There are several 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)
- C-19 lateral flow device distribution service
- Community Pharmacist Consultation Service (CPCS)
- Community Pharmacist Consultation Service – GP referral pathway (GP CPCS)
- Flu Vaccination
- Hepatitis C testing service
- Hypertension case-finding 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
C-19 lateral flow device distribution service
At the end of March 2021, a new Advanced service – the NHS community pharmacy COVID-19 lateral flow device distribution service (or ‘Pharmacy Collect’ as it is described in communications to the public) – was added to the NHS Community Pharmacy Contractual Framework.
This service, which pharmacy contractors can choose to provide, as long as they meet the necessary requirements, aims to improve access to COVID-19 testing by making lateral flow device (LFD) test kits readily available at community pharmacies for asymptomatic people, to identify COVID-positive cases in the community and break the chain of transmission.
The service is part of the Government’s offer of lateral flow testing to all people in England and it works alongside NHS Test and Trace’s other COVID-19 testing routes.
Further detailed information including service spec can be found on 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
Community Pharmacist Consultation Service – GP referral pathway (GP CPCS)
From 1st November 2020, the CPCS was extended across England to include referrals from general practices as well as from NHS 111.
Virtual Outcomes GPCPCS Pharmacy Team Training: click here
Oct 2021: Practices who are live in Lancashire:
- Highfield Surgery
- Stonyhill Medical Practice
Blackburn with Darwen
- All practices
- Higher Heys Surgery
- Park View Surgery
- Ribbleton MC
- Bay Medical
- Lancaster Medical Practice
- Beacon Primary Care
- The Elms Medical Practice
- North Meols
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 national community pharmacy Flu Vaccination Service 2020/21 has now finished. Community pharmacy contractors are therefore reminded not to administer any further vaccinations under this service. Contractors have until the 30th August 2021 to submit their claims.
Update 09.09.21: Joint statement flu letter from LPCs & LMCs published
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 2021-22 season.
Read the letter here
Update 09.08.21: Service specification & PGD for the 2021/22 published
NHS England and NHS Improvement (NHSE&I) have now published the service specification & PGD for the 2021/22 Community Pharmacy Seasonal Influenza Vaccination Advanced Service. Click here
Update 17.07.21: Further details on the 2021/22 flu vaccination programme
Further to the updated NHS England and NHS Improvement (NHSE&I) flu letter published on 1st April 2021, the Department of Health and Social Care (DHSC), Public Health England (PHE) and NHSE&I have jointly published a second letter to provide further information on the national flu immunisation programme for 2021/22.
The letter highlights the risk of a lower level of population immunity against influenza because of non-pharmaceutical intervention measures taken to protect the population in response to the COVID-19 pandemic. As restrictions lift and the population returns to pre-pandemic norms of social mixing and social contact, the letter draws attention to how this could result in the 2021/2022 winter having co-circulation of seasonal influenza virus (and other respiratory viruses) and COVID-19. With modelling suggesting the influenza impact could be up to 50% larger than that typically seen, it reinforces the message that the vaccination programme will be essential to reduce pressure on the health and social care system this winter.
Read the national flu immunisation programme update letter
Read more on the PSNC website: click here
Confirmation of flu vaccination training requirements for 2021/22
The usual training requirements for pharmacists providing the national community pharmacy Flu Vaccination Service are being reinstated for the 2021/22 season.
Pharmacists providing the Flu Vaccination Service must have attended face-to-face training for both injection technique and basic life support (including administration of adrenaline for anaphylaxis training) at least once in the last three years. In addition to this face-to-face training, pharmacists must have completed and signed the Vaccination Services Declaration of Competence (DoC) within the last two years.
There is also an expectation for pharmacists to undertake annual update training each year to ensure their knowledge stays up to date with changes in practice and guidance. This may involve self-directed learning or online training.
NHSE&I guidance on flu vaccines for 2021/22
On 4th February 2021, NHSE&I issued a letter providing information on the flu vaccines which will be reimbursable under the 2021/22 Flu Vaccination Service.
It is important that all pharmacy contractors that provide the flu vaccination service review the contents of the letter and use the information contained within to inform their ordering of flu vaccine for the season ahead.
Read the NHSE&I letter on flu vaccines for the 2021/22 season here
It should be noted that the reimbursable vaccines listed in the letter are not the full range of vaccines that the Joint Committee on Vaccination and Immunisation (JCVI) recommended for use in 2021/22.
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
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
Hypertension case-finding service
The Hypertension case-finding service was commissioned as an Advanced service from 1st October 2021.
Before commencing the service, contractors should read the service specification and notify NHSE&I that they intend to provide the service by completing the electronic registration through the NHS Business Services Authority’s (NHSBSA) Manage Your Service (MYS) application.
Community pharmacy contractors that fully meet the requirements for provision of the service can start provision of the service on 1st October 2021.
Learn more about this service on PSNC website: click here
Medicines Use Review (MUR)
This service has now been decommissioned
The Medicines Use Review (MUR) service has now been decommissioned. Community pharmacy contractors are therefore reminded not to provide any more MURs. Even though the service has now been decommissioned, it is important you retain your records of MURs for a period of two years.
There is no further requirement to submit quarterly data.
Actions to take:
• Remove MURs from your Practice Leaflet.
• Promotional materials for MURs such as leaflets, posters, service ladders should be removed from public view to prevent any confusion about the availability of this service. If contractors have their own website, any information about MURs should also be removed.
• Remove the MUR service from your NHS website profile (this may be carried out automatically at a national level)
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).