FP34D and Personally Administered Items Checker (HP207)
Background:
FP34D
The FP34D form is used by practices to claim for certain high-volume personally administered vaccines. The high-volume personally administered vaccines that can be added to the form are (or a combination of these):
- influenza
- typhoid
- hepatitis A
- hepatitis B
- meningococcal
You can see more details about the FP34D process and forms at the NHSBA website.
Personally Administered Items
During the course of a year, practices will also administer a large volume of Personally Administered (PA) items. The list of PA items is extensive and subject to change. For the definitive list see the FAQ article from NHSBA. Common items include:
- anaesthtetics
- injections
- intrauterine devices
- contraceptive caps and diaphragms
- pessaries listed as appliances
- skin adhesives
- sutures and skin closure strips
- diagnostic reagents suck as schick tests and tuberculin tests
Why are these items important?
If you don't have an adequate process for recording the prescribing of these items, your surgery will not get reimbursed for the items used. In a typical surgery, we often see 10's of thousands of potentially lost income from this single issue. When you consider some of the items administered in the surgery are very expensive (think GNRH analogues which are hundreds of pounds for each injection), the losses from this can rapidly mount up
There are changes to the process for ordering subdermal contraceptive implants as of January 2025. Previously for non-dispensing practices, the patient would have the prescription sent to a chemist and then bring to the surgery for their appointment. As of January 2025 practices will be able to order the product and then seek reimbursement making the recording and claiming of this process even more important. The Statement of Financial Entitlement is being updated to reflect these changes. Organisations using the FP34D and Personally Administered Items Checker can be sure that you are being funded for this work.
We are aware that practices adopt a number of differing approaches to the issuing of prescriptions for personally administered items such as pessaries and depot injections. The HP207 FP34D and Personally administered items checker looks for issues of prescriptions on the day in question and flags if a code hasn't been added to the record about the activity undertaken. Where practices issue scripts in advance of the procedure, this could mean additional pop ups when the patient isn't being reviewed on the same day. Where practices are on template manager we can work around this by amending the protocol, however on resource publisher sites a single protocol is shared to all recipients. Because of this we are unable to ammend individual practices requirements and have hence decided we will monitor tickets for more frequently submitted areas and adapt the protocol as appropriate over time.
Purpose:
This protocol will:
- Ensure that any coded procedure has the correct FP34D or PA prescriptions generated by prompting the user
- Ensure that any FP34D prescriptions generated have the correct codes added for activity - frequently activities like this are funded through enhanced services, so if you don't record this adequately you also won't get funded for this.
What does it actually do?
The protocol performs 2 important functions:
- Every time a code is entered that could be associated with an FP34D or PA item, the protocol will check to see if there has been an appropriate prescription generated in the last 2 weeks. Where there hasn't, the user is prompted to generate a prescription, or task somebody else to generate the appropriate prescriptions.
- Every time a drug has been issued for a FP34D or PA item, the protocol will check to see if there has been an appropriate code added to the patients record to ensure the activity has been properly recorded. This is important as much of this work is funded through locally enhanced services.
What does it look like?
There are too many alerts to show all of them in a support article, however we have provided a few examples below so you get an idea of their appearance:
System Dependencies:
There are no dependencies for this protocol
System Trigger
This is set to load on save patient record.
Fitting your practice
Because this protocol only triggers when needed, there aren't any alterations needed to your practice.
How to get it
This protocol is automatically installed in your system. If you are waiting for installation and want us to prioritise your site please submit a ticket to request this.
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