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Advanced Services
There are four Advanced services within the NHS community pharmacy contract. Community pharmacies can opt to provide any of these services as long as they meet the requirements set out in the Secretary of State Directions.
Information on the services can be found by clicking on the links below which will redirect you to the PSNC website.
Medicines Use Review (MUR) and Prescription Intervention Service
Referral for New Medicine Service Template
Secondary Care Referral for Targeted Medicine Use Review and New Medicine Service
NHS Urgent Medicine Supply Advanced Service (NUMSAS)
NHS Community Pharmacist Consultation Service (CPCS)
Appliance Use Review (AUR) Service
Stoma Appliance Customisation (SAC) Service
The NHS Community Pharmacist Consultation Service (CPCS)
CPCS is a new national (advanced) service which enables NHS 111 to refer patients to community pharmacies when they have a minor illness or need an ’emergency supply’ of a medicine previously prescribed. The aim is to help relieve pressure on the wider NHS and speed up patient access to treatment by making use of pharmacists’ core knowledge and skills.
Key Documents
The key contact details required for the service (Annex C of the Service Specification) have been emailed out to all CPCS pharmacies to the NHS shared email account used to register for the service. Pharmacists providing the service can also view out of hours contact information as well as a list of other CPCS pharmacies (with contact telephone numbers and opening hours) via PharmOutcomes.
Useful Resources
- PSNC Community Pharmacist Consultation Service Information Hub
- CPCS Patient flow diagrams
- CPCS Implementation Checklist
- Pharmoutcomes CPCS User Guides
- Community Pharmacist Consultation Service (CPCS) Event Presentation
- Community Pharmacist Consultation Service (CPCS) Event Handout
Bulletins
Claiming Payment
All claims for service provision are made via the NHSBSA Manage Your Service (MYS) portal. PharmOutcomes will prepopulate the claims information in MYS each month based on service activity recorded, however, this will not automatically submit the claim. Contractors will need to login to MYS at the start of the following month to confirm that the information is correct and to submit the claim.
Claims should be submitted before the 5th of the month for the previous months service provisions. You can claim for previous months service provisions for up to 6 months.
Claims submitted after the 5th of the month will be included in the following months claims e.g. a claim for June submitted on the 6th July will become part of the July claim for consideration in August.
FAQs
See here for FAQs. For any other queries about the service, please contact Lisa Meeks by email lisa@cpwy.org or by telephone 07736 636 023.
NHS Urgent Medicine Supply Advanced Service (NUMSAS)
This service has now been replaced by the NHS Community Pharmacist Consultation Service (CPCS). See above for more information.
Provision of advanced services by pharmacy and dispensing appliance contractors.
West Yorkshire Area Team policy
This policy includes details about the provision of MURs off-site, in patients’ homes and over the telephone. This is a nationally agreed policy which Community Pharmacy West Yorkshire has had no input in to. We will be considering the implications of this policy at our next meeting.
NHS England policy on advanced services
Forms for completion (PREM2 forms) can be found on the PSNC website by here.
You should send completed forms to your West Yorkshire Area Team contact. These can be found on our website by clicking here.
NMS & MUR Submissions
The NHS Business Services Authority (NHSBSA) now administers the collection of completed MUR and NMS electronic reporting templates from pharmacy contractors on behalf of NHS England. Pharmacy contractors will no longer receive any reminder and will therefore need to remember to submit their completed quarterly MUR and NMS electronic reporting templates to the NHSBSA via the Information Services Portal.
For further information please click on the link below:
http://www.nhsbsa.nhs.uk/PrescriptionServices/5539.aspx
Referral for New Medicine Service Template
The following template can be used by prescribers to refer patients for an NMS.
Template Letter for GP NMS Referral for Patients Newly Prescribed Hypertension Medicine
Secondary Care Referral for Targeted Medicine Use Review and New Medicine Service
Guidance for the use of secondary care referral form
Flu Vaccination Advanced Service
This service will commence from 1st September 2019 and ends on 31st March 2020.
Key Documents
- Service Specification 19/20 - it is ESSENTIAL that all pharmacists providing the service have read and understood this document as it describes the requirements for provision of the service.
- Patient Group Direction 19/20 – it is ESSENTIAL that all pharmacists administering flu vaccinations under the authority of the national Patient Group Direction (PGD):
- Read the PGD) and ensure they fully understand the content including the eligible patient groups, the inclusion and exclusion criteria and the record keeping requirements.
- Complete the Practitioner declaration on the PGD to confirm they have read and understood the content of the PGD and are willing and competent to work to it within their professional code of conduct. (A signed copy of the PGD must be kept at the pharmacy).
- Request that the relevant person for the pharmacy completes the Authorising Manager section of the PGD.
- Guidance - The 2019 Seasonal Flu Advanced Service (PSNC) – this briefing provides guidance on the 2019/2020 NHS Flu Vaccination Service and includes a helpful checklist which pharmacists can work through to ensure they are service ready.
- National Flu Immunisation Programme Plan letter 2019/20 (the annual flu letter)
Vaccines for 2019/20
The vaccines which can be used in the service are those listed in the annual flu letter for 2019/20, see here and are authorised for use by the PGD.
- For patients aged 18 to 64 years, there are two recommended vaccines:
the standard egg-grown quadrivalent influenza vaccine (QIVe) and the newly licenced cell-based quadrivalent influenza vaccine (QIVc). - For patients aged 65 and over, there are two recommended vaccines:
the adjuvanted trivalent influenza vaccine (aTIV) and the newly licenced cell-based quadrivalent influenza vaccine (QIVc).
List of products and manufacturers below:
Other Briefing Documents & Resources
Vaccine Ordering for 2019/20: Letters
Ovalbumin Content of 2019/20 Flu Vaccines
Inactivated Influenza Vaccine Information for Healthcare Practitioners
Chapter 19 of the Immunisation Against Infectious Disease, “The Green Book”, can be downloaded here: https://www.gov.uk/government/publications/influenza-the-green-book-chapter-19.
Training Requirements for the National Flu Vaccination Service
Face to face training (to cover both injection technique and basic life support training, including administration of adrenaline for anaphylaxis) is required every THREE years. See the Flu Vaccination - Training Requirements and Resources page on the PSNC site here for further information, which includes a list of possible training providers.
The Vaccination Services Declaration of Competence (DoC) must also be completed and this is required every TWO years.
In addition to completing the Vaccination Services DoC every two years, pharmacists providing the service have a professional responsibility to complete an annual update. This annual refresher training can be self-directed learning and need not be face-to-face training. This could, for example, include undertaking the assessment modules of an immunisation e-learning programme and doing/re-doing the necessary modules to refresh knowledge, reading through the ‘Information for healthcare practitioner’ documents on the PHE website, listening to any available webcasts and reading recently published articles on immunisation relevant to the area of practice. There is no stipulated way to do the annual update training but as a vaccinating pharmacist there is a professional obligation to ensure skills and knowledge are up to date.
For further information please refer to the PSNC page on training requirements for flu here. If you need any help with anything, please contact Lisa Meeks (lisa@cpwy.org) who will be happy to help.
Service Delivery Resources
Tear Off Appointment Slip / Flyer
Key facts about flu and flu vaccination - to support discussions with patients
Myth Buster - to support discussions with patients
Identifying carers for flu vaccination
Patient Leaflet - PHE Flu Vaccination (easy read version)
Patient Leaflet - Pregnancy & Flu (Kirklees)
PHE Patient Leaflet - The Flu Vaccination 2019-20 (who should have it and why)
CPWY Flu Poster - Heart Condition
Pharmacy Team Resources
Key information for HCPs - Protecting Carers From Flu
Identifying Carers - the 60 second flu chat
Checklist for Flu Vaccination Service
PSNC Factsheet: Eligible Groups for Flu Vaccination Service 2019/20
PSNC Decision Tree - Recommended Vaccines 2019/20
Flu Service Updates
Flu Vaccination Service - Ordering Flu Vaccines for 2019-20
Flu Service 19/20 Update - July 2019
Flu Service 19/20 Update - August 2019
Claiming Payment
Claims for payment for the service MUST be made electronically, using the Manage Your Service (MYS) application on the NHSBSA website (paper claims will not be accepted). Claims will be accepted by NHSBSA within six months of administration of the vaccination or by 31st August 2020, whichever date is earlier, in accordance with the usual Drug Tariff claims process. Later claims will not be processed. See PSNC page on claiming payments here if further information is required.
It is expected that the NHS Flu Service will be available on PharmOutcomes for West Yorkshire pharmacies. If you are using PharmOutcomes to record your flu vaccination delivery for the Advanced Service it is important to remember that for the national Flu Advanced Service PharmOutcomes will NOT automatically make a claim for payment. It does however generate a pre-populated pharmacy monthly return which you can print off or use when submitting your claim to the NHS BSA. Details of how to do this are in Provider User Guides on the Help tab on PharmOutcomes. The pharmacy monthly return is available to download on the first day of every month from the claim tab.
Frequently Asked Questions
The PSNC website is a great source of information and resources for pharmacy teams. This includes a useful Frequently Asked Questions (FAQs) and answers page which are updated on an ongoing basis:
Last Updated: 20th November 2019