There are six 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. Click on the service name for more information about each service, for the reporting procedure for MUR & NMS and for funding of Advanced Services information.
- Appliance Use Reviews (AUR)
- Flu Vaccination
- Medicines Use Review (MUR)
- New Medicine Service (NMS)
- NHS Urgent Medicine Supply Advanced Service (NUMSAS)
- Stoma Appliance Customisation (SAC)
Appliance Use Reviews (AUR)
Appliance Use Review (AUR) is the second Advanced Service to be introduced into the English Community Pharmacy Contractual Framework (CPCF). 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
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.
The 2019/20 service is due to start on 1st September 2019 and finish on 31st March 2020.
Further detailed information can be found on PSNC website. Click here
Flu vaccine orders for 2019/20
NHS England has published an updated letter in January 2019 detailing the recommended vaccines for the 2019/20 Flu Vaccination service.
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 2019/20.
November 2018: 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 2018-19 season for vaccinating those aged 65 years and over due to phased deliveries of flu vaccinations by the supplier
Community Pharmacy Flu – YouTube video
Local community pharmacist talks about the flu scheme. Watch the video below
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
NHS Urgent Medicine Supply Advanced Service (NUMSAS)
This service allows community pharmacies to supply a repeat medicine at NHS expense, following a referral from NHS111 and where the pharmacist identifies that the patient has an immediate need for the medicine and that it is impractical to obtain a prescription without undue delay.
In July 2019, a new five-year Community Pharmacy Contractual Framework was announced and as part of the ‘deal’ a new Community Pharmacy Consultation Service (CPCS) was announced. This new CPCS will replace the current NHS Urgent Medicine Supply Advanced Service (NUMSAS) as well as local pilots of the Digital Minor Illness Referral Service (DMIRS). The new CPCS will launch in October 2019.
NHS 111 Online Pilot
Click here for NHSE Pharmacy Guidance for NUMSAS pilot 111 Online referrals
March 2019: NUMSAS Pilot Service Extension
The NUMSAS pilot has been extended as part of the Community Pharmacy Contractual Framework arrangements until September 30th 2019:
June 2017: A NUMSAS toolkit for Pharmacy Staff has been published and can be accessed at www.england.nhs.uk/publication/nhs-urgent-medicine-supply-advanced-service-pilot-toolkit-for-pharmacy-staff/
The service specification for the NHS Urgent Medicine Supply Advanced Service pilot (NUMSAS), which sets out information about provision of the service, including the funding for the service has been published by NHS England.
The pilot, which was announced as part of the Department of Health’s imposition of a two year funding package on community pharmacy, is being commissioned as an Advanced Service. Funding from the Pharmacy Integration Fund is being used to test and evaluate the service in order to inform possible future commissioning, ie the funding for the service is not from the main community pharmacy contractual framework funding.
Community pharmacy contractors are now able to notify NHS England of their intention to provide the NHS Urgent Medicine Supply Advanced Service (NUMSAS) pilot by completing the notification form available on the NHS Business Services Authority (NHS BSA) website.
All contractors that meet the requirements set out in the service specification for the NUMSAS, including the requirement that the pharmacy has a shared NHSmail mailbox, are able to register now; however, contractors will only be able to receive referrals from NHS 111 and provide the service when the service goes live in the contractor’s area (there is a phased roll out for the service).
PSNC has issued advice on the NUMSAS; we would advise that contractors read this advice before they register their intention to provide the service.
The service specification, information on shared NHSmail mailboxes, the rollout of the service and PSNC’s advice on the NUMSAS can be found at: psnc.org.uk/numsas
The electronic form on the NHS BSA website asks for the Pharmacy Organisation Code; this is the ODS or F code for the pharmacy that is used on the end of month submission to the Pricing Authority.
Please find below documentation which will assist in the provision of the NUMSAS service:
- NUMSAS Quick Guide
- Patient Pathway
- NUMSAS flowchart
- Annex C for your locality – these will appear on the PharmOutcomes system.
- To link to PharmOutcomes user guide, Click here.
- NHS Digital user guides for the premises specific shared mailbox account: Guide for Community Pharmacies using NHSmail and Giving delegate access to your mailbox
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).