Stop Smoking Payments and Claims


IMPORTANT INFORMATION Changes to the Stop Smoking service 
Public Health Hertfordshire would like to notify all Hertfordshire Pharmacists commissioned to provide Stop Smoking Services about a change to the service specification that is due to be implemented from 1 April 2019. This information has been sent out to all commissioned pharmacies via a PharmOutcomes message.

The change in question specifically relates to the financial arrangements for the provision of the Stop Smoking Service and applies to both GP Practices and Community Pharmacies. Public Health will have a new payment arrangement.  Pharmacies will receive:

  • £75 for each patient who sets a quit date and quits smoking for at least four weeks, and
  • £150 for each pregnant patient who sets a quit date and quits smoking for at least four weeks

As before, no payments will be made for non-quits, patients lost to follow up, patients without a set quit date or for incomplete data.

Access to NRT for the cost of a prescription (unless the service user is except from prescription charges) can be made by generating an NRT voucher through PharmOutcomes. Service users are free to present this voucher to any pharmacy participating in the NRT voucher scheme. Providers will continue to be paid quarterly on completion of quit status on PharmOutcomes. A change control notice will shortly be sent to Providers, giving 3 months’ notice of this change.

Public Health Hertfordshire acknowledges the hard work that providers do to ensure that Hertfordshire residents receive the services that they need and recognise that this is a significant change to the Contract, but hope that this does not deter any pharmacies from continuing to provide stop smoking services

The LPC was informed of this change in November 2018. Hertfordshire LPC would encourage all pharmacy contractors to review their own business model and whether it is still financially viable to deliver the service. We would encourage contractors to remain engaged with the service and would remind you that encouraging Medicines Counter Assistants to act as the trained advisors, if they are not already, is one way in which to potentially make the service more financially viable.

 

CLAIMS UPDATE JUNE 2018

Stop Smoking Medication Claims:

1) To claim for products provided through NRT Letter of Recommendation (LOR) (for clients with a quit date on or before the 31 March 2018) please process these NRT claims as per the existing pathway for 2017-18 using the invoice templates. You can find attached the updated versions in line with increased prescription charges (£8.80). Deadline for submission is Tuesday 10 July 2018

2) Claims for products provided and recorded through PharmOutcomes will be automatically generated and paid to providers according to data recorded in PharmOutcomes.

DEADLINE: Last date for recording data for 2018-19 Q1 is Tuesday 10 July 2018

Purchase orders will be created and sent out to providers in order to set up an automatic payment system. You do not have to action anything apart from keeping record of your purchase order, recording data correctly and previewing your invoice for errors. There will be purchase orders created for stop smoking medication claims and quit outcome payments separately. If you are a provider who has contract to deliver a stop smoking service and also provide stop smoking medication, you will receive notification for two different purchase orders.

Please note that they might be in touch to set up your bank details on their system in order to create purchase orders and manage payments for you.

NRT voucher processing information

Quit Claims:

Quit claims for clients with quit dates 1 April 2018 onwards will continue to be automated from data entered on PharmOutcomes.

Please note that clients with a quit date on or after 1st April 2018 need to be recorded on PharmOutcomes in order to get paid for quit outcomes for them. There will be no payment for successfully quit clients with quit date on or after 1st April 2018 recorded on Quit Manager. Any outstanding payments due for clients with a quit date on before 31st March 2018 who have successfully quit and are recorded on QuitManager will be paid in the same way as 2017-18.

DEADLINE: Last date for recording data for 2018-19 Q1 is Tuesday 10 July 2018.

Purchase orders will be created for quit payments and sent out to providers in order to set up an automatic payment system in new database. You do not have to action anything apart from keeping record of your purchase order, recording data correctly and previewing your invoice for errors. There will be purchase orders created for stop smoking medication claims and quit outcome payments separately. If you are a provider who has contract to deliver stop smoking service and also provide stop smoking medication, you will receive notification for two different purchase orders.

Please note that they might be in touch to set up your bank details on their system in order to create purchase orders and manage payments for you.

How to preview your claims:

You can preview your claims at any time to date by clicking on ‘Claims’ tab and then clicking on ‘Preview Claims’ button on the bottom left hand side. This action will pop up a window underneath the ‘Preview Claims’ button which you can click on when it becomes green as it is on image below. When you click on it your invoice will open and you can see all payments in different lines according to services you are entitled to claim for.

Under ‘Claim Amounts’ section if you click on link you can find out about rules and deadlines for payment and how invoices are set up.

After invoices are approved by HHIS they will be visible on the right hand side under ‘Previous Claims’ title. It will look similar to table below and you can view your invoice by clicking on links on the right hand side.

PAYMENT UPDATE 2017
Hertfordshire County Council has an updated invoicing system which is in partnership with ProActis. This system has been in place for over a year to streamline procurement and payment processes for the Council and the people we work with in partnership.
ProActis has recently upgraded their systems to enable suppliers to submit invoices by email which makes the process of submitting an invoice much smoother, and from April 2018 Hertfordshire Health Improvement Service (HHIS) will be using ProActis for all invoicing.