Related articles:

• National reports disclaimer
• Reporting Issues - Frequently Asked Questions
• GP Collections Schedule

Recent Changes

We have recently made some changes to the reports to support the Vaccination & Immunisation Enhanced Services claims. These have been redesigned for the following reasons.

• Reports were being used as evidence of achievement and a screenshot of numbers were sent to NHS England potentially without carrying out the data quality work required to confirm eligibility for payment.
• Due to the above, there was a very strong risk of over-claiming and money having to be reclaimed by NHSE from practices at a later date.
• The previous version was over-inclusive and required practices to often dedicate an excessive amount of time going through patient records to ascertain who was/is eligible for payment or not.  

For these reasons above, and following communication with NHS England, we were compelled to make these changes. A SystmOne Notice Board message was posted in SystmOne and on our Facebook page on 13th Nov 2023 informing users of the changes.  

The earlier 'monthly' versions were left in place to help with the transitional period, but have now been removed.

Looking back at activity further than the current or previous month has always been an issue for practices. The GPES extraction reports are overwritten each month which means practices have no way to look back and compare patient lists. Even with our earlier version of monthly reports, there was nothing to compare them to.

Enhanced Services Reporting

The Ardens Enhanced Servies reports are not designed to act as payment reports. Instead, they are designed in a way that allows for ongoing data quality throughout the month, meaning once the data has been extracted by GPES there should be no need for any manual adjustments.  

The reports help identify potential data quality issues by highlighting activities not predicted to be identified by the GPES data extraction reports. The ‘not predicted’ reports have fewer business rules and requirements applied, which means they include more activities that could potentially be claimed for after further investigation. 

The Enhanced Services reports can be found in Reporting > Clinical Reporting > Contracts 2023 24 | CQRS NEW (The old monthly reports have now been removed to avoid confusion).

Contracts | 2023 24 | CQRS NEW

These reports have been built based on either the current or the previous month (and are automatically rolled forward on the 1st day of each month, for example, on the 1st of January the 'previous month' reports will look at activity recorded in December and the current month reports will look at activity recorded in January). We will no longer be creating separate reports for each month due to the size of the reports and the load that they potentially add to the SystmOne servers.

It is also worth taking into consideration that TPP uses the same extraction reports month on month and simply rolls on the event dates. This means that there is never any historical GPES extraction data older than the current extraction month available within SystmOne. Each month as we approach the next extraction date the TPP reports will be updated to reflect the new month.

'Current month | Not predicted to be in Extract'

These reports will show patients who have had activity recorded in the current month but for whatever reason are not predicted to be identified by GPES for payment. The data identified in this set of reports will not have been extracted by GPES yet so there is time to review the records and take action to correct any data quality issues before the extraction takes place (This will also reduce the need for any manual adjustments claims after the extraction has happened).

Please note: These reports are very complex and may take a while to run. Rather than trying to run them all at once, it might be advisable to run these in small batches

'Current month | Predicted to be in Extract'

These reports will show you what we believe will be included in the next scheduled CQRS extraction. 

'Previous month | Not predicted to be in Extract'

These reports are your lists of patients who have had activity recorded in the previous month but for whatever reason were not predicted to be identified by GPES for payment. Depending on the date, the work identified in this set of reports may have already been extracted by GPES. Ideally, these reports will return 0 patients as they will have been checked already when they were returned in the 'current month' reports but any remaining records should be reviewed then only if appropriate a manual adjustment claim should be made.

'Previous month | Predicted to be in Extract'

These reports will show you what has been predicted to be included in the last CQRS extraction. 

Possible reasons for non-inclusion in extraction

There are many reasons why an activity may not be identified for payment, some common reasons include -

• Vaccination given outside of the contracts requirements
• Wrong vaccine/dose recorded
• Recorded with incorrect event details (elsewhere, PCN administration)
• Wrong age
• Entered too late for extraction but backdated
• Registration status
  
  

Please Note: There are no reports for SFLU016, 017 or 018 as these are based on an immediately necessary registration type that we are unable to report on

Please Note: Any data for CQRS that requires a manual submission can be found in the respective folder in clinical reporting. For example, Weight management referral activity can be found in the Contracts I 2023 24 I NHSE folder.

Why is this patient appearing in a report?

This is a frequent question that is very often almost impossible for the Ardens Support team to answer without having access to the patient record which we clearly shouldn't have. This article about reporting Issues and frequently asked questions may help explain in greater detail how to investigate.