Ophthalmic Payments

National User Group Meeting 18th September 2008

GOS Regulations 2008

• Contractors and Performer lists now available for all English PCTs

• Migration successfully implemented

GOS Regulations 2008Back Pay

• When available:-

– Calculated for all, including closed practices

– Statements will be generated for all

GOS Regulations 2008 Wales

• Currently these regulations will NOT be implemented in Wales

• Practitioner List and Supplementary List are still available

GOS Regulations 2008New GOS Forms

• New Employment and Support Allowance (ESA) available from 27th October 2008

• Found on GOS1, GOS3, GOS4, GOS6 & HES

GOS Regulations 2008 Inputting Claims

GOS Regulations 2008 Inputting Claims

• English PCTs use 2008 Regulations menus

• Welsh LHBs use ‘old’ Regulations menus

Electronic Links Project

• Activity Details

– 136 activation requests processed– 130 active stores– 87 stores using automatic process– 51 PCTs– 24 payment agencies

Electronic Links Project

• Claims Volumes

– Entered May 2007 - Sept 2008• 260,975 manual approvals• 308,215 automatic approvals• 569,190 total claims

Closed Change Requests2850, Include ‘order by’ and grand totals to electronic BACS report

19th May 2008

2885, Show patient’s address on possible duplicate claims reports

4th June 2008

2870, Add service date to PPC school letters

16th June 2008

2898, Include back pay values within the FIS return

20th June 2008

Closed Change Requests2791, Management reports covering staff activities

18th July 2008

2824, Single button to accept for ‘batch’ of electronic claims

11th Sept 2008

2827, Import ophthalmic data into PCIS

4th July 2008

2861, Rejected by OPUG

15th May 2008

Open Change Requests

2648 Devon (Low) Global delete button for selected PPC audit records

2740 Stockport (High) Permit practitioner name reuse

2742 Dorset Batched Additional Services claims

2816 East Riding PPC letters ‘payable to’

Open Change Requests

2838 Kent (High) Facility to email electronic statements

To be included within Electronic Links project

2851 Hampshire (Medium)

Improve linking of pre-notification lists to residential homes

2871 Essex (Medium) Monthly payment report, like FIS 3 report

Open Change Requests

2909 Doncaster (New) Highlight if SOL/OPL optician is registered on another country’s list

Scheduled for released on 27th October 2008

2926 Worcester (New) Show Trading Name on input screens

Scheduled for released on 27th October 2008

Open Change Requests

2941 Cheshire (New) Performer List to record contract as ‘Currently Registered’ or ‘Conditionally Registered’ & include details

2943 Devon (New) Suppress Contractor’s Uniform List Number on Statements

2949 Hampshire (New) Report to show contractors who have not been linked to Exeter BACS for payment

CR 2909 – Performer/Supplementary

Import Ophthalmic data into PCIS

• PCIS User Group approved Change Request 2827

• To enable the automatic import of contractor data into PCIS

• Must be enabled within the PCIS and Ophthalmic Payments applications

Import Ophthalmic data into PCIS

Organisation Data Service

• The ODS team is part of NHS Connecting for Health

• Responsible for publication of identifier codes for all organisations and practitioners within the NHS

• To enable the NHS to use new systems and services available– NHSmail, N3, Choose & Book

Organisation Data Service & Opticians

• Include all optical sites into the existing ODS

• Opticians can access NHSmail• Information will shortly be sent to all

practices• Approved by:

– FODO– AOP– ABDO

Organisation Data Service & Opticians

• http://www.connectingforhealth.nhs.uk/systemsandservices/data/nacs/optsitereq

Activity in August 2008

• 892,635 GOS1 claims processed in August 2008

• £17,010,853 for GOS1 in August 2008

• 83,889 Schedule D searches in August 2008

• 17.79% GOS1 claims were individually entered during August 2008