General Practice Annual Electronic Declaration (eDEC) 2020/21 Changes Overview
Revisions have been made to the eDEC for 2020/21 to align with GP contract amendments, update policy priorities, and reduce duplication of responses. Changes include removal, addition, and revision of questions, along with guidance notes for Covid-related impacts. The burden is mainly on answering new and reviewing revised questions, with prepopulated responses from the previous year. Explore the changes in the eDEC to ensure compliance and efficiency in general practices.
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General Practice annual electronic declaration (eDEC) 2020/21: summary of changes August 2020 NHS England and NHS Improvement
Introduction Revisions of the eDEC for 2020/21 have been made in light of amendments to the GP contract, removing questions where new information may have since become available, updating the questions in line with recent policy priorities. Content is aligned with CQC to ensure any content requested is not replicated and avoids asking practices to resubmit similar responses to questions pre- inspection. Identification of questions impacted by Covid and guidance notes to aid further interpretation. Burden considerations the eDEC is prepopulated with responses from last year s return, the burden therefore relates mainly to answering new questions, and reviewing revised questions . 5 questions removed 8 new questions 5 revised questions Other: 1 other presentational change, 3 questions impacted by covid 2 | 2 | Presentation title
Five questions proposed to be removed: 6K: The practice has either appointed a Data Protections Officer or has plans to do so? 8C: The practice principle clinical system is accessible outside the practice for the following purposes (multiple choice selection options). Q8J: The practice is enriching the Summary Care Record of patients who have given their consent, including those living with severe frailty? Q8K: Practice has reviewed security, legal and certification requirements for all directly purchased IT services, infrastructure or systems. Q8L: Does the practice have a process in place to systematically review all locally developed Templates and Searches to ensure alignment with the transition to SNOMED CT? 3 | 3 | Presentation title
Eight new questions To be added to Chapter 8 GPIT section: 3 new questions 1. The practice no longer uses a facsimile machine to send/receive patient information? Response: Yes/No Rationale: Core and mandated, data security, adhering to best practice in IG Reference: Update to the GP Contract Agreement 2020/21-2023/24. Link: https://www.england.nhs.uk/publication/investment-and-evolution- update-to-the-gp-contract-agreement-20-21-23-24/ Reference: Remote Working in Primary Care Guidance for GP Practices during Covid-19 Emergency Response: Appendix to Securing Excellence in Primary Care (GP)- Digital Services: The Primary Care (GP) Digital Services (version 4) 4 | 4 | Presentation title
New question GPIT section 2. The practice has facilities in place to enable remote working from home or settings outside the practice as part its business continuity plans and in response to Covid-19 Response: select all options which apply: NHS Provided laptops Personal computer (non-NHS) using virtual desktop (VDI) service Personal computer (non-NHS) with connection to the NHS network Personal Computer (non-NHS) using remote desktop protocol (a device in the surgery is kept switched on as a host) Other (not covered above) None of the above Reference: Remote Working in Primary Care Guidance for GP Practices during Covid-19 Emergency Response: Appendix to Securing Excellence in Primary Care (GP)- Digital Services: The Primary Care (GP) Digital Services (version 4) 5 | 5 | Presentation title
New question for GPIT section 3. The Practice has a telephony system that: (Tick all that apply) Rationale: We would like to understand current telephony solutions in use for all GP practices in England. Information will help enable us to support developments in this area further. In the GP IT operating model for 2019-2021, we have introduced discretionary services for advanced telephony as part of digital transformation (this is 6 | 6 | not a core and mandated requirement). Presentation title
New questions continued Chapter six of eDEC new questions: 4.The practice has agreed and implemented a plan for QOF population stratification which prioritises highest risk patients for proactive review as described in the revised QOF guidance for 20/21. Yes/No 5. The practice has a procedure in place to ensure that all DNAR decisions made in respect of patients with a learning disability are made in line with good clinical practice and are reviewed and updated regularly? Yes/No 6. The practice has a procedure in place to offer a maternal postnatal check at 6-8 weeks, as an additional appointment to that for the baby? Yes/No [Link to the legislation: https://www.legislation.gov.uk/uksi/2020/226/schedule/1/made] 7 | 7 | Presentation title
New Questions continued Chapter six of eDEC new questions: 7. The practice has a procedure in place to record the ethnicity of all their registered patients (e.g. upon registration, regular reviews)? Yes/no. Chapter four of eDEC Practice Services: 8. The practice is currently open to all patients for both virtual and face to face appointments as clinically appropriate? Yes/No 8 | 8 | Presentation title
Revised question Text in red to be added: Question 8M (r) Response Option Yes/No The practice has completely digitised all of its paper records (Lloyd George), and with the exception of the empty Lloyd George Envelope, paper records are no longer kept on site or in storage. Guidance note: for practices who have commissioned the digitisation of all their records (with the process underway but not yet completed), including offsite storage and scanning on demand, should respond Yes. We expect most practices will respond No to this question. 9 | 9 | Presentation title
Revised question Question 5I (r): TEXT in red below to be removed When undertaking call/recall activities as part of delivering vaccination programmes please specify when required how the practice s eligible population are contacted? Selection all options that apply: Poster in waiting room Notification on practice website Letter to patient Text message to patient Phone call to patient During consultation/ appointment Other electronic technical solution (free text) Other non-electronic technical solution (free text) n/a practice does not undertake call/recall Presentation title 10 | 10 |
Revised question GPIT question 8O (r) Text in red added: The practice makes at least 25% of their appointments available for booking online (this relates to the complete range of appointments practices offer to patients)? Response: Yes/No 11 | 11 | Presentation title
Revised question GP practices are required to have and maintain an online presence and to maintain their profile page on NHS website. In the eDEC supporting section we currently ask practices to share, on a voluntary completion basis, the following two questions related to online presence: 10A 10B Link to practice website Link to practice Facebook page Owing to the voluntary nature of this question, the data held is not complete and we need to clarify further how practices are providing an online presence. The information submitted will be shared with NHS UK and could be made available further in the public domain. We propose to introduce a single mandatory question GP practice links to online presence is provided via the following routes , with free text entries to alongside: a) Link to practice website b) Link to practice Facebook page c) Link to alternative online presence page: d) Practice does not have an online presence: Guidance notes practices will need to respond to at least one of the following options with free text, pre-populated entries will be applied from last year s return accordingly. 12 | 12 | Presentation title
Revised question Text in red has changed Question 2D (r). Total number of locum sessions, between 1st of July 2020 through to 30th September 2020, where pay has exceeded the maximum indicative rate of 72.25 per hour. Guidance note: The following question relates to locum use and associated cost to the practice. This is an indicative figure only and does not represent what a practice must or should pay. Neither will it be used for performance management purposes. 13 | 13 | Presentation title
Other changes 4D, 4F and 4Fb Amend presentation of questions 4D, 4F and 4Fb so that the practice is encouraged to indicate further at which site (if any branches) the days and times apply to. 14 | 14 | Presentation title
Other changes: questions impacted by Covid Guidance note will be issued to commissioners regarding interpretation and onward uses of responses to this question, may be impacted by Covid. Question 2E: All health care professionals employed in the practice have annual appraisals and where applicable personal development plans and that this is aligned to revalidation for doctors and also for registered nurses and midwives (according to requirements issued by the Nursing and Midwifery Council) Response: yes/ no (GMS Regulations Part 7, Regulation 54, PMS Regulations Part 8, Regulation 47), CQC GP handbook 15 | 15 | Presentation title
Other changes: questions impacted by Covid: Guidance note will be issued to commissioners regarding interpretation and onward uses of responses to this question, may be impacted by Covid. Question 5G: The practice can evidence that they have engaged with their PPG throughout the year and make available such feedback to the practice population including actions and reports, including where they have acted on suggestions for improvement. (GMS Regulations Part 5, Regulation 26, PMS Regulations Part 5, Regulation 20). Question 8O: The practice makes at least 25% of their appointments available for booking online (this relates to the complete range of appointments practices offer to patients)? Response: yes/no 16 | 16 | Presentation title
