Quality Payment Scheme


The Quality Payment Scheme will involve points being awarded to community pharmacy contractors meeting certain quality of service criteria and therefore reward pharmacies for achieving outcomes.  There is the potential to earn £6,400 or more annually by achieving the criteria.

Gateway Criteria

To be eligible to collect the points necessary to claim the Quality Payment, the contractor must meet all four gateway criteria:

Note – Meeting the gateway criteria will not, in itself, attract a Quality Payment; it is subject to how many of the following quality criteria the contractor meets (with each criterion being designated a number of points)

Quality Payment Criteria

Domain Criteria Number of review points at which it can be claimed Points at any one review point Total points over the two review points
Patient Safety Written safety report at premises level available for inspection at review point, covering analysis of incidents and incident patterns (taken from an ongoing log), evidence of sharing learning locally and nationally, and actions taken in response to national patient safety alerts. One 20 20
Patient Safety On the day of the review, 80% of registered pharmacy professionals have achieved level 2 safeguarding status for children and vulnerable adults within the last two years Two 5 10
Patient Experience On the day of the review, the results of patient experience survey from the last 12 months published on the pharmacy’s NHS Choices page  or for distance selling pharmacies it is displayed on their website and the NHS Choices service desk has been notified as per the NHS England guidance document, “Pharmacy Quality Payments – Quality Criteria Guidance”. One 5 5
Public Health On the day of the review, the pharmacy is a Healthy Living Pharmacy level 1 (self-assessment) One 20 20
Digital On the day of the second review, the pharmacy can demonstrate a total increase in access to Summary Care Records (from Monday 3 October 2016 to Sunday 30 April 2017 compared to Monday 1 May 2017 to Sunday 26 November 2017). Where the pharmacy can demonstrate total access to Summary Care Records of 100 times or more in both period 1 (Monday 3 October 2016 to Sunday 30 April 2017) and period 2 (Monday 1 May 2017 to Sunday 26 November 2017) they will have been deemed to have met this criterion whether there has been an increase or not. Two 5 10
Digital NHS111 Directory of Services entry up to date at review point Two 2.5 5
Clinical Effectiveness On the day of the review, the pharmacy can show evidence that asthma patients, for whom more than 6 short acting bronchodilator inhalers were dispensed without any corticosteroid inhaler within a 6-month period, are referred to an appropriate health care professional for an asthma review Two 10 20
Workforce On the day of the review, 80% of all pharmacy staff working in patient facing roles are trained ‘Dementia Friends’ Two 5 10
Total number of points: 100

PSNC have produced a series of record sheets which you may choose to use to prove some of the Quality Points:

Payment information

DH has said it will allocate £75 million to fund the Quality Payments in 2017/18, which will be funded from the overall funding for 2017/18 of £2.592 billion.

Payments will be made to eligible contractors depending on how many criteria they have met (and therefore how many ‘points’ they achieved). DH expects the value of each point to be set at £64. This is set at a level that would deliver £75 million assuming 100% of pharmacies achieved all 100 points.

Payments due from each review point will be paid as part of the full value of services for that month, i.e. payment from April’s review point will be paid at the end of June/beginning of July.

However, it may be the case that not all pharmacies will achieve all of the quality criteria across the two review points. Therefore, after the two review points, there will be a reconciliation process, at which the remaining funding will be divided between qualifying pharmacies based on the number of points they have achieved over the two review points. This reconciliation payment will not have to be claimed and will be paid with the full value of services payment for March 2018 (i.e. end of May/beginning of June).

To ensure the overall amount earned by one contractor for Quality Payments remains proportionate, a cap of £128 per point will be allowed in totality including the reconciliation payment. To reach the cap would require less than 50% of pharmacies achieving less than 50% of the quality criteria.

 

PSNC have produced a Quality Payments FAQs section which is updated regularly.

More information is available on the PSNC website

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If you have any questions on the Quality Payment Scheme, please use our Contact Us page.

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