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Preparing for EPS2 LPC Forum 8 th May 2014. Who's Who. Amanda Marshall Assistant Contract Manager (Pharmacy) Surrey & Sussex Area Team - NHS England amanda.marshall@nhs.net Area Team Role: Authorising GP practices to go-live Assurance of CCG deployment Provision of dispensing tokens
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Who's Who • Amanda Marshall Assistant Contract Manager (Pharmacy) • Surrey & Sussex Area Team - NHS England • amanda.marshall@nhs.net • Area Team Role: • Authorising GP practices to go-live • Assurance of CCG deployment • Provision of dispensing tokens • Monitoring nominations and dealing with complaints • Provision of Registration Services (smartcards)
Who's Who • Gary MortimerSenior Implementation Manager, EPS • Health and Social Care Information Centre • gmortimer@hscic.gov.uk • HSCIC Role: • Support the delivery of IT infrastructure, information systems and standards to ensure information flows efficiently and securely across the health and social care system, to improve patient outcomes. • Support local deployments. • Share lessons learnt from other deployment • Provide escalation and feedback.
Who's Who • Becky GaylerClinical Informatics Manager • Brighton and Hove Clinical Commission Group • becky.gayler@nhs.net • CCG Role: • Responsible for implementation of EPS: • Project Management • Engagement • Communications • Business change • Training for GP practices • Benefits realisation
EPS2In a Nutshell • What? • Why? • How?
EPS2 Features Electronic submission of reimbursement endorsements Electronic Signatures Nomination Electronic cancellation Electronic repeat dispensing
Prescriptions - the need for change • 1.7 million paper prescriptions are issued every working day in England • This figure is expected to rise by over 5% each year • About 70% of these prescriptions are for repeat medication
Benefits • Greater convenience • Increased freedom of choice • Reduced waiting times in the pharmacy • Potential reduction in workload. • Easier to use repeat dispensing • Greater efficiency and control . • Greater efficiency • Streamlined workflow • Easier month end processing Patients Prescribers/ Prescription Clerks Dispensers
Where are we now? Latest statistics (14th April 2014) • 1,996 (24%) GP practices live • 11,015 (94%) Pharmacies live • 49 (43%) Dispensing Appliance Contractors live • 24,327,281 Release 2 prescriptions sent • 56,207,000 Items dispensed and claimed • 7,271,631 Nominations set • 33% average live site usage
Brighton and Hove CCG Plans • B&H CCG = 47 GP Practices, 63 Pharmacies, 270k+ residents • Early Adopter Phase ( approx 10% of population): • Sackville Road Hove 22/5/14 • Ardingly Court Brighton 04/6/14 • Stanford Medical Brighton 05/6/14 • Full B&H CCG roll-out: • EMIS Web (13) Oct - Nov 2014 • TPP SystmOne (26) Dec - Feb 2014/5 • Vision (8) March - April 2015 • Rest of Sussex – planning for 2014/15 and 15/16
Dispensers - Site preparation • Capture patient nominations. • Scan Release 1 scripts • Patient details on local PMR • Order dispensing tokens • Printing capability (2nd tray for tokens) • Supplies: printer toner / dispensing tokens • System training • SOPs • Smartcards
Smartcards Everyone who dispense prescriptions and / or process patient nomination requests will need a smartcard: • Pharmacists and locum pharmacists • Accredited dispensing technicians • Counter assistants and pharmacy support staff Contact Sussex IT Services 0845 845 4488 Special arrangements have been made for locum pharmacy staff to use a virtual national locum organisation code: FFFFF.
What’s new? • Capturing nominations • Downloading electronic prescriptions • Cancellations and returning scripts to Spine • Printing dispensing tokens • Information from Prescriber for Patient • Dispense notifications • Electronic endorsements • Record exemptions on system • Electronic claims • Send in signed tokens – no sorting
If problem can’t be resolved… Consider expected downtime and urgency…
Training and Support • Concept training - CCG • Business processes in line with site / company policy • System training from your supplier • Live pharmacies - review and refine processes • Locums / temporary staff • Lots of resources online
Top Tips “Doing it for Real” Ravi Vatma
Top Tips • Scan EPS1 scripts – populate local system • Start collecting exemptions • Collect tokens in separate basket • Submit dispense notifications in batches • Use consultation room PC if possible – can do other processes in background • Incorporate electronic claiming in next day process, deadline on 5th, 180 days expiry • Send back to Spine when errors • Blister packs – need to dispense before next issue available • Set to print dispensing tokens automatically