To support contractors engage with the new Community Pharmacy Contractual Framework (CPCF) we are sending a weekly communication every Friday to highlight key milestones and activities. Following your feedback we have been breaking the tasks into smaller sections to make this more manageable. With the amount of activity needed over the next few months there will also be some crossover between activities with Pharmacy Quality Scheme (PQS)
We would strongly recommend that you have a weekly huddle to engage all the pharmacy team. Don’t forget to also brief your locums.
We are sending you this information to support you. We would however remind you that participating in PQS is your own business decision. We'd like to maximise your income but recognise that it is your choice. We would also remind you that our role is to support all contractors and we cannot therefore provide a disproportionate amount of support to a few contractors.
We are also sending some targeted emails. These will be generated by data provided to us by the NHSBSA. Their data is slightly out of date when it arrives and does not always arrive when anticipated. Again, we are sending these emails to provide support and you cannot rely on us letting you know that you have failed to do something at the right time.
If you are a multiple pharmacy, or part of a larger chain, please follow the instructions and guidance issued by your head office or area manager.
To view previous weeks bulletins click here.
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Activities with a deadline that has now passed:
- Gateway criteria 3, NHS website, this had to be updated by 23:59 on 30th November 2019
- Domain 2, valproate and lithium audits needed to be started by end of 29th November 2019
- Domain 6, DoS profile needed to have been updated by 23:59 on 30th November 2019
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PharmOutcomes support
See here for recording information which may help: https://psnc.org.uk/services-commissioning/pharmacy-quality-scheme/
The Day of Declaration
Countdown to the day of declaration has begun!
The PQS declaration period is from: 9:00am on Monday 3rd February until 11:59pm on Friday 28th February
And there are no exceptions or extensions to this.
All claims for PQS need to be made through Manage Your Service (MYS).
Action needed
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Action |
Completed |
| 1 |
Register for MYS if you haven’t already done so, for more information see here. |
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Plan the date you will complete your PQS declaration, this needs to be within the time window above. Don’t leave it until the last moment but remember that if you are claiming Domain 2, Medicines safety audits, you need to have done three months of both lithium and valproate audits and four weeks of NSAID re-audit before the day of declaration. |
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Gateway Criteria
There are four Gateway Criteria and if you don’t achieve them all, you will not receive any PQS payments regardless of any other work completed.
You can check whether you have met the first three Gateway criteria here.
Action needed
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Action |
Completed |
| 1 |
On the day of declaration, you must be offering in the pharmacy NMS and/or NHS flu. You must also have listed which of these you provide on your NHS.UK profile. See here. |
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On the day of declaration pharmacy staff at the pharmacy must be able to send and receive NHSmail from their shared premises specific NHSmail account.
- If you’ve not got this yet then there is more information here.
- The link above contains a checklist, including suggested action on the day of declaration to show you are compliant with this element.
- This element needs to be actioned soon – Please note that if you’ve not yet got NHS mail set up, submitting an application on its own is not enough evidence for PQS.
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NHS website – we are past the deadline to complete this. If you did not complete this on time, you will not receive any PQS funding this year |
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On the day of declaration, 80% of registered pharmacy professionals working at the pharmacy have achieved level 2 safeguarding status for children and vulnerable adults in the last two years.
- Unless you have an enormous number of staff 80% will be all pharmacists (including locums) and all pharmacy technicians. Pre-regs are not included in this figure.
- Check when your CPPE assessment expires.
- If you’ve done a different course, check it covers both children and vulnerable adults.
- For more information see here.
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Quality criteria
There are six domains. All domains except domain 5, Primary Care Networks, will only gain you points if you complete ALL the criteria for that specific domain.
Domain 1 – Risk management and safety
Worth 30 points and a minimum payment of £1,920.
There are five elements and all need to be met for payment.
Action needed
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Action |
Completed |
| 1 |
On the day of declaration, 80% (that’s everyone in reality) of all registered pharmacy professionals (pharmacists, technicians, locums but not pre-regs) working in the pharmacy have completed the CPPE risk management training and assessment.
See here. |
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On the day of declaration, the same people as above need to have completed the CPPE sepsis training and assessment, can demonstrate that they can apply this knowledge and demonstrably ensure all patient facing staff understand alert symptoms and know to refer to the pharmacist.
- You need to have done your own training sufficiently in advance of the day of declaration to then train the rest of your staff
- See here for more information.
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On the day of declaration, the pharmacy has available, at premises level, an update of last year’s QPS risk review.
- Needs to have been updated since 15.2.19
- Needs to show reflection and risk minimisation actions
- Should also include action to reduce risk of missing sepsis
- If you didn’t do this last year, your new risk review must include two risks, one of which should be missing sepsis
- For more information, see here.
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On the day of declaration, the same people need to have completed the CPPE reducing look-alike, sound-alike (LASA) errors e-learning and assessment
See here. |
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On the day of declaration, you must have a new written safety report. It:
- Must have been written since 15.2.19
- Must include analysis of incidents and incident patterns and actions taken in response to national safety alerts
- Incorporate learnings from the LASA training
- Demonstrate how you upload LASA incident reports to the NRLS
Please read the detail here. |
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Domain 2 – Medicines safety audits
Worth 25 points and a minimum payment of £1,600.
There are three elements and all must be completed to attract payment.
Submission of information the NHSE&I should be reported on the MYS application for all three audits.
Action needed
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Action |
Completed |
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On the day of declaration, a lithium audit must have been completed over three consecutive months, in line with the NPS alert on lithium. If you don’t have any patients on lithium, you should have been auditing methotrexate, amiodarone or phenobarbital instead.
Hopefully you started this before 29th November but check your start date relates appropriately to your day of declaration.
For more information see here. |
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On the day of declaration, a valproate audit must have been completed over three consecutive months.
Hopefully you started this before 29th November but check your start date relates appropriately to your day of declaration.
Further details on the audit and recording can be found here. |
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| 3 |
On the day of declaration, you should have:
- implemented all the findings from last year’s clinical audit on NSAIDs + gastroprotection in those aged 65 years and over
- repeated the audit for four weeks
- notified GP where concerns are noted
If you did not do this last year, you need to the audit and carry out the relevant actions.
If you have not already started this re-audit, action this now as the latest date to start would be 1st February but this would mean you would need to make your declaration after you closed on 28th February (the last available day) |
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Domain 3 – Prevention
Worth 25 points and a minimum payment of £1,600
There are five elements and all must be completed to attract payment.
The fifth element is the only element you can complete after the day of declaration, but you must state in the declaration that you will have met this element by 31st March 2020.
Action needed
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Action |
Completed |
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On the day of declaration, the pharmacy is a Health Living Pharmacy level 1 (self-assessment)
For more information, see here. |
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On the day of declaration, all patient-facing staff (and this includes delivery drivers) are Dementia Friends.
For more information, see here. |
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On the day of declaration, the pharmacy has completed the specified dementia-friendly environment checklist and created an action plan which includes makes some demonstrable changes to the environment in line with the checklist.
For more information, see here. |
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On the day of declaration, you must confirm that you have checked with all patients with diabetes, who presented from 1st October 2019 to 31st January 2020 have had foot and eye checks (eye checks are for patients aged 12 and over).
- You should have recorded the response on the PMR
- Sign posted where relevant
- Recorded numbers of conversations and outcomes
For more details, particularly of what needs to be reported, see here.
Don’t stop recording this until the end of January |
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On the day of declaration, pharmacies (the registered pharmacy premises) must have achieved that the sales by the pharmacy of Sugar Sweetened Beverages account for no more than 10% by volume of all beverages or declare they will have achieved this by 31.3.2020
For more information, see here. |
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Domain 4 – Primary care networks
Worth 12.5 points and a minimum payment of £800 or 22.5 points and a minimum payment of £1,440 if you are a PCN lead.
Rikki Smeeton, our SRO for PCNs, has provided you with the information you need at the end of this newsletter.
Action needed
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Action |
Completed |
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On the day of the declaration, the pharmacy must be able to demonstrate that all the pharmacies in the PCN footprint have agreed to work together and appointed a lead pharmacist and provided details of the lead.
The lead will have needed to have agreed this with the LPC and also made contact with the PCN Clinical Director.
See end of newsletter for further details. |
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The PCN lead must also have made a declaration on the day of declaration about their role as the lead.
See end of newsletter for further details. |
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Domain 5 – Asthma
Worth 5 points and a minimum payment of £320.
Only one element!
Action needed
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Action |
Completed |
| 1 |
One the day of declaration, the pharmacy can evidence that:
- Anyone with asthma, who has received more than 6 short-acting bronchodilators without a corticosteroid inhaler since 15.2.19 has been referred appropriately
- All children aged 5-15 years with an inhaled corticosteroid for asthma have a spacer where appropriate and a personalised asthma plan
- Any child not meeting these criteria has been referred appropriately
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Domain 6 – Digital enablers
Worth 2.5 points and a minimum payment of £160.
There are two elements and both need to be completed for payment.
Element one needed to be completed by 30th November 2019.
Action needed
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Action |
Completed |
| 1 |
111 DoS profile update – we are past the deadline to complete this. If you did not complete this on time, you will not receive any points for this domain |
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On the day of declaration, the pharmacy can demonstrate access to SCR by having accessed the SCR between 00:00 am on 1st October 2019 and the day of declaration.
For more information see here. |
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The declaration date that PQS must be completed is between 3rd February and 28th February 2020. Contractors must meet all the quality criteria within each domain to be eligible for a PQS payment.
If you require any further information on Primary Care Networks and how to achieve the PQS criterion, please click here.
GMLPC Support
GMLPC are currently in the process of finalising the name of your Community Pharmacy Primary Care Network (PCN lead).
We will be contacting you in due course to inform you of the name of your PCN lead, the Pharmacy name and the ODS code in accordance to PQS PCN domain guidance provided by NHSE.
All correspondence relating to PCNs which will allow you to claim the PQS are being sent via the PCN engagement email hubs. Please note that these emails have been sent to your shared NHS mail email address.
Greater Manchester LPC has created an email distribution group for you and your network colleagues to utilise for communication going forward. For example, Hyde PCN will read hydepcn@gmlpc.org.uk You can simply reply to those emails and it will automatically be sent to all the community pharmacies in your Primary Care Network. If any of you feel that you should be in an alternative PCN, please let us know.
We would strongly encourage you to engage and monitor your emails to ensure you have evidence of engagement, are informed of the PCN community pharmacy lead in your area and take any actions as instructed.
Key Actions for Contractors
- Please could you make sure that you monitor emails in the PCN email engagement hub that has been created by GMLPC as a single channel of communication for PCN engagement as per national NHSE/I guidance.
- Your PCN lead will be communicating with you via the PCN email hub before 3rd February 2020. This will confirm that the PCN Community Pharmacy lead will be acting as a single channel of communication for contractors within your PCN area and they will provide you with the details required to complete the declaration.
PCN Lead Opportunities
We would like to express a huge thank you to those of you who put your names forward to express an interest in being one of our PCN leads. Further information on the lead role is available here:
PSNC Briefing 047/19: Pharmacy Quality Scheme - Guidance for community pharmacy contractors on the Primary Care Networks domain
We will be re-sending requests for expressions of interest to areas who have not sent any nominations.
If we receive more than one expression of interest in any network, we will then facilitate a vote by contractors in the network to elect the PCN lead.
If the area has one nomination for a lead, we will be sending further guidance on next steps to the appointed PCN lead.
We encourage you to monitor your emails over the next few weeks to ensure we can support you to engage with PCNs and meet the PQS criterion for the PCN domain.
When the leads are agreed, we will provide further information, support and guidance to support to the newly appointed leads.
Please contact Rikki.smeeton@gmlpc.org.uk if you have any queries or questions.
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