PharmOutcomes Recording for Extended Care Services

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

Service Recording on PharmOutcomes

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

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.

Recording on PharmOutcomes NHSE Extended Care Services Midlands Region 2023-24

7-day Follow-Up –  It is important to agree the 7-day follow-up with the patient at the start of the consultation as you will only get paid if you complete a follow up.  Perhaps, rather than just an alarm reminder, what the pharmacy need to do is agree a date, add what time to call the patient and then put that in some sort of diary entry as a fixed reminder.

The 2023/24 PharmOutcomes modules are listed and summarised below.

Extended Care Services Midlands 2023/4

Extended Care Services – Patient Registration 2023 (Midlands)

Extended Care Acute Bacterial Conjunctivitis Consultation and Supply 2023 Midlands (Tier 1 Service)

Extended Care Simple UTI Consultation and Supply Midlands 2023 (Tier 1 Service)

Extended Care Impetigo Consultation and Supply Midlands 2023 (Tier 2 Service)

Extended Care Infected Eczema Consultation and Supply Midland 2023 (Tier 2 Service)

Extended Care Infected Insect Bites Consultation and Supply Midlands 2023 (Tier 2 Service)

Extended Care Deferred Treatment Record Midlands 2023

Extended Care 7-Day Follow-Up 2023 Midlands

Extended Care Clinical Waste Payment Claim 2023-24

Patient Registration Module: all patients must be registered in this module to receive the service; this module covers all of the tiers and conditions.

Consultation and Supply Modules: there is a module for each individual condition in tier 1 and 2 and should be used to record the consultation and outcome (record if patient received advice (with or without OTC purchase), advice plus agreed to defer antibiotics or advice plus treatment under PGD (GP notification sent).

Please note: if a patient agrees to defer antibiotics you should check they would be eligible for supply under PGD during this initial consultation because, if they do return to you, it would be frustrating for them to come back only for you to then you say you can’t supply and they then have to go to their GP for treatment.

Deferred Treatment Module: one module covers all of the tiers and conditions.  This is a short module that records drug given and triggers the GP notification.

7-Day Follow-Up Module: one module covers all of the tiers and conditions.  This is an integral part of the extended care service and MUST be completed for every patient.

Clinical Waste Payment Claim for UTI service:  Each pharmacy must complete this module once before 31.03.2024 to claim the annual clinical waste payment (late claims will not be allowed).  Pharmacies that join the service from July 2023 will get access to this module at the same time as they get access to the UTI modules.

Payments 2023-2024

Recording different parts of the service trigger the relevant service payments.

Consultation, advice and follow up fee – this fee is £17 (zero rate VAT) and is added to the invoice when the 7-day follow-up is recorded.

Medication supply – invoiced at drug tariff (+ standard VAT) along with a £3 (zero rate VAT) professional fee to reflect the extra recording and patient advice required – this will be added to the invoice when a supply is recorded in the consultation module or when it is recorded in the deferred treatment module.

NHS levies – any levies collected will be deducted from the invoice total.

Clinical waste – the one-off payment will be invoiced when you add your clinical waste claim to PharmOutcomes.

Pharmacist Enrolment to provide NHSE Extended Care Services Midlands Region 2023-24

Each of the 2023-24 consultation modules on PharmOutcomes, for both Tier 1 and Tier 2 services have a pharmacist enrolment which needs to be completed by every pharmacist, this applies even if the pharmacist was previously enrolled and delivering the service.

The enrolment involves the pharmacist confirming that they are familiar with the various PGDs and the contract (LES) for the service.

As part of the enrolment process for locally commissioned services where we use the DoC, the requirement is that the DoC has been signed within 3 months of enrolling.