Once logged in, clicking the services tab takes the provider to the service delivery screen.- See Fig 1 below
Fig 1. After login click the services tab
The left hand side of the screen shows a list of services under the heading “Provide Services”. These are the services the provider has been accredited to deliver. Service accreditation is set by the service commissioner. To deliver a service, simply click on the service title in the list.- See Fig 2
The main screen at this stage shows the service history. Clicking on the service title will take the provider to the data capture screen for that service
Fig 2 – Service screen – Smoking Cessation services all appear here as a staged service
Because this service involves the recording of patient data you will prompted to enter two digits from your security word chosen when you first logged in to the system.
Enter the letters from your security word and click the submit button. This takes the provider to the service delivery screen.
The NRT voucher service records the supply of NRT made against a voucher presented by a client
Fig 3 - Security screen appears when patient data is captured in any service
Service Delivery
The service allows the capture of information over a two week period to run in line with the voucher used. Enter the name of the client and the client number as prompted. If you do not have the full name enter the initials with a space between i.e L B
NB: If entering the full name, it will not appear in the commissioner audit and is only visible to the provider, the client number is the number on the Health Questionnaire/ voucher.
Fig 4. Data capture screen used for visit 1 and visit 2 by selecting the appropriate option from the drop down box
Ensure that you select the “Visit 1” option when recording week 1 supplies of NRT (i.e. when exchanging Patient Health Questionnaire) and “Visit 2” option when recording week 2 supplies of NRT (blue voucher) – see above Fig 4 .
Enter all relevant details from the Health Questionnaire in the appropriate boxes. Please ensure the date recorded is the date on the Patient Health Questionnaire or Voucher and NOT the date of data input.
The ‘caution in use’ question, relates to question 9 on the Health Questionnaire.
Please enter details as prompted. Most questions will not allow you to leave them blank, so please make sure you select one option, and if none apply select the option not applicable or whatever is appropriate. Some answers must be selected from drop down boxes, others are date entry questions, NB: Make sure date entry questions are entered using the required format.
The left hand side bar will often provide useful information that is relevant to your consultation. Side bars in each area show different information that is relevant to that locality – Fig 4 – side bar shows NRT formulary, see above
Some questions require the provider to tick more than one box if applicable so consider all options. Data entered, when saved, will populate the audit of service that is accessible to the commissioner in real time.
NRT selection
The NRT type supplied can be any item listed in the formulary. The formulary can be seen in the left hand side bar. Please enter the name of the NRT shown on the voucher. As you type the name of the product in the “NRT supplied” field, a drop down list will appear – see screen shot below Fig 5. Select the name of the NRT from this list.
Fig 5. NRT selection. This service allows the supply of ONE NRT type per voucher recorded - Monotherapy
Please note, the NRT voucher service allows the supply of monotherapy only. In order to supply the most economical amount, for certain products ( i.e. the Inhalator and Cools Lozenges) when supplying maximally, you will have to enter different pack sizes of the same NRT product. This is why there are the fields‘NRT supplied for this visit’ and ‘NRT 2 supplied for this visit’, which both relate to the same visit.
You cannot supply a mix of products e.g. patches and lozenges on the same record. One voucher = One therapy type.
You will only be reimbursed for the maximum supply according to the protocol (see figure 6 below.).
Please also ensure that the number of packs are entered and NOT the number of individual items.
Product / Strength / Maximum supply for 2 weeks / Flavour / Typical 2 week supply for MAXIMAL useNiQutin CQ clear/beige 24 hour patch / 21mg, 14mg, 7mg / 14 / N/A / Supply 2x7 patches
Nicorette Invisi 16 hour patch / 25mg, 15mg, 10mg / 14 / N/A / Supply 2x7 patches
Nicorette cools lozenges / 4mg,
2mg / 15 max per day / 4mg -20 cigarettes or more a day
Supply 240=3 x 80
2mg–Less than 20 cigarettes a day
Supply 220 (2 x80, 3 x20)
Nicorette Inhalator / 15mg / Maximum 6 cartridges per day
Supply ((6x7)x2)) = 84 cartridges / N/A / Supply 84 cartridges
(1 x 20 cartridges with 1 inhalator mouthpiece) + (2 x 36 cartridges with 1 inhalator mouthpiece )
Figure 6, the maximum 2 week supply for each product. Anything supplied above this will not be reimbursed.
The remaining questions ask for information on client levy status i.e. reason for prescription exemption, and whether charges have been paid. Enter all relevant data and click the orange “Save” button. This will save your data and add this information to the commissioner audit. A claim for the pharmacy will also be generated and automatically submitted to the Local authority for payment – see claims guide on the help tab.
Fig 7. Enter details of Levy status, number of charges and whether prescription charges have been collected, enter name of pharmacist and click “Save” to finish.
Please ensure that once the claim has been entered, the Patient Health Questionnaire and if relevant accompanying voucher, are sent to:
Pharmacy payments, Public Health Nottinghamshire County Council, Meadow House, Littleworth, Mansfield Notts. NG18 2TB.
Clearly mark the paperwork with thepharmacy stamp/name. This is essentail for audit purposes.