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16/07/2009

Prescription errors rife, Avicenna survey finds

Jennifer Richardson


Continuing incorrect prescription payments to pharmacies cast “serious doubts” on NHS paymasters’ accuracy, a buying group has said.

 

Feedback on payments by NHS Prescription Services (NHS PS, formerly Prescription Pricing Division) from Avicenna members unveiled underpayments of up to £2,300 in a single month.

 

NHS PS insisted it “consistently” paid contractors to 99.8 per cent accuracy, as agreed with the Department of Health. But in a statement Avicenna said: “Judging from our feedback, their accuracy falls significantly outside these parameters.”

 

One member was underpaid £5,720 over eight months when items were omitted from every payment during this period – up to 168 items in a monthly batch.

 

Another had 14 consecutive batches rechecked, revealing errors in every payment and a net underpayment of £7,270.

 

In yet another recheck, NHS PS reported a £174 underpayment, but a further check by PSNC revealed an additional shortfall of £422. On this latter case, NHS PS told C+D: “We are confident that checks are carried out to a high degree of accuracy.”

 

Avicenna was concerned that the “limited information” given to contractors made payments “impossible to reconcile”. NHS PS said it was “looking at the feasibility of providing more information to contractors”.

 

Avicenna recently met NHS PS to discuss its findings but had decided to make them public because the buying group was “not satisfied” with the response it got, Mr Jetha told C+D. “I’m not interested in how they do it,” he said. “We want to be accurately paid – how they do it is up to them.”

 

PSNC had identified “some improvement” in NHS PS’s automated prescription pricing system (CIP), said head of information services Lindsay McClure. But there remained “unresolved issues leading to errors”, which PSNC was “closely monitoring”.


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3  Responses to this Story

1.  Posted by , On 16/07/2009 20:56

As I said at a Unichem conference 15 years ago; pharmacies should be supplied drugs free of charge making there worth to the pharmacy zero. The wholsaler or supplier then invoices the government directly.
Drugs supply justified by script returns and private scripts figures charged directly as now.
Advantage for pharmacies; no cat and mouse withclawbacks, no utilising our own money to fund the government and reduced wasteage. We would know exactly how our finances are flowing and could concentrate purely on the service element. The NHS then pays us set returns with known negotiable margins. And if we are really are being underpaid then it would not apply anymore.
Disadvantage; although free enterprise would appear to diminish, generics are heading towards nominal value anyway. Disadvantage to NHS; they would have to fund the drug bill 2 months earlier having to stump up billions.


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2.  Posted by JOHN MCKERRACHER, On 16/07/2009 17:21

I am waiting on a response from PSNC regarding other issues with NHS PS. One of the issues involves how we are paid when a category M item is prescribed with a manufacturer's name in brackets after the drug name.

I have given them until the end of next week to resolve the situation or at least make an announcement to contractors. The issue could cause chaos when EPS release 2 goes live.

Another issue is the number of scripts returned in error. The standard response when I pointed out their error in the past was that the operator involved would have the error pointed out and given extra training so that it would never happen again. This month when I reported two error so far, they did not even trot out this default response.

NHS PS is still not fit for purpose and PSNC don't seem able to effect the change in culture that contractors demand.


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3.  Posted by paul badham, On 16/07/2009 13:32

why then has the psnc withdrawn the facility for contractors to have their prescriptions checked?


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