There are seven Advanced Services within the NHS Community Pharmacy Contractual Framework (CPCF). Community pharmacies can choose to provide any of these services as long as they meet the requirements set out in the Secretary of State Directions.
Full details & service specifications can be found on the PSNC website: https://psnc.org.uk/services-commissioning/advanced-services/
The Advanced services are listed below together with the reporting procedure for MUR & NMS and information on the funding of Advanced Services. Click on an item in the list below for more information.
- Appliance Use Reviews (AUR)
- Community Pharmacist Consultation Service (CPCS)
- Flu Vaccination
- Hepatitis C testing service
- Medicines Use Review (MUR)
- New Medicine Service (NMS)
- Stoma Appliance Customisation (SAC)
- Reporting procedure for MUR & NMS
- Funding for the Advanced Services
Appliance Use Reviews (AUR)
Appliance Use Reviews (AURs) can be carried out by a pharmacist or a specialist nurse in the pharmacy or at the patient’s home. AURs should improve the patient’s knowledge and use of any “specified appliance” by:
- establishing the way the patient uses the appliance and the patient’s experience of such use;
- identifying, discussing and assisting in the resolution of poor or ineffective use of the appliance by the patient;
- advising the patient on the safe and appropriate storage of the appliance; and
- advising the patient on the safe and proper disposal of the appliances that are used or unwanted.
Detailed information on dispensing appliances can be found on the PSNC website: click here
Community Pharmacist Consultation Service (CPCS)
The NHS Community Pharmacist Consultation Service launched on 29th October 2019 as an Advanced Service.
The service, which replaced the NUMSAS and DMIRS pilots, connects patients who have a minor illness or need an urgent supply of a medicine with a community pharmacy.
The CPCS takes referrals to community pharmacy from NHS 111 (and NHS 111 online for requests for urgent supply), Integrated Urgent Care Clinical Assessment Services and in some cases patients referred via the 999 service. From 1st November 2020, general practices can refer patients for a minor illness consultation via CPCS, once a local referral pathway has been agreed
Further detailed information including service spec can be found on PSNC website. Click here
On 20th July 2015, PSNC announced that as part of the 2015/16 community pharmacy funding settlement NHS England had agreed to allow community pharmacies in England to offer a seasonal influenza (flu) vaccination service for patients in at-risk groups. This service is the fifth Advanced Service in the English Community Pharmacy Contractual Framework (CPCF) and provision of the service commenced from 16th September 2015.
Update 03.11.20 Guidance published on accessing DHSC flu vac stock
The Department of Health and Social Care (DHSC) has published guidance on how community pharmacies will be able to access supplies of flu vaccines procured centrally by the Government.
The stock procured by DHSC will start to be delivered in November and supplies will also be received in December.
Full information on the requirements for accessing the stock is available in the DHSC guidance, which all contractors who want to access the stock should read: click here
The 2020/21 service is due to start on 1st September 2020 and finish on 31st March 2021.
The 2020/21 Service Specification can be download here
PSNC Briefing 026/20: Guidance on the 2020/21 Seasonal Influenza
Vaccination Advanced Service – click here
Flu Vaccination – FAQs – click here
Further detailed information can be found on PSNC website. Click here
Pharmoutcomes Flu Template
There are some new features in PharmOutcomes functionality this year that will be available to support NHS flu vaccination service including pre-consult and an integration with patient access for those pharmacies that use this feature. The new functionality aims to support community pharmacists to deliver as safe a service as possible. Click here for Pharmoutcomes ‘Get Ready For Flu’ guide
September 2020: Joint statement letter from Lancashire and Cumbria LMC, Community Pharmacy Cumbria and Community Pharmacy Lancashire (CPL)
This letter has been developed by the Lancashire and Cumbria LMCs and the corresponding Cumbria & Lancashire LPCs to support co-operation between all GP practices and community pharmacies in the challenges of the 2020-19 season.
Flu vaccine orders for 2020/21
A letter detailing the recommended vaccines for the 2020/21 Flu Vaccination service can be downloaded here
The Department of Health and Social Care, Public Health England and NHS England have jointly published a letter to provide further information on the national flu immunisation programme 2020/21.
Community Pharmacy Flu – YouTube video
Local community pharmacist talks about the flu scheme. Watch the video below
Hepatitis C testing service
The Community Pharmacy Hepatitis C Antibody Testing Service was added to the Community Pharmacy Contractual Framework (CPCF) in 2020, commencing on 1st September.
The service is focused on provision of point of care testing (POCT) for Hepatitis C (Hep C) antibodies to people who inject drugs (PWIDs), i.e. individuals who inject illicit drugs, e.g. steroids or heroin, but who haven’t yet moved to the point of accepting treatment for their substance use. Where people test positive for Hep C antibodies, they will be referred for a confirmatory test and treatment, where appropriate.
Service specification – click here
Further detailed information can be found on PSNC website – click here
Medicines Use Review (MUR)
The Medicines Use Review (MUR) and Prescription Intervention Service consists of accredited pharmacists undertaking structured adherence-centred reviews with patients on multiple medicines, particularly those receiving medicines for long-term conditions. National target groups have been agreed in order to guide the selection of patients to whom the service will be offered.
22nd July 2019 announcement: MURs to be phased out
In 2019/20 contractors can deliver a total of 250 MURs and in 2020/21 this will reduce to 100, with the service being decommissioned at the end of that year. Contractors can provide an additional 50 MURs during the second half of 2019/20 if they have already provided 200 MURs in the first half of the year. All contractors can provide 250 MURs in total throughout 2019/20, but no more than 200 in the first half of the year. Further information is available on PSNC CPCF settlement: 2019/20 to 2023/24 webpage.
New Medicine Service (NMS)
The New Medicine Service (NMS) was the fourth Advanced Service to be added to the Community Pharmacy Contractual Framework; it commenced on 1st October 2011.
The service provides support for people with long-term conditions newly prescribed a medicine to help improve medicines adherence; it is initially focused on particular patient groups and conditions.
Detailed information & resources including the service spec can be found on PSNC website. Click here
Stoma Appliance Customisation (SAC)
Stoma Appliance Customisation (SAC) is the third Advanced Service to be introduced into the English Community Pharmacy Contractual Framework (CPCF). The service involves the customisation of a quantity of more than one stoma appliance, based on the patient’s measurements or a template. The aim of the service is to ensure proper use and comfortable fitting of the stoma appliance and to improve the duration of usage, thereby reducing waste. The stoma appliances that can be customised are listed in Part IXC of the Drug Tariff.
If on the presentation of a prescription for such an appliance, a community pharmacy contractor is not able to provide the service, because the provision of the appliance or the customisation is not within the pharmacist’s normal course of business, the prescription must, subject to patient consent, be referred to another pharmacy contractor or provider of appliances. If the patient does not consent to the referral, the patient must be given the contact details of at least two pharmacies or suppliers of appliances who are able to provide the appliance or the stoma appliance customisation service, if contact details are known to the pharmacist. The local NHS England team may provide the information or it may be established by the pharmacist.
Detailed information can be found on PSNC websire. Click here
Advanced Services reports – MURs & NMS
Contractors must submit the completed MUR/ NMS electronic reporting templates to the NHS BSA within 10 working days from the last day of the quarter the data refers to (last day of June, September, December and March).
There are two ways to submit your electronic reporting templates to the NHS BSA and you must choose which method to use:
- Online form
- Electronic reporting template
Further information and links to the online form and electronic reporting template can be found on the NHS BSA website.
If you require any further help from Community Pharmacy Lancashire please email firstname.lastname@example.org
If you need a copy of the letter sent out by the BSA please email email@example.com
Funding for the Advanced Services
Click here for details on the funding available for the Advanced Services within the Community Pharmacy Contractual Framework (CPCF).