Acute Medication Service

The Right Medicine made a commitment to the national roll out of Electronic Transmission of Prescription Information. The first phase of this rollout was the connection of all pharmacy contractors to an N3 connection either directly or through their company spine.

The Acute Medication Service (AMS) is the electronic transmission of prescription information (ETP) between GP prescribers and community pharmacy contractors.

The rollout required reconfiguration of GP systems software and the installation of bar-code scanners and software updates to community pharmacy contractors’ patient medication record systems.

Process

GP10 prescriptions carry a barcode with a unique code. In the background when the prescription is printed, an electronic message is generated and is sent securely to ePharmacy message store.

The electronic message contains the patient’s name, address, date of birth, CHI number, name of Medicine(s) to be dispensed, dosage instruction for the medicines, GP details and the date the prescription was generated.

When the patient presents the GP10 prescription to the community pharmacy contractor for dispensing, the barcode containing a unique code is scanned. The scanning of the barcode allows the retrieval by the pharmacy contractor of the electronic message from the message store.

The information retrieved from the barcode supports the community pharmacy to dispense the prescription. Upon completion of the dispensing the community pharmacy contractor endorses the prescription electronically before submitting an electronic claim message to Practitioner Services for reimbursement of the items supplied.

When the prescriptions are presented for payment at Practitioner Services the barcodes are rescanned. The information supplied by the pharmacy in the electronic claim message is used to inform reimbursement.

ePay

The downloaded electronic claim messages will be reimbursed using ePay the automated application of the PSD pricing rules to electronic claim messages.

The use of ePay to automatically pay for items is now well established, and the vast majority of lines are now automated.

Quality And Efficiency Target (QEI) Hints And Tips

Circular PCA(P)(2015)7 gives notice of the intention of Scottish Government to increase the QEI target around e-claiming to 90% for August dispensing.

QEI Hints and Tips

Support

Included items

Certain items are excluded from Q&E target calculations, below is a description of items and their eligibility.

Item Type Included / Excluded
AMS barcoded Prescription Included
Non barcoded prescription Excluded
Stoma Excluded
Care home Excluded
Instalment (not care home) Not counted against target if not electronically claimed
Counted towards achieving target if Electronically claimed

To help support the rollout of eAMS NES have produced an implementation pack.