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Today we will be covering

Preparing for EPS2 in your GP practice and pharmacy Engagement Meeting Becky Gayler Informatics Project Manager. Today we will be covering. Overview of EPS Release 2 Benefits Feedback from Early Adopters GP and Dispenser readiness Steps to go-live Where to get information?

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Today we will be covering

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  1. Preparing for EPS2 in your GP practice and pharmacyEngagement MeetingBecky GaylerInformatics Project Manager

  2. Today we will be covering • Overview of EPS Release 2 • Benefits • Feedback from Early Adopters • GP and Dispenser readiness • Steps to go-live • Where to get information? • Question & Answers

  3. Overview of EPS Release 2

  4. 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

  5. Release 2 Overview Electronic submission of reimbursement endorsements Electronic Signatures Nomination Electronic cancellation Electronic repeat dispensing

  6. Key Points • GPs and other prescribing staff will sign prescriptions electronically using their Smartcard and PIN • Patients will be able to “nominate” a dispensing contractor to receive their electronic prescriptions automatically • This will enable GPs to send electronic prescriptions to nominated dispensing contractors without the need for paper • Patients who do not want to nominate a dispensing contractor will continue to receive a paper prescription • Supports: acute, repeat and repeat dispensing models

  7. Additional Points • Authorised staff working in the GP practice where the electronic prescription was generated can cancel it at any point up until it is dispensed • Repeat dispensing can be administered electronically, alleviating the need for multiple paper batch issues to be printed (only a single prescription token is printed) • Prescription tokens can be issued for nominated electronic prescriptions if required

  8. Prescribing Token

  9. Cannot use EPS: Prescribing will not be possible for the following patients: • patients who are not synchronised with PDS. • patients who are marked as “sensitive” on PDS. The following medication is not eligible : • Controlled drugs from schedule 1, schedule 2 and 3 (unless this has been enabled in the system). Please participate in EPS Consultation https://www.gov.uk/government/consultations/extending-the-scope-of-the-electronic-prescription-service • Private prescriptions, unless this has been enabled in the system. • Drugs without a dm+d code mapping. • Drugs without a dm+d description and unit. • Prescriptions without a nomination - coming in Phase 3.

  10. Key Benefits • Greater convenience • Increased freedom of choice • Reduced waiting times in the pharmacy • Potential reduction in workload. • Easier to use repeat dispensing • Greater efficiency and control . • Greater efficiency • Streamlined workflow • Easier month end processing Patients Prescribers/ Prescription Clerks Dispensers

  11. Latest Statistics – August 2014 • GP Practices 31% 2,493 / 8,049 • Pharmacies 95% 11,159 /11,724   • Disp. Appl. Con. 66% 74 /113 • Live Site Usage 37% Average   • Patient Nominations 9.4 million

  12. Feedback from Early Adopters GPs • Has made the process of prescribing in house much simpler. • Very good for emergency scripts and telephone consultations • No faxing emergency scripts; less lost scripts; easier to manage repeat prescribing; freed up time in the office; much less printing and signing and paper in your pigeonhole; easier to do medication reviews as in the record already • “I think its bl**dy brilliant! Easy as pie, you can see the patients notes during the process and if any pop ups also can remind patients if need to come in for reviews etc. • “I think the concept of it actually being in the notes is great” Pharmacies • Overall positive change - “Not as bad as feared” • Makes a big difference with pharmacy end of month • Can access scripts on Saturdays / early mornings when GP not available / too busy

  13. Lessons Learned • Business Process change workshops are crucial: • work out what you’re going to do if script doesn’t arrive e.g. will fax tokens be allowed. • how to manage 7 days scripts • alerts for urgent scripts • EPS GP practice lead role important to co-ordinate preparation and communicate with pharmacies. • Nominations; the more the better, GPs can collect too. • Time spent on GP house-keeping before go-live will ensure smoother transition. • Pharmacy staff need to be trained, smartcard ready and printers set up in advance to go-live • Project team effort on go-live day is required mainly to support support Pharmacies - also need point of contact for trouble-shoorting. • Always report issues to systems suppliers ASAP.

  14. Go-Live Dates

  15. Prescribing and Dispensing Site Readiness

  16. Processes for Prescribers

  17. GP Practice Checklist • Confirm that local pharmacies are live with EPS 2 / have been informed at least 8 weeks before go-live • Area Team have Authorised EPS application • All staff have smartcards with correct role based access controls. • Business process change session is scheduled to consider current processes and how they will change in EPS Release 2 • Agree how you will handle nominations. • Consider your approach to patient communications. • Ensure you are using the most up to date drug dictionary. • Know who to contact in the event of a problem. • Know how to use your clinical system • Nominate a EPS Practice Lead

  18. EPS Practice Lead • Point of contact for CCG and Pharmacies • Ensure Business Change Checklist completed and returned prior to go-live • Co-ordinate arrangements for go-live day • Post go-live trouble-shoot and escalate issues.

  19. Key processes to consider before go live at the GP practice • Approach to capturing nominations • Benefits and how to measure • Preparing a repeat prescription • Signing electronic prescriptions • Electronic repeat dispensing • Split prescriptions • Electronic Cancellation

  20. Approach to capturing nominations http://systems.hscic.gov.uk/eps/library/nomination.pdf • Will the practice proactively capture nominations? How far in advance? • Will the practice target specific patients? e.g. Nursing Homes, Collection Service • What will the practice do if a patient asks about EPS and nomination? • Update registration procedure? • What literature will the practice use to support patient communication? • Ensure ALL patients PDS details are synchronised.

  21. Processes for pharmacy staff

  22. Dispensers - Site preparation • Capture patient nominations. • Scan Release 1 scripts • Patient details on local PMR • Order dispensing tokens • Printing capability (2nd tray for tokens) • Supplies: printer toner / dispensing tokens • System training • SOPs • Smartcards

  23. Key processes to consider before go live at the pharmacy • Approach to capturing nominations • Electronic Cancellation • Dispensing and downloading electronic prescriptions • Dispensing tokens • Electronic endorsement and patient declarations • Electronic claims • End of month processes

  24. Approach to capturing nominations • Who will capture nominations in the pharmacy? • Consider patients who have delivery service • Consider process for inputting the nominations onto the system • How will you communicate with patients?

  25. Business Continuity

  26. Business Continuity

  27. Communicate and Check….

  28. Prescription Tracker NHS Number look up from end August

  29. Training and Support

  30. Training and Support • Concept training • New processes • System training • Best time to undertake EPS training? • What kind of training will work best in the GP practice/pharmacy? • Post go-live – what sort of training and support will be needed? • Locums / temporary staff?

  31. Patient Communication

  32. Patient communication • How will you communicate EPS to patients? • Patients should be informed about nomination: • Nomination is not mandatory • No need to collect paper prescription from the GP practice • Patient can choose who they wish to nominate • Nomination is flexible and can be changed or removed by their GP or any EPS2 pharmacy • Not restricted to nominating a pharmacy close to their GP practice. • What tools / resources will you use? • Pharmacy to customers • Surgery to patients

  33. Planned implementation dates and next steps

  34. Standard Deployment Model

  35. Go Live support • Project team at site • Note NHS number and nominated pharmacy of EPS R2 prescriptions • Follow prescription to pharmacy • Help identify and resolve issues

  36. Key Considerations • Sufficient nominations? • Key pharmacies live or able to go live? • Smartcards issued and working? • Patients have been informed?

  37. Next Steps • Confirm Go-live / Training date • Agree Business Change Workshop date • Patient communications? PPG? • Materials needed? • Smartcards? • Further information? • Leads / Contacts?

  38. Connect with EPS

  39. www.hscic.gov.uk/epsgp

  40. www.hscic.gov.uk/epsmap

  41. factsheets

  42. CCG EPS Web-page http://www.brightonandhoveccg.nhs.uk/staff/planning-and-delivery/information-and-technology/programme-of-work/electronic-prescription

  43. Stay connected Like EPSnhs Follow @EPSnhs EPSnhs channel www.hscic.gov.uk/epssignup

  44. Questions?

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