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Suggested Learning

Optimise your business performance with Check34

The NPA’s Check34 resources for members in England cover 14 KPIs. Below is an extract from the KPI on individual vs national switching rates

Prescription switching can occur when:

  • A chargeable prescription is incorrectly filed in the exempt bundle before submission
  • The exemption declaration on the reverse of a prescription is incorrectly completed by the patient or their representative

If some months show a higher prescription switching rate compared to other months: 

  • Identify the main reason for switching – incorrect filing of paid prescriptions or incomplete exemption declarations?
  • Does it coincide with particular members of staff responsible for daily dispensing checks or end of month prescriptions filing?
  • Can it be attributed to locums or new staff? 
  • Identify and address any staff training requirements
  • Review pharmacy dispensing Standard Operating Procedures (SOPs) to ensure dispensing staff understand the correct processes to follow

Check the declarations made on the reverse of every exempt paper prescription to ensure that:

  • The correct exemption box in part 1 is clearly marked with a cross or tick; a faint tick or cross may not be easily detected by the prescription scanners or operators
  • No markings are present in the ‘amount paid’ box in part 2
  • A signature is present in part 3 – a pharmacy stamp is NOT acceptable as a signature

For paid paper prescriptions ensure that:

  • The correct levy is collected (particularly when there has been achange to prescription charges)
  • The ‘amount paid’ box in part 2 is completed correctly
  • A signature is present in part 3.

Download the full resource at npa.co.uk/check34-resources. Other KPIs covered include: MURs, NMS and fees and drugs cost.




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