QPS Gateway Criteria


To qualify for payments related to successfully meeting the elements of the QPS scheme, contractors must first meet four gateway criteria:

  1. the contractor must be offering at the pharmacy Medicines Use Reviews (MUR) or the New Medicine Service (NMS) or must be registered to provide the NHS Urgent Medicine Supply Advanced Service;
  2. the NHS Choices entry for the pharmacy must be up to date;
  3. pharmacy staff at the pharmacy must be able to send and receive NHS mail; and
  4. the contractor must be able to demonstrate ongoing utilisation of the Electronic Prescription Service (EPS) at the pharmacy premises.

Passing the gateway criteria will not itself earn a Quality Payment for the contractor but will meeting the quality criteria by the first review date will allow the contractor to claim the Quality Payment for criteria they meet on the review date(s).

1. Provision of one specified Advanced Service:

Pharmacies must be offering either MURs, NMS or be registered for NUMSAS on the day of each review (i.e. 28 April 2017 and 24 November 2017). Pharmacies will be required to declare through the NHS BSA online declaration page which of these services they are offering or are registered for.

This is a gateway criterion and it must therefore be complied with before any payment can be achieved.

Please note:  Contractors making declarations to the NHS BSA that they are offering either the NMS or MURs under the advanced service gateway criterion must ensure that the service is visible on their NHS Choices profile on the relevant review date.

2. The NHS Choices entry for the pharmacy must be up to date.

On the day of the review, the NHS Choices entry for the pharmacy must be up to date.

More information on the QPS NHS Choices page

3. Pharmacy Staff must be able to send and receive NHS mail

On the day of the review, Pharmacy staff at the pharmacy must be able to send and receive NHS mail (Note: For the April 2017 Review, evidence of application for an NHS Mail account by 1 February 2017 will be acceptable).

More information on the  QPS NHS Mail page

4. Contractor must be able to demonstrate ongoing utilisation of Electronic Prescription Service (EPS)

On the day of the review, the pharmacy contractor must be able to demonstrate ongoing utilisation of the Electronic Prescription Service at the pharmacy premises.

In order to meet this gateway criterion, the contractor must be able to demonstrate ongoing use of EPS at the pharmacy premises as set out in the Pharmacy Quality Payments Gateway Criteria Guidance (EPS release 2 enabled, ongoing setting of patient nominations and appropriate endorsement of EPS Release 2 scripts).

Contractors will be required to declare via the NHS BSA online declaration page that they meet this criterion.
In addition to being a QPS gateway criterion

use of  EPS release 2 triggers a payment of an allowance which NHS pays towards cost of implementation of EPS 2.  This allowance must be claimed by 31.2.2017 or you will not be eligible to claim it. Any pharmacy which has not yet accessed the test prescription is advised to do this before 31.3.2017 in order to receive your allowance. 

Q. Claiming the EPS Release 2 Allowance –  applicable until March 2017

A. Contractors must have gone live with EPS R2, and the test prescription have been sent (see FAQ below) before the end of March 2017. The one-off set up fee for EPS Release 2 will cease from April 2017.

Q. What is the synthetic reimbursement endorsement message that triggers the EPS Release 2 payment?
A.
 As a final test for successful deployment of Release 2, an individual dispensing contractor will be given a barcode of a digitally signed test prescription to download and dispense. The contractor will then request and download the digitally signed test prescription from the Spine. The contractor will ‘dispense’ the script then send a notification and a synthetic electronic reimbursement endorsement message to the spine. The spine will then forward the pharmacy’s “synthetic” message to the Pricing Authority. This will act as the trigger for:

  • the Release 2 allowance (if before end of March 2017); and
  • a contractor being classified as enabled for nomination (and hence this information being fed through to NHS Choices)