximum of £64.

Aim/rationale of this quality criterion

The aim of this quality criterion is to encourage pharmacies to access information about the patient to support clinical decision-making. Summary Care Records (SCRs) should be accessed as part of daily practice when required to support professional decision making. Examples of use in practice include resolving prescription queries, advising patients on suitable medication, providing emergency supplies and when carrying out medication reviews.

How to achieve this quality criterion

To claim for this quality criterion, the pharmacy must have access to the SCR and must have accessed the SCR on at least one more occasion in period 2 compared to period 1 or have accessed the SCR 100 times or more in both period 1 and period 2 (whether there has been an increase or not), for example, 108 times in period and 104 times in period 2.

NHS Digital has updated the Summary Care Record (SCR) calculator webpage, for the June 2018 review point of the Quality Payments Scheme. This includes a new, more user-friendly format calculator. Further information on using the calculator can be found on the NHS Digital website. This will show the number of times a pharmacy has viewed the SCR in period 1 and period 2 (as defined in the table below). NHS England will accept an increase from period 1 to period 2 as shown in the Calculator or that the Calculator shows that the contractor has accessed the SCR 100 times or more in both period 1 and period 2 (whether there has been an increase or not) as evidence of meeting this quality criterion.

Periods for reviewing access to SCR in relation to the June 2018 review point

For the June 2018 review point (29th June 2018) Period 1 is Monday 1st May 2017 to Sunday 26th November 2017   Period 2 is Monday 4th December 2017 to Sunday 1st July 2018

This information on the Quality Payments SCR Viewing Calculator will be updated weekly on Thursdays (with the previous week’s viewing figures).

To use the new format calculator:

  • access the data;
  • use the arrows at the bottom to scroll between weekly SCR views and the QP calculator;
  • enter your pharmacy name or ODS (F) code into the search box;
  • select from the list, or scroll through the pharmacy list to select; and
  • view totals in the box (correct as of the date the data was extracted).

Pharmacies that have already got SCR access

  • Determine the number of times an SCR has been accessed between 1st May 2017 and 26th November 2017 using the Quality Payments SCR Viewing Calculator (not yet available).
  • Review your approach to use of the SCR to ensure that you are maximising appropriate use; there is guidance and support on use of the SCR available via psnc.org.uk/scr.
  • Monitor your ongoing use between 4th December 2017 to 1st July 2018 to ensure you are on target to increase overall use of the SCR or to confirm if you have accessed the SCR 100 times or more in both period 1 and 2.

Pharmacies that have NOT currently got SCR access 

  • If your pharmacy is not yet live with SCR (or if you are unsure) then refer to the SCR checklist to check which items need completing.
  • If you have not undertaken the necessary training, visit psnc.org.uk/scr to find out how to access SCR training and then get access enabled in your pharmacy.
  • If you have undertaken the necessary training, but have not had the SCR role added to relevant pharmacy professional’s smartcards (who have undertaken the necessary training) contact your local Registration Authority (RA) to chase this up. Once the SCR role has been added to smartcards, make sure you access the SCR as soon as possible, to ensure this works in your pharmacy (potentially using the test patient details which should have been provided during training).
  • If you have undertaken the necessary pharmacy training and pharmacy professional’s smartcards have been updated, but you have not yet accessed the SCR, make sure you access the SCR as soon as possible, to ensure this works in your pharmacy (potentially using the test patient details which should have been provided during training)
  • Determine the number of times an SCR has been accessed between 1st Mary 2017 and 26th November 2017; this will be zero if you did not get access to the SCR until after the end of November 2017
  • Plan your approach to use of the SCR to ensure that you maximise appropriate use; there is guidance and support on use of the SCR available via psnc.org.uk/scr
  • Monitor your ongoing use between 4th December 2017 and 1st July 2018 to ensure you are on target to increase overall use of the SCR using the Quality Payments SCR Viewing Calculator (not yet available). Alternatively, the contractor’s privacy officer should be able to access this information

The declaration process

Contractors will be required to confirm through the NHS BSA online declaration page (this webpage is not live yet) that their use of the SCR has increased from period 1 to period 2 or that they have accessed the SCR on 100 or more occasions in period 1 and period 2.

FAQs

Q. Is there a way to monitor the use of SCR in my pharmacy?
NHS Digital has released an SCR viewing calculator which displays the number of times a pharmacy has accessed the SCR.

Q. How do I view and use the new format SCR calculator information?
NHS Digital are now publishing the calculator in a more user-friendly new Microsoft ‘Power business intelligence (Power BI)’ format. To use the new format calculator:

  • access the data;
  • use the arrows at the bottom to scroll between weekly SCR views and the QP calculator;
  • enter your pharmacy name or ODS (F) code into the search box;
  • select from the list, or scroll through the pharmacy list to select; and
  • view totals in the box (correct as of time of the data extracted).

Q. How often is the SCR calculator updated?
The SCR calculator does not provide live information. It is updated weekly on Thursdays (with the previous week’s viewing figures as of the end of that Sunday). The calculator references the date of the data being used.

Q. Do I need to access the SCR 100 times or more in period 1 and period 2 or just 100 times over the two periods to meet the quality criterion without increasing SCR usage?

Contractors would need to access the SCR 100 times or more in both period 1 and period 2, for example, 108 times in period 1 and 104 times in period 2 to meet the quality criterion without increasing SCR usage.

Q. Does the SCR usage calculator tool include test patients when it calculates the number of times a pharmacy has viewed the SCR in period 1 and period 2?
Yes. The SCR usage calculator tool is not able to differentiate between test patients and real patients therefore both are included in the calculation of how many times a pharmacy has accessed the SCR.

Q. When I use SCR to access contact information will this count as an ‘SCR view’ on the SCR calculator?
No, access only to the demographic screen on the SCR does not record as a view on the calculator, and therefore does not contribute towards the total figure displayed in the calculator.

Q. How do I view the SCR calculator spreadsheet version?
For at least the next four weeks, NHS Digital will also publish the calculator in spreadsheet format, for those that need to use this format. The calculator uploads may not continue from May 2018. SCR usage data in raw spreadsheet format will continue to be published for those that need to use this spreadsheet data for their bespoke analysis. PSNC continues to receive reports that some pharmacy multiples are using this spreadsheet data to promote SCR usage.

NHS Digital may also consider future suggestions as to how the website Power BI SCR data could be improved.

Q. How can I practice using SCR so that I can learn how to use it quickly for patients under my care?
You can practice using SCR by using the test patient NHS numbers that NHS Digital has provided; this will allow you to access example records and help you become more familiar with the process. Details of the test NHS numbers plus further information on this process can be found on the Using the SCR application on the PSNC website.

Q. How can I provide feedback about the SCR calculator and the SCR data available from NHS Digital?
Please email PSNC (info@psnc.org.uk) so that we can continue to collate feedback and share this feedback with NHS Digital.

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

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