Electronic Prescription Service Highlight Report

Electronic Prescription Service – Highlight Report Period 14 June 2016 to 20 July 2016

Michelle Peet EPS Project & Business Change Manager Nottinghamshire Health Informatics Service Email: [email protected] Mobile: 07540 672938

LOCAL DEPLOYMENT UPDATE

The total number of GP Practices live with EPS across Nottinghamshire is 114/142 or 80%.

CCG – Number/Percentage of GP Practices live with EPS CCG Practices Live % Live Go Live No Dispensing Booked Plan City 57 47 82% 4 6 0 Mansfield & Ashfield 27 25 93% 0 2 0 Newark & Sherwood 13 10 77% 0 0 3 Nottingham North East 21 17 81% 0 0 4 Nottingham West 12 9 75% 1 2 0 Rushcliffe 12 6 50% 0 2 4

Average GP Practice usage figures – 49%

Post Implementation Reviews - 70% completed

Confirmed go Lives

Notspur Violent Patient Unit C 07/09/2016 (not included in the figures above) Victoria & Mapperley C 09/11/2016 Radford Medical Practice C 15/09/2016 NEMS Platform One C 22/09/2016 Springfield C 13/10/2016 Church Walk NW 25/01/2017 Radcliffe on Trent R Date tbc

CCGS: C – City, MA – Mansfield & Ashfield, NNE – Nottingham North and East, NS – Newark & Sherwood, NW – Nottingham West, R – Rushcliffe

HSCIC NATIONAL DEPLOYMENT UPDATE

Latest statistics (18th July 2016) 6,345 (82.2%) GP practices live 11,641 (99.2%) Pharmacies live 103 (92.8%) Dispensing Appliance Contractors (DACs) live 283,269,884 Release 2 prescriptions sent to date 637,312,759 Items dispensed and claimed to date

© The content of this document is the copyright of Nottinghamshire Health Informatics Service (NHIS) unless stated otherwise. You may only use this material for your personal use, private study, research or in-house use. You must not copy, distribute or publish any material produced by NHIS unless formal permission is obtained from the copyright holder 19,591,866 Patients have a community pharmacy and / or a DAC nomination 53% estimated average live site usage in June 2016 44% estimated total prescriptions in England claimed by EPS Release 2 in June 2016

PHASE 4

HSCIC has identified pilot sites for Phase 4 however nothing has been initiated yet due to negotiations still taking place with system suppliers.

Currently patients need a nomination to use EPS but the next phase of EPS will mean that the majority of prescriptions will be signed and sent electronically, even for patients who don’t have a nomination. Over 19 million patients already have a nomination and nothing will change for them. All existing nominations will remain valid and further nominations for appropriate patients should continue to be set. The process for nominations already set will remain the same. Patients without a nomination will be given a paper token by their GP practice (Patients may refer to these as “paper copies” of their prescription) to take to the pharmacy of their choice). For patients that are part of a Prescription Collection Service but don’t have a nomination, a token will be printed (instead of an FP10) for the pharmacy to collect.

It is unlikely that controlled drugs will be enabled as part of the pilot as there are delays with the system suppliers.

CONTROLLED DRUGS

EPS Programme Manager, Candice Moore, provided delegates with a progress update on Controlled Drugs (CDs) following coverage of the issue at the previous forum in February 2016. The change in legislation to allow CDs to be sent via EPS included the requirement for the quantity in words to be included in the electronic prescription; the timescale for all dispensing system suppliers to develop this functionality is December 2018.

Due to these extended timescales, a new tactical fix has been developed by the EPS Programme which will not require the dispensing suppliers to upgrade their systems, therefore only relying on the prescribing suppliers. The tactical fix will be to put the quantity in words into the additional instructions field of the EPS message. A CCN has now been submitted to the prescribing suppliers, and when they are able to make the necessary changes, a light touch assurance approach will be in place, with the aim to have the functionality available as soon as possible.

DIARY DATE

The next EPS Forum will take place on Wednesday 14th September 2016 at the Royal Pharmaceutical Society in London (66-68 East Smithfield, London E1W 1AW)

DISPENSING DOCTORS

With regard to dispensing doctors and their ability to use EPS in their dispensary, a system supplier is currently testing an end-to-end solution at a live GP site, with potential roll out in

© The content of this document is the copyright of Nottinghamshire Health Informatics Service (NHIS) unless stated otherwise. You may only use this material for your personal use, private study, research or in-house use. You must not copy, distribute or publish any material produced by NHIS unless formal permission is obtained from the copyright holder late summer. A pharmacy and further GP system supplier are also working through the specification with a view to developing an end-to-end solution.

Michelle Peet - EPS Project & Business Change Manager