Booking and Referral Standard (BaRS)

ID

RM191

Version

2.0.0

Type

Roadmap Item

Frameworks

Title

Booking and Referral Standard (BaRS)

Description

The Booking and Referral Standard (BaRS) is an Interoperability Standard for healthcare IT systems that enables booking and Referral information to be sent between NHS service providers.

Date Added

Jun 23, 2023

Standards and Capabilities

Referral Management - GP, Interoperability Standard

Change Route

Managed Capacity - Other

Change Type

New

Status

Closed

Publication Date

Jul 26, 2023

Effective Date

May 31, 2024

Incentives / Funding

No

Incentive / Funding Dates

N/A

Background

In 2019, the Community Pharmacy Consultation Service (CPCS) was introduced, supporting Referrals into Community Pharmacy for a minor illness consultation and/or an emergency supply of medicines. Initially the service focused on channel shifting Patients from the 111 services (telephony and 111 online), but it has since been expanded to include Referrals from General Practices. Currently these Referrals are being made via a myriad of methods, Pharmrefer which sends an email message if the pharmacy is not using Pharmoutcomes and NHS Mail where the GP may email the pharmacy.

There is the need to make it easier and safer for Patients to access the care they need and for services to have the information they need to support this, and GP Practices need an efficient and effective way to be able to refer Patients into Community Pharmacy services. Community Pharmacy services need to receive Referrals from GP Practices and other sectors in a consistent way into their pharmacy system workflow where they are managed and responded to accordingly which includes the ability to forward the Referral when a service is not available.

The main aim for the Booking and Referral Standard (BaRS) is to digitise the Patient’s journey above, and to offer it from any GP Practice to any pharmacy for CPCS (regardless of the software they use). With the proposal to launch a Common Conditions Service that will channel shift Patients from General Practice into Community Pharmacy Service for seven common conditions, BaRS has been deemed an essential requirement for the digital infrastructure required to launch this service.

Currently these Referrals are being made via a myriad of methods, including:

  • For CPCS (Community Pharmacist Consultation Service) use PharmRefer to send a Referral via ITK or NHS mail

  • For BPC (Blood Pressure Check Service) to signpost the Patient with no electronic Referral

  • For CMS (Contraception Management Service) to signpost the Patient with no electronic Referral

There is the need to make it easier and safer for Patients to access the care they need and for services to have the information they need to support this, and GP Practices need an efficient and effective way to refer Patients into Community Pharmacy services. Community Pharmacy services need to receive Referrals from GP Practices and other sectors in a consistent way, into their pharmacy system workflow where they are managed and responded to accordingly. The main aim for the Booking and Referral Standard (BaRS) is to digitise the Patient’s journey above, and to offer it from any GP Practice to any pharmacy, regardless of the software they use for CPCS, BPC, CMS and the CCS (Common Conditions Service)

With the proposal to launch a Common Conditions Service that will channel shift Patients from General Practice into Community Pharmacy Service for seven common conditions, BaRS has been deemed an essential requirement for the digital infrastructure required to launch this service.

Outline Plan

All Foundation Suppliers must be compliant against this specification by the Effective Date. Prior to go live Suppliers must have completed the Solution Assurance by NHSE.

November 2023 – to support the launch of a new Common Conditions Service (Delivery Plan commitment)

Autumn/Winter 23/24 – to support further scale of the Blood Pressure Checks service and Pharmacy Contraception Service (Delivery Plan commitment)

Suppliers to provide feedback for BaRS Core by the 30th June.

Suppliers to provide feedback for BaRS Applications by the 10th July, once the link is updated with the GP to Pharmacy Application on the 3rd July.

Summary of Change

Additional MUST Epic added to Referral Management - GP Capability

E00441 - send GP Practice Outbound Referrals to Community Pharmacies for Patients

As a Health or Care Professional

I want to send GP Practice Outbound Referrals to Community Pharmacies for Patients

So that Community Pharmacy Health or Care Professionals can receive Referrals for Patients

Acceptance criterion 1: send GP Practice Outbound Referrals to Community Pharmacies for Patients

Given the Health or Care Professional is permitted to manage Outbound Referrals from GP Practices to Community Pharmacies for Patients

When the Health or Care Professional selects to send an Outbound Referral from a GP Practice to a Community Pharmacy

Then the GP Practice Outbound Referral is sent

E00441 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • Booking and Referral Standard (BaRS) Standard

New Booking and Referral Standard (BaRS) Interoperability Standard

Booking and Referral Standard (BaRS) v1.0.0

Updates to the Interoperability Standard:

Referral Management - GP

Interoperability Requirement

Dependencies

Interoperability Requirement

Dependencies

IM1 - Interface Mechanism Provider requirements  (if offering all Foundation capabilities)

  • NHS login service

e-Referral Service (eRS)

e-Referral Service FHIR API - Primary Care Referrer

For Suppliers of new services or applications:

  • Personal Demographics Service (PDS) - using PDS FHIR API

  • Authentication and Access - using NHS Care Identity Service 2 API

NHS e-Referrals Service - Referrer Compliance Document v1

For Suppliers of services which ARE currently deployed into an operational environment:

  • Personal Demographics Service (PDS) *

  • External Interface Specification (EIS)

  • NHS Messaging Implementation Manual (MIM)

*May be sourced indirectly by existing PDS interface provided by PIM Solution, either via API to PIM Solution, or as a shared application resource if delivered as part of the same Solution.

Booking and Referral Standard (BaRS)

  • BaRS provides a list of prerequisites in the BaRS Implementation Guide

  • The are no other dependent framework standards

Full Specification

  • Booking and Referral Standard (BaRS) v1.0.0

  • Referral Management - GP v2.0.0

Assurance Approach

Follow this link to find information about the assurance approach for the BaRS Standard.