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PJ Online homeThe Pharmaceutical Journal
Vol 280 No 7488 p142
9 February 2008

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Pharmacies say EPS not yet a viable proposition

GP surgeries are not yet producing enough barcoded prescriptions to make dispensing via the electronic prescription service feasible, according to some pharmacy groups. The latest data from NHS Connecting for Health show that an average of 20 per cent of daily prescriptions are prescribed electronically but only 2 per cent are dispensed via the service.

Andy Charlesworth, commercial IT manager for Numark, told The Journal that around 90 per cent of the pharmacies operating Numark Assist have the capability to scan barcoded prescriptions.

“The feedback we are getting from some of our members is that not all surgeries are printing barcoded prescriptions. In some cases this is because the surgeries haven’t received the required visit that enables their IT system to do it. However, I have heard that some GPs are cynical about the whole process.”

Wahid Muhammad, head of software development at Pharmacy Plus, a group based in Bristol that has developed an in-house system, said that although it received accreditation a while ago, the volume of electronic prescriptions the company receives is too low to justify use of the service.

“Pharmacy Plus operates a central dispensary site catering for the prescription needs of over 150 nursing homes in the south west region. This equates to roughly 20,000 prescriptions a month, with fewer than 1,000 being ETP scripts. This isn’t enough for us to justify moving our process to rely on ETP.”

All pharmacies at Rowlands are enabled to dispense using the EPS system but Jennifer Thomas, the company’s NHS fund manager, explained that this has taken significant manpower to achieve. Obstacles have arisen because of the lack of standardisation of procedures across primary care trusts, affecting both the registration and issuing of smartcards as well as the validation process that leads to payment of the monthly EPS allowance, she said.

“The programme will only be successful when pharmacy as a whole is fully engaged. As yet there has been little, if any, advantage in it doing so,” she added.

Gareth Jones, NHS liaison manager at the National Pharmacy Association, said that although there are few immediate benefits in using the system at the moment, there is concern that more experience has not been gained in the release 1 test phase before progress to the business critical release 2.

“We recommend that pharmacists use the EPS wherever practical, even if this is as a test after they have dispensed the prescription,” he says.

By doing this, pharmacists can check to see if the system is working and report any problems to their system supplier.

“We hear that pharmacists are experiencing problems but they do not seem to be reporting them, perhaps because they think someone else will have already done so. Until pharmacists raise these issues with their supplier the problems cannot be addressed. If the supplier is unable to resolve the problem then it should be referred on to NHS CfH.”

Initial implementations for release 2 of the EPS are now likely to start during spring or summer 2008.

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