About Nursing Home Flags
A Nursing Home flag, also referred to as a Residential Institute code is both an administrative and financial marker that helps identify patients in care homes and ensures practices are compensated appropriately for their care needs.
The flag can only be applied to patients who reside in a CQC approved residential facility.
How It Works
When an existing patient registered with your practice moves into a nursing home, or a new patient who resides at a nursing home registers with your practice, it is the responsibility of the GP practice to add the Residential Institute (RI) ‘marker’ otherwise referred to as a nursing home flag to the patients record on the clinical system.
This RI ‘marker’ is set within your clinical systems reference data and should be assigned the code ‘V0’.
Any amendment or new patient registration submitted via GP Links with an associated nursing home flag will be validated by PCSE. If the address of the patient is confirmed as a care home, and provided there are no other data quality issues PCSE will update the flag on the patients PDS record. This will result in the uplift to Global Sum calculations being applied at the end of the next quarter.
Should PCSE checks identify that a patient is not registered at a CQC approved residential facility the flag will be removed and will not be set on the patients PDS record. This will result in no uplift being applied to Global Sum calculations. An amendment will be received into your clinical system confirming the flag has been removed.
PCSE will not add flags onto patient records.
Importance of Updating Flags on the Clinical System
At the end of each registration quarter (in January April, July and October) an extract is taken from the Personal Demographics Service (PDS). This extract is used to calculate Global Sum payments for practices for the following quarter.
Due to the additional care needs of patients in residential facilities an uplift is applied to the base rate per patient but only if the patient is flagged accordingly on the PDS by PCSE processing a request received from GP practices.
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