EPrescribing and Electronic Transfer of Prescriptions - hiqa.ie

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EPrescribing and Electronic Transfer of Prescriptions: an International ReviewHealth Information and Quality Authority“pocketing the money” or “failing to record my details” correctly. The introduction ofthe patient’s receipt protected pharmacists against these accusations.6.3 Governance arrangementsGovernance in health and social care and of the EPES system is the responsibility ofindividual trusts under the Department of Health, Social Services and Public Safety.The Code of Practice on Protecting the Confidentiality of Service User Information(2012) ensures that the privacy and confidentiality of individuals is safeguarded andall health and social care providers must adhere to this code when accessing orprocessing identifiable personal information. (43)The Northern Ireland Health and Social Care Standard on Information andCommunications Technology requires that providers use a consistent, comprehensiveand systematic approach to the management of electronic information andsystems. (44) This ensures that in terms of information governance, the EPES systemrepresents an improvement in safe communication between pharmacists and careproviders by improving data quality and reducing fraud by strengthening identitypractices.6.4 ePrescribing in Wales (based on Northern Ireland model)The Electronic Transfer of Prescription service for Wales, known as ‘2DRx’, is basedon the Northern Ireland architecture with some localisation of the information carriedin the 2D barcode on the prescription. The Welsh implementation allows for differentvalues to be carried in certain fields (prescription type); additional fields were added(the number of drugs on the prescription, the age of the patient); the algorithm usedto generate the unique number to identify the prescription in Wales is different fromNorthern Ireland; and certain fields which were optional in the Northern Irelandimplementation were mandated in the Welsh implementation (Middle name, Title,Patient’s gender).All GP practices in Wales now generate 2D barcoded prescriptions under the 2DRxproject and Wales is in the process of enabling all its pharmacies to scan theprescriptions using a barcode scanner. A further stage of the project, which willenable pharmacies to submit electronic claim to the NHS Wales prescribing ServicesUnit, is to follow.30
EPrescribing and Electronic Transfer of Prescriptions: an International ReviewHealth Information and Quality Authority7. Scotland7.1 IntroductionThe National Health Service in Scotland (NHS Scotland) is responsible for theprovision of public healthcare to the 5.2 million residents of Scotland. NHS Scotlandcomprises 14 area NHS boards and a number of special National Health Boards(NHBs). The area NHS boards are responsible for healthcare in their respectiveregions and the special NHBs for some services on a national basis including theScottish National Blood Transfusion Service, the Scottish Ambulance Service and NHSQuality Improvement Scotland. (45)7.2 ePrescribing in ScotlandScotland has been investing in ePrescribing for almost 10 years. To make bothprescribing and payment processing more efficient, the Scottish Government’sePharmacy Programme has been working to put in place the IT infrastructure toallow prescriptions to be sent electronically between GPs and CommunityPharmacists since 2001. One of the aims of the programme is to improve patientcare and also reduce GPs’ workload by making better use of pharmacists’ skills andexpertise, especially for minor ailments and chronic conditions.The electronic transfer of prescriptions (ETP) provides the IT technology to supporttwo programmes, the electronic Acute Medication Service (eAMS) and the electronicChronic Medication Services. (46)ETP aims to enable electronic generation, transmission, dispensing and processing ofprescriptions. The Scottish Government established a pilot project within the Ayrshire& Arran Primary Care Trust (47) to develop a system to establish the necessaryfunctionality for the electronic transfer of prescriptions between 2001 and 2002.Suppliers of pharmacy and general practice systems were engaged and the relevantfunctionality was built into these systems.The Right Medicine report (48) suggested that the project's objectives should bebroadened to include the development of e-applications that would support thefuture delivery of community pharmaceutical services and improve communicationsacross the healthcare team.To reflect the extended remit, the initiative as a whole was re-badged as ePharmacy.The first component of ePharmacy infrastructure was the connection of allcommunity pharmacists to the NHS net, the NHS email system. A connectionprogramme began in October 2004 and upon completion in April 2005 it allowedaccess to the NHS net website and NHS email, for community pharmacists. InitiallyeAMS has been introduced across Scotland using both electronic prescriptions andpaper prescriptions which facilitates testing the IT infrastructure fully.31
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