Transcript Document

Electronic Prescription Service (EPS)
Release 2
Avon Local Pharmaceutical Committee
26th March 2014
Jane Schofield – Programme Manager
EPS Release 2
• Introduce myself and my organisation
• EPS overview:
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What it is
How it works
Why it is needed
Benefits
Local project overview
Smartcards
Nominations
Tokens & printers
Where to find more information
Introduction
• Emma Pace is the local Project Manager for the EPS Release 2
Project
• Southwest Commissioning Support (SWCS) provide
commissioning and informatics support to:
• Bristol, North Somerset, South Gloucestershire and
Somerset Clinical Commissioning Groups (CCGs)
• Community health organisations in Bristol, North
Somerset, South Gloucestershire
• NHS England area team covering Bristol, North Somerset,
Somerset and south Gloucestershire
• We are responsible for helping to implement EPS in GP
Practices across the area.
• We are not responsible for implementation in BaNES; this is
covered by Central Southern CSU
EPS in a nutshell
EPS enables prescriptions to be sent
electronically from the GP to the dispensary
of the patient’s choice.
EPS Overview
Why is EPS Needed?
• Over 1.8 million prescriptions prescribed each day
• About 70% of prescriptions are for repeat medication
Number of prescription items
dispensed each year (Millions)
Source: HSCIC
1,100
1,000
900
800
700
600
500
400
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
EPS – A phased approach
• Release
1 introduced the technical infrastructure to enable
prescribers and dispensers to operate the EPS. The
implementation of Release 1 is now almost complete with over
95% of GP practices and pharmacies live with the service
• Release 2 provides enhanced functionality for users which will
deliver tangible benefits for patients, prescribers, dispensers and
their staff
What's different in Release 2?
Nomination
Electronic
cancellation
Electronic
Signatures
Electronic repeat
dispensing
Electronic
submission of
reimbursement
endorsements
EPS – Benefits
Patients
• Greater Convenience
• Increased freedom of choice
• Reduced waiting times in the pharmacy
Prescribers/Prescription Clerks
• Potential reduction in workload
• Easier to use repeat dispensing
• Greater efficiency and control
Dispensers
• Greater efficiency
• Streamlined workflow
• Easier month end processing
Implementing EPS in a GP Practice
• Applications to implement EPS Release 2 have to be submitted at least
8 weeks prior to planned go-live date.
• The application has to be authorised by the NHS England area team
• There is a standard deployment model that has to be followed. This
ensures that:
– All organisations involved have sufficient notice to set up training,
smartcards etc
– Practices want to go-live and have agreed a date
– The practices and pharmacies have planned a date to meet to
discuss the changes to the business processes associated with the
go-live
– The LPC has been notified and are engaged in the process
Standard Deployment Model
• Engagement between local practices, pharmacies and dispensing
contractors
• Kick-off meeting with practices & pharmacies to agree what needs to
happen before go-live
• Authorisation process
• Order upgrades to GP IT system (if applicable)
• Business process change session for participating practices and
pharmacies
• IT system training (pharmacy system suppliers will provide this for
pharmacy staff)
• Smartcard updates
• Go-live and floor walking support for practices & pharmacies
• Post go-live review
• Handover to BAU
Smartcards
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All staff using the EPS system to interface with the Spine will need to register for
their own card
This means people who are:
– Registering nominations
– Pulling down EPS R2 message scripts
– Confirming dispense
– Requesting reimbursement
Cards issued for EPS Release 1 will not operate on R2
Existing smartcards will need to be upgraded
Each authorised user of the service must have their own smartcard; smartcards
cannot be shared
Where staff already have smartcards, these should be checked to ensure that they
do not have duplicate certificates on them – (guidance is available on how to do
this)
SWCS will arrange smartcard clinics locally to check and/or process smartcard
applications when your local practices go-live
Smartcards - Sponsors
• An individual who can approve access to information and functionality in
applications such as EPS
• The sponsor grants approval of the appropriate Role Based Access Control
(RBAC)codes so that staff have appropriate access to EPS, based on their
job role.
• Sponsors are identified by the SWCS Registration Authority in conjunction
with the EPS Release 2 Project board
• The current EPS sponsors are:
– Lloyds pharmacy – Area managers
– Other large companies – Area & store managers
– Independent pharmacies and relief/locum pharmacies not attached to
a pharmacy – LPC Chair
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The sponsor is expected to verify that the person is a pharmacist/dispenser and
will need to sign the form
Tell us your concerns…
Nomination
• The process that gives patients the option to choose or ‘nominate’ a
dispensing contractor(s) to which their prescriptions can be sent
automatically via EPS.
• Patients can choose up to three dispensing contractors, including:
– one community pharmacy;
– one dispensing appliance contractor;
– one dispensing general practice.
• Nomination is a very flexible process. Patients can request for their
nomination to be set, changed or removed at any time simply by asking a
member of staff at any Release 2 enabled dispensing contractor or their
general practice
Nomination
Key Principles
• Patients must be provided with sufficient clear information about EPS before
nomination is captured
• Dispensing contractors must not offer any type of inducement to encourage
patients to nominate them
• Contractors will need to capture, record, and act upon patient’s nomination
requests in a timely manner
• Prescribers and dispensing contractors must establish standard operating
procedures (SOPs) for nomination
Top Tips
• Start to identify patients for nomination from now
• Prescription collection service is good source for potential nominations
• Ensure all staff are aware of the nomination process including setting, changing
and cancelling a patient’s nomination and the impacts
• Wherever possible try to ensure ALL patients PDS details are synchronised prior to
go live. This will help to ensure a smooth transition to EPS Release 2 as GPs cannot
set nominations or issue Release 2 prescriptions without this happening
Tokens & Printing
Dispensing tokens -Factsheet for pharmacy staff
http://systems.hscic.gov.uk/eps/library/0912.pdf
Where can I find out more?
Health and Social Care Information Centre
http://systems.hscic.gov.uk/eps/dispensing
http://systems.hscic.gov.uk/eps/library/pharmachecklist.pdf
http://systems.hscic.gov.uk/eps/library/dontwaitnominate.pdf
PSNC website
http://psnc.org.uk/dispensing-supply/eps
What Practice staff are saying ..
“EPS has physically reduced the number of patients
collecting prescriptions at our GP Practice. We now
don’t have any queues at peak times.“
Joanne Causer, Office Manager, Brooke Surgery
What Pharmacy staff are saying ..
"It's fantastic you can control the dispensing process
from the very outset.
So you've got more time to process prescriptions, in
your own time when it's convenient, order the stock in
and turn it around.“
Joanne Rowell, Pharmacist, Medichem, Sunderland