Hospital PPR FAQs

  1. What information will be made available for hospitals on The PPR?
  2.  
  3. What if the information on the specialist is incorrect?
  4.  
  5. Why should Healthcode be trusted with all this data?
  6.  
  7. What will this cost practitioners? It might be free now but are you planning to charge in future?
  8.  
  9. Why does Healthcode have the right to publish a specialist’s GMC registration?
  10.  
  11. Shouldn’t this information be confidential?
  12.  
  13. You are encouraging specialists to register their bank details for e-billing. What steps have Healthcode taken to protect their financial data?
  14.  
  15. Will this drive up the cost of private healthcare for patients?
  16.  
  17. Will specialists be able to control their own profile?
  18.  
  19. Why should specialists keep their profile up-to-date?
  20.  
  21. What about specialists who aren’t registered with the GMC?
  22.  
  23. What guarantees can you give that the information on the register is accurate and up-to-date?
  24.  
  25. Will we have visibility of insurer recognition based on the specialist and treatment location?
  26.  
  27. Insurance companies are not including our hospital in their referrals for a particular specialist, why is that?
  28.  
  29. Will we need to wait for the practitioner to enter the treatments and procedures they provide on their profile, so a bill will not fail?
  30.  
  31. How does this affect the process when we need a specialist mapped/ added to our hospital?
  32.  
  33. Will specialists be able to see what the hospital bills?
  34.  
  35. What checks are performed on initial registration?

 

Answers

 A.1) What information will be made available for hospitals on The PPR?

Hospitals can use the basic service or subscribe to an enhanced service. The basic service of The PPR for hospitals provides basic registration information of:

  • Specialists that have indicated they practice from that hospital
  • Specialists previously mapped on the billing site and submitted as a Controlling Specialist on an invoice submitted by a Hospital Provider

The basic service is available with any Financial Management Service Package. Hospitals will be able to view their practitioner population for their hospital and view alerts for:

  • GMC warning exists
  • Appraisal Overdue
  • Indemnity Overdue

Details of other hospitals the practitioner practice from will not be made visible.

The standard service provides the same functionality to hospitals as basic and enables the hospital provider to view the specialist’s full profile. The profile includes the following information:

  • Personal profile
  • NHS and private practice information
  • Fitness to practice information
  • Specialties and qualifications
  • Medical secretary details
  • Publications
  • Bank details
  • Medical indemnity
  • Insurer recognition details
  • GMC status, specialty, qualification, registration and fitness to practice information.

In addition, The PPR will notify the applicable hospitals of updates to the specialist’s profile. The Standard Plus package will be developed in consultation with the hospital user group.

 

 

A.2) What if the information on the specialist is incorrect?

Hospitals can only update the following information if incorrect:

  • Practice hours
  • Type of patients the specialist treats at the hospital
  • Type of care the specialist provides
  • Start and end dates of practice at the hospital

All other information is read-only.

If a hospital updates any of the above information, the specialist is notified by email changes have been made to their profile.

 

 


A.3) Why should Healthcode be trusted with all this data?

All the data held by Healthcode is stored within a private dedicated infrastructure which is physically located in a secure UK data centre, rather than held in a cloud in an unknown location. Our dedicated Tier 3 infrastructure is of enterprise quality designed to contain no single point of failure. All systems are secured in accordance with internet banking conventions and only accessible via encrypted network connections. Access to The PPR is protected and secured by Transport Layer Sockets (TLS), user credentials and role-based control.

A back-up copy of the data is taken on a daily basis and securely stored in a separate UK hosted disaster recovery facility.

 

 


A.4) What will this cost practitioners? It might be free now but are you planning to charge in future?

There is no cost to the practitioner to register on The PPR. Practitioners will have access to their PPR profile to allow them to maintain and update their information. Practitioners can also subscribe to ePractice services, our billing and patient management system.

 

 


A.5) Why does Healthcode have the right to publish a specialist’s GMC registration?
 

Healthcode does not publish the registration data but does distribute it to those hospitals and insurers with whom the specialist has a relationship. Any data distributed in that way is also available to the specialist via The PPR. Healthcode holds a republication license to GMC’s List of Registered Medical Practitioners (LRMP) so that users can validate the registration status of medical practitioners in the interests of good governance and patient safety. The LRMP is updated daily. Information about the license subscription service is available on the GMC website (http://www.gmc-uk.org/doctors/register/LRMP.asp#Download).

 

 


A.6) Shouldn’t this information be confidential?

The GMC’s LRMP is already publicly available via the GMC website. The information held on theThe GMC’s LRMP is already publicly available via the GMC website. The information held on the LRMP is not determined by Healthcode and queries should be directed to the GMC.

 

 


A.7) You are encouraging specialists to register their bank details for e-billing. What steps haveHealthcode taken to protect their financial data?

Practitioner bank details will only be used to receive payments from insurers and their accounts will not be debited. Healthcode takes data security seriously: our systems are encrypted to the samestandards as online banking and are hosted within a secure data centre in the UK. In addition, Healthcode’s information security systems comply with the latest international specification (ISO/IEC27001:2013). Access to The PPR is protected and secured by user credentials and passwords.

As the UK’s official clearing body for private medical bills Healthcode has more than 15 years’ experience in handling sensitive financial data. In 2017, for example, we cleared over 5.6m bills worth around £3m. Over 80% of private hospitals, all major insurers and circa 12k practitioners currently trust Healthcode’s online e-billing systems.

 

 


A.8) Will this drive up the cost of private healthcare for patients?

The PPR provides one central secure online system to all key stakeholders (practitioners, insurers,The PPR provides one central secure online system to all key stakeholders (practitioners, insurers,hospitals) and removes some of the repetitive cumbersome process currently in place. We believe streamlining the process will actually add value, reduce administrative costs overall and facilitate the transparency and accuracy of information.

 

 

 
A.9) Will specialists be able to control their own profile? 

The PPR enables providers to build their profile and decide which PMIs to apply to for recognition and indicate which private hospitals they practice at. Subscribing PMIs have read-only access to the practitioner’s full profile. Hospitals are able to modify the below information:

  • Practice hours
  • Type of patients the specialist treats at the hospital
  • Type of care the specialist provides
  • Start and end dates of practice at the hospital

All other information on the practitioner’s profile is read-only and available to hospitals who subscribe to a Financial Management Service Package.

 

 

 
A.10) Why should specialists keep their profile up-to-date?

Ensuring the specialist profile is up to date and accurate is the responsibility of the specialist. All registered specialists have access to the secure portal. It is in their best interest to ensure the information accurate as this supports compliance and transparency across the sector. It is important for specialists to ensure organisations they have a relationship with have the most up-to-date information to maintain their insurer recognition status and hospital practicing privileges.

 

 

 
A.11) What about specialists who aren’t registered with the GMC?

The PPR is available for regulated healthcare professionals who practice in the private health sector. The PPR is available for regulated healthcare professionals who practice in the private health sector. It covers eight of the UK’s statutory regulators: the GMC, GDC, GPhC, GCC, GOsC, HCPC and NMC.

 

 

 
A.12) What guarantees can you give that the information on the register is accurate and up-to-date?

It is the responsibility of the specialist to ensure their information is accurate and up-to-date as per Healthcode’s terms and conditions, but it is also in their interests to ensure PMIs and hospitals have accurate information about their practice.

 

 

 
A.13) Will we have visibility of insurer recognition based on the specialist and treatment location?

This information is available in the Standard Package of The PPR on subscription, insurer recognition is based on the practitioner.

 

 

 
A.14) Insurance companies are not including our hospital in their referrals for a particular specialist, why is that?

This may be because the specialist is not registered on The PPR. For those insurers that have adopted The PPR as their recognition system, the specialist must be on The PPR and indicate they practice at your hospital. Specialists can register on The PPR at: www.theppr.org.uk

 

 

 
A.15) Will we need to wait for the practitioner to enter the treatments and procedures they provide on their profile, so a bill will not fail?

This is procedure credentialing and is currently not part of this release. Procedure credentialing will be introduced in a later phase.

 

 

 
A.16) How does this affect the process when we need a specialist mapped/ added to our hospital?

You will no longer need to contact Healthcode Customer Services for this. Using The PPR you should search and link the specialist to your hospital. If you are unable to find the specialist, the specialist is likely not to have a PPR profile or previously known to Healthcode/ been listed on an electronic bill and you will need request the specialist to register. Once a specialist has registered and set up of his/her profile is completed, any hospitals on the specialist’s profile will be notified.

 

 

 
A.17) Will specialists be able to see what the hospital bills?

Specialists do not have visibility of hospital bills via Healthcode.

 

 

 
A.18) What checks are performed on initial registration?

Healthcode will perform standard verification and validation of professional numbers against the following regulatory bodies on new registrations:

  • General Medical Council (GMC)
  • General Chiropractic Council (GCC)
  • General Dental Council (GDC)
  • General Optical Council (GOC)
  • General Osteopathic Council (GOsC)
  • General Pharmaceutical Council (GPC)
  • Health and Care Professions Council (HCPC)

Healthcode also undertakes the manual checking that information on new registrations are sensible, files are relevant, suitable and readable and renewal dates are in the future.

 

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