Key Components of NHS Smoking Cessation Service Toolkit
Explore the essential technical components and scope of the NHS Smoking Cessation Service through this comprehensive toolkit. Gain insights into the smoking cessation service pathway, required components, and future recommendations for optimal service delivery.
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NHS SCS toolkit overview 2 Scope of Smoking Cessation Service 3 NHS Smoking Cessation Service (SCS) Technical Toolkit Smoking Cessation Service pathway flow diagram4 Smoking Cessation Service pathway flow diagram 4 Smoking Cessation Service technical components5 Smoking Cessation Service technical components 5 SCS essential / required / desirable components6 SCS essential / required / desirable components 6 General SCS IT platform requirements 10 Key contacts 13 Approval Sign-off Sheet 14 Version history 15 29 May 2022 v1.21 1
NHS Smoking Cessation Service (SCS) Toolkit Overview This Smoking Cessation Service (SCS) technical toolkit is designed to provide a high-level overview of the technical components required to deliver the SCS. It should be read in conjunction with the NHS Smoking Cessation Service (SCS) Service Specification. The toolkit includes: a technical flow diagram for the SCS 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 Smoking Cessation Service (SCS) The Smoking Cessation Service is an advanced service for community pharmacy contractors. As an advanced service, community pharmacy contractors can choose whether to provide it. The SCS has been designed to enable NHS trusts to undertake a transfer of care on patient discharge, referring patients to a community pharmacy of their choice to continue their smoking cessation treatment. 3
Smoking Cessation Service pathway flow diagram Essential requirements Future requirements GP notification message (Appendix D) Trust report Message (Appendix C) NHSmail NHSmail FHIR NHS Trust Pharmacy FHIR GP [Backup: NHSmail] [Backup: NHSmail] GP notification message Essential: NHSmail with PDF attachment. NHS Trust Referral Essential: NHSmail. The referral must be able to be sent to any participating pharmacy irrespective of IT system FHIR [Backup: NHS Mail] NHSmail NHS Trust Trust notification message (Appendix E) FHIR [Backup: NHS Mail] Local Stop Smoking Service Trust notification message Essential: NHSmail with PDF attachment. NHSmail NHSmail Business Services Authority (BSA) FHIR 4 Reporting + claims Essential: ALL reporting submitted via MYS API.
Smoking Cessation consultation technical components Summary Care Records (SCR)* / Shared Care Record Personal Demographics Service (PDS) Directory of Services (DoS)* Dictionary of Medicines and Devices (dm+d) Real Time Exemption Checking (RTEC) * (Future requirement) (Future requirement) (Future requirement) DoS must be used to retrieve service information for other healthcare providers and enable transfer of care. Providers must use PDS to validate patient details. Verifying a patient with the PDS will allow access to the SCR RTEC should be used to automatically establish whether a patient has a known exemption The dm+d is a dictionary of descriptions and codes that must be used to record medicines and devices Pharmacy teams must have access to view SCR, ShCR and/or alternative Shared Care Record Access Pharmacy SCS IT platform 5 * Future requirement
Smoking Cessation essential / required / desirable components Technical component Essential requirement Future requirement Desirable Trust 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 / MESH / ITK3 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) Trust notification message (outbound) NHSmail (PDF attachment). See Directory of Services for more information. BSA Claims and reporting FHIR. Reporting (claims and reporting) via MYS API [LINK] Personal Demographics Service (PDS) Spine Mini Service / Personal Demographics Service - FHIR API (Application-restricted access) Personal Demographics Service - FHIR API (Healthcare worker access) 6
Smoking Cessation essential / required / desirable components Technical component Essential requirement Future requirement Desirable Summary Care Record (SCR) note that pharmacy teams may use alternative record e.g. Shared Care Record (ShCR) Not applicable Summary Care Record application (SCRa) or SCR 1- Click Functionality Integrated viewer: May be developed by system suppliers to allow users to view the SCR within their existing clinical system. Real Time Exemption Checking (RTEC) Patient to complete a written exemption status declaration (FP10DT EPS dispensing token) Use of RTEC to automatically establish whether a patient has a known exemption. Dictionary of Medicines and Devices (dm+d) Medicines and medical devices should be described using the Dictionary of Medicines and Devices terminology using the NRT product list (login required) - Directory of Services (DoS) 1. NHS Trust to Pharmacy referral by NHSmail (Trust report message) Local directory of pharmacy shared email addresses held in the system (pharmacy.ODScode@nhs.net e.g., pharmacy.fc683@nhs.net) 1. NHS Trust to Pharmacy referral by NHSmail using Endpoint details (Trust report message) DoS Proof of Concept API search by clinical term NHS Smoking Cessation Service (SCS) and location to 7
Smoking Cessation essential / required / desirable components Technical component Essential requirement Future requirement Desirable Directory of Services (DoS) 2. Pharmacy to GP notification by NHSmail (GP notification message) Return SCS providers within a 37.5 mile radius. Results should contain Public name (or Service Name), Address, Postcode, Public telephone, Opening Times, Specified Dates and Endpoint information. Onward referral to another pharmacy? TBC Local directory of GP practice email addresses held in system. 3. Pharmacy to NHS Trust notification by NHSmail (Trust notification message) 2. Pharmacy to GP notification by NHSmail (GP notification message) Local directory of NHS Trust Smoking Cessation Service shared mailbox addresses held in system. DoS Proof of Concept API search byODSCode to return details of the matching GP Practice and retrieve the secure email using Endpoint information 8
Smoking Cessation essential / required / desirable components Technical component Essential requirement Future requirement Desirable Directory of Services (DoS) 3. Pharmacy to NHS Trust notification by NHSmail (Trust notification message) DoS Proof of Concept API search by service ID to return details of the matching NHS Trust and retrieve the secure email using Endpoint information Prescription form FP10 FP10 prescription form should be printed (unless exempt because of age or the Real Time Exemption (RTEC) system) 9
The pharmacy IT platform must conform to the requirements defined below: General IT General IT platform platform requirements requirements Referral management Referral receipt - display a notification on user s computer screen when a referral is received Display a list of outstanding referrals due to be actioned Referral status Display referral status: New, Accepted, Closed, Completed Make available Manual Entry service templates to manage referrals received by NHSmail / referrals where the patient information is recorded incorrectly by the referrer 10
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 Onward referral - capability to forward the original referral to any pharmacy providing SCS irrespective of IT platform. The Directory of Services API should be used to obtain the receiving service information. The minimum referral requirement is a PDF attachment via NHSmail. Data reporting / recordkeeping - the IT platform must capture and share a record of the consultation in accordance with the NHSEI SCS 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. General IT General IT platform platform requirements requirements 11
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 General IT General IT platform platform requirements requirements Claims Claims for payment should be made via the BSA MYS API as part of general reporting Claims can be made for a maximum of 12 consultations (including the Initial and Final consultation). The IT platform should allow for no more than 12 consultations to be conducted in total for each patient. The IT platform should create a month end collated activity report for contractors to be able to reconcile their activity 12
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) 13
Approval Sign-off Sheet For approval of the NHS Smoking Cessation Service Technical Toolkit version [INSERT] The undersigned indicate understanding and approval of this technical toolkit. Role and Name Organisation Date Project Lead Rob Hebdon NHS England & NHS Improvement Service Lead [INSERT] NHS Digital Service Lead [INSERT] NHS Business Services Authority 14
Reviewers Sign-off Sheet For review of the NHS Smoking Cessation Service Technical Toolkit version [INSERT] The undersigned indicate review of this technical toolkit. Role and Name Organisation Date IT Lead [INSERT] PSNC 15
Version history Version 1.0 Date Rationale First draft, Claire Hobbs, NHSEI Review by Libby Pink, NHSEI Review by Fleur Bradley, NHS Digital Further revisions Further revisions including comments from PSNC IT and PSNC services 03-March-22 05-March-22 04-March-22 12-April-22 29-May-22 1.1 1.21 1.3 1.4 1.5 1.6 16
