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Electronic Prescription Service Andy Williams ETP Development Manager October 2008

An individual electronic NHS Care Record for every patient in England. To make prescribing and dispensing safer, easier and more convenient for patients. Electronic booking service offering patients greater choice of hospital or clinic. A central email and directory service for the NHS. Providing IT

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Electronic Prescription Service Andy Williams ETP Development Manager October 2008

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    3. Contents

    5. The need for change

    6. The need for change (continued) In addition: about 70% of prescriptions are now repeats, so we need a system designed for this pattern of prescribing Strategy for pharmacists requires them to become better integrated into the primary care team and integrated IT will support this

    7. A definition…

    15. Supporting contractors in capturing the nomination The primary point for nominating a dispenser will be with the dispenser themselves (not GP practices) A patient leaflet will be available to contractors to explain the EPS to patients Audit data will be available to PCTs to help ensure the principles are adhered to

    16. Principles of nomination In order for a patient to request a nomination they will need to be informed about the EPS service and the ability to nominate a dispenser Contractors must establish Standard Operating Procedures for nomination Contractors must not offer any type of inducement to encourage patients to nominate them as their dispenser Contractors will need to capture, record, and act on a patient’s request in a timely manner

    17. Definition of timely “If explicit consent is collected in advance of the pharmacy deploying Release 2, before setting the patient’s nomination on the Personal Demographics Service, the dispensing contractor should ensure there has been no change in the patient’s circumstances, including their choice of nominated dispenser, since the original consent was obtained.”

    18. Legislation for dispensers state: “A pharmacist or his staff shall not give, promise or offer to any person any gift or reward (whether by way of a share of or dividend on the profits of the business or by way of discount or rebate or otherwise) as an inducement to or in consideration of his nominating the pharmacist as his dispensing contractor (or one of them) in his NHS Care Record”

    19. Regulations for Prescribers state: (a) “shall not seek to persuade a patient to nominate a dispenser recommended by the prescriber or the contractor; and (b) shall, if asked by the patient to recommend a chemist whom he might nominate as his dispenser, provide the patient with the list of all the chemists in the area who provide an ETP service as given to the contractor by the Primary Care Trust."  

    24. Release 2 smartcards are a step to NHS CRS access

    27. Prescription token – content (LHS) The left hand side of the prescription token will contain the same information as an FP10. In addition, the following information will be printed: Whether the prescription has been nominated or not A barcode and prescription ID Text in the signature box to invalidate the prescription as legally valid

    28. Dispensing Token – Content (LHS) The left hand side will contain the same information as on a prescription token, except: If the token is used when returning a prescription to the EPS and given to the patient, then no dispenser details are printed Pre-printed information within signature area

    29. EPS Release 2 Scenarios

    35. What is electronic cancellation?

    39. Potential points of failure National ‘Spine’ (EPS servers) National ‘Spine’ (PDS servers) Connectivity (N3) Prescribing System Dispensing System Smartcards Printers

    40. Alternative Actions Record information at a later time Advise the Patient to come back Contact the Prescriber to obtain FP10 Use emergency supply Advise to use an alternative dispenser Other existing local procedures

    42. Key Points The existing endorsement rules operate in the same way Declarations (signatures) for exemptions and chargeable prescriptions must be captured on paper Prescriptions must be completed (including any reasons from a pre-defined list for not dispensing) before they can be reimbursed The payment schedule is the same as for paper prescriptions

    43. Submission requirements Combined number of prescriptions and items (both paper and electronic) that have been submitted must be declared on the FP34 Additional boxes have been added to the submission document, in order for the contractor to inform the PPD that electronic prescriptions and tokens have been submitted

    44. Payment schedule Payment for both electronic prescriptions and paper FP10 prescriptions is combined as one monetary total Prescription data on schedule shows additional information detailing total electronic prescriptions/items received

    46. Benefits for patients

    47. Benefits for prescribers

    48. Benefits for dispensers

    49. Whole System Impact

    51. Release 1 deployment

    52. Release 2 Initial imps.

    53. Purpose of initial implementation Initial implementation will ensure: the service can operate safely business processes developed with user groups are fit for purpose guidance provided to contractors, PCTs and patients is effective systems interoperate with data in the live environment

    54. Implementing Release 2

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