[PPT] - Agenda Icebreaker Introduction to the NHSBSA and Prescription PowerPoint Presentation

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Electronic Prescription Service

EPS support provided by NHSBSA

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Agenda

Icebreaker
Introduction to the NHSBSA and Prescription Services
The Electronic Prescription Service: Benefits
Increasing your EPS use: NHSBSA Support
Your CCG data
Group Session 1
eRD: The Basics
Group Session 2
Cancellations and the Tracker
Increasing your eRD use: NHSBSA Support
Phase 4
Group Session 3
Contact us

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ICEBREAKER! What % EPS is your practice at?

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NHS Business Services Authority

The NHSBSA‟s services include: – helping patients pay for their health costs – providing EHIC cards – calculating reimbursement and remuneration to dispensing contractors and NHS dentists – providing prescribing and dispensing information to the NHS – assessing bursary claims from healthcare and social care students – preventing and investigating fraud, and protecting NHS staff – administering pensions for NHS staff

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History of NHS Prescription Services

There has been a prescription pricing function since at least 1911.
We‟ve gone through a number of different identities over the years, but since

2008 we‟ve been called NHS Prescription Services, part of the NHS Business Services Authority (NHSBSA).

We handle all the processing work for English dispensing contractors from

three regional offices; Middlebrook (Bolton), Newcastle and Wakefield.

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Our processing volumes

The NHS spends £9.4 billion* a year on prescription drugs in primary care in

England.

We process over 1.1 billion* prescription items from over 11,500 contractors

in England including pharmacy contractors, dispensing doctors and appliance contractors.

The amount of prescriptions we process increases every year by around 5%.

* based on the Prescription Cost Analysis report 2018

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The Electronic Prescription Service

The Electronic Prescription Service (EPS) creates savings by making prescribing and dispensing processes more efficient while improving patient care. EPS currently accounts for 66% of all primary care prescribing, which has already created significant benefits across the NHS. If the level of EPS use reached its full potential (currently 91%), the associated benefits would be huge. as of Feb 2019

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Benefits for prescribers, patients and the wider NHS

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Benefits for prescribers, patients and the wider NHS

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Benefits for prescribers, patients and the wider NHS

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Benefits for Dispensers

Automated downloads, making prescription processing more efficient.
Less time spent on administration and collecting prescriptions, which means

more time for helping customers.

Improved stock control and greater accuracy.
A prescription collection service no longer required

between pharmacy and practices.

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Benefits for Dispensers

Improved patient satisfaction through reduced waiting times.
Increased accuracy, meaning fewer prescription queries.
Less sorting and less paper to send to NHS Prescription Services.

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NHSBSA Offering

We are working in collaboration with NHS Digital and are committed to

supporting CCGs, practices, pharmacies and other NHS organisations in maximising their EPS use, delivering the best possible service to patients.

To help us understand the support required, we work on an individual basis

with practices, maintaining a close working relationship throughout the EPS

process. We can offer a range of reports and other resources to help your
rganisation at each stage of the journey towards making the most of EPS.
We have developed an EPS Prescribing Dashboard which offers key metrics
n EPS use, electronic repeat dispensing volumes and EPS opportunity items.

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Data

Our dashboards and comparators help CCGs and practices to identify

pportunities for increasing EPS which can be found at

www.nhsbsa.nhs.uk/EPSDashboard. We can also discuss potential admin time savings based on these

pportunities.

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Increasing EPS use – Patient engagement

Many patients not using EPS may not be convinced by the

benefits to themselves.

The NHSBSA has developed content specifically to engage

these patients looking more at the impact to the wider NHS.

This content is available for use:
As a slide show
Text messaging content
We also have other resources to help engage pharmacy

and identify suitable patients for EPS. TOP TIP: Search for patients on repeats and send them this content via SMS (iPLATO /MJog ) to inform them of the EPS service.

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Increasing EPS use – Nominations

EPS still relies on patient choice through nomination.
Patients must be fully informed about EPS before the nomination can be set on the

system.

Nomination consent doesn't have to be in writing, but you do need to have an

auditable process. TOP TIPS:

Set monthly nomination targets.
Incorporate a section on recording patient consent for EPS nominations in New

Patient Registration Processes.

Set up alerts to remind GPs to speak to non-nominated patients during

consultations.

Encourage local pharmacy to nominate prescription collection service patients.
Promote EPS and acquire nomination information on recall letters.
Promote EPS to all patients using online access.

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Increasing EPS use – Other useful tips

Correct and consistent smartcard use.
Ensure no PDS mismatches.
Staff training – both existing and new staff.
Regularly monitoring stats.
Use searches regularly to identify suitable patients.
Use the EPS Tracker.
Use EPS for Appliances with patient consent.

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Increasing EPS use – Identifying challenges & addressing these

Communication is key.
Arrange workshops with local pharmacies.
Educate and inform patients.
Work with PPGs.

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Barnet CCG

0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00 80.00 90.00 EPS eRD

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Barnet CCG

0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00 80.00 90.00 100.00 EPS eRD

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EPS and admin time:

Barnet CCG current EPS 68.15%, potential 98.07%, admin time saved
approx. 164 hours per month.

eRD and GP time:

Barnet CCG current eRD 18.14%, Top 10 Region Average 39.17%, GP

time saved approx. 343 hours.

Benefits for Barnet CCG

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Group Session 1

What is the most effective tool/technique/method you have implemented in your practice to increase EPS utilisation? What is the biggest challenge you have faced when trying to push EPS? Let‟s share some best practice!

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Electronic Repeat Dispensing (eRD)

Up to 410 million repeat prescriptions are generated

every year, which is equivalent to an average of more than 375 per GP, per week.

Two thirds of prescriptions issued in

primary care are repeat prescriptions.

This accounts for 80% of NHS medicine

costs for primary care.

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eRD – Making it work

https://wessexahsn.org.uk/projects/120/electronic-repeat-dispensing

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Prescribing an eRD batch

When a prescriber issues an electronic prescription for repeat dispensing this will contain the following information:

total quantity per issue.
the intended duration of each issue of the prescription.
how many times the repeatable prescription can be issued before the

patient/medication should be reviewed.

2 per day x 28 day duration = quantity of 56 13 issues = 1 year’s supply

Content created by NHSDigital

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