Community Pharmacy

ePharmacy Results

This page provides ePharmacy Programme national statistics on AMS electronic claiming and automation levels, MAS registration and consultation numbers and CMS Capitation, Registration and PCR usage data. This page will be updated monthly following completion of the monthly payment process. For AMS it also provides a summary version of the new Quality & Efficiency Payment Report summarising all CP activity. Each CP will receive a copy of this report for their Pharmacy with their Payment Schedule, or can access via online reporting.

Minor Ailment Service (MAS)

The following table details the national registration and consultation activity for the delivery of MAS.

MAS National Registration and Consultation Activity - 2012

Month/Year Number of Patients Registered New Registrations Consultations
April 848,783 47,951 127,814
March 845,266 84,491 158,112
February 837,478 76,898 141,942
January 828,595 64,311 123,584

MAS National Registration and Consultation Activity - 2011

Month/Year Number of Patients Registered New Registrations Consultations
December 2011 826,642 55,494 136,922
November 2011 817,202 56,029 131,005
October 2011 810,103 49,314 112,365

MAS Registrations (between September 2008 - 2010) can be found on the Information Services' Divisional website.

Acute Medication Service (AMS)

The two bar charts show the level of electronic claiming coming from all CPs and the percentage of electronic claims that are automated.

The electronic claim level in these charts is calculated by dividing all electronic claims received by the total claims submitted on paper prescriptions (but only for items where PSD was able to capture the barcode when the contractor submission is scanned at PSD). When PSD cannot capture the barcode from the paper prescription then it is unable to associate the electronic message with the paper form and in those cases the electronic message is unused and the claim is processed from paper. PSD is working to improve barcode capture rates.

The percentage of claims that are automated is calculated by dividing how many electronic claims ePay is able to determine the priceable item without a PSD operator intervention by the total number of electronic claims submitted.

You can enlarge any of the graphs by clicking on them.

Item Volumes - 2011/12

Month/Year Number of Items on GP10s, barcode read, dispensed at CPs Number of items submitted electronically Automated items
February 2012 6,372,961 4,882,129 3,767,067
January 2012 6,087,634 4,438,472 3,341,058
December 2011 7,214,933 4,969,214 3,723,607
November 2011 6,511,274 4,142,811 3,052,365
October 2011 6,327,902 3,932,199 2,866,835
September 2011 6,502,395 4,185,178 2,980,314
August 2011 6,647,568 4,143,612 2,888,492

Percentage of Electronic Claims automated - February 2012

Graph of AMS Automation Percentages - February 2012

Community Pharmacy Usage - February 2012

Graph of Electronic Claim Levels - February 2012

Chronic Medication Service (CMS)

Capitation

Contractors can check and compare their monthly CMS activity and capitation payment as reported in their schedules against pharmacies of a comparable size by checking the monthly summary report (February 2012).

NHS Circular:PCA(P)(2011)11 Transitional and Shadow Fee Payment Restructuring introduced from 1st October a CMS payment based on a simple capitation model. The circular required that all contractors would contribute to a CMS Capitation Payment Pool Amount, which is then redistributed amongst all eligible contractors on the basis of the number of patients registered by each contractor and assigned with a priority care plan in the patient’s care record.

The CMS Capitation Payment payable each month is itself stabilised so that for each contractor it may not exceed a figure of one tenth above or one tenth below their contribution to the pool. The funds in the pool will be adjusted in respect of any over/under payment in deploying the previous month’s pool.

The table below details the national Total Number of Assessed Registrations the contributed CMS Capitation Payment Pool Amount, the previous month’s variance figure and the Adjusted CMS Capitation Payment Pool Amount to be applied for the identified dispensing month's payment calculation.

Dispensing Month March 2012
Total No of CMS patients assessed 81,566
Contributed CMS Capitation Payment Pool Amount £1,496,889.86
Last Month's Variance £165,987.12
Adjusted CMS Capitation Payment Pool Amount £1,662,876.98
Actual CMS Capitation Payment £1,476,380.21
This Month's Variance £186,496.77

 

Dispensing Month February 2012
Total No of CMS patients assessed 56,614
Contributed CMS Capitation Payment Pool Amount £1,495,644.15
Last Month's Variance £240,149.22
Adjusted CMS Capitation Payment Pool Amount £1,735,793.37
Actual CMS Capitation Payment £1,468,420.76
This Month's Variance £267,372.61

Activity

The following table details the increase over time of the delivery of CMS by describing the change in registrations, the number of Pharmacy Care Records and the number of records where a care issue has been identified and recorded.

The graph below shows how CMS registration and PCR activity has changed over time. Graph gives some indication of how many patients with CMS registrations have had a PCR created for them as well as whether the patient has been assessed in terms of their care requirements.

Similarly the following graph details care issue management by comparing the number of open issues against those that have been completed. This comparison provides some indication of how patient care issues are being managed.

Status of CMS Registrations - 2012

Date No of Registrations/No of CPs No of PCR Records/No of CPs No of PCRs with care issues/No of CPs
April 154,263/1230 135,001/1210 14,017/885
March 147,119/1231 128,274/1210 13,273/877
February 121,197/1231 94,561/1200 10,609/807
January 102,547/1228 72,336/1186

8,561/741

Status of CMS Registrations - 2011

Date No of Registrations/No of CPs No of PCR Records/No of CPs No of PCRs with care issues/No of CPs
December 92450/1226 60294/1165 7438/696
November 85260/1224 50175/1128 6269/647
October 80678/1224 43950/1104

5289/597

CMS Registrations - April 2012

Graph of CMS Registrations as at February 2012

Care Issue Management - April 2012

Graph of CMS Care Issue Management as at February 2012

Quality & Efficiency Payment Report

The following table is a summary of all CPs electronic claiming and automation. Each CP will receive a copy of this report for their own Pharmacy within the printed payment schedules. This report will be one month in arrears of the rest of the data in the payment schedule. By comparing your individual report with the summary table below you will be able to see how your Pharmacy compares with the national average.

Information on Items Claimed Electronically - February 2012

Quality & Efficiency Report - February 2012

The Q&E electronic claim percentage averaged across all CPs is about 9% higher than the absolute electronic claim rate and averaged over 85% for February 2012, a 3.5% increase over January. The reason the Q&E claim level is higher than the absolute electronic claim level is because the Q&E calculation does not expect care home or instalment dispensings to be claimed electronically and discounts them from the potential items that could be claimed electronically, but any that are claimed electronically will count towards the Qualifying electronic claims.