Ophthalmic Payments
National User Group Meeting 15th May 2008
GOS Regulations 2008
• English PCTs ONLY
• 1st August 2008– Contractor List– Performers List– Mobile Services
GOS Regulations 2008
• Interim Arrangements– Implemented on 3rd June 2008– Reference data for new lists
active now– Pre-populated with current
opticians
GOS Regulations 2008
• GOS Regulations 2008 menu
– Practitioner Reference List• Move to Contractor List• Move to Performer List• Validation rules & Create mode
– Supplementary Reference List• Move to Performer List• Validation rules & Create mode
– Report
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
GOS Regulations 2008
• All reference records must be complete by mid July 2008
• On 31st July 2008 the migration team will move your practitioners to their nominated list
• From 1st August 2008, the Contractor List and Performers List will be active in England
GOS Regulations 2008
• Ophthalmic payments system will continue to reference Practitioner List and Supplementary List until 1st August 2008
• GOS forms will be changing– details not confirmed about content
changes or release date
GOS Regulations 2008 Wales
• Currently these regulations will NOT be implemented in Wales
• Practitioner List and Supplementary List will remain unchanged
Electronic Links Project
• Activity Details
– 121 activation requests processed– 110 active stores– 66 stores using automatic process– 45 PCTs– 21 payment agencies
Electronic Links Project
• Vision Express at Southampton activated on 6th May 2008
• Claims Volumes
– Entered May 2007 - May 2008• 152,916 manual approvals• 140,969 automatic approvals• 293,885 total claims
Electronic Links Project
• Implementation Process
– Contact your store & arrange activation date
– Gather following details:-• The store name and address • The store contact name and telephone
number • The local code and uniform list number
for the store • The PCT code and name in which the
store is located • Agreed 'go-live' date
Electronic Links Project
• Implementation Process– Contact National Help Desk on 01392
251289– Raise 3rd line ophthalmic payments
support log– Description of Request for Activation of
Ophthalmic Payments Electronic Links and should contain all the information specified above
– Ophthalmic team to pass information onto Specsavers IT for activation
Electronic Links Project Phase II
• Strategic Planning Group funded Project
• Project Board members– Project Executive: Gary Snowball– Senior User: Nikki Hobman– Senior Supplier: Sean Walsh (NHSCFH)– Project Manager: Steve Daniels (NHSCFH)– Work Package Managers:
• Mark Green (NHSCFH)• Tom Davies (NHSCFH)• Lynn Turner (NHSCFH)
Electronic Links Project Phase II
• Progress
– PID signed off– Requirements catalogue signed off– Sub-group met on 3rd April 2008– Draft data set definitions completed
for GOS3, GOS4 and GOS5 claims
Electronic Links Project Phase II
• Progress (cont)
– Definition document sent to Specsavers, OccucoRelcon, Boots Opticians and Optix
– Specsavers and OccucoRelcon have expressed their interest in submitting GOS3, GOS4 and GOS5 claims
Electronic Links Project Phase II
• Current activity
– Define validation rules– Define manual approval process– Define automatic approval process
Closed Change Requests2776, Report by Domiciliary address on pre-notified visits
17th January 2008
2794, Listing screen to order patient names correctly
30th January 2008
2825, access to the organisation screen for all users
7th February 2008
2836, Electronic Links batch report
28th February 2008
Closed Change Requests2783, Practitioner Status report
6th March 2008
2860, update Bulletin Board for easier use
14th April 2008
2846, General Purpose report to search by payment cycles
30th April 2008
Open Change Requests
2648 Devon Global delete button for selected PPC audit records
2740 Stockport Permit practitioner name reuse
2742 Dorset Batched Additional Services claims
2791 Devon Management reports covering staff activities
Currently in peer test
Open Change Requests
2816 East Riding PPC letters ‘payable to’
2824 Yorkshire Single button to accept for ‘batch’ of electronic claims
2838 Kent Facility to email electronic statements
2850 Hampshire Include ‘order by’ and grand totals to electronic BACS report
Currently in peer test
Open Change Requests
2851 Hampshire Improve linking of pre-notification lists to residential homes
2861 Suffolk User selectable default payment cycle
2870 Stockport Add service date to PPC school letters
2871 Essex Monthly payment report, like FIS 3 report
Tiered Pensions
• Effective from 1st April 2008
• Implemented in England & Wales
• OMPs who contribute to their NHS Pension
Tiered Pensions
• 4 Tiered Bands– Band A @ 5%– Band B @ 6.5%– Band C @ 7.5%– Band D @ 8.5%
• Manually assign a Tier based on 07/08 pensionable salary using Practitioner screen
Tiered Pensions
Tiered Pensions – Compile Statements
LOC Central Supporting Fund
LOC Central Supporting Fund
Activity in April 2008
• 827,782 GOS1 claims processed in April 2008
• £15,773,458 for GOS1 in April 2008
• 99,776 Schedule D searches in April 2008
• 17.25% GOS1 claims were individually entered during April 2008