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Electronic Prescription Service (EPS) Release 2
Avon Local Pharmaceutical Committee26th March 2014
Jane Schofield – Programme Manager
EPS Release 2
• Introduce myself and my organisation• EPS overview:
– What it is– How it works– Why it is needed– Benefits– Local project overview
• Smartcards• Nominations• Tokens & printers• Where to find more information
Introduction
• Emma Pace is the local Project Manager for the EPS Release 2 Project
• Southwest Commissioning Support (SWCS) provide commissioning and informatics support to:• Bristol, North Somerset, South Gloucestershire and
Somerset Clinical Commissioning Groups (CCGs)• Community health organisations in Bristol, North
Somerset, South Gloucestershire • NHS England area team covering Bristol, North Somerset,
Somerset and south Gloucestershire• We are responsible for helping to implement EPS in GP
Practices across the area. • We are not responsible for implementation in BaNES; this is
covered by Central Southern CSU
EPS enables prescriptions to be sent
electronically from the GP to the dispensary
of the patient’s choice.
EPS in a nutshell
Why is EPS Needed?
• Over 1.8 million prescriptions prescribed each day
• About 70% of prescriptions are for repeat medication
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012400
500
600
700
800
900
1,000
1,100
Number of prescription items dispensed each year (Millions)
Source: HSCIC
EPS – A phased approach
• Release 1 introduced the technical infrastructure to enable
prescribers and dispensers to operate the EPS. The
implementation of Release 1 is now almost complete with over
95% of GP practices and pharmacies live with the service
• Release 2 provides enhanced functionality for users which will
deliver tangible benefits for patients, prescribers, dispensers and
their staff
What's different in Release 2?
Electronic Signatures
Electronic repeatdispensing
Electronic cancellation
Electronic submission of reimbursement endorsements
Nomination
EPS – Benefits
Patients
• Greater Convenience• Increased freedom of choice• Reduced waiting times in the pharmacy
Prescribers/Prescription Clerks
• Potential reduction in workload• Easier to use repeat dispensing• Greater efficiency and control
Dispensers
• Greater efficiency• Streamlined workflow• Easier month end processing
Implementing EPS in a GP Practice
• Applications to implement EPS Release 2 have to be submitted at least 8 weeks prior to planned go-live date.
• The application has to be authorised by the NHS England area team• There is a standard deployment model that has to be followed. This
ensures that:– All organisations involved have sufficient notice to set up training,
smartcards etc– Practices want to go-live and have agreed a date– The practices and pharmacies have planned a date to meet to
discuss the changes to the business processes associated with the go-live
– The LPC has been notified and are engaged in the process
Standard Deployment Model
• Engagement between local practices, pharmacies and dispensing contractors
• Kick-off meeting with practices & pharmacies to agree what needs to happen before go-live
• Authorisation process • Order upgrades to GP IT system (if applicable)• Business process change session for participating practices and
pharmacies • IT system training (pharmacy system suppliers will provide this for
pharmacy staff)• Smartcard updates• Go-live and floor walking support for practices & pharmacies • Post go-live review • Handover to BAU
Smartcards
• All staff using the EPS system to interface with the Spine will need to register for their own card
• This means people who are:– Registering nominations– Pulling down EPS R2 message scripts– Confirming dispense – Requesting reimbursement
• Cards issued for EPS Release 1 will not operate on R2• Existing smartcards will need to be upgraded• Each authorised user of the service must have their own smartcard; smartcards
cannot be shared• Where staff already have smartcards, these should be checked to ensure that they
do not have duplicate certificates on them – (guidance is available on how to do this)
• SWCS will arrange smartcard clinics locally to check and/or process smartcard applications when your local practices go-live
Smartcards - Sponsors
• An individual who can approve access to information and functionality in applications such as EPS
• The sponsor grants approval of the appropriate Role Based Access Control (RBAC)codes so that staff have appropriate access to EPS, based on their job role.
• Sponsors are identified by the SWCS Registration Authority in conjunction with the EPS Release 2 Project board
• The current EPS sponsors are:– Lloyds pharmacy – Area managers– Other large companies – Area & store managers– Independent pharmacies and relief/locum pharmacies not attached to
a pharmacy – LPC Chair• The sponsor is expected to verify that the person is a pharmacist/dispenser and
will need to sign the form
Nomination
• The process that gives patients the option to choose or ‘nominate’ a dispensing contractor(s) to which their prescriptions can be sent automatically via EPS.
• Patients can choose up to three dispensing contractors, including:– one community pharmacy;– one dispensing appliance contractor;– one dispensing general practice.
• Nomination is a very flexible process. Patients can request for their nomination to be set, changed or removed at any time simply by asking a member of staff at any Release 2 enabled dispensing contractor or their general practice
Nomination
Key Principles• Patients must be provided with sufficient clear information about EPS before
nomination is captured• Dispensing contractors must not offer any type of inducement to encourage
patients to nominate them• Contractors will need to capture, record, and act upon patient’s nomination
requests in a timely manner• Prescribers and dispensing contractors must establish standard operating
procedures (SOPs) for nominationTop Tips• Start to identify patients for nomination from now• Prescription collection service is good source for potential nominations• Ensure all staff are aware of the nomination process including setting, changing
and cancelling a patient’s nomination and the impacts• Wherever possible try to ensure ALL patients PDS details are synchronised prior to
go live. This will help to ensure a smooth transition to EPS Release 2 as GPs cannot set nominations or issue Release 2 prescriptions without this happening
Tokens & Printing
Dispensing tokens -Factsheet for pharmacy staff
http://systems.hscic.gov.uk/eps/library/0912.pdf
Where can I find out more?
Health and Social Care Information Centrehttp://systems.hscic.gov.uk/eps/dispensing
http://systems.hscic.gov.uk/eps/library/pharmachecklist.pdf http://systems.hscic.gov.uk/eps/library/dontwaitnominate.pdf
PSNC websitehttp://psnc.org.uk/dispensing-supply/eps
What Practice staff are saying ..“EPS has physically reduced the number of patients collecting prescriptions at our GP Practice. We now don’t have any queues at peak times.“
Joanne Causer, Office Manager, Brooke SurgeryWhat Pharmacy staff are saying ..
"It's fantastic you can control the dispensing process from the very outset. So you've got more time to process prescriptions, in your own time when it's convenient, order the stock in and turn it around.“
Joanne Rowell, Pharmacist, Medichem, Sunderland