Transcript Ophthalmic Payments - Health and Social Care Information

Ophthalmic Payments
National User Group Meeting
15th May 2008
GOS Regulations 2008
• English PCTs ONLY
• 1st August 2008
– Contractor List
– Performers List
– Mobile Services
GOS Regulations 2008
• Interim Arrangements
– Implemented on 3rd June 2008
– Reference data for new lists
active now
– Pre-populated with current
opticians
GOS Regulations 2008
• GOS Regulations 2008 menu
– Practitioner Reference List
• Move to Contractor List
• Move to Performer List
• Validation rules & Create mode
– Supplementary Reference List
• Move to Performer List
• Validation rules & Create mode
– Report
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
• All reference records must be
complete by mid July 2008
• On 31st July 2008 the migration
team will move your practitioners to
their nominated list
• From 1st August 2008, the
Contractor List and Performers
List will be active in England
GOS Regulations 2008
• Ophthalmic payments system will
continue to reference Practitioner
List and Supplementary List until
1st August 2008
• GOS forms will be changing
– details not confirmed about content
changes or release date
GOS Regulations 2008
Wales
• Currently these regulations will
NOT be implemented in Wales
• Practitioner List and Supplementary
List will remain unchanged
Electronic Links Project
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Activity Details
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121 activation requests processed
110 active stores
66 stores using automatic process
45 PCTs
21 payment agencies
Electronic Links Project
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Vision Express at Southampton
activated on 6th May 2008
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Claims Volumes
– Entered May 2007 - May 2008
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152,916 manual approvals
140,969 automatic approvals
293,885 total claims
Electronic Links Project
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Implementation Process
– Contact your store & arrange
activation date
– Gather following details:•
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The store name and address
The store contact name and telephone
number
The local code and uniform list number
for the store
The PCT code and name in which the
store is located
Agreed 'go-live' date
Electronic Links Project
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Implementation Process
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Contact National Help Desk on 01392
251289
Raise 3rd line ophthalmic payments
support log
Description of Request for Activation of
Ophthalmic Payments Electronic Links
and should contain all the information
specified above
Ophthalmic team to pass information onto
Specsavers IT for activation
Electronic Links Project
Phase II
• Strategic Planning Group funded
Project
• Project Board members
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Project Executive: Gary Snowball
Senior User: Nikki Hobman
Senior Supplier: Sean Walsh (NHSCFH)
Project Manager: Steve Daniels (NHSCFH)
Work Package Managers:
• Mark Green (NHSCFH)
• Tom Davies (NHSCFH)
• Lynn Turner (NHSCFH)
Electronic Links Project
Phase II
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Progress
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PID signed off
Requirements catalogue signed off
Sub-group met on 3rd April 2008
Draft data set definitions completed
for GOS3, GOS4 and GOS5 claims
Electronic Links Project
Phase II
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Progress (cont)
– Definition document sent to
Specsavers, OccucoRelcon, Boots
Opticians and Optix
– Specsavers and OccucoRelcon
have expressed their interest in
submitting GOS3, GOS4 and GOS5
claims
Electronic Links Project
Phase II
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Current activity
– Define validation rules
– Define manual approval process
– Define automatic approval process
Closed Change Requests
2776, Report by
Domiciliary address on
pre-notified visits
2794, Listing screen to
order patient names
correctly
2825, access to the
organisation screen for
all users
2836, Electronic Links
batch report
17th January 2008
30th January 2008
7th February 2008
28th February 2008
Closed Change Requests
2783, Practitioner Status 6th March 2008
report
2860, update Bulletin
14th April 2008
Board for easier use
2846, General Purpose
report to search by
payment cycles
30th April 2008
Open Change Requests
2648 Devon
2740 Stockport
2742 Dorset
2791 Devon
Global delete button for
selected PPC audit
records
Permit practitioner name
reuse
Batched Additional
Services claims
Management reports
covering staff activities
Currently in peer test
Open Change Requests
2816 East Riding
PPC letters ‘payable to’
2824 Yorkshire
Single button to accept
for ‘batch’ of electronic
claims
Facility to email
electronic statements
Include ‘order by’ and
grand totals to electronic
BACS report
Currently in peer test
2838 Kent
2850 Hampshire
Open Change Requests
2851 Hampshire
2861 Suffolk
2870 Stockport
2871 Essex
Improve linking of prenotification lists to
residential homes
User selectable default
payment cycle
Add service date to PPC
school letters
Monthly payment report,
like FIS 3 report
Tiered Pensions
• Effective from 1st April 2008
• Implemented in England &
Wales
• OMPs who contribute to their
NHS Pension
Tiered Pensions
• 4 Tiered Bands
– Band A @ 5%
– Band B @ 6.5%
– Band C @ 7.5%
– Band D @ 8.5%
• Manually assign a Tier based
on 07/08 pensionable salary
using Practitioner screen
Tiered Pensions
Tiered Pensions – Compile
Statements
LOC Central Supporting Fund
LOC Central Supporting Fund
Activity in April 2008
• 827,782 GOS1 claims processed in
April 2008
• £15,773,458 for GOS1 in April 2008
• 99,776 Schedule D searches in
April 2008
• 17.25% GOS1 claims were
individually entered during April
2008