Out of hours GPs go live with EPS prescriptions – Hull & ERY

Our local GP Out of Hours (OOH) provider in Hull and East Riding of Yorkshire and the Storey Street Walk-in Centre, Hull have been rolling out EPS to their urgent care providers using SystmOne.

Prescribers working within these settings will be able to use EPS to prescribe medicines in the same way as prescriptions are currently sent from GP practices to community pharmacies using EPS.

How will this work?
Prescribers will identify a pharmacy that is open and accessible for the patient using similar processes to those used for paper FP10s.

EPS alone is unable to guarantee the pharmacy:

  • will be made aware of the urgency of the prescription;
  • has medication in stock; and
  • has the ability to dispense the prescription.

Due to the nature of prescriptions issued in urgent care, prescribers have been advised to consider whether it is necessary to contact dispensers to notify them they are issuing an EPS prescription to advise it needs to be dispensed promptly.
The EPS system will use a new type of ‘one-off nomination’ to send the prescription to the pharmacy that the patient has selected. This will not affect existing nominations for the patient’s ‘regular’ prescriptions.

The prescriptions will be downloaded by the contractor’s PMR system in the normal way. Pharmacies that are open out of hours and that regularly receive paper prescriptions written by prescribers from urgent care providers may want to consider reviewing how frequently they download prescriptions from the central NHS Spine, so that any prescriptions sent by urgent care services are downloaded promptly. The prescription message will contain the contact details of the prescribing site in case there are any queries for the prescriber. The existing EPS dispense/claim message sending processes are unaffected.

You can use the prescription ID number to locate and download prescriptions manually if you would like to delay a full download of all EPS prescriptions in order to help you to manage your EPS prescription workload.

It is possible that a patient may present at a pharmacy different to the one originally selected by them and the urgent care prescriber. In this case, the pharmacist at the pharmacy where the patient has presented, should obtain the patient’s NHS number through a Personal Demographic Service search and use this with the Prescription ID (which may be obtained from the patient or from EPS Tracker) to manually download the prescription from the Spine, or contact the pharmacy originally selected by the urgent care prescriber. Patients may be given their prescription ID either verbally or via text message.

What happens if there is a problem using EPS?
Pharmacies where patients present and they are unable to locate an EPS prescription on the tracker or for clinical queries should contact one of the following ‘Healthcare Professionals Only telephone numbers’
[Please Note; These numbers are not to be disclosed to the public]

Bransholme – 01482-336531
East Riding Community Hospital [ERCH] 01482-478879

Recommended actions for pharmacy contractors
Patients can choose to have their prescriptions dispensed at any community pharmacy. Contractors and their teams should be aware that they could receive an electronic prescription from an urgent care prescriber involved in the pilot and that they can dispense it in the same way as any other EPS prescription. It is recommended that contractors ensure all relevant pharmacy team members, including locums, are made aware of the above information.

Further information on EPS can be found on the PSNC website link below:
https://psnc.org.uk/dispensing-supply/eps/dispensing-in-eps-release-2/

Please Report any examples of error messages or issues with this ‘go live’
to
humber.lpc@nhs.net as well as contacting one of the numbers above to remedy.