Pharmacy Quality Scheme


Pharmacy Quality Scheme 2020 to 2021

PQS part 1.

A new Pharmacy Quality Scheme (PQS) for the first part of 2020/21 was announced on 13th July 2020. The focus of the scheme is ensuring community pharmacy contractors and their teams have put in place all reasonable measures to respond to the COVID-19 pandemic, protecting both themselves and the people using their services. This scheme and the second part of PQS in 2020/21, which is being developed for the second half of the year, replace the original 2020/21 scheme that PSNC had agreed with the Department of Health and Social Care (DHSC) and NHS England and NHS Improvement (NHSE&I), and which, prior to the start of the pandemic, had been due to commence in April 2020.

Please see below a useful table for all the training needs for part 2 of the PQS

Scheme requirements

To meet the requirements of the new scheme, contractors need to complete all 14 actions set out in a checklist, all of which relate to the response to the pandemic; many contractors will already have undertaken most if not all of the actions in the checklist over the last few months.

Download the Part 1 2020/21 PQS Checklist

We recommend using the following Evidence checklist to support you in completing each action. You will find useful resources and links along with the suggested evidence.

https://psnc.org.uk/wp-content/uploads/2020/07/PSNC-Briefing-024-20-Part-1-2020-21-Pharmacy-Quality-Scheme-Essential-Criteria-Checklist-for-COVID-19-–-Evidence-checklist-1-1.pdf

PSNC has also published the following support materials for contractors:

Funding and claims

The funding made available for the scheme is £18.75m and all contractors meeting the requirements can claim a payment of £1,630 via the NHSBSA’s Manage Your Service (MYS) portal.

Claims via MYS can be made between 14th July 2020 and 23:59 on 29th January 2021.

Any residual funding not paid to contractors within the Part 1 scheme will be distributed as part of payments in the Part 2 2020/21 scheme. Payments will be made by the NHSBSA as soon as possible after a claim has been submitted, with, for example, any claims submitted by 5th August 2020 being paid on 1st September 2020.

 

 

PQS – Pharmacy Quality Scheme Part 2. 

Part 1 must have been completed before you are eligible to claim part 2 declaration in February 2021. 

Domain  Summary of the criteria 

Infection Prevention and Control and Antimicrobial Stewardship 

Domain 

 

 

Infection Prevention and Control 

All non-registered pharmacy staff to have completed the ‘HEE infection prevention and control Level 1 e-learning and assessment’: https://portal.e-lfh.org.uk/Component/Details/459777 

(This training is being adapted early in September to make the references more relevant to community pharmacy. Contractors are advised to leave completion of this training until late September.) 

All registered pharmacy professionals to have completed the ‘HEE Infection Prevention and Control Level 2 e-learning and assessment’: https://portal.e-lfh.org.uk/LearningContent/Launch/558047 

(This training is being adapted early in September to make the references more relevant to community pharmacy. Contractors are advised to leave completion of this training until late September.) 

Antimicrobial Stewardship  

All patient facing pharmacy staff that provide advice on medicines or health care to have completed the ‘PHE Antimicrobial Stewardship for Community Pharmacy e-learning and e-assessment’: https://portal.e-lfh.org.uk/Component/Details/602874 

Develop an antimicrobial stewardship action plan for the pharmacy; all patient facing staff that provide health advice should become Antibiotic Guardians and have an awareness of the local antibiotic formulary.  – found here Antimicrobial guidelines 2019 Final version

Prevention Domain 

 

 

Suicide awareness and action plan 

All* patient-facing staff must have completed the Zero Suicide Alliance (ZSA) training: 

https://www.zerosuicidealliance.com/training/pharmacy-quality-standard-training?utm_source=pharmacy&utm_campaign=quality_standard 

*Staff members, who have been affected by suicide and do not wish to undertake the ZSA training, are exempt from completing it. 

Prepare or update an action plan which includes the action to take if anyone reports to staff that they have suicidal feelings. 

Sugar sweetened beverages 

Sales by the pharmacy (the registered pharmacy premises) of Sugar Sweetened Beverages must account for no more than 10% by volume in litres of all beverages sold. 

Weight management 

All non-registered patient-facing pharmacy staff that provide health promoting advice to have completed the ‘PHE All Our Health: bitesize training and assessments on Adult Obesity and Childhood Obesity’, https://www.e-lfh.org.uk/programmes/all-our-health/ 

All registered pharmacy professionals to have completed sections 1 and 3 of the ‘CPPE Weight management for adults: understanding the management of obesity training and assessment’: https://www.cppe.ac.uk/programmes/l/weightman-e-01;https://www.cppe.ac.uk/programmes/l/weightmane-a-06/. 

Develop and implement an action plan of how the team would proactively engage with people to discuss weight and assist a person who would like support with their weight. The action plan should include a list of local support or physical activity groups that the person could be referred to and support materials/tools they could use. 

Risk Management 

Domain 

 

 

Risk Management 

Registered pharmacy professionals to have completed the ‘CPPE risk management training and e-assessment’: https://www.cppe.ac.uk/programmes/l/riskman-g-02;https://www.cppe.ac.uk/programmes/l/riskmang-a-03/. 

If the training and assessment were satisfactorily completed between 1st April 2018 and 31st March 2020, this does not need to be repeated in 2020/21. 

A new risk review, or an update of the previous risk review covering the risk of missing sepsis identification and the risk of missing red flag symptoms during over the counter consultations, both with demonstrable risk minimisation actions that have been undertaken. 

Primary Care Network prevention domain 

 

 

Influenza vaccination service 

The aim of this criterion is to increase the uptake of flu vaccination to patients aged 65 and over. Contractors in the PCN that wish to be involved, should agree how they will collaborate with each other and discuss how they could collaborate with general practice colleagues to achieve the above aim. 

 

These discussions will be facilitated by the Community Pharmacy PCN Lead and they will also engage with the PCN Clinical Director to discuss collaborative working. 

 

Primary Care Network Business Continuity domain 

Primary Care Network (PCN) Business Continuity discussions 

The aim of this criterion is to facilitate a coordinated response through liaison with other contractors and general practices, when a temporary closure of a pharmacy or general practice occurs. 

These discussions will be facilitated by the Community Pharmacy PCN Lead and they will also engage with the PCN Clinical Director to discuss the issue. 

 

Pharmacy staff with a patient-facing role include all registered pharmacy professionals, all pre-registration graduates, dispensary staff, medicine counter assistants, delivery drivers and locums.                                                              

Registered pharmacy professionals include pharmacists, provisionally registered pharmacists, pharmacy technicians and locum pharmacists.      

For all training completed, contractors are advised to ensure a copy of the personalised certificate provided upon completion of the training is retained, as evidence that all members of staff have completed the training. 

Acknowledgement and adapted from Tees Local Pharmaceutical Committee 

Antibiotic formulary

The Local Antibiotic Formulary can be found here Antimicrobial guidelines 2019 Final version

Pharmacy Quality Scheme 2019 to 2020

The Pharmacy Quality Scheme (PQS)  is the new name for the Quality Payments Scheme, which forms part of the Community Pharmacy Contractual Framework (CPCF).In July 2019, a new PQS was announced for the remainder of 2019/20 as part of the five-year deal for the CPCF. The new scheme has funding of £75 million and a review period in February 2020.Changes to the PQS are summarised in PSNC Briefing 041/19: The Pharmacy Quality Scheme 2019/20 (September 2019).

Guidance documents

NHS England and NHS Improvement guidance:

NHS England and NHS Improvement PQS 2019/20 guidance

PSNC guidance:

PSNC Briefing 041/19: The Pharmacy Quality Scheme 2019/20

Important PQS dates for the diary

The below table is also available as a standalone document:

Important Pharmacy Quality Scheme 2019/20 dates for the diary (PDF)

Date Why is this date important?
30th September 2019 The window opened for contractors to claim for an Aspiration payment on MYS. This opened at 9am.
1st October 2019 The window opened for contractors to update their NHS website profiles or for distance selling pharmacies (DSPS) to send an email to the NHSBSA Provider Assurance Team (further details will be available in the NHS England and NHS Improvement (NHSE&I) Pharmacy Quality Scheme (PQS) 2019/20 guidance). This opened at 00:00am.

Contractors should start checking that all patients with diabetes, have had foot and eye checks (retinopathy) in the last 12 months.

DATE: CONTRACTORS NEED TO START WORKING ON THIS QUALITY CRITERION ON THIS DATE TO ENSURE THEY ARE ELIGIBLE TO MEET THIS QUALITY CRITERION.

The window opened for contractors to update their NHS 111 DoS profiles. This opened at 00:00am.
The window opened for contractors to demonstrate access to SCR. This opened at 00.00am.
1st November 2019

The window closes for contractors to claim for an Aspiration payment on MYS. This closes at 11.59pm.

DO NOT MISS THIS DEADLINE: CONTRACTORS WILL NOT BE ABLE TO CLAIM AN ASPIRATION PAYMENT IF THEY MISS THIS DEADLINE.

29th November 2019

This is the final day by which contractors must have started the lithium audit, or other patient safety audit if they have no patients receiving regular lithium prescriptions. This will allow contractors to complete their lithium audit, within a three month consecutive period (if the contractor starts the audit when the pharmacy opens on 29th November 2019 and makes their declaration on the final day of the declaration window (28th February 2020) after the pharmacy has closed for the day.

Contractors are strongly encouraged to start their lithium audit well before this date to reduce the risk of missing this deadline and allow themselves more flexibility on the date on when they make their declaration.

This is the final day by which contractors must have started their valproate audit. This will allow contractors to complete their valproate audit, within a three month consecutive period (if the contractor starts the audit when the pharmacy opens on 29th November 2019 and makes their declaration on the final day of the declaration window (28th February 2020) after the pharmacy has closed for the day.

Contractors are strongly encouraged to start their valproate audit well before this date to reduce the risk of missing this deadline and allow themselves more flexibility on the date on when they make their declaration.

Contractors will be paid their Aspiration payment (if they claimed within the required time period).
30th November 2019

The window CLOSES for contractors to update their NHS website profiles or for DSPs to send an email to the NHSBSA Provider Assurance Team (further details will be available in the NHSE&I PQS 2019/20 guidance). ThisCLOSES at 11.59pm.

DO NOT MISS THIS DEADLINE: CONTRACTORS WILL NOT BE ABLE TO CLAIM A PQS PAYMENT IF THEY MISS THIS DEADLINE AS THIS IS A GATEWAY CRITERION.

The window CLOSES for contractors to update their NHS 111 DoS profiles. ThisCLOSES at 11.59pm.

DO NOT MISS THIS DEADLINE: CONTRACTORS WILL NOT BE ABLE TO CLAIM FOR THE DIGITAL ENABLERS DOMAIN IF THEY MISS THIS DEADLINE AS CONTRACTORS NEED TO MEET ALL THE QUALITY CRITERION WITHIN A DOMAIN TO BE ABLE TO CLAIM PAYMENT FOR THAT DOMAIN.

31st January 2020 Contractors can stop checking that all patients with diabetes, have had foot and eye checks (retinopathy) in the last 12 months (please note, eye checks are only for patients with diabetes aged 12 or over) in order to meet the quality criterion.
1st February 2020

This is the final day by which contractors must have started their NSAID audit. This will allow contractors to complete the NSAID audit within four weeks (the audit may be required to be completed over four weeks if the required number of patients do not present within a two week period). The contractor will need to start the audit when the pharmacy opens on 1st February 2020 and if they contractor is required to complete the audit over a four week period, make their declaration on the final day of the declaration window (28th February 2020) after the pharmacy has closed for the day.

Contractors are strongly encouraged to start their NSAID audit well before this date to reduce the risk of missing this deadline and allow themselves more flexibility on the date on when they make their declaration.

3rd February 2020 The window opens for contractors to claim for a PQS payment on MYS (this opens at 9am).
28th February 2020

The window closes for contractors to claim for a PQS payment on MYS (this closes at 11.59pm).

DO NOT MISS THIS DEADLINE: CONTRACTORS WILL NOT BE ABLE TO CLAIM A PQS PAYMENT IF THEY MISS THIS DEADLINE.

31st March 2020 Deadline for contractors to meet the Sugar Sweetened Beverages quality criterion, if not already done so when they made their PQS declaration.
1st April 2020 Contractors will be paid their PQS payment (if they claimed within the required time period).