NHS Community Pharmacy Blood Pressure Check Service Technical

NHS Community Pharmacy Blood Pressure Check Service Technical Toolkit Blood Pressure Check Service Technical Toolkit overview2 Scope of Blood Pressure Check Service 3 Blood Pressure Check Service pathway flow diagram 4 Blood Pressure Check Service consultation technical components Blood Pressure Check Service essential required / desirable components 5 6 General Blood Pressure Check Service IT requirements 10 Contact details 14 Approval Sign-off Sheet 15 Version history 29 May 2022 16 v1.22 1

NHS Blood Pressure Check Service Technical Toolkit Overview This technical toolkit is designed to provide a high-level overview of the technical components required to deliver the NHS Community Pharmacy Blood Pressure Check Service. It should be read in conjunction with the Advanced Service Specification: NHS community pharmacy hyperten sion case-finding advanced service (NHS Community Pharmacy Bloo d Pressure Check Service) The toolkit includes: a technical flow diagram for the Community Pharmacy Blood Pressure Check Service 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 Blood Pressure Check Service The NHS Community Pharmacy Blood Pressure Check Service is an Advanced service for community pharmacy contractors. As an Advanced service, community pharmacy contractors can choose whether to provide it. Referrals can be made via the following routes: Pharmacy initiated Patient self-referral General Practice referral 3

Minor Illness pathway requirements Blood Pressure Check Service pathway flow diagram Essential Essential Future NHSmail GP GP report Message NHSmail FHIR [Backup: NHSmail] GP Referral essential: NHSmail to any participating pharmacy. Strategic direction: FHIR FHIR [Backup: NHSmail] Pharmacy notification message Essential: NHSmail to any participating pharmacy Pharmacy notification message (onward referral) Alternative Pharmacy NHSmail Self Referral / Pharmacist Pharmacy GP notification message FHIR [Backup: NHSmail] GP GP notification message Essential: NHSmail with PDF attachment. Future: FHIR Reporting claims FHIR – Reporting (claims and reporting) via MYS API Business Services Authority (BSA) Reporting claims Essential: ALL reporting submitted via MYS API. 4

Blood Pressure Check Service consultation technical components Personal Demograp hics Service (PDS) Providers must use PDS to validate patient details. Verifying a patient with the PDS will allow access to the SCR Summary Care Recor ds (SCR) or equivalent patient clinical record NICE Clinical Knowle dge Summaries (CKS) Pharmacy teams must have access to view SCR and/or alternative Shared Care Record Access CKS can be used to facilitate consultation FUTURE REQUIREMENT Directory of Services (DoS ) DoS must be used to retrieve service information for other healthcare providers Pharmacy IT platform 5

Blood Pressure Check Service essential / required / desirable components Technical component Essential requirement Future requirement GP 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) NHSmail (PDF attachment). See Directory of Services for more information. FHIR Backup: NHSmail Strategic direction: Booking and Referral Standard ( BaRS) GP notification message (outbound) Pharmacy notification (outbound) NHSmail via NHS.net shared email address. The notification must be able to be sent to any participating pharmacy irrespective of IT system (see Directory of Services for more information) Desirable FHIR / MESH / ITK3 Backup: NHSmail Strategic direction: Booking and Referral Standard ( BaRS) FHIR Backup: NHSmail Strategic direction: Booking and Referral Standard ( BaRS) 6

Blood Pressure Check Service essential / required / desirable components Technical component Personal Demographics Service (PDS) Summary Care Record (SCR) NICE Clinical Knowledge Summaries (CKS) BSA Claims and reporting Directory of Services (DoS) Essential requirement Personal Demographics Servic e - FHIR API (Application-restricted access) Summary Care Record applica tion (SCRa) or SCR 1-Click Functionality FHIR. Reporting (claims and reporting) via MYS API 1. GP to Pharmacy referral by NHSmail (GP report message) Local directory of pharmacy shared email addresses held in the system ( [email protected] e.g., [email protected]) Future requirement Desirable Personal Demographics Servic e - FHIR API (Healthcare worker access) Shared Care Record Access or Integrated viewer: May be Detailed Record Access / Access developed by system suppliers to the Patient Health Record to allow users to view the SCR (Tier 2) within their existing clinical system. Embedded hyperlink 1. GP to Pharmacy referral (GP report message) DoS Proof of Concept API search by Service Type (ID TBC) and location to return Blood Pressure Check Service providers within a 37.5 mile radius. Results should 7

Blood Pressure Check Service essential / required / desirable components Technical component Directory of Services (DoS) Essential requirement Future requirement contain Public name (or Service Name), Address, Postcode, Public telephone, Opening Times, Specified Dates and Endpoint information. 2. Pharmacy to GP notification by NHSmail (GP notification message) Local directory of GP practice email addresses held in system 2. Pharmacy to GP notification (GP notification message) DoS Proof of Concept API search byODSCode to return details of the matching GP Practice and retrieve the ‘Endpoint’ information 3. Pharmacy to Pharmacy referral by NHSmail (Pharmacy notification message) Local directory of pharmacy service information (Results 3. Pharmacy to Pharmacy referral (Pharmacy notification message) DoS Proof of Concept API search by Service Type (ID TBC) and location to return Desirable Continued overleaf. 8

Blood Pressure Check Service essential / required / desirable components Technical component Essential requirement Future requirement Directory of Services (DoS) should contain Service Name, Address, Postcode, Public telephone, Opening Times) and shared email address ( [email protected] e.g., [email protected] ) Blood Pressure Check Service 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 details. Desirable 9

General Blood Pressure Check Service IT requirements The IT platform must conform to the requirements defined below: Referral management Referral receipt - Notification / alert of any referral received by the pharmacy Display a list of outstanding referrals due to be actioned Referral sorting – Display referrals in order of date/time and by care setting e.g. GP, Sexual Health clinic and by type (clinic BP / ABPM) Referral status – Display Referral status – Display referral status "Pending”, "Closed”, "Accepted”, "Completed" Make available “Manual Entry” service templates to manage referrals received by NHSmail / referrals where information is recorded incorrectly by the referrer 10

General Blood Pressure Check Service IT requirements 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 The pharmacy secure nhs.net shared mailbox address should be confirmed at first login at the pharmacy by the first practitioner to allow certain functionality (GP notification message) Consultation The pharmacist should be prompted to access the SCR, ShCR or an alternative available clinical record The pharmacist should be prompted to signpost / escalate to general practice where necessary 11

General Blood Pressure Check Service IT requirements Data reporting / recordkeeping - the IT platform must capture and share a record of the consultation in accordance with the NHSEI Blood Pressure Check Service Data Specification, Professional Record Standards Body (PRSB) Community Pharmacy Standard, the Records Management Code of Practice for Health and Socia l Care 2021 and the NHS Data Security and Protection Toolkit. Onward referral - capability to forward the original referral to another pharmacy (or other suitable service) if required. The Directory of Services API should be used to obtain the receiving service information. The minimum referral requirement is a PDF attachment via NHSmail 12

General Blood Pressure Check Service IT requirements 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 Claims Claims for payment should be made via the BSA MYS API as part of general reporting The IT platform should create a month end collated activity report for contractors to be able to reconcile their activity 13

Key contacts For more information please contact: TBC, Service Manager, NHS Digital (technical development and assurance) Claire Hobbs, [email protected], Senior Policy Manager - Digital Pharmacy, NHS England and NHS Improvement (Policy queries) Ben Tindale, [email protected], Senior Service Delivery Manager – MYS, NHS Business Services Authority (NHSBSA) 14

Approval Sign-off Sheet For approval of the Blood Pressure Check Service Technical Toolkit version [INSERT] The undersigned indicate understanding and approval of this technical toolkit. Role and Name Organisation Project Lead Yeyenta Osasu NHS England & NHS Improvement Service Lead [INSERT] NHS Digital Service Lead [INSERT] NHS Business Services Authority Date 15

Reviewer Sign-off Sheet For review of the Blood Pressure Check Service Technical Toolkit version [INSERT] The undersigned indicate understanding and review of this technical toolkit. Role and Name Organisation IT Lead PSNC Date 16

Version history Version 1.0 1.1 1.2 1.21 1.22 Date 11/03/2022 05/04/2022 17/05/2022 18/05/2022 29/05/2022 Rationale First draft Darryl Jones NHS E/I National Commercial and Procurement Hub Reviewefollowing Gemma Ramsay and Dan Ah-Thion comments Revised by Claire Hobbs, NHS England and NHS Improvement Minor revisions Review by PSNC IT and PSNC services 17