CQRS
Clare Robinson – Public Health Programme, Contracts Manager
Sarah McMillan – Primary Care Support Contracts Manager
NHS England (Leicestershire
and Lincolnshire Area Team)
What is CQRS?
• The Calculating Quality Reporting Service (CQRS),
together with the General Practice Extraction Service
(GPES), has replaced the Quality Management and
Analysis System (QMAS).
• CQRS is capable of calculating achievement and
payments on quality services, including the Quality and
Outcomes Framework (QOF), Enhanced Services and
other clinical services (e.g. Immunisations).
2
Access to CQRS
• All Practice Managers should now have access to
CQRS. Practice Managers are able to set up
other CQRS users in the practice as required.
• Should a new Practice Manager require access
please email the Area Team:
england.leiclincsmedical@nhs.net
• The Area Team issue regular CQRS updates.
Please ensure these are cascaded to all CQRS
users in the practice.
3
Service Sign Up
• Practices must either accept or decline ALL
services on CQRS.
• Via Participation Management Tab
4
Service Sign Up
5
Service Sign Up
6
Service Sign Up
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Service Sign Up
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Services available on CQRS
• Quality and Outcomes Framework (QOF);
• Rotavirus (Routine Childhood Immunisation);
• Learning Disabilities Health Check Scheme;
• Alcohol Related Risk Reduction Scheme;
• MMR Catch Up;
• Childhood Seasonal Influenza Vaccination Programme (2 and 3 year olds)
• Seasonal Influenza Vaccination (newly added)
• Seasonal Pneumococcal Scheme 2013/14 (65 years and over only);
• Shingles Catch Up (aged 79);
• Shingles Routine Immunisation (70 year olds).
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QOF
• The QOF 2013/14 guidance is available at:
• http://www.nhsemployers.org/Aboutus/Publications/Pages/qof2013-14.aspx
• GPES will support QOF for 2013/14. No manual data submission
is required.
QP template
• To be submitted to the Area Team by 31st March 2014 to:
• england.leiclincs-qof@nhs.net
• Should you need another copy of the template please email the
Area Team.
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Timetable
2013/14 TIMETABLE FOR CQRS CLAIMS & PAYMENT
SERVICE
CLAIM PERIOD
Oct-13
Nov-13
Dec-13
Jan-14
Feb-14
Mar-14
Apr-14
Rotavirus
Monthly
12th
12th
12th
12th
12th
12th
12th
MMR Catch Up
Monthly
12th
12th
12th
12th
12th
12th
12th
Childhood Seasonal Influenza (2 and 3 year olds)
Monthly
12th
12th
12th
12th
12th
12th
12th
Seasonal Influenza (once on CQRS)
Monthly
12th
12th
12th
12th
12th
12th
12th
PAY DATE
Penultimate day of Month
Seasonal Pneumococcal: patients 65 and over only
Monthly
12th
12th
12th
12th
12th
12th
12th
Shingles Catch Up (aged 79)
Monthly
12th
12th
12th
12th
12th
12th
12th
Shingles Routine Immunisation
Monthly
12th
12th
12th
12th
12th
12th
12th
Learning Disabilities
Quarterly
12th
12th
12th
12th
Alcohol Related Risk Reduction
Annual
NB: If claims are received by 12th of each month claims will be paid the same month. Claims entered on CQRS after 12th may be paid the following month.
NB: Immunisations continuing on quarterly enhanced services claim form
Pneumococcal (Childrens Routine)
Pneumococcal (At Risks Under 65)
Pertussis in Pregnant Women
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12th
Manual Data Entry
• GP practices participating in quality services will
need to manually record their achievement within
CQRS until that data can be extracted from GP
practice systems by GPES. This is expected to be
in place with effect from 1 April 2014.
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Manual Data Entry
• Add data via ‘data submission’ tab and ‘record
achievement’ option.
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Manual Data Entry
• You must set the achievement date to the end of
the month i.e. October claim will be 31 October.
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Manual Data Entry
Set all management information fields to 0. These
fields MUST be populated.
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Manual Data Entry
• If there is no achievement data to enter for
accepted services, please submit a nil return.
• Submit your claim for commissioning approval.
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Manual Data Entry
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Manual Data Entry
• Submit and remember to also declare achievement
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Troubleshooting (1)
Check you have submitted the claim correctly:
• Month end date?
• All indicators completed and submitted?
• Handy hint:
• indicators submitted column vs indicators in progress
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Troubleshooting (2)
• Claims that do not use Month End date will not be picked up by the
system for payment
• The Management Indicators Submitted and Payment Indicators
Submitted column should show indicators are fully completed (e.g. if
there are 4 Management Indicators, it should say 4 out of 4 for all
completed)
• If it shows e.g. 3 out of 4 or 0 out of 4 etc., you may have e.g. left a
box blank so go back into the Management Indicators and check the
boxes. You may have put the figures in but not yet clicked Submit in
that screen
21
Troubleshooting (3)
Have you actually DECLARED the payment?
• Go the Achievement screen, click on the Declare tab:
check you are happy to submit the data, tick the service
you wish to Declare and then click the Declare
Achievement button at the foot of the screen
• There are approx 35 practice payments outstanding at the
moment, some for values over £300
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Troubleshooting (4)
How can I check if I have declared a payment?
• Go to the Achievement screen Click on the Declare tab
• At the bottom of the screen there should be Payment
Declaration History section – this will show which
services have been declared, their payment status and the
value.
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Troubleshooting (5)
Status
What this means
Awaiting commissioning
Approval
You have submitted and declared the claim
the AT has not yet done the initial approval
Awaiting Financial
Approval
You have submitted and declared the claim
and the AT has done the initial approval
The financial instruction to pay has not yet
been actioned.
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Awaiting Service
Provider Approval
The practice has an outstanding action to
complete before the claim can be processed.
Check your task messages and that the
claim has actually been fully DECLARED
Cancelled
Your claim has been cancelled e.g. if you
told the AT there was incorrect data after
Declaration but before Commissioning
Approval
Troubleshooting (6)
• If your claim does not show in any of these categories, the
claim is most likely to be incomplete and not have been
fully submitted / reached the Declaration stage.
• Go back to the initial checks and see whether any of the
points above apply.
• If there are still problems, you can email on
england.leiclincsmedical@nhs.net
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HSCIC guides
User guides on data entry are available at:
http://systems.hscic.gov.uk/cqrs/participation
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Contacts
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CQRS
Technical system queries
CQRS Service Desk
0800 440 2777 or cqrsservicedesk@gdit.com
Further information on CQRS training
http://systems.hscic.gov.uk/cqrs/training
Practices can register for national CQRS
updates
http://systems.hscic.gov.uk/cqrs/regforupdates
Area Team
CQRS access, general queries
NHS England Leicestershire and
Lincolnshire Area Team
england.leiclincsmedical@nhs.net
NHS England Leicestershire and
Lincolnshire Area Team QOF Mailbox
england.leiclincs-qof@nhs.net
Contacts
GPES
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GPES queries should be directed to
HSCIC
0845 300 6016 or enquiries@hscic.gov.uk
GPES training
http://www.hscic.gov.uk/gpes
HSCIC
Coding issues
Business Rules/coding queries
enquiries@ic.nhs.uk