Issue 19 - NHS Business Services Authority

Issue 19 - NHS Business Services Authority
Issue 19
Gateway: 001/NHSBSA/RxS/04/15
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1
Welcome to the April 2015 issue of Hints & Tips!
Contents
If you’ve got a hint or tip that you would
like us to write about in a future edition,
please email it to:
nhsbsa.communicationsteam@nhs.net
New controlled drugs reports
available via the Information
Services Portal (ISP)
3
Remuneration Report and Itemised
Prescribing Payment (IPP) Report
changes
4
What guidance is available to users
of the Information Services Portal
(ISP)?
5
Are you making use of the
Information Services Portal (ISP)
broadcast messages?
6
Access to FP10 prescription forms
and dispensing data
7
New web pages for the NHS
dictionary of medicines and devices
(dm+d)
8
2015/16 Quality Premium
9
Transparency of payment
information
10
Centrally purchased vaccines
11
FP34 submission documents
12
Your dedicated helpline
13
Welcome to the April 2015 issue of Hints & Tips, your regular newsletter full of updates
and information. In this issue we’ll be looking at recent changes to the Information
Services Portal (ISP), access to FP10 prescription forms and dispensing data and the new
location and web pages for the NHS dictionary of medicines and devices (dm+d).
We’ve also included advice on how to use the ISP to its full advantage, claiming
reimbursement for vaccines administered to patients, the correct use of FP34 submission
documents and lots more which we hope you’ll find useful.
If you have any suggestions for topics you’d like to see included in a future edition, please
contact us at:
nhsbsa.communicationsteam@nhs.net
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2
New controlled drugs reports available via the Information
Services Portal (ISP)
The NHS Business Services Authority (NHSBSA) has recently updated the ISP to include two new
controlled drugs reports. The Controlled Drug Requisition report and the Private Controlled Drug
Prescription report are now included in the suite of controlled drug reports. The controlled drug
comparator charts, providing a high level view of controlled drug prescribing at Regional Office,
Area Team and PCO level, are now also available via the ISP.
You need to be a registered user of the ISP to be able to access these reports. You can find
information on registering for and accessing the ISP here: http://www.nhsbsa.nhs.uk/3607.aspx
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3
Remuneration Report and Itemised Prescribing Payment (IPP)
Report changes
The NHS Business Services Authority (NHSBSA) is continually looking to develop and improve its
information systems. As part of this development, the current Remuneration Report has been
migrated into the Information Services Portal (ISP) from March 2015. If you currently use this
report, you’ll either have access automatically added to your existing ISP account or will have
an ISP account created for you so you can continue to access the report. The content of the
Remuneration Report remains the same; the only change is to the method of access.
NHS England Area Team users will continue to receive remuneration report data in the Area
Team structure pre April 2015. If you’re a user in a newly merged Area and need access to
remuneration data for your organisation, you’ll therefore need to apply for access for each of the
Area Teams that form part of the merged organisation.
The NHSBSA has also made changes to the Itemised Prescribing Payment (IPP) report from March
2015. The report now also includes additional information regarding prescribing in hospital units.
This change will result in increased values at National, Area Team and Hospital Trust level reports.
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4
What guidance is available to users of the Information Services
Portal (ISP)?
To help new users of the ISP, the NHS Business Services Authority (NHSBSA) has included guidance
and help on how to access and navigate the system on its website. This guidance is available
as downloadable user guides at: http://www.nhsbsa.nhs.uk/3607.aspx. If you prefer a more
interactive method of learning, WebEx sessions are also held regularly. You can find details of
these sessions and how to register at the same location.
The user guides include information on a variety of subjects, including logging into the system,
how to search for a report, bookmarking a report, how to request a new profile and downloading
and printing reports.
The WebEx sessions provide a general overview of the ISP, offering guidance on how to navigate
around the system and demonstrating various functions and features of the portal. There are two
types of sessions, designed for practice users and PCO/Area Team users:
• Sessions designed for practice users provide guidance on how to view Personally Administered
Items and the Practice Detailed Prescribing Information.
• Sessions designed for PCO/Area Team Users provide guidance on accessing the QIPP and
Prescribing Comparators as well as Financial Management reports.
WebEx sessions are also available for Controlled Drug Accountable Officers offering an overview
of the Controlled Drug Monitoring reports as well as an overview of the Information Services
Portal.
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Are you making use of the Information Services Portal (ISP)
broadcast messages?
The NHS Business Services Authority uses the broadcast message facility in the ISP to make
useful information available to users. Examples of the kinds of information you’ll find in
these messages are when new reports are available, updates to the system, promotion
of WebEx sessions and signposting information available on other related websites.
Broadcast messages appear on the home screen when you log on to the portal:
The home screen displays the latest four messages and more messages can be accessed by
clicking on the arrow at the bottom of the broadcasts box. The next set of messages will
be displayed in date order:
To view the full message simply hover over the message description:
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6
Access to FP10 prescription forms and dispensing data
Before 1 April 2013 PCTs were responsible for the commissioning of pharmaceutical services, but
since this date NHS England has responsibility for these contracts.
On 1 April 2013 The Pharmaceutical and Local Pharmaceutical Services (Prescriptions, Payments and
Listings) Directions 2013 regulations came into force. Section 7 of these Directions (Examination of
prescription forms and payment data by representative bodies) specifies who has the authority to
request copies of NHS prescription forms:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/193213/2013-0327_-_Prescriptions__Payments_and_Listings_Directions_2013_e_signature.pdf
The NHS Business Services Authority has included information on the current position based on
these regulations on its website. This document explains the process for requesting dispensing
data and access to NHS prescription forms that have been dispensed and submitted for payment
to NHSBSA by all types of dispensing contractor. It also includes a Frequently Asked Questions
section.
If you work in a Clinical Commissioning Group (CCG) or other provider organisation and want to
request prescriptions, you should contact your Area Team. However, if you believe any prescribing
has been incorrectly processed or attributed to your organisation, you can initiate a prescriber
query. To do this you need to email details of the prescribing query in question (along with any
background information to support the belief that the prescribing has been incorrectly attributed,
for example a Prescriber Dispenser Report from ePACT.net) to:
nhsbsa.prescribingqueries@nhs.net
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7
New web pages for the NHS dictionary of medicines and devices
(dm+d)
The NHS dm+d web pages have moved to:
http://www.nhsbsa.nhs.uk/1121.aspx. From 31
March 2015 the former website:
www.dmd.nhs.uk is no longer being
maintained and you will be automatically
redirected from it to the new web pages. The
content of the old NHS dm+d web pages has
been reviewed and the essential information
transferred to the new web pages.
dm+d is a dictionary of descriptions and codes
which represent medicines and devices in
use across the NHS. It is delivered through a
partnership between the Health and Social
Care Information Centre and the NHS Business
Services Authority (NHSBSA) and provides
the recognised NHS Standard for uniquely
identifying medicines and medical devices
used in patient care. Where information about
medicines used in the care of an NHS patient
needs to be transferred electronically from one
system to another, those systems must be able
to output and receive dm+d codes. The systems
must be able to ‘translate’ the code and display
the associated written description.
You can view the contents of dm+d using the
NHSBSA browser. It contains a huge variety of
information, for example whether a product
will be reimbursed by the NHSBSA if submitted
for reimbursement by a dispensing contractor
and the indicative price of each pack of a
product (where a price is maintained by the
NHSBSA). The data also shows current and
discontinued products and packs available from
manufacturers and suppliers.
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8
2015/16 Quality Premium
NHS England’s Quality Premium for CCGs 2015/16 has been published and is available here:
http://www.england.nhs.uk/ccg-ois/qual-prem/
The NHS Business Services Authority has included a new broad spectrum antibiotic comparator
(Co-Amoxiclav, Cephalosporins and Quinolones % items) on the Information Services Portal (ISP) to
support Quality Premium activity. You can access the ISP at:
http://www.nhsbsa.nhs.uk/3607.aspx
Public Health England have published the Antimicrobial consumption data: validation protocol for
NHS acute trusts protocol which can be found here:
https://www.gov.uk/government/publications/antimicrobial-consumption-data-validationprotocol-for-nhs-acute-trusts
The Antimicrobial Stewardship Guidelines for secondary care have also been updated and can be
found at:
https://www.gov.uk/government/publications/antimicrobial-stewardship-start-smart-then-focus
Colecalciferol capsules
Did
you
know?
There are now two licensed products available when
Colecalciferol 20,000unit capsules are prescribed. These are
Fultium-D3 20,000unit capsules and Aviticol 20,000unit
capsules. There is also a licensed product called Plenachol
40,000unit capsules available when Colecalciferol
40,000unit capsules is prescribed. Prescribers do not
therefore need to indicate these items as ‘special’ or
‘imported’, unless there is a specific clinical need for a
special/imported item to be supplied.
Both Colecalciferol 20,000unit capsules and Colecalciferol
40,000unit capsules will be included in Drug Tariff Part VIIIA
from 1 May 2015.
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9
Transparency of payment information
The NHS Business Services Authority (NHSBSA) works constantly with its clients and customers
to improve the services we provide, and to make payment information more transparent to
Pharmacy and Appliance contractors we’ve made the FP34 Schedule of Payments available
through an online portal. Pharmacy and Appliance contractors can now access an electronic
version of the schedule on the same day as the paper version is posted out, allowing them to view
their payment information sooner.
Development of a new detailed monthly information report is also underway. When complete
this report will also be available online, enabling Pharmacy and Appliance contractors to view
their monthly dispensing activity and related payments online.
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10
Centrally purchased vaccines
We have recently identified an increase in the number of FP34D/FP34PD Appendix forms and FP10
prescription forms claiming payment for vaccines where practices have later identified these as
having been ‘centrally purchased’.
In England ‘centrally purchased vaccines’ are those vaccines used for routine immunisation
programmes. They are ordered and delivered from a specialist pharmaceutical distribution
company via the Department of Health’s ImmForm website.
Centrally purchased vaccines should only be used for purposes approved by the Department of
Health. The ‘Green Book’ reminds healthcare professionals that if centrally purchased vaccines are
knowingly used for non-approved circumstances this may be considered fraudulent.
• Only submit an FP34D/FP34PD Appendix form or FP10 prescription form for payment to cover
the ‘dispensing’ of a vaccine for personal administration where the vaccine has been purchased
by the practice.
• Practices who have incorrectly submitted forms for centrally procured vaccines to NHSBSA
Prescription Services for reimbursement should contact
nhsbsa.repricingrequest@nhs.net
for a payment adjustment.
To date we have been contacted by approximately 700 practices who have incorrectly submitted
claims for centrally procured vaccines. The value of the money recovered as a result of this is
approximately £1million.
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11
FP34 submission documents
A contractor providing services under a GMS or
equivalent GP contract may be entitled to make
a claim to the NHS Business Services Authority
for personally administered drugs on forms
FP34D Appendix or FP34PD Appendix. They
can do this whether or not they are authorised
or required to provide dispensing services
to specific patients. However, a contractor
providing services under another contract (for
example the NHS standard contract) is not
authorised to claim payment.
GP practices using these forms to claim for
personally administering drugs must submit
them to NHS Prescription Services by no later
than the fifth day of the month. The forms
need to be submitted together with the
correct FP34 submission document (FP34D for
dispensing doctors, FP34PD for all other GPs).
on how to register is available at:
http://www.nhsbsa.nhs.uk/3607.aspx.
Practices or cost centres that do not submit
personally administered claims and want
to opt out of receiving the FP34 submission
document can do this by contacting our
helpdesk on 0300 330 1349 or emailing nhsbsa.
prescriptionservices@nhs.net and requesting a
copy of the opt out form.
NHS Prescription Services sends an FP34
submission document each month to all GP
practices and some cost centres who are
registered with us, unless they have opted out
of receiving one. If more than one practice
or cost centre code is allocated to the same
practice’s address, the practice might receive
more than one FP34 submission document.
It is very important that practices use the
correct FP34 submission document to submit
personally administered claims to ensure
that reimbursement for the cost of the drugs
is paid correctly to the practice. Using the
incorrect FP34 submission document could
result in incorrect payment information being
sent to the National Health Applications
and Infrastructure Services Registration and
Payment System payment site.
Practices should always use the form sent out
for a particular month rather than using a copy
of a previous month’s form, because the new
form contains the most up to date information.
If they need an additional copy, they should
contact our helpdesk on 0300 330 1349.
Registered Information Services Portal users
can access information each month giving a
breakdown of personally administered items
prescribed by each GP in the practice. Access to
the Information Services Portal and information
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12
Dexamethasone 20mg/5ml oral
Did
you
know?
Dexamethasone 20mg/5ml oral solution
is commonly prescribed as a special
order product, however a sugar free
licensed product is available from Focus
Pharmaceuticals.
Your dedicated helpline
For further information
please contact the Information
Services
Support Team:
0191 2035050
or email:
nhsbsa.help@nhs.net
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13
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