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Background
The The Investment and Impact Fund (IIF) includes a number of indicators which require a change to the GPES data model. These are detailed below:
Indicator SMR-01
Primary Care Networks (PCNs) have been delivering Structured Medication Reviews (SMRs) as a contractual requirement via the forms part of the Network Contract Directed Enhanced Service (DES) since October 2020. In 2023/24, the SMR-01 indicator will reward PCNs for high rates of SMR delivery to the Patient cohorts (outlined under ‘live 2022/23 indicators’ in DES).
Currently, the GPES Data Model does not allow identification of distinct medications, or medications to be filtered based on the prescription being acute or repeat. To allow for accurate measurement of medication prescribed and identification of the correct Patient cohort, attribute ‘T2A19A - VALUE3 (Virtual Therapeutic Moiety (VTM))' has been added as mandatory in the Journals Table Attribute List.
Indicators RESP-01 and RESP-02
RESP-01 and RESP-02 are indicators focused on improving outcomes for Patients with asthma. These indicators will increase the use of Inhaled Corticosteroids (ICS) inhalers for appropriate asthma Patients, this will improve disease management and reduce unnecessary Short-Acting Beta-Agonists (SABA) inhaler usage.
Currently, the GPES Data Model states attribute ‘T2A18 - VALUE1 (Medication Quantity)' as an optional attribute. To allow accurate measurement of medication prescribed and identification of the correct Patient cohort, 'T2A18 - VALUE1 (Medication Quantity)’ attribute has been made mandatory in the Journals Table Attribute List. It supports Primary Care Networks (PCNs) to deliver high quality care to their population, as well as supporting the delivery of priority objectives articulated in the NHS Long Term Plan and in Investment and Evolution.
IIF includes a number of indicators which require a change to the GPES Data Model to deliver improved GP contract indicators as detailed below.
Index of Multiple Deprivation
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LSOA to IMD - English indices of deprivation 2019
Patient postcode to LSOA - Office for National Statistics data
Outline Plan
Suppliers to be compliant after 3 months of the Roadmap Item Publication date. Suppliers are to create indicators (as specified by the GP Specification and Extraction Service) based on the new fields:
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Build functionality to count the number of items included on a prescription in order to identify a Patient cohort who are prescribed (e.g. a particular number of inhalers). Field T2A18 has been updated from optional to mandatory to facilitate this
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Build functionality using new fields T1A30, T1A31 and T1A32 to create a Patient cohort based on the deprivation level of the area in which they live (e.g. Patients living in the 20% least deprived areas)
Summary of Change
GPES Data Extraction: GPES InteroperabilityStandardrequirementsintroduction and documentupdatedto v7.0.0 | ||||
The GPES-I requirements
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GPES Interoperability Standard document: Requirements T2A18 updated to mandatory and T1A19A added to the Journals Table
Ref
Item - JOURNALS
User view
Technical notes
Code list
Data type
M/O
T2A18
VALUE1
(In a record with CODE for prescribable item)
Amount prescribed as number of tablets, capsules, etc. or vol. Of liquid in ml.
Report as null string "" if this cannot be ascertained from the prescription data.
N/A
NUMERIC
O M
T2A19A
VALUE3
(In a record with CODE for prescribable item)
Return VTM, mapped from AMP/VMP code of prescribable medicine
CV
M
GPES Interoperability Standard document: Requirements T1A30, T1A31 and T1A32 added to the Patients Table |
Ref | Item - PATIENTS | User view | Technical notes | Code list | Data type | M/O |
T1A30 | LSOA | Lower Layer Super Output Area of residence | Return LSOA mapped from T1A6 patient postcode using Office for National Statistics data | CV | M | |
T1A31 | IMD_RANK | Index of Multiple Deprivation Rank of LSOA of residence | Return Index of Multiple Deprivation Rank mapped from T1A30 LSOA using English indices of deprivation 2019 | CV | M | |
T1A32 | IMD_DECILE | Index of Multiple Deprivation Decile of LSOA of residence | Return Index of Multiple Deprivation Decile (a value 1 to 10) mapped from T1A30 LSOA English indices of deprivation 2019 | CV | M |
Full Specification
The updated GPES Data Extraction v2.0.0Standard will be added at a later date. Proposed changes can be viewed in the Summary of Change above.
Assurance Approach
Suppliers will be asked to demonstrate their mitigations against the pre-identified risks through completion of the NHS England Solution Assurance Risk log submission, supported with the requested messaging based test evidence and online demonstration by the Supplier to a group of NHS England representatives.
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