Preparing for EPS2
LPC Forum
8th May 2014
Who's Who
Amanda Marshall Assistant Contract Manager (Pharmacy)
Surrey & Sussex Area Team - NHS England
amanda.marshall@nhs.net
Area Team Role:
• Authorising GP practices to go-live
• Assurance of CCG deployment
• Provision of dispensing tokens
• Monitoring nominations and dealing with complaints
• Provision of Registration Services (smartcards)
Who's Who
Gary Mortimer
Senior Implementation Manager, EPS
Health and Social Care Information Centre
gmortimer@hscic.gov.uk
HSCIC Role:
• Support the delivery of IT infrastructure, information
systems and standards to ensure information flows
efficiently and securely across the health and social
care system, to improve patient outcomes.
• Support local deployments.
• Share lessons learnt from other deployment
• Provide escalation and feedback.
Who's Who
Becky Gayler
Clinical Informatics Manager
Brighton and Hove Clinical Commission Group
becky.gayler@nhs.net
CCG Role:
Responsible for implementation of EPS:
• Project Management
• Engagement
• Communications
• Business change
• Training for GP practices
• Benefits realisation
EPS2
In a Nutshell
• What?
• Why?
• How?
EPS2 Features
Electronic
submission of
reimbursement
endorsements
Electronic
repeat
dispensing
Electronic
Signatures
Electronic
cancellation
Nomination
Prescriptions - the need for change
• 1.7 million paper prescriptions are issued every working
day in England
• This figure is expected to rise by over 5% each year
• About 70% of these prescriptions are for repeat
medication
Benefits
Greater convenience
Increased freedom of choice
Patients
Reduced waiting times in the pharmacy
Prescribers/
Prescription Clerks
Potential reduction in workload.
Easier to use repeat dispensing
Greater efficiency and control .
Greater efficiency
Streamlined workflow
Easier month end processing
Dispensers
EPS a brief history….
EPS 1
Started 2005
Test IT and auto-populate
local system, identify
issues
EPS 2
2012
Pharmacies 47% live
Full roll-out / all dispensing
systems complaint
2014
Pharmacies 94% Live
Golden Script
“technically EPS2 live”
Pharmacies received oneoff and monthly payment
Where are we now?
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Latest statistics (14th April 2014)
1,996 (24%) GP practices live
11,015 (94%) Pharmacies live
49 (43%) Dispensing Appliance Contractors live
24,327,281 Release 2 prescriptions sent
56,207,000 Items dispensed and claimed
7,271,631 Nominations set
33% average live site usage
Brighton and Hove CCG Plans
• B&H CCG = 47 GP Practices, 63 Pharmacies, 270k+ residents
• Early Adopter Phase ( approx 10% of population):
– Sackville Road Hove
22/5/14
– Ardingly Court Brighton
04/6/14
– Stanford Medical Brighton
05/6/14
• Full B&H CCG roll-out:
– EMIS Web
(13)
– TPP SystmOne (26)
– Vision (8)
Oct - Nov
2014
Dec - Feb
2014/5
March - April 2015
• Rest of Sussex – planning for 2014/15 and 15/16
www.hscic.gov.uk/epsmap
Standard Deployment Model
Communications and Engagement
At least 8 weeks notice for pharmacies, Nominations and
Patient information, GP Practice based “Kick-Off” meetings
Business Process Change, Training, Technical
Workshops, Checklists, System Training, SOPs, Smartcards,
Medicines Management "housekeeping”, IT checks
Go-live
Support and trouble-shooting
Post go-live
Benefits evaluation, develop good practice
and lessons learned,
Processes for pharmacy staff
Dispensers - Site preparation
Capture patient nominations.
Scan Release 1 scripts
Patient details on local PMR
Order dispensing tokens
Printing capability (2 tray for tokens)
Supplies: printer toner / dispensing tokens
System training
SOPs
Smartcards
nd
Smartcards
Everyone who dispense prescriptions and / or process
patient nomination requests will need a smartcard:
• Pharmacists and locum pharmacists
• Accredited dispensing technicians
• Counter assistants and pharmacy support staff
Contact Sussex IT Services 0845 845 4488
Special arrangements have been made for locum
pharmacy staff to use a virtual national locum organisation
code: FFFFF.
What’s new?
• Capturing nominations
• Downloading electronic prescriptions
• Cancellations and returning scripts to Spine
• Printing dispensing tokens
• Information from Prescriber for Patient
• Dispense notifications
• Electronic endorsements
• Record exemptions on system
• Electronic claims
• Send in signed tokens – no sorting
Business Continuity
What if ….
• A patient’s prescription
does not arrive at the
correct dispenser site?
• GP reports their
system is unavailable?
• Dispenser system is
unavailable?
• EPS is unavailable
nationally?
Communicate and Check….
Patient
• Right pharmacy?
• Right time?
• Check
nomination
• Return to spine.
GP
Practice
• Script signed and
sent?
• Check “EPS
Prescription
Tracker”.
Pharmacy
• Spine / Internet
down?
• Local system?
• Smartcard
working?
IT
Supplier
• Report all
problems
If problem can’t be resolved…
Consider expected downtime and urgency…
Yes
Yes
Can patient
wait?
No
Fax Token /
request FP10
Is GP practice
available?
No
No
Emergency
supply
Yes
Refer to
another
pharmacy
Can patient go
elsewhere?
Training and Support
• Concept training - CCG
• Business processes in line with site /
company policy
• System training from your supplier
• Live pharmacies - review and refine
processes
• Locums / temporary staff
• Lots of resources online
www.hscic.gov.uk/epsgp
Top Tips
“Doing it for Real”
Ravi Vatma
Top Tips
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Scan EPS1 scripts – populate local system
Start collecting exemptions
Collect tokens in separate basket
Submit dispense notifications in batches
Use consultation room PC if possible – can do other
processes in background
Incorporate electronic claiming in next day process,
deadline on 5th, 180 days expiry
Send back to Spine when errors
Blister packs – need to dispense before next issue
available
Set to print dispensing tokens automatically
Questions?