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ePACT2 Report Information

This information will help you to put the data included within reports into context. You can find notes about how the data has been produced, for example, what is and what is not included in the data.

Itemised Prescribing Payment (IPP) report

The Itemised Prescribing Payment (IPP) Report is available via ePACT2

The Itemised Prescribing Payment (IPP) Report shows the reimbursement costs for each prescribing organisation for prescriptions dispensed by pharmacy and appliance contractors.  It is used by NHS England to calculate the charge shown in the Cash Report for CCGs and by the NHSBSA to calculate charges to be invoiced to Hospital Trusts, Independent Sector Healthcare Providers (ISHPs) and Local Authorities. Any queries relating to the Cash Report should be emailed to nhsenglandcash.management@nhs.net

Notes

IPP uses actual cost in rows 1- 4 of the report therefore payments for containers (Drug Tariff Part IV) and out of  pocket expenses for identified prescribing are included in these rows. Payments for containers (Drug Tariff Part IV) and out of pocket expenses for dentists and national unidentified prescribers are included in line 7 - Elements for which resources have been retained centrally.

What is included in IPP Reports

There are 3 views of the report available, depending on your permissions.

  • National – (DHSC Only)
  • Area
  • Commissioner/Provider

National IPP Report

The National IPP Report is only available to the Department of Health and Social Care and NHSBSA users. It shows the consolidated figures for relevant organisations.

Area IPP Report

Area View shows the aggregate Area detail. It is possible to view Commissioner/Provider Report by clicking into the “Comm./Prov Individual Tab” and selecting the required Commissioner/Providier's name from “Drop down menu”. Note: access to the Area IPP Report is only available to authorised users approved by the named Area Team

Commissioner/Provider IPP Report

Commissioner/Provider View shows the detailed breakdown of reimbursement costs for individual Commissioner/Providers (including Hospital Trusts).  Note: access to an individual organisations IPP report is only available to authorised users approved by the named organisation.

The following lines are present on the report:

  • Line 1 - Practice/Comm./Prov. prescribing where the correct practice, cost centre or hospital unit could be identified.

The actual cost of prescribing in the named Commissioner/Provider by identified practice prescribers, Commissioner/Provider employed prescribers or hospital units i.e. GP, nurse, supplementary prescribers or hospital units, for the named dispensing month, which have been dispensed in primary care.

  • Line 2 - Unidentified prescribing where only the Commissioner/Provider could be identified.

Contains all Commissioner/Provider prescribing which has been dispensed in primary care that can not be linked to a specific prescriber or hospital unit but can be linked to the named Commissioner/Provider.

  • Line 3 - Deputising Services where only the Commissioner/Provider could be identified

Contains all deputising service prescribing which has been dispensed in primary care that can be linked to the named Commissioner/Provider.

  • Line 4 - Community Prescribing

Contains all prescribing issued under a community Nurse Prescribing Contract. Community Nurse Prescribing contracts were discontinued in April 2013 as part of NHS reforms.

  • Line 5 - Adjustments to Charge Statements - Please note, this line is currently not used.

The actual cost of adjustments caused by, for example, late notification of GP movements, computer produced prescriptions for a GP still being generated for a previous practice, and pricing errors.

  • Line 6 - Lost batch prescriptions - Please note, this line is currently not used.

The actual cost of lost batches as authorised by the Commissioner/Provider. From April 2013, Commissioner/Providers no longer authorise lost batches as this is now done by Area Teams.

  • Line 7 - Elements for which resources have been retained centrally

This is the proportional share per Commissioner/Provider of other costs based on prescribing which can not be directly attributed to practices. These costs include VAT, nationally unidentified prescribing, broken bulk, schedule adjustments, net cross boundary costs and out of pocket expenses, payments for containers for national unidentified prescribing and Urgent Medicine Supply (wef December 2016).

Resources

 ePACT2 User Guides

Glossary of terms

Data Dictionary

 

If you have any queries you can contact the Information Services team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Remuneration Report

The Remuneration Reports are available via ePACT2

Provides information to support the monitoring and management of remuneration payments for pharmaceutical services supplied by pharmacy and appliance contractors. This report only shows payments which relate to remuneration and include payments previously sourced from funding held centrally by the Department of Health, known as the global sum.

ePACT2 will hold data from April 2018 which will be updated on a monthly basis.

The Remuneration Report is split into two views:

  • All Values, which should be used for information purposes only and provides users with an overall view of remuneration for all the organisations which are linked to them, and
  • Recharge Values, showing only the remuneration which the organisation has been charged for.

The Recharge view is only available to organisations at Area Team level and above.

Notes

All remuneration costs are invoiced to the appropriate organisation with the exception of those relating to Clinical Commissioning Groups, which are recharged to NHS England.

Where a particular fee or an allowance cannot be directly attributable to a specific commissioner/provider, the activity and associated amount recharged is shared across all commissioner/providers. The basis for the sharing is in accordance with specified formulae which are listed in the Remuneration Report Glossary.

The fees column shows the number of identifiable fees which can be directly attributed to a commissioner/provider, Cost Centre or Hospital Unit. Fees are identified from the prescriber number or the commissioner/provider information included on the prescription form. Fees which cannot be attributed to a particular commissioner/provider are shared and shown under National Unidentified Prescribers.

Unidentified Prescriber shows the fees/allowances attributed to unidentified prescribers where a prescription form (FP10, FP10HP) does not contain sufficient detail to identify the prescriber but the commissioner/provider can be identified

Rumuneration Report Glossary

Glossary

Data Dictionary

ePACT2 User Guides

If you have any queries you can contact the Information Services Team on 0191 203 5050 or email us at nhsbsa.help@nhs.net

Prescribing Monitoring Document (PMD)

Prescribing Monitoring Document (PMD) reports are accessed via ePACT2

PMD provides monthly financial information about prescribing costs against budgets, to enable management of the drugs element of unified budgets. The figures shown on this report are for monitoring purposes only and do not reflect the actual charge.

Data within the PMD report is updated on a monthly basis.

Statements are issued every month and show:

  • the indicative prescribing budget for the current financial year (not shown in April or May) 
  • total monthly expenditure 
  • cumulative expenditure (April to current month) 
  • forecast out-turn (based on information provided by the Department of Health and Social Care which is based on a spending pattern, calculated using previous years spending data). The accuracy is determined by local factors at a local level (not shown in April or May) 
  • the number of dispensing days in the month and year to date

The annual statement produced for March shows the actual expenditure for the financial year.

Notes

Figures are based on the 'actual' cost of drugs prescribed.

 'Actual' cost is the basic price of the drug less the National Average Discount Percentage (NDAP) plus the Payment for Consumables (previously known as Container Allowance), Out of Pocket Expenses and Payment for Containers (10p for splitting packs). 
 
All amounts are rounded to the nearest pound (£):

Monthly spend - some of the costs incurred for the dispensing of prescriptions are excluded from the expenditure figure. These are professional fees, on-cost, oxygen cylinder delivery service, and oxygen concentrator services.

OOHC budgets are held locally. The OOHC expenditure shown only relates to FP10 prescribing.
Budget and forecast figures will not be shown on PMD statements for the first two months of each financial year. This is due to the volatility of prescribing over a short time period which can seriously distort the annual outturn amount.

If a practice moves to a new Commissioner/Provider mid-year, they will retain their existing budget as this has been set according to the needs of the practice. If their target budget needs to change mid-year, these changes need to be agreed with the Commissioner/Provider. If the practice splits, the budgets will need to be agreed with the Commissioner/Provider and will normally be prorated with list sizes.

Practice Budgets are notified to NHSBSA by Commissioner/Providers. The NHSBSA does not hold records of local contingency funds.

What is included in PMD Reports

There are five types of report available to view:

  • National Statement
  • Area & Comm./Prov.* Statement
  • Practice Summary in Comm./Prov.*
  • Practice Prescribing
  • Practice Annual Profile

*Comm./Prov. - Commissioner/Provider

National

The National PMD Statement shows the aggregate National detail.

Area & Commissioner/Provider

Contains Area and Comm./Prov. totals.

Practice Summary in Comm./Prov.

Contains a list of practices in the Commissioner/Provider’s area and also Prescribing which are outside the Commissioner/Provider. Out of area prescribing shows Commissioner/Provider community non-medical prescribing where a prescription has been provided to a patient who belongs to a practice which is outside of the Commissioner/Provider where the prescriber is employed. The costs of these prescriptions will be charged back to the prescribers Commissioner/Provider. Any Commissioner/Provider community non-medical prescribing for practices within the Commissioner/Provider where the prescriber is employed, will be charged to the practice identified on the prescription form.

Practice Prescribing

The Practice Statement includes a breakdown of expenditure by major therapeutic group.

Practice Annual Profile

Monthly expenditure details for the whole of the previous year, (April to March), plus details for the current year to date. This information provided is cumulative. For example, April contains April details only, whilst May contains April and May. It shows expenditure to date for each of the months.

Resources

Glossary

ePACT2 User Guides

Data Dictionary

If you have any queries you can contact the Information Services Team on 0191 203 5050 or email us at nhsbsa.help@nhs.net