Notice board

The Middlesex Pharmaceutical Group of LPCs recommends most strongly that you obtain consent from patients/family members/and or mandated carers in seeking nomination for downloading EPS2 prescriptions.

Without that consent you do not have the right to view patient data relating to the prescription you may have downloaded. All data downloads are traceable by the HSCIC and individually you can trace the whereabouts of a prescription using the prescription tracker and inputting the patient’s NHS number.

Failure to obtain consent could result in a patient or professional colleague ( another contractor) making a complaint to the GPhC about your fitness to practice by your conduct not meeting with standards expected of you by the professional regulator for pharmacy (the GPhC).

In obtaining consent for the professional services they provide, health care professionals should ensure that patients are provided with sufficient and timely information. EPS is no different.

Checking consent and reconfirming information is an ongoing process rather than a single act. Health care professionals must seek a patient’s consent on each occasion that is necessary, such as after a change in circumstances, not only at the beginning of the process. Obtaining patient consent for nomination is a local process

Recently a number of issues have been raised with the Middlesex Group LPC office about patient nomination for EPS2 and patient consent.

The GPhC Standards of conduct, ethics and performance Section 3 refers to “showing respect for others”.

Showing respect for other people is essential in forming and maintaining professional relationships.

3.6 You must:  Get consent for the professional services you provide and the patient information you use

The Middlesex Group of LPCs has learned that there have been incidences where pharmacies have not sought appropriate consent from their patients to seek their nomination for the purpose of downloading EPS2 prescriptions and patient data.

The Middlesex Pharmaceutical Group of LPCs recommends most strongly that you obtain consent from patients/family members/and or mandated carers in seeking nomination for downloading EPS2 prescriptions.

Without that consent you do not have the right to view patient data relating to the prescription you may have downloaded. All data downloads are traceable by the HSCIC and individually you can trace the whereabouts of a prescription using the prescription tracker and inputting the patient’s NHS number.

Failure to obtain consent could result in a patient or professional colleague ( another contractor) making a complaint to the GPhC about your fitness to practice by your conduct not meeting with standards expected of you by the professional regulator for pharmacy    (the GPhC) in that you must be :-

Be honest and trustworthy as patients and the public put their trust in pharmacy professionals.

You must behave in a way that justifies this trust and maintains the reputation of your profession.

Section 6 refers “to patients and the public who put their trust in pharmacy professionals”. You must behave in a way that justifies this trust and maintains the reputation of your profession.

You must:

6.1 Act with honesty and integrity to maintain public trust and confidence in your profession

6.2 Not abuse your professional position or exploit the vulnerability or lack of knowledge of others

6.5 Meet accepted standards of personal and professional conduct

6.6 Comply with legal and professional requirements and accepted guidance on professional practice

Obtaining consent for nomination

In obtaining consent for the professional services they provide, health care professionals should ensure that patients are provided with sufficient and timely information. EPS is no different.

Checking consent and reconfirming information is an ongoing process rather than a single act. Health care professionals must seek a patient’s consent on each occasion that is necessary, such as after a change in circumstances, not only at the beginning of the process. Obtaining patient consent for nomination is a local process.

A patient who informs the pharmacy that they no longer wish to have the pharmacy set as their nominated pharmacy, must be given appropriate assistance to remove the nomination.

What should be communicated to patients about nomination?

Patients or patient representatives should be fully informed about what EPS is and how it works prior to a nomination being set. Patients need to fully understand the implications of setting a nomination and be aware that the way they collect their prescriptions may change. As a minimum, the following information should be provided to the patient before setting their nomination on the system:

·         nomination is not mandatory

·         the prescription will be sent electronically to the nominated pharmacy (or DAC)

·         there is no need to collect a paper prescription from the GP practice as it will be sent electronically

·         the patient can choose who they wish to nominate and is not restricted to nominating a dispensing contractor located close to their GP practice

·         patients can ask to set, change or remove their nomination at any time, at any Release 2 site

·         patients do not need computer access to have a nomination or use EPS.

Nomination complaints

It is important that any complaint about nomination is investigated and dealt with appropriately. By following this guidance complaints about nomination will be minimised.

Here are some examples of nomination complaints:

·         Setting, changing or removing a nomination without a patient’s consent

·         Pharmacy offering gifts to patients to nominate them

·         GPs setting nominations for all patients to one pharmacy without patient consent

·          Pharmacy nominating all their prescription collection service patients without their consent

·          Pharmacy not reconfirming nominations

·          GP practice refusing to set nominations.

If the patient wishes to register a formal complaint, they should make that complaint to the pharmacy, DAC or GP practice in the usual way.  Patients can also complain to NHS England or their local Clinical Commissioning Group (CCG) for example if their complaint cannot be resolved. If a GP practice, pharmacy or DAC wishes to make a complaint about another contractor they should discuss with their Area Team the most appropriate method to raise the complaint. 

Included below are some interesting web-links to help you with this area of information governance and ethics.

http://www.pharmacyregulation.org/sites/default/files/Standards%20of%20conduct%2C%20ethics%20and%20performance.pdf    - the standards of conduct, ethics and performance

http://systems.hscic.gov.uk/eps/library/nomination.pdf            ---- Nomination Policy

http://systems.hscic.gov.uk/eps/library/nomslides.pdf               ------ About Nomination

http://systems.hscic.gov.uk/eps/library/summary.pdf               ----- Explanation leaflet for patients

http://systems.hscic.gov.uk/eps/library/dontwaitnominate.pdf     --- explanation for pharmacies about nomination

http://systems.hscic.gov.uk/eps/library/rxtracker                          ---- Prescription Tracker information – How to find a script!

http://systems.hscic.gov.uk/eps/library/pharmahelpsheet.pdf    ---- Slides to teach how to prepare for EPS2 in a pharmacy

http://systems.hscic.gov.uk/eps/library/pharmacheck.pdf                    ------ Checklist to help pharmacies going live with EPS2