Quality Payments – Risk management

Quality Payments – Risk management

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 80% of all registered pharmacy professionals working at the pharmacy have satisfactorily completed the CPPE Risk Management training; and

The pharmacy has available for inspection at the review point, at premises level, an example of a risk review that the pharmacy team at the premises have drawn up for a risk in that pharmacy that has been identified and prioritised with identified risk minimisation actions that the pharmacy team is taking.’


Click on a heading below for more information.

NHS England guidance

NHS England has published guidance for the February 2019 review point of the Quality Payments Scheme. The new guidance should be read in conjunction with NHS England’s previously published gateway criteria and 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.

Quality criterion points and value

The value of this quality criterion is as follows:

Total points for the February 2019 review point 20
Value of total points £640-1,280*

*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.

How to achieve this quality criterion (includes PSNC resources)

CPPE Risk management training

The CPPE risk management guide and e-assessment can be accessed on the Pharmacy Quality Payments Scheme page on the CPPE website.

Pharmacy professionals (pharmacists and pharmacy technicians) are required to work through the guide and successfuly complete the e-assessment.

PSNC has created a CPPE Risk management record sheet which contractors can choose to use to keep a record of the pharmacy professionals that have successfully completed the CPPE Risk Management guide and e-assessment.

When a pharmacy professional has completed the guide and e-assessment, a certificate of completion will be stored in the pharmacy professional’s personal record on the CPPE website. This can be printed to provide evidence of completion; contractors are advised to keep a copy of the certificate within the pharmacy.

Each pharmacy professional (including locums) working in the pharmacy on the day of the review (15th February 2019) counts as one, regardless of how many hours they have worked. For example, a pharmacy with five pharmacy professionals working in the pharmacy on 15th February 2019 will need to ensure that at least four of them have successfully completed the CPPE Risk Management guide and e-assessment.

Completing a risk review

PSNC and the Community Pharmacy Patient Safety Group have produced a template risk review and a completed example of a risk review to assist contractors with meeting this quality criterion.

A template risk review can be found below:

Risk review template (Word)

Risk review template (PDF)

An example of a completed risk review can be found below:

Risk review completed example (PDF)

Pharmacy professionals are encouraged to complete the CPPE Risk Management guide and e-assessment (as highlighted above) before the risk review is undertaken in their pharmacy as this will assist them with completing the risk review.

Section 3 of the CPPE guide provides guidance on how to assess risk using a variety of resources, for example, involving the whole team and getting their input into the process, reading previous error reports, etc. It also details information on how to assess the risk using ‘probability’ and ‘severity’ (contractors are required to complete this information on the template risk review that PSNC and the Community Pharmacy Patient Safety Group have produced). Section 4 also details information on how to manage risk, which should assist contractors when thinking about actions that can be taken to reduce risk in their pharmacy.

Contractors can choose to use the PSNC and Community Pharmacy Patient Safety Group template risk review, but it is not a mandatory template and a different template can be used. If contractors choose to use a different template, they should ensure their risk review includes:

  • a description of the risks that have been identified;
  • a risk rating, or completed risk matrix based on:
    • the probability of the risk manifesting into harm;
    • the severity of harm (or potential harm) caused and any associated consequences; and
  • an action plan detailing risk minimisation actions required, details of who will take these actions and timelines for when the actions need to be completed by.

The risk review could also, for example, incorporate a Root Cause Analysis such as the ‘Fishbone’ analysis or use of the ‘Five Whys’ technique; both examples are detailed in the CPPE Risk Management guide (Pages 20-21).

It is also extremely important that actions detailed in the report, are completed and that the risk review is re-visited once the actions have been taken, to document this.

The declaration process

Contractors will be required to declare through the NHSBSA online declaration page (the portal will go live on Monday 4th February 2019 at 9am and will be available until Friday 1st March 2019 at 11.59pm) that they meet this quality criterion.

FAQs

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.

More FAQs on the Quality Payments Scheme are available on the Quality Payments – FAQs page.

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