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Promoting the Interests of Dispensing Doctors for Patient Benefit

This board discusses reimbursement, remuneration, contractual issues, and pharmacy contracts, with a focus on the impact of Brexit and agenda setting. The aim is to remove perverse incentives and work with PSNC and GPC for a better reimbursement system.

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Promoting the Interests of Dispensing Doctors for Patient Benefit

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Presentation Transcript

  1. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients”

  2. Reimbursement Remuneration Contractual issues Pharmacy contract Brexit Agenda

  3. The Board • Jeff Lee • New board members

  4. Reimbursement Unfinished business Met NHS England – too difficult pile Right prescription for the patient, the NHS and the practice Remove perverse incentives Working with PSNC and GPC 3

  5. Reimbursement • Pharmacy reimbursement went out to consultation • 2 references to dispensing doctors • Says will impact DDs • No impact assessment • We have discussed with GPC

  6. Reimbursement • Cat A from list price to wholesaler price • Cat M similar plus remove margin on branded generics • Part VIII more in part A • Part VIII B get three quotes • Part IX more in tariff • Differential generic and branded claw back

  7. Reimbursement • Will effect all doctors • Potential increase workload re branded generics • Devil in detail which we are not allowed to be involved with

  8. Dispensing fee2019 Still on the same formulae -20p No inflationary increase Staff numbers defined Worried that does not reflect increasing workload No change due to increased workload re supply and FMD

  9. EPS It is continuing to be rolled out Secretary of State wants to go paperless Cost is an issue DDA working with NHS Digital/NHS England No need to switch on until available for all your patients despite change to contract PSUK have a part solution Looking to pilot EPS4 6

  10. EPS Workload, should decrease if properly implemented, but if not will increase Risk re loss of scripts issues 111 Pharmacy 2 U App Greenlife and ECHO NHS App can change pharmacy but not if a dispensing patient

  11. FMD Was to be implemented byFebruary 2019 likely 2020 sometime Plans still vague Could have large workload implications 70 suppliers signed up to provide IT and kit Do not buy anything yet Part of GP IT

  12. PCN Size VAT New staff Employment terms

  13. CQC • New inspection • Focused safety • Controlled drugs ? Electronic • Cold chain • Signing scripts • SOPs • Uncollected medication

  14. DSQS • Timing re payment • No part payment • Audit needs to be clinical • New timetable for submissions • Need to sign up for this year • Some have been clawed back

  15. Shortages Ongoing No solution Prices very fluid this month BREXIT Mims have an online tool

  16. Brexit • Generic substitution • Change in amounts • Class substitution • Prescribe & dispense as normal

  17. Change to pharmacy contract • More clinical services • Removal MURs • Less money for dispensing • Hub and spoke

  18. “Promoting the interests of Dispensing Doctors and the excellence of doctor dispensing for the benefit of patients”

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