PMR Functionality

Tuesday, June 23, 2020


NHS Pharmacy First Scotland: PMR functionality for launch on 29th July 2020

With a launch date of the 29th of July now confirmed for NHS Pharmacy First Scotland, you might be wondering why your PMR doesn’t look any different yet!

Well, behind the scenes there has been a lot of work done to get things ready to support you to deliver the new service – and a new version of your software will soon be lurking in the background, ready to replace the current system on the 29th. While we can’t show you the detail and appearance of each individual PMR supplier’s solution, we can tell you broadly how the systems will work – and what the plan is going forward!

No matter what sort of activity you are recording under NHS Pharmacy First Scotland, you will need the patient’s Name, Address (incl. postcode), D.O.B and gender (as assigned at birth or current if a CHI change has been requested) to create a PMR record. Once you have done this:

“Standard” NHS PFS consultations (i.e. not involving a PGD)

  • You will use the “MAS” module on your PMR to record your actions (in time, this will be renamed to NHS Pharmacy First Scotland but it’s more important that it works than has the right name just now!)
  • The system will perform an eligibility check, searching for a CHI number in the first instance. This will return one of three statuses:
    • Eligible – you will be able to proceed with recording the consultation
    • Not eligible – this status will be returned where it is clear that the person is not eligible for the service. Your PMR system will default to discontinuing the consultation, but you will note that there is an override option built in to future-proof the service in the event of any unforeseen policy changes.
    • Unknown – this will happen if there is no CHI found, and you will be asked whether you want to proceed. You should use your knowledge of the eligibility criteria and the patient to decide (e.g. Yes if member of the travelling community, homeless etc, No if a tourist visiting Scotland). If you do proceed, a dummy CHI (3999999993) and GP code (99999) will be added to the record to allow you to record the interaction and make a claim.
  • Record the details and outcome of the consultation (advice only, referral or treatment supplied)
  • Send your claim
  • Add any further consultation details to the patient’s PMR record as required

 Consultations involving a PGD

  • An eligibility check function is not yet available for these UCF modules, but this may be added in time.
  • Select the correct UCF module depending on the patient and their condition. You will be able to choose between Impetigo and UTI, and for each of these there is the option of a module for patients who are registered with a GP in Scotland (UTI – Scot. GP Registered), and one for those who live in Scotland but are not currently registered with a GP (UTI – Scot. Resident, no GP).
  • You should only ever use this second option where you have not been able to find a CHI number using the tools available to you.
  • If you are prescribing an item to treat the condition, proceed as you normally would.
  • If you have provided advice only or have made an onward referral, the next step is where things will differ depending on the PMR system you are using.
  • You will either be able to select these options as an outcome as you have been able to with MAS consultations for many years, or there will be a temporary workaround which will see you “prescribe” a service claim in the form of a ‘dummy’ item.
    • For example, in some PMR systems when you give advice only, you would record this by proceeding to prescribe an item, selecting “Pharmacy First: Consultation only” as the item and setting the prescribed quantity to 1.
    • The same is true of making a claim for a referral, with the relevant prescribable item being listed as “Pharmacy First: Refer to GP”
  • You would then add any further consultation details to the patient’s PMR record as required by the PGD to finish off the consultation.
  • Details of which PMR systems are employing which claim method for UTI and Impetigo consultations and referrals at the launch of NHS PFS are included below.
  • Remember: where in place, this workaround is temporary, and only for UTI and Impetigo services. Do not prescribe “Pharmacy First: Consultation only” or “Pharmacy First: Refer to GP” under any other circumstances. We will update this information as PMR functionality develops.

 

PMR

Impetigo and UTI Consultation Only and Refer to GP Functionality

ProScript Connect (EMIS)

Consultation only & Referrals claimed by prescribing ‘dummy’ item

Analyst (Positive Solutions)

Consultation only & Referrals claimed by prescribing ‘dummy’ item

Cegedim – Nexphase

Consultation only & Referrals claimed by prescribing ‘dummy’ item

Pharmacy Manager (Cegedim)

Consultation only & Referrals claimed by prescribing ‘dummy’ item

Boots (Cegedim - Nexphase)

Consultation only & Referrals claimed by prescribing ‘dummy’ item

Boots (Columbus)

Consultation & Referral fully supported.

Compass (Lloyds)

Consultation & Referral fully supported.

RxWeb (Clan William Health )

Consultation & Referral fully supported.

 

Your PMR supplier may be able to give you a preview or screenshots of your system’s new functionality if you contact them directly.