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EPS in Practice

EPS in Practice. Manpreet Pujara GP National Clinical Lead & Clinical Director EPS. The size of the problem. The size of the problem. 926.7 million prescription items in 2010 an increase of 4.6% (40.7 million items) on 2009 and 67.9% on 2000 1  1.5 billion by 2020 2.5 million per day

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EPS in Practice

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  1. EPS in Practice Manpreet Pujara GP National Clinical Lead & Clinical Director EPS

  2. The size of the problem

  3. The size of the problem • 926.7 million prescription items in 2010 an increase of 4.6% (40.7 million items) on 2009 and 67.9% on 20001  1.5 billion by 2020 • 2.5 million per day • 73 per day/GP • 293 per week/GP 1Prescriptions Dispensed in the Community: England Statistics for 2000-2010 Information Centre

  4. Repeat prescribing workload

  5. Why upgrade - EPS functionality Nomination Electronic signatures Electronic submission of reimbursement endorsements Electronic repeat dispensing Electronic cancellation

  6. What’s in it for me & my practice? • Makes me efficient! • Less printing, less noise & more time to talk! • More efficient prescribing/signing • Electronic repeat dispensing • Less wastage • Write a message for patient and/or pharmacist • Make more use of telephone consultations • Electronic cancellation means more control of medication regime

  7. What’s in it for me & my practice? • No need to sort and file prescriptions • Less traffic at the main desk • Fewer phone calls from patients asking for meds • Cannot lose the prescription – you know where it is • No hanging around outside consulting rooms for a signature/lost prescription • No sticky notes! • Cost saving, printing, phone calls, less wasted time • Better clinical safety

  8. So what do I need to do? To maximise the benefits of using EPS you must review and change your business processes

  9. Routine repeat request – Practice 1 • Reception issues one of repeat regime e.g. 3 of 6 • Paper FP10 printed • FP10’s divided between GPs • FP10s put into GP’s pigeon holes • GPs collect from pigeon holes • GPs checks and signs after surgery • GP takes signed FP10s back to reception

  10. Routine repeat request – Practice 2

  11. Routine repeat request with EMIS Web & EPS Release 2

  12. So what do I need to do? Review your current repeat request process • Prescription duration 28 or 56 days • Single review date or number of issues? • Are review dates set as a default 6 or 12 months or dependent on clinical review? • Synchronising issues/drugs • Do you use compliance figures or date of last issue? • Do you post date prescriptions?

  13. So what do I need to do?( Review your current repeat request process) • Do you use paper repeat dispensing? • Who signs the prescriptions & when? • Decide if you will print token for co-located pharmacies • Training • Engage – with patients • Communicate with your local pharmacists – nominations are the key to a successful deployment

  14. Practice decisions - streamlining • Choosing the GP for EPS signing e.g. buddy system when one on holiday • GPs signing prescriptions between patients • Ensuring all outstanding prescriptions are signed by duty doctor at the end of the day • GPs consider amending items in patient record as requests come in • Consideration of different ways of notifying GP of immediate acute/repeat request for action • Benefits of using instant messaging

  15. What’s EPS like in Web? • Safety warnings • Compliance figures • Nomination • Cannot always change urgency on the fly • Cannot write a reason when rejecting a prescription – so no one knows why? • Notes to patient/Pharmacy not recorded/visible in the electronic record

  16. Compliance figures

  17. Adding a message for patient or pharmacist

  18. Nomination

  19. Cancel an item in task screen

  20. EPS Release 2 statistics 291 613,763 GP practices live patient nominations 6,331 3,298,925 pharmacies live items dispensed and claimed 20 dispensing appliance contractors live

  21. Dispensing systems 6 dispensing systems have achieved FRA (full roll out approval ) 2 dispensing systems yet to achieve FRA Prescribing systems 4 prescribing systems have achieved FRA 1 prescribing system yet to achieve FRA All Isle of Wight GP and dispensing sites live All dispensers in Bexley live cfh.nhs.uk/epsstats Supplier status

  22. Process for EPS Authorisation Directions restart 33PCTs gain SoS Directions Second closing date for applications: 21 September 2012 www.cfh.nhs.uk/eps/sos

  23. Keep in contact……and sign up for the EPS bulletin! manpreet@nhs.net

  24. EPS R2 Benefits Questionnaire www.cfh.nhs.uk/eps/feedback

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