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A Supplementary Care Standard is being introduced to describe the Community Pharmacy Clinical Services service, including the associated features and operating capabilities.
Introduction to Supplementary Care Standards
A new class of Standard is being introduced into the Digital Services for Integrated Care (DSIC) environment; the Supplementary Care Standard.
What is a Supplementary Care Standard?
A Supplementary Care Standard describes the DSIC representation of the functional, technical and/or operating conditions required to deliver a specific 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 Supplementary Care 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.
Examples:
Community Pharmacy Consultations Supplementary Care Standard
DES Enhanced Access Supplementary Care Standard
DES BI Tools Supplementary Care Standard
What is a Supplementary Care Standard used for?
The purpose of a Supplementary Care 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.
It allows us to group requirements that cover multiple Capabilities when there isn’t a Procurement Product
It’s used to define requirements for a specific service rather than just a Capability or whole Solution, meaning we can focus more on mandatory requirements and assurance ask is potentially smaller
The Supplementary Care 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.
Supplementary Care Standard Structure
A Supplementary Care 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 Supplementary Care Standard and are necessary for the safe and effective operation of the service as a whole)
Outline Plan
The Supplementary Care Standard; including all Capabilities, Epics, Interoperability Standards and Secondary Artefacts, will be developed further as requirements are finalised.
The following Epics 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:
CPC015 E00625 - manage Community Pharmacy Consultation Information for Patients
12/01/2024
CPC010 E00637 - launch Patient Group Directions (PGDs) for Community Pharmacy Consultations
31/01/2024
CPC017 E00631 - submit record of Patients Urgent Medicine Supply Service Consultation records of Patient Consultations to registered GP Practice for Community Pharmacy Consultations
31/01/2024
Summary of Change
Community Pharmacy |
Epic and Acceptance Criterion Titles
CPC011 - record Patients Consent for Community Pharmacy Consultations
Acceptance criterion 1: record Patients Consent for Community Pharmacy Consultations
CPC011 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
Patient Consent to be recorded for participating in a Consultation and data sharing for the following services:
Blood Pressure Check Service
Minor Illness
Urgent Medicine Supply
Patient has to consent to both of these Consultation types for the Consultation to proceed
Patient Consent to be recorded for participating in a Consultation and data sharing for the following service:
Contraception Service Consultation
If data sharing is declined for a Contraception Service Consultation, the Consultation can be recorded, but the data cannot be submitted to the Patient’s registered GP
CPC015 - manage Community Pharmacy Consultation Information for Patients
Acceptance criterion 1: record Consultation Information for Patients
Acceptance criterion 2: view Consultation Information for Patients
CPC015 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
Consultations to be recorded in accordance with:
Consultation Information must align to the information sending principles for the following Community Pharmacy services:
CPC002 - view information from the Electronic Patient Record (EPR) of the Patient during Community Pharmacy Consultations
Acceptance criterion 1: view information from the Electronic Patient Record (EPR) of the Patient during Community Pharmacy Consultation
CPC002 - Additional Implementation Details
Solutions MUST comply with one of the following when implementing this Epic:
Summary Care Record application (SCRa) can be utilised until automatic re-direction to National Care Records Service (NCRS)
CPC003 - record medications for Patients using dictionary of medicines and devices (dm+d) for Community Pharmacy Consultations
Acceptance criterion 1: record medications for Patients using dictionary of medicines and devices (dm+d) for Community Pharmacy Consultations
CPC003 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
Pre-configured medication will adhere to SCCI0052: dictionary of medicines and devices (dm+d)
CPC014 - print NHS FP10DT for Patients' medication for Community Pharmacy Consultations
Acceptance criterion 1: print NHS FP10DT for a Patient's medication for Community Pharmacy Consultations
CPC014 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
CPC004 - alert Health or Care Professional to provide Worsening Advice to Patients for Community Pharmacy Minor Illness Consultation
Acceptance criterion 1: alert Health or Care Professional to provide Worsening Advice to Patients for Community Pharmacy Minor Illness Consultation
CPC004 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
The following text to be displayed - “If your symptoms do not improve or become worse, then either come back to see me or seek advice from your GP. You can call NHS 111 or 999 if the matter is urgent and a pharmacist or GP is not available.”
CPC005 - notify Health or Care Professional to signpost Patients to registered GP Practice for Community Pharmacy Consultations
Acceptance criterion 1: notify Health or Care Professional to signpost Patients to registered GP Practice for Community Pharmacy Consultations
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CPC005 - Supporting Information
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CPC017 - submit record of Patients Urgent Medicine Supply Service Consultation to registered GP Practice for Community Pharmacy Consultations
Acceptance criterion 1: submit record of Patients Urgent Medicine Supply Service Consultation to registered GP Practice for Community Pharmacy Consultations
CPC017 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
GP Connect Standard (Update Record)
CPC016 - submit record of Patients Consultation to NHS Business Services Authority (NHSBSA) for Community Pharmacy Consultations
Acceptance criterion 1: submit record of Patients Consultationto NHS Business Services Authority (NHSBSA) for Community Pharmacy ConsultationsCPC016 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
NHSBSA Claims & Reporting Standard
CPC013 - view Health or Care Organisation details using Directory of Services (DoS) for Community Pharmacy Consultations
Acceptance criterion 1: view Health or Care Organisation details using Directory of Services (DoS) for Community Pharmacy Consultations
CPC013 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
Directory of Services (DoS) Standard
CPC006 - launch the Electronic Prescription Service (EPS) Prescription Tracker page for Community Pharmacy Consultations
Acceptance criterion 1: launch the Electronic Prescription Service (EPS) Prescription Tracker page for Community Pharmacy Consultations
CPC006 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
CPC010 - launch Patient Group Directions (PGDs) for Community Pharmacy Consultations
Acceptance criterion 1: launch Patient Group Directions (PGDs) for Community Pharmacy Consultations
CPC010 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
NHS Pharmacy Contraception Service Patient Group Directions (PGDs)
CPC013 - view Health or Care Organisation details using Directory of Services (DoS) for Community Pharmacy Consultations
Acceptance criterion 1: view Health or Care Organisation details using Directory of Services (DoS) for Community Pharmacy Consultations
CPC013 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
Directory of Services (DoS) Standard
CPC006 - launch the Electronic Prescription Service (EPS) Prescription Tracker page for Community Pharmacy Consultations
Acceptance criterion 1: launch the Electronic Prescription Service (EPS) Prescription Tracker page for Community Pharmacy Consultations
CPC006 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
CPC010 - launch Patient Group Directions (PGDs) for Community Pharmacy Consultations
Acceptance criterion 1: launch Patient Group Directions (PGDs) for Community Pharmacy Consultations
CPC010 - Additional Implementation Details
Solutions MUST comply with the following when implementing this Epic:
NHS Pharmacy Contraception Service Patient Group Directions (PGDs)
Secondary Artefacts
The following requirements are overarching across the Capabilities within the Supplementary Care 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
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Clinical Services Supplementary Care Standard: New Supplementary Care Standard added |
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Consultation Management - Community Pharmacy: New Capability added |
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NHSBSA Claims & Reporting: New Standard added |
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Directory of Services (DoS) - Urgent and Emergency Care: New Standard added |
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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 Supplementary Care Standard a Supplier must go through an assurance process which includes:
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