Ophthalmic Payments

National User Group Meeting 18 th September 2008

GOS Regulations 2008 • Contractors and Performer lists now available for all English PCTs • Migration successfully implemented

GOS Regulations 2008 Back Pay • When available: – Calculated for all, including closed practices – Statements will be generated for all

GOS Regulations 2008 Wales • Currently these regulations will

NOT

be implemented in Wales • Practitioner List and Supplementary List are still available

GOS Regulations 2008 New GOS Forms • New

Employment and Support Allowance (ESA)

27 th October 2008 available from • Found on GOS1, GOS3, GOS4, GOS6 & HES

GOS Regulations 2008 Inputting Claims

GOS Regulations 2008 Inputting Claims • English PCTs use 2008 Regulations menus • Welsh LHBs use ‘old’ Regulations menus

Electronic Links Project

• Activity Details – 136 activation requests processed – 130 active stores – 87 stores using automatic process – 51 PCTs – 24 payment agencies

Electronic Links Project

• Claims Volumes – Entered May 2007 - Sept 2008 • • •

260,975

manual approvals

308,215

automatic approvals

569,190 total claims

Closed Change Requests 2850, Include ‘order by’ and grand totals to electronic BACS report 2885, Show patient’s address on possible duplicate claims reports 2870, Add service date to PPC school letters 2898, Include back pay values within the FIS return 19 th May 2008 4 th June 2008 16 th June 2008 20 th June 2008

Closed Change Requests 2791, Management reports covering staff activities 2824, Single button to accept for ‘batch’ of electronic claims 2827, Import ophthalmic data into PCIS 18 th July 2008 11 th Sept 2008 4 th July 2008 2861, Rejected by OPUG 15 th May 2008

Open Change Requests 2648 Devon (Low) 2740 Stockport (High) 2742 Dorset 2816 East Riding Global delete button for selected PPC audit records Permit practitioner name reuse Batched Additional Services claims PPC letters ‘payable to’

Open Change Requests 2838 Kent (High) 2851 Hampshire (Medium) 2871 Essex (Medium) Facility to email electronic statements To be included within Electronic Links project Improve linking of pre notification lists to residential homes Monthly payment report, like FIS 3 report

Open Change Requests 2909 Doncaster (New) Highlight if SOL/OPL optician is registered on another country’s list 2926 Worcester (New) Scheduled for released on 27 th October 2008 Show Trading Name on input screens Scheduled for released on 27 th October 2008

Open Change Requests 2941 Cheshire (New) 2943 Devon (New) 2949 Hampshire (New) Performer List to record contract as ‘Currently Registered’ or ‘Conditionally Registered’ & include details Suppress Contractor’s Uniform List Number on Statements Report to show contractors who have not been linked to Exeter BACS for payment

CR 2909 – Performer/Supplementary

Import Ophthalmic data into PCIS

• PCIS User Group approved Change Request 2827 • To enable the automatic import of contractor data into PCIS • Must be enabled within the PCIS and Ophthalmic Payments applications

Import Ophthalmic data into PCIS

Organisation Data Service

• The ODS team is part of NHS Connecting for Health • Responsible for publication of identifier codes for all organisations and practitioners within the NHS • To enable the NHS to use new systems and services available – NHSmail, N3, Choose & Book

Organisation Data Service & Opticians

• Include all optical sites into the existing ODS • Opticians can access NHSmail • Information will shortly be sent to all practices • Approved by: – FODO – AOP – ABDO

Organisation Data Service & Opticians

• http://www.connectingforhealth.nhs.uk/systemsandservices/data/nacs/optsitereq

Activity in August 2008 • 892,635 GOS1 claims processed in August 2008 • £ 17,010,853 for GOS1 in August 2008 • 83,889 Schedule D searches in August 2008 • 17.79% GOS1 claims were individually entered during August 2008