Post Payment Verification (PPV)

NHS Wales Shared Services Partnership (NWSSP), Primary Care Services (PCS) are responsible for undertaking Post Payment Verification (PPV) duties on behalf of Health Boards (HBs) across Wales. PPV teams undertake PPV checks within General Medical Services, General Ophthalmic Services and Community Pharmacy.

The purpose of the PPV process is to provide assurance to HBs that the claims for payment made by primary care contractors are appropriate and that the delivery of the service is as defined by NHS service specification and relevant legislation.

The PPV team also manage the Waste Management Audit programme on behalf of the HBs, offering advice and support to GP Practices and Community Pharmacies in respect of Waste Management.

Below is a list of frequently asked questions and guidance documentation which have been collated to capture some of the most common errors identified during the PPV process and waste management audit programme.

FAQs

How do I contact you?

You can contact us by phone, email or post. Visit our Contact Us page for further information

Why have we moved to automated prescription processing?

Automated processing allows us to improve the accuracy of reimbursement to contractors by reducing the potential for human error. Our accuracy rate has improved from 99.15% to 99.54% since the introduction of automated processing.

It also improves our efficiency, making a significant contribution to: -

Our ability to continue to reimburse contractors in accordance with SLA timescales in the face of ever increasing prescription volumes
Our ability to release funds to be reinvested in front line NHS services. We process 47% more prescription items with 53% fewer staff since the inception of our automation programme.

Medicines Use Review & Prescription Interventions - what is the difference?

A number of queries have been raised by pharmacists regarding the differentiation between MURs and prescription intervention MURs. To clarify the matter Welsh Government has confirmed that there is only one service (i.e. the MUR service) but the service may be prompted in different ways.

Regular MURs can be prompted pro-actively by identification of a certain group of patients that subsequently lead to an invitation for a Medicines Use Review.

A prescription intervention MUR is more reactive, in the sense that it is the response to a significant adherence problem with a person's medication that subsequently leads to an MUR being conducted. This is distinct from pharmacists making clinical interventions on prescriptions (e.g. where an interaction is identified and there is a need to get a prescription amended) which are required by the terms of service for all pharmacy contractors.

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If you have a query for our Primary Care Services. Please contact us below: