Ophthalmic Payments

National User Group Meeting 21st February 2013

Ophthalmic Payments Service

• Central Ophthalmic Payments system continues as usual from 1st April 2013

• NHS Connecting for Health– Including Systems and Service

Delivery– Lift & Shifted into HSCIC

Ophthalmic Payments Service

• The central Ophthalmic Payments system will continue to operate using PCT organisational structures– NHS CB approved– Minimising risk– Minimal change

• No PCT migrations

Ophthalmic Payments Service

• From 1st April 2013 the NHS CB Area Teams & their Primary Care Support teams will process GOS claims using the central Ophthalmic Payments system

Ophthalmic Payments Service

• Your monthly payment processing will remain unchanged, i.e.; creating new payment cycles, defining cut-off dates and payments dates remain under your control

• Payment made by the Integrated Single Financial Environment

Ophthalmic Payments Service

• Practices using eGOS will continue to operate unchanged

• User access remains unchanged– Ophthalmic administration tool to

assist with user requests

Ophthalmic Payments Service

• The Ophthalmic Payment’s Bulletin Board will be updated to show software changes and any ophthalmic service information

• An FAQ will be published soon, to cover transition, ISFE, Area Teams etc

ISFE

• NHS Shared Business Services (SBS) have been awarded the contract to make GP and Optical payments from 1st April 2013

• This service is being referred to as the Integrated Single Financial Environment - ISFE

ISFE

• ISFE covers all English GPs and Optical contractors

• Each contractor will be allocated a unique Vendor Site Reference (VSR) Number provided by ISFE

ISFE

• Plan to update VSR Number electronically within ophthalmic system by 22nd March for matching contractors

• Implementation date is 23rd March 2013 for both Ophthalmics & GP payments

ISFE

• All optical payments on or after 23rd March 2013 will be made using ISFE

• Removal of the 20 local enhanced service codes from 23rd March 2013

ISFE

• Removal of enhanced service types not supported by ISFE from 23rd March 2013– Unsupported services to be confirmed

by ISFE by 22nd March 2013

– Fees & unpaid claims to be removed by the Ophthalmic Payments team from 23rd March 2013

ISFE

• All optical payments on or after 23rd March 2013 will be made using ISFE

• No other payment route possible for English opticians

ISFE

• On-line help updated

• ISFE support line available (TBC)

ISFE

• Welsh LHBs are not affected at all and continue to make payments as normal

– Exeter BACS– External ledger

ISFE Changes required in Ophthalmic System

• Add the VSR Number on the contractor details screen

• Generate statements will only create statements when each contractor, within the PCTs assigned into the selected payment cycle, has been allocated their VSR number

ISFE Changes required in Ophthalmic System

• Transfer to Exeter BACS facility unavailable to PCTs

• Produce the ISFE payment file

• All BACS transfer switches for PCT organisations and PCT contractors will be set to NO and access removed

ISFE Changes in ophthalmic system

• Removal of 20 local enhanced service types & fees

• Removal of unsupported enhanced service types, fees & unpaid claims

• Removal of ‘other’ adjustments

ISFE Changes in ophthalmic system

• No other payment route possible for English opticians from 23rd March 2013

Contractor – VSR Number

Generate Statements – VSR Number missing

ISFE Interface Payment File

• Access restricted to Local Administrator, Operator & Claim User roles only

• ISFE interface file is not protected and it’s security is the responsibility of the Area Team

ISFE Interface Payment File

ISFE File Transfer

• Upload to ISFE via website

• User must be registered

• Confirmation of email sent to user once ISFE receive payment file

ISFE File Transfer

• Errors reported back to sender via email

• Corrected within ISFE

• ISFE manual payments available but requires approval

Area Team Details

• Update the name and address details accordingly for your responsible organisations

– PCT– Payment Authority / Agency

Area Team Reports

Area Team Reports

Area Team Reports

• User access– Users wishing to access the Area

Team Reporting module will need to register their interest by contacting our National Helpdesk (0845 371 3671) while we develop a new authentication process for such requests

GOS Fees 2013/2014

• England – Voucher values should be available

from 1st April 2013– Sight test & domiciliary fees are

currently being negotiated

• Wales - TBC

GOS Regulations for English Performers

• Uniform List Number has been removed

• Replaced by Professional Registration Number

– GOC Number– GMC Number

GOS Regulations for English Performers

• GOC/GMC number will be updated to become a linked field, like the Performer’s Uniform List Number

• Performer’s Uniform List Number will remain as a linked field

GOS Regulations for Performers

Pension Changes

• New Pension Tiers from 1st April 2013

Electronic Links

• Accredited Suppliers, Pilots & Electronic Links Activity

– There is a link, called national availability & pilots, now available on the Ophthalmic Payments Bulletin Board showing latest eGOS activity and pilot information

– https://nww.openexeter.nhs.uk/nhsia/opthelp/Ophthalmics/eng/ECActivity.html

Electronic Links (eGOS)

• Activity Details– 371 active stores

• 247 Specsavers stores• 89 practices using the Optix system• 24 Vision Express stores use Ocuco• 11 Independents

– 122 PCT/LHBs over 53 payment agencies

Electronic Links (eGOS)

• Claim Volumes from May 2007

– 7,158,590 GOS 1– 4,622 GOS 3– 849 GOS 4– 3 GOS 5– 52 GOS 6

Practice wishing to use links

• Check for accredited supplier at the practice (using activity page)

– If yes, follow usual activation process found on the Bulletin Board

– If no, then pass on the URL for the NHS CfH Ophthalmic payments electronic links website & ask the practice to forward it to their system supplier

– http://www.connectingforhealth.nhs.uk/systemsandservices/ssd/prodserv/ecophthalmics

Completed Change Requests

5145 Hull, Performer List export file to include forename & surname as separate fields

20th December 2012

Rejected Change Requests

4819 Warwickshire, Amend GOS 4 screen to match location of Evidence Not Seen box

Rejected by OPUG 20th September

5047 Dudley, Reinstate the user password reset function

Rejected by our Security Manager, Steve Daniels

5048 Dudley, Permit two glasses on one GOS 4 claim

Rejected by OPUG 20th September

Cancelled Change Requests

5146 Suffolk, Re-directing user after closing a GOS 6 claim, linked to the Pre Notification claim

Cancelled 12th November 2012

Open Change Requests4796 LASCA

(page 8)

Amalgamate optician statements grouped by PCT/LHB code and email address

5032 LASCA

(page 9)

GOS 3 & GOS 4 to include a 3 month check on Date Ordered

5108 Suffolk (page 10)

Allow duplicate statements for performers outside of responsible area

5140 Hamp

(page 11)

Block claims for small glasses if patient is a child not under 7 years

Open Change Requests5143 LASCA

(page 12)

Batched Enhanced Service details to be included within the General Purpose Audit report

5183 Kent (page 13)

New report to list the Contactors electronic claim settings