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Umesh Modi is a chartered accountant, and Pamini Jatheeskumar is a chartered certified accountant at Silver Levene...
  Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead...
Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead pharmacist, Health and Wellbeing Directorate, Public Health England
More inWhite Papers  

a computer imageSeptember 29 2017

Pharmacy contractors may have to produce additional evidence to support claims for payment for medicines use reviews, NHS Business Services Authority has announced.

 From October, NHS BSA will be requesting evidence from a sample of contractors to support payment claims they have submitted for MURs over a specified period. It is anticipated that the system once bedded will be applied to other Advanced Services.

The initial period of six months will be a ‘proof of concept’ phase “to establish a centralised approach and evaluate its effectiveness.” Contractors will be asked to submit the signed patient consent forms for the service that correspond to the payment claims made with the next monthly prescription bundle.

“Contractors are reminded that a consent form signed by the patient is a prerequisite for undertaking an MUR,” says NHS BSA. It points out that these forms include obtaining permission from the patient that the data can be shared with NHS England and NHSBSA “to make sure the pharmacy is being correctly paid by the NHS for the service provided.”

PSNC has agreed the introduction of the new service, and says that the monitoring that has been in place up till now “has been the sole responsibility of local NHS England local teams; however, in many areas resource constraints have limited their ability to perform this work, which has resulted in a lack of consistency in how this is carried out across the country.”

The new process has been designed to be as easy as possible for contractors to provide the evidence, said PSNC. NHS BSA will be on hand to provide contractors with assistance if there are any difficulties.

In the interim, “contractors may want to review how they currently file signed patient consent forms; if for example, forms are filed alphabetically, by patient surname, a change to filing the forms in chronological order may be worth considering, making retrieval of forms for any specified time period easier, should the pharmacy be selected for participation in this work.”

Full instructions will be sent to contractors when they are selected to submit the necessary MUR documentation.

Links:
NHS BSA announcement                 
PSNC announcement      
NHS BSA ‘Post-payment verification of community pharmacy Advanced services’          

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