NHS Community Pharmacy Blood Pressure Check Service Technical Toolkit Overview
This technical toolkit provides a high-level overview of the technical components required for delivering the NHS Community Pharmacy Blood Pressure Check Service. It includes details on the scope of the service, pathway flow diagrams, essential and desirable technical components, and IT requirements. Additionally, it outlines referral routes and consultation technical components such as Summary Care Records and NICE Clinical Knowledge Summaries.
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NHS Community Pharmacy Blood Pressure Check Service Technical Toolkit Blood Pressure Check Service Technical Toolkit overview 2 Scope of Blood Pressure Check Service 3 Blood Pressure Check Service pathway flow diagram 4 Blood Pressure Check Service consultation technical 5 components Blood Pressure Check Service essential required / 6 desirable components General Blood Pressure Check Service IT requirements 10 Contact details 14 Approval Sign-off Sheet 15 Version history16 Version history 16 29 May 2022 v1.22 1
NHS Blood Pressure Check Service Technical Toolkit Overview This technical toolkit is designed to provide a high-level overview of the technical components required to deliver the NHS Community Pharmacy Blood Pressure Check Service. It should be read in conjunction with the Advanced Service Specification: NHS community pharmacy hypertension case-finding advanced service (NHS Community Pharmacy Blood Pressure Check Service) The toolkit includes: a technical flow diagram for the Community Pharmacy Blood Pressure Check Service details of the essential technical components that system suppliers must have in place to deliver the live service required future technical components desirable technical components 2
Scope of Blood Pressure Check Service The NHS Community Pharmacy Blood Pressure Check Service is an Advanced service for community pharmacy contractors. As an Advanced service, community pharmacy contractors can choose whether to provide it. Referrals can be made via the following routes: Pharmacy initiated Patient self-referral General Practice referral 3
Minor Illness pathway requirements Blood Pressure Check Service pathway flow diagram Essential Essential = = Future = NHSmail NHSmail GP report Message GP FHIR Alternative Pharmacy FHIR [Backup: NHSmail] [Backup: NHSmail] Pharmacy notification message Essential: NHSmail to any participating pharmacy GP Referral essential: NHSmail to any participating pharmacy. Strategic direction: FHIR Pharmacy notification message (onward referral) NHSmail GP GP notification message Self Referral / Pharmacist Pharmacy FHIR [Backup: NHSmail] GP notification message Essential: NHSmail with PDF attachment. Future: FHIR Reporting + claims Business Services Authority (BSA) FHIR Reporting (claims and reporting) via MYS API Reporting + claims Essential: ALL reporting submitted via MYS API. 4
Blood Pressure Check Service consultation technical components Summary Care Records (SCR) or equivalent patient clinical record NICE Clinical Knowledge Summaries (CKS) FUTURE REQUIREMENT Directory of Services (DoS) Personal Demographics Service (PDS) Providers must use PDS to validate patient details. Verifying a patient with the PDS will allow access to the SCR Pharmacy teams must have access to view SCR and/or alternative Shared Care Record Access DoS must be used to retrieve service information for other healthcare providers CKS can be used to facilitate consultation Pharmacy IT platform 5
Blood Pressure Check Service essential / required / desirable components Technical component Essential requirement Future requirement Desirable GP report message (inbound) NHSmail via NHS.net shared email address. The referral must be able to be sent to any participating pharmacy irrespective of IT system (see Directory of Services for more information) FHIR Backup: NHSmail Strategic direction: Booking and Referral Standard (BaRS) GP notification message (outbound) NHSmail (PDF attachment). See Directory of Services for more information. FHIR / MESH / ITK3 Backup: NHSmail Strategic direction: Booking and Referral Standard (BaRS) Pharmacy notification (outbound) NHSmail via NHS.net shared email address. The notification must be able to be sent to any participating pharmacy irrespective of IT system (see Directory of Services for more information) FHIR Backup: NHSmail Strategic direction: Booking and Referral Standard (BaRS) 6
Blood Pressure Check Service essential / required / desirable components Technical component Essential requirement Future requirement Desirable Personal Demographics Service (PDS) Personal Demographics Service - FHIR API (Application-restricted access) Personal Demographics Service - FHIR API (Healthcare worker access) Summary Care Record (SCR) Summary Care Record application (SCRa) or SCR 1- Click Functionality Shared Care Record Access or Detailed Record Access / Access to the Patient Health Record (Tier 2) Integrated viewer: May be developed by system suppliers to allow users to view the SCR within their existing clinical system. NICE Clinical Knowledge Summaries (CKS) Embedded hyperlink BSA Claims and reporting FHIR. Reporting (claims and reporting) via MYS API Directory of Services (DoS) 1. GP to Pharmacy referral by NHSmail (GP report message) Local directory of pharmacy shared email addresses held in the system (pharmacy.ODScode@nhs.net e.g., pharmacy.fc683@nhs.net) 1. GP to Pharmacy referral (GP report message) DoS Proof of Concept API search by Service Type (ID TBC) and location to return Blood Pressure Check Service providers within a 37.5 mile radius. Results should 7
Blood Pressure Check Service essential / required / desirable components Technical component Essential requirement Future requirement Desirable Directory of Services (DoS) contain Public name (or Service Name), Address, Postcode, Public telephone, Opening Times, Specified Dates and Endpoint information. 2. Pharmacy to GP notification by NHSmail (GP notification message) Local directory of GP practice email addresses held in system 2. Pharmacy to GP notification (GP notification message) DoS Proof of Concept API search byODSCode to return details of the matching GP Practice and retrieve the Endpoint information 3. Pharmacy to Pharmacy referral by NHSmail (Pharmacy notification message) Local directory of pharmacy service information (Results 3. Pharmacy to Pharmacy referral (Pharmacy notification message) DoS Proof of Concept API search by Service Type (ID TBC) and location to return 8 Continued overleaf.
Blood Pressure Check Service essential / required / desirable components Technical component Essential requirement Future requirement Desirable Directory of Services (DoS) should contain Service Name, Address, Postcode, Public telephone, Opening Times) and shared email address (pharmacy.ODScode@nhs.net e.g., pharmacy.fc683@nhs.net) Blood Pressure Check Service providers within a 37.5 mile radius. Results shouldcontain Public name (or Service Name), Address, Postcode, Public telephone, Opening Times, Specified Dates and Endpoint details. 9
The IT platform must conform to the requirements defined below: Referral management Referral receipt - Notification / alert of any referral received by the pharmacy Display a list of outstanding referrals due to be actioned Referral sorting Display referrals in order of date/time and by care setting e.g. GP, Sexual Health clinic and by type (clinic BP / ABPM) Referral status Display Referral status Display referral status "Pending , "Closed , "Accepted , "Completed" Make available Manual Entry service templates to manage referrals received by NHSmail / referrals where information is recorded incorrectly by the referrer General Blood Pressure Check Service IT requirements 10
General Blood Pressure Check Service IT requirements User authentication Only authenticated users should access the IT platform Practitioners should register and login using their full name (as registered with GPhC) and GPhC number The pharmacy secure nhs.net shared mailbox address should be confirmed at first login at the pharmacy by the first practitioner to allow certain functionality (GP notification message) Consultation The pharmacist should be prompted to access the SCR, ShCR or an alternative available clinical record The pharmacist should be prompted to signpost / escalate to general practice where necessary 11
General Blood Pressure Check Service IT requirements Data reporting / recordkeeping - the IT platform must capture and share a record of the consultation in accordance with the NHSEI Blood Pressure Check Service Data Specification, Professional Record Standards Body (PRSB) Community Pharmacy Standard, the Records Management Code of Practice for Health and Social Care 2021 and the NHS Data Security and Protection Toolkit. Onward referral - capability to forward the original referral to another pharmacy (or other suitable service) if required. The Directory of Services API should be used to obtain the receiving service information. The minimum referral requirement is a PDF attachment via NHSmail 12
General Blood Pressure Check Service IT requirements Helpdesk support IT platform suppliers are required to provide helpdesk support for the following periods: Monday to Friday: 8am 6pm Weekends: 8am 2pm Bank holidays : Response within 24 hours Issues affecting service provision must be acknowledged within 24 hours Claims Claims for payment should be made via the BSA MYS API as part of general reporting The IT platform should create a month end collated activity report for contractors to be able to reconcile their activity 13
Key contacts For more information please contact: TBC, Service Manager, NHS Digital (technical development and assurance) Claire Hobbs, claire.hobbs01@nhs.net, Senior Policy Manager - Digital Pharmacy, NHS England and NHS Improvement (Policy queries) Ben Tindale, ben.tindale@nhs.net, Senior Service Delivery Manager MYS, NHS Business Services Authority (NHSBSA) 14
Approval Sign-off Sheet For approval of the Blood Pressure Check Service Technical Toolkit version [INSERT] The undersigned indicate understanding and approval of this technical toolkit. Role and Name Organisation Date Project Lead Yeyenta Osasu NHS England & NHS Improvement Service Lead [INSERT] NHS Digital Service Lead [INSERT] NHS Business Services Authority 15
Reviewer Sign-off Sheet For review of the Blood Pressure Check Service Technical Toolkit version [INSERT] The undersigned indicate understanding and review of this technical toolkit. Role and Name Organisation Date IT Lead PSNC 16
Version history Version 1.0 1.1 1.2 1.21 1.22 Date Rationale First draft Darryl Jones NHS E/I National Commercial and Procurement Hub Reviewefollowing Gemma Ramsay and Dan Ah-Thion comments Revised by Claire Hobbs, NHS England and NHS Improvement Minor revisions Review by PSNC IT and PSNC services 11/03/2022 05/04/2022 17/05/2022 18/05/2022 29/05/2022 17
