qps stage 2 november 2017 claim lpc communications: number...
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Coventry, Warwickshire and Herefordshire & Worcestershire LPCs
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QPS Stage 2 – November 2017 Claim LPC Communications:
Number 3 October 27th – QPS Points If you are part of a pharmacy chain, please check with your area / central teams before actioning
anything.
This is the third regular communication for stage 2, which will be numbered so that you will know that
you have had them all. Back copies will be on the LPC website. Note you can still refer to the
communications 1-7 prior to the April stage 1. Note there have been a few changes which will be
outlined in these communications.
Number 1 covered General Points and Gateway in this edition 13th October (back copy on website)
Number 2 covered the all the QPS points in this edition 20th October (back copy on website)
Number 3 covers HLP & Patient Safety in more detail with suggestions around evidence gathering
Number 4 will cover making the claims and evidence to retain and come out by Friday 3rd November
Reminder: Make sure that you have met your Terms of Service & Gateway Criteria – see
Communication 1 – this includes having your NHSmail up and running.
Quality Payments
Patient Safety Report (20 points) – also see Communication 2 The requirements for this quality criterion have not changed since the April review point, but more
resources are now available to help you. It can only be claimed once (April OR November)
written safety report at premises level available for inspection at review point, covering analysis of
incidents and incident patterns (taken from an ongoing log), evidence of sharing learning locally and
nationally, and actions taken in response to national patient safety alerts
The safety report must be specific to the individual pharmacy claiming the quality payment.
Template forms have been issued by NHS England, as part of their “Pharmacy Quality Payments –
Quality Criteria Guidance”. These include a Monthly Patient Safety Report template and an Annual
Patient Safety Report template, which are contained in Annex 1 and Annex 2, respectively, of their
guidance document. Blank templates of these forms are available on the NPA website.
The purpose of the report is to improve patient safety, by encouraging pharmacy staff to share
learning from incidents that occur within the pharmacy, with the main focus being what has been
learnt from the incident, and the actions taken as a result to improve patient safety. Reflection is
therefore a key element with regards to the completion of this report.
By including a range of patient safety issues, a pharmacy can demonstrate that it is considering patient
safety in everything it does, and not just reacting to patient complaints.
Coventry, Warwickshire and Herefordshire & Worcestershire LPCs
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An informed culture can be established through effective communication of both incidents and
patient safety concerns. By adopting this culture, pharmacists and pharmacy staff will be best placed
to make improvements to enhance and improve patient safety.
There is currently no requirement for the annual patient safety report to be sent to NHS England;
however, it will need to be kept as of evidence of meeting the quality criteria. Additionally, keeping
completed forms can help pharmacies to meet the standards for principle 1 of the General
Pharmaceutical Council (GPhC) inspection.
The NPA can provide Medicines Safety Officer (MSO) support for all pharmacies in groups up to 50
and not just members if you use their online reporting forms they will onward report incidents in an
anonymised format to NRLS.
https://www.npa.co.uk/services-and-support/practical-support/medication-safety-officer/
They also produce useful quarterly reports with shared learning. It is worth looking at these and
including anything of relevance in your reports and can be used as part of the national sharing
requirement. The latest one can be found here: https://www.npa.co.uk/news-and-events/news-
item/mso-quarterly-report-july-september-2017-including-top-tips-for-minimising-risk-of-errors/
The NPA’s webinar is also helpful if you have not already seen it:
https://goto.webcasts.com/starthere.jsp?ei=1166723&tp_key=884a43c89a
The NPA have also provided some sample patient safety reports to support you. An extract is below.
More details on the NPA website under patient safety resources:
https://www.npa.co.uk/information-and-guidance/patient-safety-report/
Coventry, Warwickshire and Herefordshire & Worcestershire LPCs
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As shared in Communication 2 PSNC have extensive resource documents to support you too.
Patient Safety Information page on PSNC: http://psnc.org.uk/contract-it/essential-service-clinical-
governance/patient-safety-incident-reporting/patient-safety-information/
It is helpful for formulating your reports and covers:
• patient safety alerts and recalls which have previously been highlighted as news stories on the PSNC website;
• advice and guidance relating to patient safety which have previously been highlighted as news stories on the PSNC website; and
• a link to the Medicines and Healthcare Products Regulatory Agency (MHRA) monthly drug safety updates.
We also have a recording of Surinderpal Virdee’s presentation from last year’s Contractor Events. This
has useful general information but remember it was filmed before the suggested report template was
shared. https://www.youtube.com/watch?v=9kdpDaQWq-0&t=3s
Coventry, Warwickshire and Herefordshire & Worcestershire LPCs
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Patient Safety - Local shared learning – Controlled Drugs
Arden and Gem CSU produce a bulletin with Controlled Drug Incident Learning Points – the last one was in July 2017 and a copy will be on the LPC website for your reference. A few extracts below. The controlled drug team email: [email protected] 01926 353830.
Coventry, Warwickshire and Herefordshire & Worcestershire LPCs
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Patient Safety - Local shared learning – LPC Support
Following some requests, we would like to trial an option to share local patient safety incidents to support shared learning. For independent pharmacies with less than 5 branches where it is difficult to share incidents and learnings we can facilitate this across Coventry, Warwickshire, Herefordshire and Worcestershire. The proposal is that, if you would find it helpful, every six months you can send a summary of your previous 6 months incidents / near misses (without any patient identifiers) to the LPC. This could be a copy of your patient safety report for example. We will then produce a summary of the common themes and share it in the form of a patient safety bulletin. We would like to be able to share this bulletin with NHSE and AHSN patient safety groups to demonstrate Community Pharmacy’s commitment to patient safety and continuous improvement. Independents with 5 or more branches – we can include you too, but would want a consolidated summary covering all of your branches. Large multiples have their own ‘in house’ mechanisms for sharing best practice and learning. We will also arrange a workshop session and / or a webinar where ideas on how to improve patient safety can be discussed.
There is absolutely no requirement for you to do this, it is purely an offer to support those that would like to take it up.
Mechanism: For the trial - In November when you are preparing your Patient Safety Reports, if there are any parts of it or any backing information (no patient identifiers) that you would like to share please send it to Fiona Lowe via the office admin email [email protected] to keep it separate from other correspondence. If you submitted your report in April, you can still share it you would like to be involved.
If you have any urgent learning points (no patient identifiers) that you would like to share you can also send those through as they arise, we will endeavour to share promptly as appropriate, to [email protected] .
Coventry, Warwickshire and Herefordshire & Worcestershire LPCs
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Healthy Living Pharmacy Level 1 (20 points) – see Communication 2 The requirements for this quality criterion have not changed since the April review point, but more
resources are now available to help you. It can only be claimed once (April OR November)
On the day of the review, the results of the Community Pharmacy Patient review, the pharmacy is a
Healthy Living Pharmacy level 1 (self-assessment) YOU MUST HAVE YOUR HLP Level 1 – CERTIFCATE
FOR YOUR PHARMACY FROM EITHER RSPH OR LOCAL ACCREDITED LEAD (Fiona Lowe / Michelle
Dyoss) by 24th November 2017 to claim the points.
As promised Michelle has recorded a presentation on how to get
accredited and how to set up your evidence folder: https://www.youtube.com/watch?v=sQb4pwwm4p4&feature=youtu.be It
is only 10 minutes and covers everything you need. Links to local
information and signposting sites are already available on the LPC
websites.
The e-flip portfolio book will be on the LPC website early next week. It will
give you a visual reminder of the things that you need to have in in your
evidence folder. The Herefordshire one will be available first as an example,
the others will follow. You will be able to print a copy if required. There will be
links to the suggested materials / contacts for you.
We want to ensure that HLP is not just a tick box exercise; that pharmacists and their teams start to
see the benefit of HLP; that commissioners realise that community pharmacy has so much more to
offer than just dispensing prescriptions; that patients realise that community pharmacy is a place to
go to before they become ill, to help prevent illness, to support self-care and healthy lifestyle changes
and to look after the health and wellbeing of their whole family and community. To demonstrate
compliance with HLP criteria pharmacies will need to keep, and build on, an evidence portfolio. This
portfolio should contain evidence for each of the criterion as set out by Public Health England and
include:
• Training certificates - RSPH L2 Understanding Health Improvement and Leadership
• Photos of Health Promotion Zones and details of campaigns
• Information on local health needs
• An HLP action plan which could include notes from team meetings
• Evidence of outreach work
• Signposting information
• Details of local services including charitable organisations
• Commissioners details
• Sources for up to date resources
Where your area has started Care or Healthcare Navigation by receptionists at local surgeries you
should ensure that you are familiar with this and know what may be signposted to you and which
other services are involved. Redditch & Bromsgrove CCG practices start next week and Herefordshire
late November. Some areas also have restricted prescribing policies in place (e.g. Worcestershire). In
both instances it is important to establish an understanding with the local practices / feedback
mechanism for inappropriate referrals to avoid patients being inconvenienced.
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HLP information has been updated on the LPC websites and CPWM website.
We also have a few HLP packs and resources left if anybody would like some please let your LPC
know as soon as possible.
Ensure that you have your Health Champions and Leaders in place and that you are actively
participating in health promotion campaigns (6 over a 12 months period including any mandatory
campaigns). The remaining three mandatory ones for 2017-18 are:
Staywell this winter – including Flu – October. AMR in November and Know Your Numbers in
February. The PharmOutcomes data capture has been delayed. It should be operational soon for
mandatory campaigns.
http://psnc.org.uk/wp-content/uploads/2013/04/PSNC-Briefing-011.17-Holding-a-health-
promotion-event-campaign.pdf
RSPH / PHE Resources:
https://www.rsph.org.uk/our-work/policy/measuring-public-health-impact/e-learning.html
PHE publish a quarterly e-newsletter to provide updates on national HLP development and share
innovative practice from across the country. To sign up to receive future quarterly issues, please
email [email protected].
Local Public Health (Council) Resources:
Each Council website has information about health services which should collate.
https://ylyc.worcestershire.gov.uk/health-and-wellbeing/
https://apps.warwickshire.gov.uk/PublicHealthDir
https://www.wisherefordshire.org/children/information-and-advice/health-and-wellbeing/
http://www.coventry.gov.uk/info/79/health_and_wellbeing_services
Coventry, Warwickshire and Herefordshire & Worcestershire LPCs
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Health Profiles Resources:
https://fingertips.phe.org.uk/profile/health-profiles
http://healthierlives.phe.org.uk/topic/mortality
Coventry, Warwickshire and Herefordshire & Worcestershire LPCs
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Accreditation:
Once you have everything in place, you can go ahead and become accredited.
Note you can do your accreditation through the RSPH website or locally in most areas. (Coventry,
Warwickshire, Worcestershire and Herefordshire – this can be arranged through your LPC). Whichever
method you use you need to allow enough time for the process and certification. 10 working days
minimum. Therefore, you need to have requested accreditation ideally by 1st November and no
later than 6th November. We will of course try and accommodates as many requests as possible for
local sign off but book early!
The RSPH online register will remain open until 31 December 2017. However, contractors who wish
to register will need to do so before the 24 November 2017 review date to meet this requirement
for the Quality Payments Scheme. Contractors should be aware that there is a time delay after
completing the assessment of compliance on the RSPH website before a return will be received that
confirms registration.
For pharmacies that qualify under the local registration provision, the pharmacy must have been
accredited as an HLP locally sometime between 1 December 2014 and 24 November 2017. Pharmacies
can demonstrate that they meet this requirement by having a copy of the signed and dated
documentation confirming that between 1 December 2014 and 24 November 2017 the pharmacy was
accredited as an HLP level 1 locally.
Contacts:
Coventry LPC: http://www.coventrylpc.co.uk/
Herefordshire & Worcestershire LPC: http://psnc.org.uk/herefordshireandworcestershire/
Warwickshire LPC: http://psnc.org.uk/warwickshire-lpc/
Fiona Lowe Chief Officer ([email protected] 07792970382)
HLP Contact: Michelle Dyoss ([email protected] 07885 247259)
Office Address: Unit 24 Basepoint Business Centre; Crab Apple Way, Vale Park, Evesham, WR11 1GP
Admin email: [email protected]
CPWM Website: http://psnc.org.uk/cp-west-midlands/