Primary Care Support England (PCSE)

On 1 September 2015, Capita plc took on responsibility for delivering NHS England’s primary care support service – now called Primary Care Support England (PCSE).

Primary care support services relevant to opticians and optometrists include: administrating monthly payments of GOS claims; processing Performer List applications and GOS contract applications; deducting Local Optical Committee (LOC) levies; supply of GOS forms; and processing Continuing Education and Training (CET) payments.

Frequently Asked Questions

Please find below a list of Frequently Asked Questions relating to the services provided by PCSE.

Index

How so I submit a claim for a CET grant in 2018?

Claims for CET undertaken by ophthalmic practitioners between 1 January to 31 December 2017 must be submitted between 2 July 2018 and 1 November 2018. Completed forms should be scanned and uploaded via the Enquiries form on the PCSE website.

Download the 2018 CET Claim Form

 

 

Please remember CET allowance payments can be paid to contractors only.  A payment of £551 can be claimed by a contractor in respect of either:

  • CET he/she has undertaken personally in the year between 1 January to 31 December 2017.
  • CET undertaken in the year between 1 January to 31 December 2017 by any other ophthalmic practitioner on the Ophthalmic Performers List.  

If you are a contractor making a claim for yourself:

  1. Complete Part 1 of the 2018 CET Claim Form with your details.
  2. Print the form and sign the declaration at Part 3.
  3. Scan your completed form and submit via the ‘Enquiries form’ on the Contact Us page on the PCSE website (see instructions below)

If you are a contractor making a claim on behalf of an ophthalmic performer:

  1. Complete Part 1 with your details.
  2. In Part 2 put the details of the ophthalmic performer, including their ophthalmic performer’s list number. 
  3. Print the form and sign the declaration at Part 3.
  4. Ask the ophthalmic performer to sign the declaration at Part 4.
  5. Scan the completed form and submit via the ‘Enquiries form’ on the Contact Us page on the PCSE website (see below)

How to submit your completed CET claim form to PCSE:

  • Open the ‘Enquiries form’ on the Contact Us page on the PCSE website
  • Select ‘CET Claim’ from the drop-down menu
  • Click ‘begin’ on the CET landing page
  • Click ‘No’ to confirm that a 2018 CET claim has not been previously submitted for the Performer
  • Complete all the mandatory fields on the Enquiries form:
  • Name of the performer the CET grant is being claimed for, if this is different to the person submitting the form
  • Contact details of person submitting the form and the email address the practice has registered with PCSE
  • ODS code (also known as TP code) – if you do not know the ODS code for your practice you should contact the Exeter Helpdesk on 0300 3034 034 or E-mail: exeter.helpdesk@nhs.net
  • PCT code*
  • Contractor code*
  • The PCT code and Contractor code (payment system code) can be found in the two boxes in the top right corner of your GOS submission headers e.g. 5C5 121.
  • Upload the signed claim form (either as a single document or as three separate pages)
  • Once all the correct information has been provided and form has been uploaded, click “Next”.
  • A pop up screen will confirm the submission has been successful and provide a case reference number which will include the name of the performer the claim form relates to (e.g. CAS-12345-ABC123 CET PERFORMER NAME).
  • The case reference number will also be sent in a follow-up email to the contractor to confirm the claim form has been received by PCSE. The case reference number should be quoted in any subsequent correspondence regarding the claim.
  • Once the CET claim has been processed the contractor will receive an email confirming the case has been closed and the CET grant will be paid in the next GOS payment run.
  • Due to restrictions on the existing Ophthalmic Payments System the CET payment will appear on the contractor’s GOS statement as Enhanced Service Value.  Details of the name of the performer that the CET grant is for will be included.

Do CET claims need to be submitted online?

The recommended route for submitting CET claims is via the ‘Enquiries form’ on the PCSE website but if you prefer to submit by post you can send to:

Primary Care Support England
PO Box 350
Darlington DL1 9QN

If you are sending a CET claim by post, please send it separately to your GOS claims to ensure it is processed promptly.

Important: Claim forms submitted by email or sent to any other postal addresses will not be processed. 

Where should I submit GOS claims to?

All GOS claim forms sent via Royal Mail should be submitted to:

Primary Care Support England
PO Box 350
Darlington DL1 9QN

Submitting your claims to Preston or any other address will result in delayed payments.

If you would like to use a courier service to deliver forms to PCSE, please use the following address:

Capita Intelligent Communications
Building 17, Units 2 & 6
Lingfield Point
McMullen Road
Darlington DL1 1RW

Should I attach submission headers to my GOS claims?

You should make sure all GOS forms are sent with the tailored GOS submission headers provided by PCSE for your practice and that the forms within each batch correspond to the relevant submission header type (ie only GOS1 forms in GOS1 batches). 

You should make sure all GOS submission headers are completed in full, including your contractor code and check that the submission header totals agree with the total value of all claims and the total number of forms included in the corresponding batch.

You should send in two copies of each GOS submission header to PCSE. One copy will be returned to you to assist with the reconciliation of payments.

Can I photocopy my tailored GOS submission headers?

Once you have received tailored GOS submission headers from PCSE these can be photocopied for use in future months. Please ensure that the barcode and practice details remain legible on photocopied headers.

Can I get a PDF version of my tailored GOS submission headers?

If you would like pdf versions of the tailored GOS submissions headers for your practice, please contact pcse.optical@nhs.net and put “Request for GOS submission headers – [practice name]” in the email subject header.

How do I avoid my GOS claims from being rejected?

The criteria for rejecting GOS claims has not changed but contractors are reminded to check all mandatory information is included on GOS claims before they are submitted and that the correct declaration is signed on sight test claims.

Top 5 reasons GOS claims are rejected:

  1. Date of last sight test is left blank on a GOS1 or GOS6.
  2. Contractors who are also Performers have signed a GOS1 or GOS6 in the Performer’s declaration section only, rather than the claim section at the bottom as specified on the form.
  3. Date of prescription missing on a GOS3.
  4. Values not entered in the relevant boxes in the claim section on a GOS3.
  5. In forms that have been signed by a patient’s parent/guardian/carer, they have not entered their name below their signature.

Contractors are reminded that claim forms must be signed in all the relevant places and all signatures must be dated, otherwise the claim will be rejected by PCSE.

Please see below best practice examples which highlight the other mandatory fields on the most common forms and to confirm what information is acceptable when completing certain fields.

Guidance on “Filling and Signing GOS forms” can also be found in Section 5 of Making Accurate Claims.  Please be aware that as May claims paid June had already been processed for the majority of areas before the refresher training on when to reject GOS claims was rolled out by PCSE, some contractors may receive some spurious rejections in relation to these claims.

How do I re-submit previously rejected GOS forms?

  • Separate any previously rejected GOS forms from your normal/new GOS form submissions.
  • Put a cross (X) in the top right-hand corner of each previously rejected form.
  • Batch them together using a sepa​rate batch header for each GOS form type.
  • Write clearly on the batch header(s) ‘PREVIOUSLY REJECTED’ underneath the name and address for payment box and securely fasten each batch together.
  • Return the rejected forms to PCSE at the usual addresses:
    • Post: Primary Care Support England, PO Box 350, Darlington, DL1 9QN.
    • Courier: Capita Intelligent Communications, Building 17, Units 2 & 6, Lingfield Point, McMullen Road, DARLINGTON, DL1 1RW

How can I reconcile payments received from PCSE for GOS claims?

The following process has been agreed with PCSE to assist contractors with the reconciliation of payments received.

  • You should send in two copies of the submission header attached to each batch of GOS forms you submit. 
  • One copy of each submission header will be returned to you by PCSE confirming how much has been paid versus how much you claimed.
  • Any rejected/incomplete claim forms will be attached to the copy of the submission header that is returned to you.

This process will assist you with the reconciliation of payments received.

If you have a GOS payment query please contact pcse.optical@nhs.net and put “GOS payment query – [practice name]” in the email subject header.

What should I do if I have not received payment for GOS claims?

If you not received payment for GOS claims, or have received an under or over payment, please contact pcse.optical@nhs.net and put “GOS payment query – [practice name]” in the email subject header.

Please include the following information in the body of your enquiry:

  • Your practice name, postcode and town or locality
  • The date your forms were sent to PCSE, and how
  • The variance in the payment you received compared to what you were expecting

If you are emailing about an existing case please include your case reference number in the email subject line, to allow PCSE to automatically link your email to your original query. 

For urgent payment issues that are impacting on cashflow and are not being dealt with by PCSE, please contact info@locsu.co.uk and request that your issue is escalated.  Please provide your practice's full address, your contact telephone number, details of the outstanding/missing amounts and the Case Reference number you have been supplied with by PCSE (e.g. CAS-123456).    

How do I make a claim relating to an ophthalmic payment delay?

Contractors that have experienced a late payment relating to GOS sight tests and/or voucher claims submitted up to 31 March 2017 should complete the Ophthalmic Payment Claim Form. Guidance on completing the form can be found on the LOCSU website. If a payment is still outstanding relating to this period, you should use the form to escalate the issue, even if you have already notified PCSE of the matter.

Completed forms should have been emailed to pcse.gos-review@nhs.net by Friday 8 September 2017 with “Ophthalmic payment claim – contractor name – contractor code” in the subject header. The information provided in the form will then be considered by NHS England.

Have the submission cut-off dates or payment dates for GOS claims changed?

There are no changes to claim form submission dates.

Please see the list of claim form submission dates for each area.

What should I do if I have not received a statement for my GOS payment?

If you not received a statement for your GOS payment, you should contact pcse.optical@nhs.net and put “Request for GOS statement – [practice name]” in the email subject header.

Where should I submit domiciliary notifications to?

Domiciliary notifications can be emailed (from an nhs.net email address or from an encrypted email from a non-nhs.net email address), posted or faxed to PCSE.  

  • Emailpcse.optical@nhs.net and enter “Domiciliary sight test notification – [practice name]” in the email subject header.
  • Post: Primary Care Support England, PO Box 350, Darlington DL1 9QN
  • Fax: 0113 277 6912

How do I submit a second pair or non-tolerance application?

From 23 April 2018, all applications for second pair and non-tolerance vouchers must be sent to your NHS England Regional Local Team (RLT) using the standard national templates.

Please see below guidance documents and the templates to be used:

Any second pair and non-tolerance applications sent to PCSE after this date will be returned to the contractor with the advice that they need to be submitted to the RLT.   

How do I submit a pre-registration training grant claim?

A new, standardised form for claiming a grant for providing Pre-registration training in England was launched in November 2017. The Supervisor Training Grant application form should be submitted to Primary Care Support England (PCSE), who are responsible for processing claims on behalf of NHS England. The allowance paid to supervisors is set out by the Department of Health on an annual basis and from 1 April 2017 the grant is £3,514.

Contractors can either claim the full value of the grant at the end of the pre-registration year or in two instalments (one after six months and the other at the end of the pre-registration year). Please note the form needs to be signed by the contractor, supervisor and trainee.

Completed forms should be emailed to: PCSE.Optical@nhs.net from the email address the contractor has registered with PCSE with "pre-registration training grant – [trainee name and GOC number]" in the email subject header.

  • PCSE will issue a case reference number on receipt of the claim form, which should be quoted in any future correspondence regarding the claim.
  • PCSE will verify the information provided on the form against the information the College of Optometrists holds on trainees.
  • If there is any discrepancy in the information submitted, PCSE will contact you and check with the College if necessary.
  • Once the claim has been validated, PCSE will arrange payment with the contractor’s next GOS payment

Download the Supervisor Training Grant application form.

How do I apply for a GOS contract?

The following guidance has been produced to explain the various stages of the GOS contract application process and clarify the respective roles of NHS England and PCSE. 

Please note: If you are an existing contractor who is applying for additional premises, the commissioner will treat this as a variation to an existing contract and not a new contract application.

Existing GOS contractors who wish to change their bank account details or move premises etc. need to contact their NHS England RLT, not PCSE. 

How do I order supplies of GOS forms?

Supplies of GOS forms should be ordered via the PCSE supplies portal at www.pcse.england.nhs.uk/supplies/.

You can order and track your supplies online and check on delivery times.

All supplies orders will be delivered by PCSE’s national courier firm, CitySprint.

Deliveries will be made to your practice on the same day each week.

How do I register on the PCSE supplies portal?

To enable PCSE to respond to email and telephone queries, and for you to be able to order supplies, including GOS forms, contractors are required to register on the PCSE portal. Portal registration enables PCSE to carry out the necessary identification and vetting checks to respond to enquiries from contractors.  Without this, PCSE is unable to respond to enquiries due to data protection. 

If your practice is already registered on the portal, the main contact/super user will be able to add or amend additional users.  Please check the named contacts that are included under your practice’s portal registration and update accordingly.  

If your practice is not currently registered, please email pcse.datamanager@nhs.net with the following information:

  • Main contact name
  • Email address
  • Telephone number
  • Practice name
  • Practice address including post code
  • Organisation code (If you know it. This is your unique 5-digit reference beginning with 'TP' eg TP1N5​)

For more information about the portal, including adding or amending users, please visit www.pcse.england.nhs.uk/help.

Once registered on the portal, your practice will receive regular emails with updates about your service, including future service developments for submission of GOS forms electronically.

How do I apply to the NHS England Ophthalmic Performers List?

Information on applying to the NHS England Ophthalmic Performers List can be found at www.locsu.co.uk/pcse/applying-to-the-nhs-england-performers-list.

How can I enquire about the status of my application to the Ophthalmic Performers List?

To enquire about the status of an application to the Ophthalmic Performers List you should contact pcse.performerlists@nhs.net with “Case reference – NPL1 – forename, surname – GOC number” in the email subject line.   

How can I make a complaint to PCSE?

To make a complaint you should contact PCSE at: pcse.complaints@nhs.net

You will receive a unique case reference number to be used in future correspondence relating to the matter. A case handler will be assigned to your complaint who will update you on progress and contact you if PCSE need any further information. With all complaints, PCSE aim to respond in writing within 40 working days, in line with NHS England’s complaints process.

Contact us

Dates for the diary

Solihull LOC's AGM

St John's Hotel, 651 Warwick Rd, Solihull B91 1AT

Annual AGM

2018-10-03 19:00:00 - 2018-10-03 21:30:00

Contact name: Cathy Pike

Contact email: solihull.loc@hotmail.co.uk

National Optical Conference 2018

Chesford Grange hotel, Nr Kenilworth, Warwick CV8 2LD

Annual NOC for LOC officers and its members

2018-11-14 17:00:00 - 2018-11-15 17:30:00

Contact email: info@locsu.co.uk

Contact telephone number: 020 7549 2051

East Yorkshire LOC's AGM

Village Hotel, Henry Boot Way, Hull HU4 7DY

Annual AGM

2018-11-19 18:30:00 - 2018-11-19 21:00:00

Contact name: Ean Blair

Contact email: ean@optometrics.co.uk

Contact telephone number: 07768 492806

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