GP CPCPS SANDIE KEALL CHIEF OFFICER TEES LPC

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GP CPCPS SANDIE KEALL CHIEF OFFICER TEES LPC

GP CPCPS SANDIE KEALL CHIEF OFFICER TEES LPC

CPCS Introduction The NHS Community Pharmacist Consultation Service (CPCS) is a national Advanced Service

CPCS Introduction The NHS Community Pharmacist Consultation Service (CPCS) is a national Advanced Service to refer patients requiring low acuity advice, treatment and urgent repeat prescriptions to community pharmacies. The service aims to reduce pressure on the primary and urgent care system, particularly Accident and Emergency and GP out of hours. The service will support the integration of community pharmacy into the urgent care system. There is a self assessment framework to check skills and knowledge: https: //www. nhsbsa. nhs. uk/sites/default/files/2019 -09/CPCS%20 selfassessment%20 framework%20 Final%20 V 1. pdf

Aims of the service To improve access for patients to minor illness advice To

Aims of the service To improve access for patients to minor illness advice To identify suitable advice and over the counter products for patients self management of low acuity conditions Increase the awareness of pharmacy service provision as the ‘gateway to the NHS’ Provide cost effective clinical based care for patients

Pre requisites Consultation room From 1 st April 2020, the pharmacy must have IT

Pre requisites Consultation room From 1 st April 2020, the pharmacy must have IT equipment accessible within the consultation room NHS Summary Care Record (SCR) access Shared NHSmail account: nhspharmacy. location. pharmacyname. ODScode@nhs. net Up to date Directory of Services (Do. S) details Access to the CPCS IT system provided by NHSE&I SOP including key contact details Update to your business continuity plan

The CPCS IT system At present Sonar and Pharm. Outcomes are accredited to use

The CPCS IT system At present Sonar and Pharm. Outcomes are accredited to use ITK messaging There are discussions with many other system suppliers in pharmacy regarding alternative arrangements. EMIS are also developing a ‘button’ for referrals to be made from clinical systems to pharmacy

The CPCS IT system The systems will support: receipt of referrals from GP systems

The CPCS IT system The systems will support: receipt of referrals from GP systems maintaining the clinical record of service provision printing EPS tokens (where required) sending post-event messages to patients’ general practices payment claims service management and evaluation IT equipment in the consultation room required from 1 st April 2020 Contractors will have to purchase IT systems/functionality from April 2021

Checking the CPCS IT system The CPCS IT system must be checked regularly during

Checking the CPCS IT system The CPCS IT system must be checked regularly during opening hours to pick up referrals in a timely manner And the shared NHSmailbox must be checked when a pharmacy opens and before it closes each day When a pharmacy has received a referral, but not been contacted by the patient Within 12 hours (minor illness) the pharmacy must attempt to contact the patient If there is no contact from the patient the next day, the referral may be closed

IT Provider pays model 2021 Currently NHSEI hold the license for pharmoutcomes There will

IT Provider pays model 2021 Currently NHSEI hold the license for pharmoutcomes There will be a need for payment to be made by contractors and GPs will pay for access to the clinical system Pharmacy will pay per completion expected to be around or less than £ 1 per completion The LPC are currently negotiating a deal with some of the providers as an affinity group which will reduce the fee

GP Team Patient initiates contact Member of practice team assesses the individual determining they

GP Team Patient initiates contact Member of practice team assesses the individual determining they are suitable for community pharmacy Consent gained for referral to community pharmacy Patient told to contact the pharmacy Referral made to pharmacy – note in patient records Patient select participating community pharmacy

Pharmacy Team – Tees Model Patient contacts pharmacy. If no contact received pharmacy can

Pharmacy Team – Tees Model Patient contacts pharmacy. If no contact received pharmacy can contact patient Pharmacist checks NICE CKS to identify any red flags/risk factors Patient Consultation Occurs Self Care and prevention Advice Given OTC Medicine sale and self care advice given Patient will always be advised: If symptoms do not improve or become worse then either come back to see pharmacist or seek advice from your GP Patient requires onward referral The pharmacist will complete the consultation and record Depending on presenting Symptoms. Escalate to GP practice Pharmacist provides patient information leaflets OR 1. Support patients with in hours appointment 2. Non-urgent appointment Escalate to an urgent care setting: 1. Accident and Emergency 2. 999 3. Urgent Treatment Centre All consultations need to be completed and notification sent to GP via the agreed route

Funding Engagement supplement: £ 300 is available to claim if you meet the following

Funding Engagement supplement: £ 300 is available to claim if you meet the following criteria: You have participated in discussions with a delivery partner Participation in meetings to agree delivery plan You have read and understood briefing materials and disseminated this to your team including the SOP and action plan for receiving a referral Create an action plan for implementing the new referral pathway Update SOP for CPCS to include GP referrals A Consultation fee of £ 14 will be paid for each completed referral No Consultation fee can be claimed where the pharmacist receives a referral, but cannot make any contact with the referred patient

Key Points • Pharmacies already registered and delivering NHS 111 CPCPS • General practices

Key Points • Pharmacies already registered and delivering NHS 111 CPCPS • General practices can choose whether they want to refer patients to the CPCS • Discussion will take place across the system before referrals commence • The LPC is your point of contact for roll out and information. • Pharmacy contractors that are not registered to provide the service can still do so via the NHSBSA Manage Your Service (MYS) portal. • Draft Specification: https: //www. nhsbsa. nhs. uk/sites/default/files/2020 -10/CPCS%20 spec%20 additional%20 referral%20 routes%202020%20 -%20 final%20 draft_. pdf • Detail of GP toolkit which has all the key information. This will be circulated as soon as it has been approved by NHS England

PCN GROUPS – Flu Vaccination The requirements of this criterion are, on the day

PCN GROUPS – Flu Vaccination The requirements of this criterion are, on the day of the declaration: 1. In 2020/21, but prior to the day of the declaration, the contractor must have engaged with the Pharmacy PCN Lead to communicate that they would like to be involved in increasing the uptake of flu vaccination to patients aged 65 and over. To increase the uptake of flu vaccination to patients aged 65 and over and to drive quality improvement in service delivery, the Pharmacy PCN Lead must: • engage with all the community pharmacies in the PCN that wish to be involved, to agree how they will collaborate with each other and discuss how they could collaborate with general practice colleagues; and • engage with the PCN Clinical Director to agree how community pharmacies in the PCN will collaborate with general practices. AND 2. The pharmacy contractor must have demonstrably contributed to the PCN achieving at or above a specified percentage, for flu vaccination patients aged 65 and over. This can be evidenced by the number of vaccines they have administered to eligible patients between 1 st September 2020 and 31 st January 2021, with this number being one or greater.

PCN Groups – Business Continuity The requirements of this criterion are, on the day

PCN Groups – Business Continuity The requirements of this criterion are, on the day of the declaration: 1. All contractors in a PCN that wish to complete the requirements of this domain, must have participated in a discussion, organised by the Pharmacy PCN lead, regarding business continuity planning, as described below. The Pharmacy PCN Lead must: • Facilitate discussions between pharmacy contractors that wish to complete the requirements of this domain, with the aim of ensuring all participating contractors understand the high-level business continuity plans each pharmacy contractor has in place should they need to temporarily close the pharmacy and can adopt a collaborative approach to support those plans, where appropriate and necessary. The discussion must similarly include, where available, the sharing of information on the plans of general practices within the PCN, should they need to temporarily close (see the following point). All these discussions, and the resultant improved understanding of all participating contractors regarding local business continuity planning, should help the smooth enactment of individual business continuity plans across the PCN, should the need arise; AND • Liaise with the PCN Clinical Director (or their appointed lead), and other relevant individuals, to gain an understanding of the business continuity plans for the general practices within the PCN, should one or more have to close or be severely compromised in the services it can provide. Appropriate details of the high-level business continuity plans for the general practices should be shared with the pharmacies in the PCN, so that in the event that a general practice needs to temporarily close, pharmacy contractors can adopt a collaborative approach to support the plans of the general practice, where appropriate and necessary; AND • Collate the following information from each participating contractor and share this with all the contractors within the PCN, the PCN Clinical Director, the Local Pharmaceutical Committee and the NHSE&I regional team: contractor contact details for use in an emergency, the names of the pharmacies and general practices that are most likely to be significantly impacted by a temporary closure of each pharmacy (as a result of patient flows) and the high-level details of any arrangements that have been put in place with them which will be activated in the case of the contractor needing to temporarily close their pharmacy. AND 2. The contractor must have demonstrable evidence, at the pharmacy, that the discussions and contractor actions described above were completed and, where necessary, updates have been made to the pharmacy business continuity plan, to reflect the collaborative work required in the event of closures.

Questions

Questions

Summary of Actions Ensure all Gateway – PQS 1 requirements are met Update your

Summary of Actions Ensure all Gateway – PQS 1 requirements are met Update your Standard Operating Procedure for CPCS to include GP referrals Share information on GPCPCS and the SOP with your teams RPS have advanced CPCS training if you require additional skills or knowledge Ensure you keep up to date with LPC feedback regarding the progress and further requirements of the service PQS 2 - Complete the information in pharmoutcomes template titled: Contractor survey to support the PQS 2020/21 PCN Domains for your reference not a key requirement