EPS Phase 4 Business Change Workshop Overview of
EPS Phase 4 Business Change Workshop
Overview of Phase 4 1. Non-dispensing patients can continue to nominate their preferred dispenser to receive their prescriptions 2. Where no nomination is in place (or the patient chooses not to use their nomination on this occasion) the patient will be given a token to take to an NHS England dispenser of their choice 2
Phase 4 token 3
Nominated EPS token 4
Processes in GP practice 5
Processes in GP practice Admin/Prescription clerk issuing GP or other signing prescriber issuing • Ordering processes remain the same • Prescription raised as normal • EPS nomination/no nomination – both • Prompt for EPS PIN to sign sent to EPS signing queue to be signed • Prescription signed and a token will as per EPS 2 print where configured • The Phase 4 token is only printed after signing Non-prescribing clinician issuing (nurse, • User can actively change an individual paramedic etc. ) nominated script to Phase 4 • Prescriptions will be issued to the • Prescription destination/preferred prescriber signing queue pharmacy entries are still printed on the • Need to review current processes for token when prescriptions are required immediately (even for nominated patients), for example screen messaging clinician 6
Processes in GP practice Queuing prescriptions for digital signature • Virtually all prescriptions will be EPS How to deal with exceptions • Controlled drugs (oral liquid methadone) • Non dm+d • Personally administered • Private prescriptions • Non-PDS records How/where to print tokens • See system specific guidance 7
Unexpected FP 10 s All practice colleagues should be aware that if EPS could be used for a prescription then it should be used. When might an FP 10 be printed? o o o Non dm+d items PDS mismatch No smartcard Border patients (Scotland, Wales and Northern Ireland) Controlled drugs (oral liquid methadone) 9
Processes in pharmacy 10
Processes in pharmacy Tokens instead of FP 10 s • All tokens the same – green/white • No need to print a white dispensing token in addition to the green Scan Phase 4 tokens as per R 1 FP 10 s • Make sure scanners work and check barcode quality Once scanned and prescription downloaded, all processes as per EPS R 2 • Returns to spine/token to patient • Cancellations/NDs • Exemptions and endorsements • Virtually all claims via EPS - claim regularly! • Token submissions – (green and white) Keep encouraging your regular patients to nominate 11
Post dating and e. RD in Phase 4 Post-dating • • • EPS prescription is not released to NHS Spine until post-date is reached The Phase 4 token is printed at the point of signing with the intended dispensing date – explain date to patient Pharmacy – check for validity/date on token Repeat Dispensing • • • If no nomination = e. RD batch to spine, token is printed Patient takes token to pharmacy each time Pharmacy must check dispense history – EPS tracker, script date and issue number 12
Issue management • Communication – work together! • Issue reporting and escalation • Patient communication • Prescription tracker: http: //systems. digital. nhs. uk/eps/library/rxtracker • Alert services: http: //nww. hscic. gov. uk/servicemanagement/stat us/subscribe/ 13
Patient communications Communications materials • Posters/digital display • nhs. uk web content Key messages • Little change for patients • Still get a ‘paper copy’ of prescription to take to pharmacy • More safe and secure, seen only by the same people 14
Phase 4 pilot 15
National deployment support • Local implementation contact • System supplier helpdesk • Factsheets, web content, system guidance… • Patient communication materials • posters, website information etc. 16
Any questions? 17
- Slides: 16