Background

A Service Supplementary Care Standard is being introduced to describe the Community Pharmacy Clinical Services service, including the associated features and operating capabilities.

Introduction to Service Standards

A new class of Standard is being introduced into the Digital Services for Integrated Care (DSIC) environment; the Service Standard.

What is a Service Standard?

A Service Standard is a DSIC representation of the required components of a discretely delivered service within a health and care setting, that can:

• Map to services that might be directly commissioned from providers (such as the Community Pharmacy Clinical Services which are part of the Community Pharmacy Commissioning Framework).

• Be discretely identified within a commissioning contract, such as Enhanced Access, Anticipatory Care, Enhanced Health in Care Homes etc., which are all newly specified services within the NHS England Network Contract DES - the Primary Care Network (PCN) contract for GPs.

• Be a new controlled service operating within a domain (such as Community Services Electronic Prescription Service (EPS) Prescribing) which the Authority is seeking to roll out and make available to users.

A Service Standard operates within DSIC in the same manner that any other Standard operates under the Agreement in relation to Change Management, the Roadmap, Assurance etc.

What is a Service Standard used for?

The purpose of a Service Standard is to describe a domain specific service, feature or operating capability to a customer, which they can use to confirm the existence of the service feature or operating capability and its valid operation within a given application.

The Service Standard is also used for identifying and managing change within the whole service as it can be amended via the Roadmap as services are updated. The Roadmap can also be used to incentivise delivery of the Standard or changes to the Standard via a Roadmap Award.

Service Standard Structure

A Service Standard follows similar principles to Capabilities and Standards and consists of:

• Epic level User Stories (either directly or through the inclusion of one or more Capabilities).

• Additional Implementation Details associated with some Epics which mandate related:

  • Interoperability Standards.

  • Data Standards.

  • Non-Functionals specific to the implementation of the Epic.

• Secondary Artefacts (these are Non-Functionals derived from the DSIC Overarching Standards, which are overarching for the Service Standard and are necessary for the safe and effective operation of the service as a whole).

Outline Plan

The Service Standard; including all Capabilities, Epics, Interoperability Standards and Secondary Artefacts, will be developed further as requirements are finalised.

Summary of Change

...

Community Pharmacy Referral Management Capability

...

Epic and Acceptance Criterion Titles

CPRM001 - receive Referral for a Patient from a Health or Care Organisation

Acceptance criterion 1: receive Referral for a Patient from a Health or Care Organisation

CPRM002 - notify Health or Care Professional of a new Referral

Acceptance criterion 1: notify Health or Care Professional of a new Referral

CPRM003 - manage inbound Referrals

Acceptance criterion 1: view Patient Referral information

Acceptance criterion 2: sort Referrals

Acceptance criterion 3: amend Referral Status

CPRM004 - flag overdue Referrals

Acceptance criterion 1: flag overdue Referrals

CPRM005 - manage Patient Referral information

Acceptance criterion 1: record Patient Referral Information

Acceptance criterion 2: amend Patient Referral information

CPRM006 - refer a Patient to a Health or Care Organisation

Acceptance criterion 1: refer a Patient to a Health or Care Organisation

...

Community Pharmacy Consultation Capability

...

Epic and Acceptance Criterion Titles

CPC001 - verify Patient information using Personal Demographics Service (PDS)

Acceptance criterion 1: verify Patient information using Personal Demographics Service (PDS)

CPC002 - view Patient Clinical information held outside of the Solution

Acceptance criterion 1: view Patient Clinical information held outside of the Solution

CPC003 - record medicine and medical device details for a Patient

Acceptance criterion 1: record medicine and medical device details for a Patient

CPC004 - notify Health or Care Professional to provide worsening advice to Patient

Acceptance criterion 1: notify Health or Care Professional to provide worsening advice to Patient

CPC005 - notify Health or Care Professional to signpost Patient to GP

Acceptance criterion 1: notify Health or Care Professional to signpost Patient to GP

CPC006 - access Electronic Prescription Service (EPS) Tracker

Acceptance criterion 1: access Electronic Prescription Service (EPS) Tracker

CPC007 - access NICE Clinical Knowledge Summaries (CKS)

Acceptance criterion 1: access NICE Clinical Knowledge Summaries (CKS)

CPC008 - access Contraception advice tools

Acceptance criterion 1: access Contraception advice tools

CPC009 - access BMI calculator

Acceptance criterion 1: access BMI calculator

CPC010 - access Patient Group Directions (PGD)

Acceptance criterion 1: access Patient Group Directions (PGD)

CPC011 - record Patient consent for participating in a Consultation

Acceptance criterion 1: record Patient consent for participating in a Consultation

CPC012 - record Patient consent to sharing data with Health or Care Organisations

Acceptance criterion 1: record Patient consent to sharing data with Health or Care Organisations

CPC013 - retrieve Health or Care Organisation details using Directory of Services (DoS)

Acceptance criterion 1: retrieve Health or Care Organisation details using Directory of Services (DoS)

CPC014 - print NHS FP10DT

Acceptance criterion 1: print NHS FP10DT

CPC015 - manage Consultation information for a Patient

Acceptance criterion 1: record Consultation information for a Patient

Acceptance criterion 2: send notification to Patient’s registered GP Practice

Acceptance criterion 3: view Consultation information for a Patient

CPC016 - share a record of a Patient’s Consultation to the NHS Business Services Authority (NHSBSA)

...

...

Secondary Artefacts

...

The following requirements are overarching across the Capabilities within the Service Standard:

• Non-Functionals

  • IT platform Suppliers are required to provide helpdesk support for the following periods:
    Monday to Friday: 8am – 6pm
    Weekends: 8am – 2pm
    Bank holidays: Response within 24 hours

• Information Governance

  • Only authenticated users should access the IT platform. i.e. Pharmacists (and technicians where appropriate.

  • Practitioners should register using their full name (as registered with GPhC) and GPhC number​.

  • Where onward referral is applied, Pharmacists must ensure that Patients consent to data being shared with new organisation.

• Service Management

  • Issues affecting service provision must be acknowledged within 24 hours.

  • Issues reported by users, that affect service provision, must be reported to the NHS National Helpdesk as soon as possible.

  • IT issues affecting service availability and planned outages should be reported to the National Service Desk (NSD) by calling 0300 303 5035 or by emailing ssd.nationalservicedesk@nhs.net.

  • The incident report should include all data fields as defined in the service Data Specification. The completed form must be sent as PDF to the [pre-configured] NHSmail address of the CPCS Service Manager.

  • The IT platform must generate a monthly return to send to each NHS Trust to satisfy key performance indicators: KP10, KP11 and KP13.

Full Specification

The Community Pharmacy Clinical Services Service Standard links will be provided at a later date.

all Capabilities, Epics and Interoperability Standards. The Capability; ‘Consultation Management - Community Pharmacy’ and Standards ‘NHSBSA Claims & Reporting’ and ‘Directory of Services (DoS) - Urgent and Emergency Care’ will be mandated as part of the Supplementary Care Standard.

Outline Plan

The following Epics in the 'Consultation Management - Community Pharmacy' Capability have associated dates attached by which Suppliers must be compliant:

• E00625 - manage Community Pharmacy Consultation Information for Patients

  • 12/01/2024

• E00637 - launch Patient Group Directions (PGDs) for Community Pharmacy Consultations

  • 31/01/2024

• E00631 - submit records of Patient Consultations to registered GP Practice for Community Pharmacy Consultations

  • 31/01/2024

Summary of Change

Full Specification

• Community Pharmacy Clinical Services Supplementary Care Standard

• Consultation Management - Community Pharmacy

• NHSBSA Claims & Reporting

• Directory of Services (DoS) - Urgent and Emergency Care

Assurance Approach

In order to achieve assured status against a Service Supplementary Care Standard a Supplier must go through an assurance process which includes:

...

The assurance undertaken for a Service Supplementary Care Standard is confined to elements of the software which are concerned with the service in question. Therefore the presence of a Service Supplementary Care Standard does not necessarily mean that assurance of a whole Supplier Solution has occurred under the DSIC, unless that is stated elsewhere.