Ophthalmic Payments

National User Group Meeting 15th May 2008

GOS Regulations 2008

• English PCTs ONLY

• 1st August 2008– Contractor List– Performers List– Mobile Services

GOS Regulations 2008

• Interim Arrangements– Implemented on 3rd June 2008– Reference data for new lists

active now– Pre-populated with current

opticians

GOS Regulations 2008

• GOS Regulations 2008 menu

– Practitioner Reference List• Move to Contractor List• Move to Performer List• Validation rules & Create mode

– Supplementary Reference List• Move to Performer List• Validation rules & Create mode

– Report

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

GOS Regulations 2008

• All reference records must be complete by mid July 2008

• On 31st July 2008 the migration team will move your practitioners to their nominated list

• From 1st August 2008, the Contractor List and Performers List will be active in England

GOS Regulations 2008

• Ophthalmic payments system will continue to reference Practitioner List and Supplementary List until 1st August 2008

• GOS forms will be changing– details not confirmed about content

changes or release date

GOS Regulations 2008 Wales

• Currently these regulations will NOT be implemented in Wales

• Practitioner List and Supplementary List will remain unchanged

Electronic Links Project

• Activity Details

– 121 activation requests processed– 110 active stores– 66 stores using automatic process– 45 PCTs– 21 payment agencies

Electronic Links Project

• Vision Express at Southampton activated on 6th May 2008

• Claims Volumes

– Entered May 2007 - May 2008• 152,916 manual approvals• 140,969 automatic approvals• 293,885 total claims

Electronic Links Project

• Implementation Process

– Contact your store & arrange activation date

– Gather following details:-• The store name and address • The store contact name and telephone

number • The local code and uniform list number

for the store • The PCT code and name in which the

store is located • Agreed 'go-live' date

Electronic Links Project

• Implementation Process– Contact National Help Desk on 01392

251289– Raise 3rd line ophthalmic payments

support log– Description of Request for Activation of

Ophthalmic Payments Electronic Links and should contain all the information specified above

– Ophthalmic team to pass information onto Specsavers IT for activation

Electronic Links Project Phase II

• Strategic Planning Group funded Project

• Project Board members– Project Executive: Gary Snowball– Senior User: Nikki Hobman– Senior Supplier: Sean Walsh (NHSCFH)– Project Manager: Steve Daniels (NHSCFH)– Work Package Managers:

• Mark Green (NHSCFH)• Tom Davies (NHSCFH)• Lynn Turner (NHSCFH)

Electronic Links Project Phase II

• Progress

– PID signed off– Requirements catalogue signed off– Sub-group met on 3rd April 2008– Draft data set definitions completed

for GOS3, GOS4 and GOS5 claims

Electronic Links Project Phase II

• Progress (cont)

– Definition document sent to Specsavers, OccucoRelcon, Boots Opticians and Optix

– Specsavers and OccucoRelcon have expressed their interest in submitting GOS3, GOS4 and GOS5 claims

Electronic Links Project Phase II

• Current activity

– Define validation rules– Define manual approval process– Define automatic approval process

Closed Change Requests2776, Report by Domiciliary address on pre-notified visits

17th January 2008

2794, Listing screen to order patient names correctly

30th January 2008

2825, access to the organisation screen for all users

7th February 2008

2836, Electronic Links batch report

28th February 2008

Closed Change Requests2783, Practitioner Status report

6th March 2008

2860, update Bulletin Board for easier use

14th April 2008

2846, General Purpose report to search by payment cycles

30th April 2008

Open Change Requests

2648 Devon Global delete button for selected PPC audit records

2740 Stockport Permit practitioner name reuse

2742 Dorset Batched Additional Services claims

2791 Devon Management reports covering staff activities

Currently in peer test

Open Change Requests

2816 East Riding PPC letters ‘payable to’

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

2838 Kent Facility to email electronic statements

2850 Hampshire Include ‘order by’ and grand totals to electronic BACS report

Currently in peer test

Open Change Requests

2851 Hampshire Improve linking of pre-notification lists to residential homes

2861 Suffolk User selectable default payment cycle

2870 Stockport Add service date to PPC school letters

2871 Essex Monthly payment report, like FIS 3 report

Tiered Pensions

• Effective from 1st April 2008

• Implemented in England & Wales

• OMPs who contribute to their NHS Pension

Tiered Pensions

• 4 Tiered Bands– Band A @ 5%– Band B @ 6.5%– Band C @ 7.5%– Band D @ 8.5%

• Manually assign a Tier based on 07/08 pensionable salary using Practitioner screen

Tiered Pensions

Tiered Pensions – Compile Statements

LOC Central Supporting Fund

LOC Central Supporting Fund

Activity in April 2008

• 827,782 GOS1 claims processed in April 2008

• £15,773,458 for GOS1 in April 2008

• 99,776 Schedule D searches in April 2008

• 17.25% GOS1 claims were individually entered during April 2008