Service Category: Manual entry services that relate to a payment

Deep Vein Thrombosis (DVT)

Purpose and outline

Deep Vein Thrombosis (DVT) is a condition where a blood clot forms in a deep vein and can cause pain and swelling in the affected leg. If dislodged, the clot can travel to the lungs which can be serious and potentially life threatening.

Information about this service

Local incentive scheme.

Example components for this service

DVT – Ongoing management (NOAC monitoring).

DVT – Payment per consultation – referred clients.

DVT – On-call payment.

Declaration.

Eating Disorders Monitoring

Purpose and outline

Eating disorders is a mental health condition where a person uses food to cope with feelings and other situations. There are different types of eating disorders.

Information about this service

Local incentive scheme.

Example components for this service

Eating Disorders – Core Searches. 

Eating Disorders – Per Patient Core.

Eating Disorders – Training – GP.

Eating Disorders – Training – HCA.

Declaration.

Dermatology – Cryotherapy

Purpose and outline

Dermatology relates to skin, hair, and nail conditions.

Information about this service

Local incentive scheme.

Example components for this service

Total Number of Cryotherapy Treatment Sessions Undertaken.

Total Number of Referrals to Dermatology.

Declaration.

Dermatology – Minor Operation

Purpose and outline

Dermatology relates to skin, hair, and nail conditions.

Information about this service

Local incentive scheme.

Example components for this service

Number of Aspirations Undertaken.

Number of Excisions Undertaken.

Number of Incisions Undertaken.

Number of Injections Undertaken.

Declaration.

Diabetes

Purpose and outline

Diabetes is a condition that causes your blood glucose (sugar) level to become to high. There are different types of diabetes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

BMI – Key Care Processes – Per Patient. 

Healthier You – Core Searches & Audit.

Healthier You – Per Patient. 

Healthier You – Training. 

Key Care processes – Core Searches. 

Treatment Targets – Audit. 

Treatment Targets – Training. 

Urinary ACR – Key Care Processes Per patient. 

Declaration.

Depression

Purpose and outline

Depression is a low mood that can last for a long time or keep returning, affecting your everyday life. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Total Number of Initial Consultations Using the Questionnaire.

Total Number of Referrals to CBT.

Total Number of Anti-Depressant Medications Prescribed.

Declaration.

Colorectal Cancer

Purpose and outline

Bowel cancer, or colorectal cancer, is one of the most common types of cancer in the UK. GPs may do a rectal examination, ask for a stool sample for testing, and may will arrange referrals to specialists.

Information about this service

Local incentive scheme.

Example components for this service

Number of Faecal Immunochemical Tests (FIT) posted to eligible individuals.

Declaration.

Colposcopy

Purpose and outline

Colposcopy is a test of the cervix. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Coloscopy procedures undertaken.

Declaration.

Complex Care

Information about this service

Local incentive scheme.

Example components for this service

Per Care Plan.

Declaration.

Complex Wounds (Leg Ulcer)

Purpose and outline

Complex wounds (leg ulcer) are chronic wounds that have compromised healing which require specialist assessment and management.

Information about this service

Local incentive scheme.

Example components for this service

Leg ulcer – first appointment.

Leg ulcer – first doppler.

Leg ulcer – follow up (left leg).

Leg ulcer – follow up (right leg).

Leg ulcer – follow up (both legs – bilateral).

Leg ulcer – follow up doppler.

Leg ulcer – healed ulcer garment fit.

Declaration

Compression Bandaging

Purpose and outline

Compression bandages are used to treat leg ulcers.

Information about this service

Local incentive scheme.

Example components for this service

Management of the whole episode of care following assessment – leg.

Declaration.

Chronic obstructive pulmonary disease (COPD)

Purpose and outline

Chronic obstructive pulmonary disease (COPD) is a lung condition that causes breathing difficulties. A GP will organise a breathing test to help diagnose COPD. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

COPD patients reviewed.

Declaration.

Counselling

Information about this service

Local incentive scheme.

Example components for this service

Total number of Assessments undertaken.

Total number of Referrals.

Declaration.

CQC Fees Reimbursement

Information about this service

Local incentive scheme.

Example components for this service

CQC Fees Reimbursement Scheme.

Declaration.

Cryotherapy (Practice Patients)

Purpose and outline

Cryotherapy is a treatment that uses extreme cold, typically liquid nitrogen, to freeze and destroy abnormal or diseased skin tissue.

Information about this service

Local incentive scheme.

Example components for this service

Total number of Cryotherapy treatment sessions undertaken.

Total number of referrals to Dermatology.

Declaration.

Cardiovascular Disease (CVD) / Health Checks

Purpose and outline

Cardiovascular Disease (CVD) is a general term for conditions that affect the heart or blood vessels. CVD can often largely be prevented by leading a healthy lifestyle to reduce health factors. If patients are over 40 they will be invited to see their GP for an NHS Health Check every 5 years. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Count of patients aged 40 to 74 years who are eligible for the NHS Health Check Scheme.

Count of eligible patients who have been invited for NHS Health Check in this quarter.

Pulse rhythm check confirmation.

Declaration.

Dementia

Purpose and outline

Dementia is a syndrome associated with an ongoing decline of brain functioning. There are many different types if dementia. An early diagnosis helps people get the right treatment and support. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Per patient – new diagnosis.

Declaration.

Depo

Purpose and outline

Depo-Provera (or Depo) is a contraceptive injection which acts as a long term birth control. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Depo-Neuroleptics injections undertaken.

Declaration.

Coeliacs

Purpose and outline

Coeliac disease is an autoimmune condition trigged by gluten. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of blood tests for specific antibodies to gluten undertaken.

Number of referrals to gastroenterologist.

Declaration.

Chlamydia

Purpose and outline

Chlamydia is a sexually transmitted infection (STI) passed on through unprotected sex. It is treated with antibiotics. A GP or nurse can diagnose Chlamydia and prescribe treatment. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Chlamydia tests undertaken.

Declaration

Circumcision

Purpose and outline

Circumcision is the removal of foreskin.

Information about this service

Local incentive scheme.

Example components for this service

Number of procedures undertaken.

Declaration

Clinical Haematology

Purpose and outline

Clinical Haematology focuses on the diagnosis, treatment and prevention of blood disorders and diseases.

Information about this service

Local incentive scheme.

Example components for this service

Number of Full Blood Count (FBC) undertaken.

Number of referrals to secondary care.

Declaration.

Clinical Waste Disposal

Purpose and outline

The safe and compliant management of waste generated in healthcare settings.

Information about this service

Local incentive scheme.

Example components for this service

Amount to reimburse.

Declaration.

Barretts Esophagus

Purpose and outline

Barretts Esophagus is a condition where cells of the esophagus grow abnormally. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of endoscopy’s undertaken.

Number of biopsies taken.

Declaration

Baseline Adjustment

Information about this service

Local incentive scheme.

Example components for this service

Number of initial Health Assessments undertaken.

Declaration.

Cardiovascular Disease

Purpose and outline

Cardiovascular Disease (CVD) is a general term for conditions that affect the heart or blood vessels. CVD can often largely be preventted by leading a healthy lifestyle to reduce health factors. If patients are over 40 they will be invited to see their GP for an NHS Health Check every 5 years. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of Cardiovascular Disease (CVD) health checks.

Care Homes

Information about this service

Local incentive scheme.

Example components for this service

Annual Declaration and MOU.

Declaration.

Care of Older People

Information about this service

Local incentive scheme.

Example components for this service

Number of Senior Health Checks for patients aged over 75.

Declaration.

Carpal Tunnel

Purpose and outline

Carpel Tunnel Syndrome (CTS) is pressure on the never in the wrist causing tingling, numbness and pain in hands and fingers. A GP can diagnose CTS by reviewing symptoms and checking the hand. A patient may be referred to hospital for tests and scans. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of procedures.

Number of DNAs (Did Not Attend).

Declaration

Cautery (Practice Patients)

Purpose and outline

Cautery is a medical procedure that uses heat to remove abnormal tissue or control bleeding.

Information about this service

Local incentive scheme.

Example components for this service

Number of cautery treatments undertaken.

Declaration

Aural Care

Purpose and outline

Aural Care relates to procedures involved in cleaning the ear canal and removing excess ear wax, debris or foreign objects.

Information about this service

Local incentive scheme.

Example components for this service

Number of patients seen.

Number of Referrals to an Audiologist.

Number of DNAs during the reporting period.

Declaration

Azathioprine

Purpose and outline

Azathioprine (brand name Imuran) is a type of immunosuppressant medicine which can help to calm or control a body’s immune system. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of kidney functions tests undertaken.

Number of liver functions tests undertaken.

Number of blood count tests undertaken.

Declaration

Bail Hostel

Information about this service

Local incentive scheme.

Example components for this service

Per consultation.

Declaration.

Amber List Drugs

Purpose and outline

Amber drugs require initiation by a specialist.

Information about this service

Local incentive scheme.

Example components for this service

Total number of patients on Amber List Drugs.

Number of Physical Checks Undertaken.

Number of Blood Tests Undertaken.

Declaration

Ambulance Booking

Information about this service

Local incentive scheme.

Example components for this service

Total number of Ambulance Bookings in the reporting period.

Total number of Cancellations in the reporting period.

Declaration.

Amiodrone

Purpose and outline

Amiodrone is a drug that controls irregular heart rates by helping to regulate the heart rate and rhythm.

Information about this service

Local incentive scheme.

Example components for this service

Enter the total number of patients prescribed this drug.

Declaration.

Assisted Fertility

Purpose and outline

Assisted fertility is treatment given to patients with fertility problems. It covers medicines, surgical procedures and assisted conception. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of referrals in the previous quarter.

Declaration.

Asylum Seekers

Purpose and outline

Refugees and asylum seekers with an active application or appeal are entitled to free NHS care. For more information visit the BMA website.

Information about this service

Local incentive scheme.

Example components for this service

Health screening of Asylum Seeker completed.

Declaration.

Atrial Fibrillation

Purpose and outline

Atrial fibrillation is a type of heart rhythm problem where a patients heart beat is not steady. If a GP thinks a patient may have atrial fibrillation, the patient should be referred to a heart specialist. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of manual pulse checks.

Number of ECG (electrocardiogram) referrals.

Number of blood tests carried out.

Declaration.

Anticoagulation Service

Purpose and outline

An Anticoagulation Service is a service to support patients with anticoagulation medications.

Information about this service

Local incentive scheme.

Example components for this service

Number of patients on Warfarin prescription.

Declaration

Ankle Brachial Pressure Index (ABPI)

Purpose and outline

Ankle Brachial Pressure Index (ABPI) is a test to assess arterial circulation in legs and involves measuring blood pressure in the upper arms and ankles. Read more on the NHS website.

Information about this service

Local incentive scheme

Example components for this service

Number of procedures carried out.

Number of tests within normal range.

Number of tests outside normal range.

Declaration.

Acupuncture

Purpose and outline

Acupuncture is a treatment sometimes available on the NHS. Acupuncture is seen as a form of complementary or alternative medicine. Fine needles are inserted at certain sites in the body for therapeutic or preventative purposes. Read more on the NHS website.

Information about this service

Local incentive scheme.

Example components for this service

Number of consultations undertaken.

Number of acupuncture sessions completed.

Declaration.

ADHD Shared Care (Adults)

Purpose and outline

The management of Attention-deficit hyperactivity disorder (ADHD) in adults.

Information about this service

Local incentive scheme.

Example components for this service

ADHD Annual Review.

High Risk Drug Monitoring – shared care.

Form Shared Care Agreement in place.

Declaration.

Amber Drugs

Purpose and outline

Amber drugs require initiation by a specialist.

Information about this service

Local incentive scheme.

Example components for this service

Number of procedures carried out.

Number of tests within normal range.

Number of tests outside normal range.

Amber Drug Monitoring Tests undertaken.

Declaration

Clinical Pharmacists in General Practice 2022-2023

This service is designed to allocate funding to GPs for utilising a (senior) clinical pharmacist through the Clinical Pharmacists in General Practice Phase 2 programme. Find out more about this service, including the benefits and how it’s commissioned and provided.

Purpose and outline

Service relates to continuation of NHS England Clinical Pharmacist in General Practice Scheme. Details of scheme previously agreed with the General Practitioners Committee.

In July 2015, NHS England launched a pilot scheme to support clinical pharmacists working in general practice. This service is to support the remainder of practices still eligible under the scheme to claim reimbursement for the clinical pharmacists recruited through the Clinical Pharmacists in General Practice Phase 2 programme.

Benefits to GPs

These include:

  • supporting patients to get the best use of their medicines and identifying medicines related issues
  • expanding the general practice team, thus allowing reallocation of general practice workload
  • increasing GP practice capacity to see and help more members of the pubic
  • ensuring safer prescribing and improving patient safety and quality of care
  • benefits to the wider healthcare system
  • improvement in the clinical and cost-effective use of medicines.

For further information, please see the Service Specification.

Enquiries should be sent to england.contactus@nhs.net for the attention of the pharmacists team.

How this service is commissioned and provided

This service is commissioned by NHS England.

This is a manual service with two components:

Upfront payment

Follow up service for on-going claims

The Upfront payment is paid once only and cannot be claimed in more than one financial year.

The indicators and fees for Component 2 (on-going claims) cover a pharmacist’s employment in year one (Y1), year two (Y2) and year three (Y3) of the Programme.

The following table shows the indicators to submit for year 1 (Y1), year 2 (Y2) and year 3 (Y3) of the pharmacist’s employment:

Indicator, Description, £ Per Item of Service

CPY1001, Y1 Senior Clinical Pharmacist 1 WTE, £3000

CPY1002, Y1 Senior Clinical Pharmacist 0.1 WTE, £300

CPY1003, Y1 Senior Clinical Pharmacist 0.2 WTE, £600

CPY1004, Y1 Senior Clinical Pharmacist 0.3 WTE, £900

CPY1005, Y1 Senior Clinical Pharmacist 0.4 WTE, £1200

CPY1006, Y1 Senior Clinical Pharmacist 0.5 WTE, £1500

CPY1007, Y1 Senior Clinical Pharmacist 0.6 WTE, £1800

CPY1008, Y1 Senior Clinical Pharmacist 0.7 WTE, £2100

CPY1009, Y1 Senior Clinical Pharmacist 0.8 WTE, £2400

CPY1010, Y1 Senior Clinical Pharmacist 0.9 WTE, £2700

CPY1011, Y1 Clinical Pharmacist 1 WTE, £2416.66

CPY1012, Y1 Clinical Pharmacist 0.1 WTE, £241.66

CPY1013, Y1 Clinical Pharmacist 0.2 WTE, £483.33

CPY1014, Y1 Clinical Pharmacist 0.3 WTE, £725

CPY1015, Y1 Clinical Pharmacist 0.4 WTE, £966.66

CPY1016, Y1 Clinical Pharmacist 0.5 WTE, £1208.33

CPY1017, Y1 Clinical Pharmacist 0.6 WTE, £1450

CPY1018, Y1 Clinical Pharmacist 0.7 WTE, £1691.66

CPY1019, Y1 Clinical Pharmacist 0.8 WTE, £1933.33

CPY1020, Y1 Clinical Pharmacist 0.9 WTE, £2,174.99

CPY2021, Y2 Senior Clinical Pharmacist 1 WTE, £2000

CPY2022, Y2 Senior Clinical Pharmacist 0.1 WTE, £200

CPY2023, Y2 Senior Clinical Pharmacist 0.2 WTE, £400

CPY2024, Y2 Senior Clinical Pharmacist, 0.3 WTE, £600

CPY2025, Y2 Senior Clinical Pharmacist 0.4 WTE, £800

CPY2026, Y2 Senior Clinical Pharmacist 0.5 WTE, £1000

CPY2027, Y2 Senior Clinical Pharmacist 0.6 WTE, £1200

CPY2028, Y2 Senior Clinical Pharmacist 0.7 WTE, £1400

CPY2029, Y2 Senior Clinical Pharmacist 0.8 WTE, £1600

CPY2030, Y2 Senior Clinical Pharmacist 0.9 WTE, £1800

CPY2031, Y2 Clinical Pharmacist 1 WTE, £1666.66

CPY2032, Y2 Clinical Pharmacist 0.1 WTE, £166.66

CPY2033, Y2 Clinical Pharmacist 0.2 WTE, £333.33

CPY2034, Y2 Clinical Pharmacist 0.3 WTE, £499.99

CPY2035, Y2 Clinical Pharmacist 0.4 WTE, £666.66

CPY2036, Y2 Clinical Pharmacist 0.5 WTE, £833.33

CPY2037, Y2 Clinical Pharmacist 0.6 WTE, £999.99

CPY2038, Y2 Clinical Pharmacist 0.7 WTE, £1166.66

CPY2039, Y2 Clinical Pharmacist 0.8 WTE, £1333.32

CPY2040, Y2 Clinical Pharmacist 0.9 WTE, £1499.99

CPY3041,  Y3 Senior Clinical Pharmacist 1 WTE, £1,083.33

CPY3042,  Y3 Senior Clinical Pharmacist 0.1 WTE, £108.33

CPY3043,  Y3 Senior Clinical Pharmacist 0.2 WTE, £216.66

CPY3044,  Y3 Senior Clinical Pharmacist 0.3 WTE , £325.00

CPY3045,  Y3 Senior Clinical Pharmacist 0.4 WTE , £433.33

CPY3046,  Y3 Senior Clinical Pharmacist 0.5 WTE, £541.66

CPY3047,  Y3 Senior Clinical Pharmacist 0.6 WTE , £650.00

CPY3048,  Y3 Senior Clinical Pharmacist 0.7 WTE, £758.33

CPY3049,  Y3 Senior Clinical Pharmacist 0.8 WTE, £866.66

CPY3050,  Y3 Senior Clinical Pharmacist 0.9 WTE, £975.00

CPY3051,  Y3 Clinical Pharmacist 1 WTE, £916.66

CPY3052,  Y3 Clinical Pharmacist 0.1 WTE, £91.66

CPY3053,  Y3 Clinical Pharmacist 0.2 WTE, £183.33

CPY3054,  Y3 Clinical Pharmacist 0.3 WTE, £275.00

CPY3055,  Y3 Clinical Pharmacist 0.4 WTE, £366.66

CPY3056,  Y3 Clinical Pharmacist 0.5 WTE, £458.33

CPY3057,  Y3 Clinical Pharmacist 0.6 WTE, £550.00

CPY3058,  Y3 Clinical Pharmacist 0.7 WTE, £641.66

CPY3059,  Y3 Clinical Pharmacist 0.8 WTE, £733.33

CPY3060,  Y3 Clinical Pharmacist 0.9 WTE, £825.00

Component 1: Clinical pharmacists in general practice up front payment 2022/23

  • Quality service start date: 1 April 2022
  • Quality service end date: 31 March 2023
  • Payment period: Annual
  • Collection frequency: Manual entry programme to be provided by CQRS
  • Manual or automatic entry: Manual
  • Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)
  • Co-commissioning: Regional Local Office/CCG
  • Service type: DES

Component 2: Clinical pharmacists in general practice 2022/23

  • Quality service start date: 1 April 2022
  • Quality service end date: 31 March 2023
  • Payment period: Monthly
  • Collection frequency: Manual entry programme to be provided by CQRS
  • Manual or automatic entry: Manual
  • Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)
  • Co-commissioning: No
  • Service type: DES

Component 3: Clinical pharmacists in general practice 2022/23

  • Quality service start date: 1 April 2022
  • Quality service end date: 31 March 2023
  • Payment period: Monthly
  • Collection frequency: Manual entry programme to be provided by CQRS
  • Manual or automatic entry: Manual
  • Included in data collection: All system suppliers (TPP, INPS, Microtest and Emis)
  • Co-commissioning: No
  • Service type: DES

*to access this service on CQRS, please check that you have access to the correct service type. In CQRS, select ‘My Account’ from the top of the page to see a full list of all viewable services. If you don’t have access to this type of service, ask your user administrator to update your profile.

Service user guides

The Calculating Quality Reporting Service (CQRS) user guides describe how to participate, manually enter and declare achievement for this service.

Payment count/clinical codes

N/A