Recording Extended Care on PharmOutcomes

This information applies to the Extended Care Service across the whole NHSE&I Midlands Region

Service Recording on PharmOutcomes

Only pharmacies who have returned the signed SLA to NHSE will access to the new PharmOutcomes modules.  There are several modules for completion.

January 2022 – NHSE&I announcement

extended care pharmacy services – sign ups for new providers has been paused.

The NHSE National Antimicrobial Resistance (AMR) Programme Board has requested that the DHSC UK AMR Board’s Research Co-ordination Group commission an National Institute for Health Research (NIHR) programme of work to look at the quality, safety, effectiveness and appropriateness of new and existing clinical services to manage infection provided by community pharmacies and other care settings, including the supply of antimicrobials without a prescription under the legal direction of a PGD. 

The Board has advised local commissioners to pause new services until this work has been undertaken.

Following this recommendation, a decision has been made regionally to suspend any new SLA sign up’s to the Midlands Region Extended Care Tier 1 and Tier 2 services with immediate effect.

This does NOT impact those pharmacies currently providing the service.

Community Pharmacies currently providing Tier 1 and Tier 2 services can continue to provide services to patients as normal. As a current provider, if you have a change in pharmacist, then they also can sign the PGD’s and provide the service(s). The suspension relates to the sign up of new sites only.  

The message informing pharmacies about this decision was sent by NHSE&I Midlands Region to all pharmacy NHS mail addresses and was also copied to all of the Midland Region LPCs.

Extended Care Jan 2022 NHSE&I Information letter

Logging on to PharmOutcomes

Remember that the log in for PharmOutcomes is specific to a pharmacy not to the pharmacist.  So to get onto the system you will need the pharmacy log in details.  If you work as a relief pharmacist or locum you will need to ensure that the branch can get you onto the PharmOutcomes system – the pharmacy log in details should be available for you to use, or a staff member can get onto the system for you.

This sometimes causes confusion when pharmacists are new to PharmOutcomes, this is because they feel the system would need them to log in – expecting a similar process to NHS EPS with everyone having their own smart card.  But once into the service modules the pharmacist then has to enrol and every time they provide the service their name and details are associated with that patient record.

Pharmacist Enrolment

In order to record the consultations on PharmOutcomes the pharmacist must complete a pharmacist enrolment form within the new UTI module. They must give the CPPE system permission to allow PharmOutcomes to access their CPPE record in order to confirm completion of the DoC for this service. If this was not done while on the CPPE website a link within the PharmOutcomes pharmacist enrolment module will take the pharmacist to the relevant part of the CPPE website.  For more information on PharmOutcomes and DoC please see the relevant pages on this website – details can be found by scrolling through the service info on the pages for  UTI and ABC

Community Pharmacy Extended Care  – Patient Registration

The new Community Pharmacy Extended Care Patient Registration module is to be used for the whole family of services, all Extended Care Service Tiers share the same registration module.  This should reduce the number of times you have to record patient details.

If the patient has registered with another service at your pharmacy you will see their details in a drop down list – you can select this if it is the correct patient but you will still need to complete this registration module to record consent etc specifically for this service.

Consultation and Supply 

There is a separate module for each of the community pharmacy extended care Tier 1 and Tier 2 services and the correct module should be selected (ie the service you are delivering).

You can only complete a service provision for patients who are registered for the extended care services, so if the patient name does not appear when you start to type details  in the “patient name” box in the consultation and supply module you will need to go to the registration module and add them there before proceeding.

The initial consultation and supply modules are set up so that you are paid the professional fee (VAT Exempt) regardless of whether the patient received medication or not.

Ensure you answer all the questions on the consultation and supply module correctly at the time of the initial consultation, this will ensure that the consultation appears in the patient’s PharmOutcomes record (and will also trigger the correct fee).

If the patient is supplied with medication at the initial consultation via PGD, saving the module would also trigger the additional professional fee (VAT Exempt) plus drug cost at DM+D (+ standard rate VAT) less any NHS levy collected.

Deferring Treatment
Please do discuss deferring treatment with patients, it may help them accept deferred treatment options if they understand that they will not have to re-attend for a full consultation. We had deferment as an option during the ENT pilot phase of the service and we found it most helpful if you describe it as “keeping their appointment ‘open’” so they can return for medication if the infection does not clear up.

Before you send the patient away: Please ensure that the PGD treatment is suitable for the patient (consider inclusion and exclusions in PGD). If treatment would be allowed under PGD you may advise deferment and return to your pharmacy within next 5 days for treatment. This approach will save the patient a wasted journey because you are only asking those to return who are not excluded from PGD treatment.

(NB If the PGD treatments are not suitable you will need to consider onward referral, these patients may still defer treatment but would need to attend elsewhere if they needed treatment at end of deferment.)

Deferred Treatment Record

There is a single deferred treatment record for the community pharmacy extended care services and this should be used to record supply of deferred treatment for any of the conditions covered by the service.  The deferred treatment module is linked to the same registration module.

The Extended Care Deferred Treatment Record allows you to record treatment supplied for any of the extended care conditions – one module covers all conditions.

When you record the deferred treatment this will trigger the additional professional fee (VAT Exempt) plus drug cost at DM+D (+ standard rate VAT) less any NHS levy collected.

If the patient does come back to collect treatment do NOT record it in the consultation and supply module. You MUST USE the Deferred Treatment Module.
This is because, for invoicing purposes, PharmOutcomes looks at each record one time only so that although you could go in and edit the original record to show a supply, this will not result in payment for deferred treatment.