|
Q & A - New Contract
Index
NC502 – Exception Reporting
NC501 - Pharmacy enhanced services
Q NC502 – Exception Reporting – Do patients who have been 'exception reported' for 2004-5 remain exception reported for 2005-6 or do we
have to go through the same procedure of sending 3 letters before we 're-exception report' them? (01/02/05)
Answer – Most exception codes must be re-checked and recorded annually. The exceptions are drug allergies and adverse reactions and contraindications (eg Aspirin in CHD patients) where the coding is life-long. ‘Never Smoked’ is also a life-long record, but must be recorded subsequent to the relevant diagnosis to qualify for the smoking records indicator. Life-long coding does not need to be added every year.
Further information:
Quality and Outcome Framework - Exception Reporting ;
Page 3 of
Quality and Outcomes Framework Guidance – Updated August 2004 ;
Focus on exception reportingFebruary 2004
CED
Q NC501 - Pharmacy enhanced services - Will enhanced services provided by pharmacies be funded from the same 05/06 floor as
GMS/PMS enhanced services in 2005-6? (10/01/05)
Answer – We have been assured that the Pharmacy contract will NOT
come from the same floor.
The rules around the use of the ES floor are laid out in Delivering Investment in General Practice
This clearly sets out, in paragraph 2.78, that, if a PCT proposes to re-commission a service that had previously been provided by an NHS
provider, it would count towards the floor only if it would be contestable, or could be reasonably provided by GMS and PMS contractors
Since most of the pharmacy provided Enhanced Services will not be contestable, they cannot form part of the floor. However, if a
pharmacist bid successfully for an Enhanced Service which does form part of the floor, such as INR or near-patient testing, this would then become part of the floor.
CED
|
