Pharmacy Quality Scheme – NSAID safety audit
Pharmacy Quality Scheme – NSAID safety audit
Community pharmacy contractors passing the gateway criteria will receive a payment for the Pharmacy Quality Scheme if they meet one or more of the quality criteria bundles. The medicines safety audits complementing QOF QI bundle consists of three quality criteria, one of which is that on the day of their declaration (which must be done between 3rd February 2020 and 28th February 2020):
‘Contractors should have implemented, into their day-to-day practice, the findings and recommendations from the previous clinical audit on NSAIDs prescribed for those aged 65 years and above without gastroprotection, undertaken as part of the QPS for the February 2019 review point; the link for the report can be found in the NHS England & NHS Improvement Pharmacy Quality Scheme 2019/20 guidance available at https://www.england.nhs.uk/primary-care/pharmacy/pharmacy-quality-payments-scheme/pqs/. The pharmacy must then repeat the updated audit of NSAIDs and gastroprotection for all patients 65 years and over (the link for the updated audit is available in the NHS England & NHS Improvement Pharmacy Quality Scheme 2019/20 guidance available at https://www.england.nhs.uk/primary-care/pharmacy/pharmacy-qualitypayments-scheme/pqs/, including notifying the patient’s GP where
concerns are identified, sharing their anonymised data with NHS England & NHS Improvement, and incorporating any learning from the re-audit into future practice.
Note: Pharmacies that did not claim for the NSAID audit quality criterion previously, i.e. at the last review date of 15 February 2019, and wish to claim for this criterion for the PQS 2019/20 as part of claiming for this domain, must complete the NSAID audit for the first time and complete other elements as described above.
Submission of information to NHS England & NHS Improvement should be reported on the Manage Your Service (MYS) application for all the above audits.’
Click on a heading below for more information.
NHS England and NHS Improvement guidance
How to achieve this quality criterion (includes PSNC resources)
Resources to support community pharmacy contractors to meet the non-steroidal anti-inflammatory drug (NSAID) quality criterion of the Pharmacy Quality Scheme (PQS) have now been published, so contractors may now want to consider when they are going to start completing the audit.
Briefing 053/19: Pharmacy Quality Scheme – NSAID audit quality criterion
PSNC has published Briefing 053/19: Pharmacy Quality Scheme – NSAID audit quality criterion, which provides contractors with a flow chart on how to meet the quality criterion.
Findings and recommendations from the 2018/19 Quality Payments Scheme NSAID audit
As part of meeting the quality criterion, contractors should implement, into their day-to-day practice, the findings and recommendations from the previous clinical audit on NSAIDs prescribed for those aged 65 years and above without gastroprotection, undertaken as part of the 2018/19 Quality Payments Scheme. This should be done before completing the updated 2019/20 NSAID audit. The report from the 2018/19 Quality Paments Scheme NSAID audit has now been published on the NHS England website.
NSAID audit paperwork for the 2019/20 PQS
Specialist Pharmacy Service (SPS) has now published the updated NSAID audit for the 2019/20 PQS. Contractors must therefore complete the updated audit, notify patients’ GPs where concerns are identified, share their anonymised data with NHS England and NHS Improvement (NHSE&I) and incorporate any learning from the audit into future practice. PSNC has also made the following documents from the SPS audit available as standalone documents:
SPS NSAID audit data collection form (PDF) – Please note, minor updates to the list of NSAIDs in the audit tool published in Oct 2019 have been made. Please ensure you are using the current version. (Tranexamic acid was inadvertently listed in the earlier version).
Community Pharmacy Patient Safety Group – Patient safety quality criteria guidance
PSNC has worked with the Community Pharmacy Patient Safety Group to publish guidance on meeting the patient safety quality criteria of the PQS, which includes information on the NSAID audit.
Reporting data to NHSE&I
Contractors can choose to enter the data directly onto a web-based platform or use a paper form to collect the data and then transfer the data onto a web-based platform to submit their results to the NHS Business Services Authority (NHSBSA) who are collecting this on behalf of NHSE&I.
Two web-based systems are available for collecting the audit data: Manage Your Service (MYS) or PharmOutcomes* (please note, contractors should only use one of these systems to collect the audit data).
Having reviewed both systems, there are pros and cons to both systems:
|MYS||The individual patient information entered into MYS will auto-populate the summary information that is required when contractors complete their PQS declaration.||
MYS does not allow for an automatic referral email to be sent to a patient’s GP practice if required – contractors will need to manually send a referral letter (a template referral letter is available as part of the SPS audit).
A permanent patient record will not be stored on MYS.
Can send an automatic referral email to a patient’s GP practice if required.
A permanent patient record will be stored on PharmOutcomes.
|The individual patient information entered into PharmOutcomes will not be auto-populated into the summary information that is required when contractors complete their PQS declaration. Contractors can print out a report for the NSAID audit from PharmOutcomes but they will then be required to manually enter the summary data when completing their PQS declaration.|
*The NSAID audit on PharmOutcomes is freely available to all contractors; PSNC has agreed to use their licence to provide access.
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:
FAQs on the Pharmacy Quality Scheme can be found on the Pharmacy Quality Scheme – FAQs page.