Quality Payments Scheme – what to do, when to do it and how to report and claim

Quality Payments Scheme – what to do, when to do it and how to report and claim

June 24, 2018

Quality Payment Review Point

(Friday 29th June 2018)

 Declaration Information:

Community pharmacy contractors are now able to access the Quality Payments online declaration portal on the NHS Business Services Authority (NHS BSA) website.

Some pharmacies/multiples will arrange for this to be done centrally, please check with your company managers/head office to find out the company procedure for your pharmacy first.

The portal, which opened at 9am Monday 11th June will remain open until Friday 13th July 2018 at 11.59pm for contractors to complete their declarations. Although the review date is not until Friday 29th June 2018, contractors can start adding data for the criteria they have already achieved and will be able to re-enter the portal to add information at a later date before the portal closes. However, contractors must remember to re-enter the portal and submit the declaration before Friday 13th July 2018 at 11.59pm otherwise they will not be entitled to any Quality Payment.

Once a contractor has submitted their online declaration it cannot then be altered. It is, therefore, imperative that contractors check their declaration thoroughly before submitting their declaration on the website.

Once the declaration has been submitted the contractor will receive an email from NHS BSA confirming that the declaration has been successfully submitted and confirming the details that have been declared. This email should be retained by the pharmacy as proof that the declaration was submitted and the date of submission. The email will show how contractors have responded to each of the gateway and quality criteria.

NHS BSA has published a document which outlines the questions that will be asked so contractors can view these ahead of making their declaration.

FAQs

  1. The declaration portal opens on Monday 11th June 2018 which is before the review point (Friday 29th June 2018). Can I submit my declaration on the NHS BSA website for a Quality Payment before the review date?
    Contractors can access the NHS BSA portal to make their declaration before the review point and it would be up to the contractor to decide if it is appropriate to submit their declaration before the review point.

Contractors can start adding data and will be able to re-enter the portal to add information at a later date before the portal closes; however, contractors must remember to re-enter the portal and submit the declaration before Friday 13th July 2018 at 11.59pm otherwise they will not be entitled to a Quality Payment.

Contractors can also submit their declaration before the review date, if they know they will definitely meet the criteria they are claiming for before the review date. Contractors are, however, reminded that once their declaration has been submitted, it cannot then be altered. It is therefore imperative that contractors are satisfied that the information they submit is correct.

  1. Do I need to submit evidence to the NHS BSA to show that I have met the gateway and quality criteria when I submit my declaration?
    No. Evidence does not need to be submitted during the declaration process. However, contractors’ declarations of compliance with the gateway and quality criteria will be subject to checks by the NHS BSA, when they undertake post-payment verification of the scheme on behalf or NHS England.
  2. If I submit the declaration in error, part way through completing it, can I resubmit it?
    No. It is not possible to resubmit the declaration, even if it was submitted in error.

Other FAQs on claiming Quality Payments can be found on the Quality Payments – FAQs page of the PSNC website.

 

Quality Payments: New NHS England guidance for June 2018 review point published

NHS England has published guidance on the Quality Payments Scheme for the June 2018 review point which can be found below

quality-payments-guidance-for-june-2018-declaration

The guidance document considers the learnings identified following the November 2017 declaration, the validation procedures and the subsequent modifications that have been made to processes for the June 2018 declaration. It also clarifies the requirements for meeting the gateway and quality criteria, completing the June 2018 declaration process and where possible, the evidence required to meet the validation procedures.

The new guidance should be read in conjunction with NHS England guidance documents on the Quality Payments Scheme listed below which are available on the NHS England website:

  • NHS England – Pharmacy Quality Payments Gateway Criteria Guidance (published 23rd December 2016); and
  • NHS England – Pharmacy Quality Payments Quality Criteria Guidance (published 27th February 2017).

All three guidance documents can be found on the NHS England website.

PSNC resources:

Visit the PSNC Quality payment webpage here

The PSNC webpage will give you information about how to achieve the Gateway Criteria and Quality Criteria specific for the June review point.

PSNC has published various resources for community pharmacy contractors to assist them with meeting the gateway and quality criteria of the Quality Payments Scheme:

If you have any queries on this PSNC Briefing or you require more information, please contact Zainab Al-Kharsan, Service Development Pharmacist.




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