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ID

RM197

Version

3.0.0

Type

Roadmap Item

Frameworks

N/A

Title

Community Pharmacy Clinical Services Supplementary Care Standard

Description

Introduction of a Supplementary Care Standard for Community Pharmacy Clinical Services and the Capability Consultation Management - Community Pharmacy

Date Added

Standards and Capabilities

N/A

Change Route

Opportunity Item

Change Type

New

Status

Draft

Publication Date

TBC

Effective Date

TBC

Incentives / Funding

Yes

Incentive / Funding Dates

Incentive and funding details to be provided to Suppliers separately.

Background

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 have associated dates attached by which Suppliers must be compliant:

  • CPC015 - manage Community Pharmacy Consultation Information for Patients

    • 12/01/2024

  • CPC010 - launch Patient Group Directions (PGDs) for Community Pharmacy Consultations

    • 31/01/2024

  • CPC017 - submit record of Patients Urgent Medicine Supply Service Consultation to registered GP Practice for Community Pharmacy Consultations

    • 31/01/2024

Summary of Change

Consultation Management - Community Pharmacy: Capability added

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:


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:


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:


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

CPC005 - Supporting Information

  • Examples of when a Health or Care Professional is notified to signpost the Patient to their registered GP Practice MAY include, but is not limited to:

    • Guidance on clinic blood pressure check NHS community pharmacy hypertension case-finding advanced service

    • As a result of following NICE Clinical Knowledge Summaries (CKS) guidelines

    • The Patient has presented with a condition that the Health or Care Professional cannot help with and requires further support from their registered GP Practice


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:


CPC016 - submit record of Patients Consultation to NHS Business Services Authority (NHSBSA) for Community Pharmacy Consultations

Acceptance criterion 1: submit record of Patients Consultation to NHS Business Services Authority (NHSBSA) for Community Pharmacy Consultations

CPC016 - 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:


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:

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

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

Assurance Approach

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

  • Capability Assessments

  • Standards Assurance

  • Some limited Non-Functional Solutions Assurance

  • First of Type (where necessary from a service perspective)

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

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