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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
Secondary Care Referral for Targeted Medicine Use Review and New Medicine Service
NHS Urgent Medicine Supply Advanced Service (NUMSAS)
Appliance Use Review (AUR) Service
Stoma Appliance Customisation (SAC) Service
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
Secondary Care Referral for Targeted Medicine Use Review and New Medicine Service
Guidance for the use of secondary care referral form
NHS Urgent Medicine Supply Advanced Service (NUMSAS)
Signing up to provide the service
Before signing up to provide NUMSAS there are a number of tasks that community pharmacy contractors should complete. PSNC Briefing 033/17: Checklist for the NHS Urgent Medicine Supply Advanced Service (NUMSAS) contains a checklist of tasks to complete before providing NUMSAS.
Contractors are able to notify NHS England of their intention to provide the NUMSAS pilot by completing the notification form 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; 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 (see ‘Roll out of the service’ section).
Requirement for a shared NHSmail mailbox
A requirement in the service specification is that if a contractor intends to provide the service, they must have a shared NHSmail mailbox for each of the pharmacy premises from where the service will be provided. Contractors should not register for the service until they have such a mailbox.
To access a shared NHSmail mailbox, users must have their own personal NHSmail address which is linked to the shared mailbox. This is to allow different staff members to access the mailbox without sharing of login details. Currently, only a small number of pharmacies have premises specific shared NHSmail mailboxes.
Information on how to obtain an NHSmail account
PharmOutcomes
Key benefits of using the PharmOutcomes service for community pharmacy contractors are:
- Structured service templates – These allow registration and follow up of all patients accessing the service. This makes the identification of repeat users easily identifiable that in turn can trigger relevant discussions about medicines management and medicines optimisation.
- Clinical record – A clinical record of all supplies and the ability to show a clear audit trail of activity and claims made.
- Automated GP notification – Saving data will automatically generate and send a notification form to the patient’s GP practice.
- NUMSAS submission tokens – The PharmOutcomes service will allow the required information, which needs to be included on the FP10DT EPS dispensing tokens, to be printed on the forms in a clear legible format.
- NUMSAS claim submission form generation – The NUMSAS claim form will be automatically system generated using recorded data and made available for printing on the 1st day of every month (please note this form must be posted to the NHS Business Services Authority, it cannot be submitted via PharmOutcomes).
Communicating with GP practices
Notifying the patient’s GP practice when a supply of a medicine or appliance is made is a requirement of the NUMSAS.
Contractors must ensure that a notification is sent to the patient’s GP practice on the same day the medicine or appliance is supplied or as soon as possible after the pharmacy opens on the following working day. This can be undertaken by secure email or secure electronic data interchange. If necessary the pharmacy should contact the GP practice for details of their secure email address. Where electronic notification is not possible, the pharmacy contractor should send the notification via post, hand delivery or “safe haven” fax (this should only happen where the pharmacy has confirmed with the GP practice the number of the fax and that it is a “safe haven”).
Where the notification to the GP practice is undertaken via hardcopy/fax the national GP Practice Notification Form should be used:
NUMSAS – GP practice notification form (Word)
NUMSAS – GP practice notification form (PDF)
NUMSAS Briefing for GP Practices
Claiming payment
To claim payment for this service, contractors must complete the NHS Urgent Medicines Supply Advanced Service Pilot claim form and submit it to the NHS BSA, along with the completed FP10DT EPS dispensing tokens (completed as part of the NUMSAS), not later than the 5th day of the month following that in which the urgent supply was made.
The process will be separate to the submission of other FP10 forms, do not send the claim form with your prescription bundle at the end of the month. The completed form should be sent to Prescription Services, Bridge House, 152 Pilgrim Street, Newcastle upon Tyne, NE1 6SN in a secure manner that enables tracking and tracing of the delivery.
PSNC Briefing 034/17: NHS Urgent Medicine Supply Advanced Service (NUMSAS) – checklist for completing an FP10DT EPS dispensing token and end of month submission process contains a checklist for completing an FP10DT EPS dispensing token after each referral and a checklist for submitting the tokens and claim form at the end of the month.
PSNC Briefing 035/17: Services Factsheet – NHS Urgent Medicine Supply Advanced Service (NUMSAS) – how much will I be paid? is a quick reference guide to see how much contractors will be paid for each referral they receive depending on the outcome of the referral.
FAQ’s
Additional information can be found on the PSNC website at http://psnc.org.uk/services-commissioning/urgent-medicine-supply-service/
Flu Vaccination Service
The service specification and Patient Group Direction (PGD) for the community pharmacy Flu Vaccination Advanced Service 2016/17 have now been published. These documents can be accessed on the PSNC website here: ow.ly/OpUD303vxk1
The last 2 pages of this comprehensive briefing include a helpful checklist for pharmacies to work through to ensure they have everything in readiness for this year's flu service. You may want to print out this checklist and start to work through the actions so that your pharmacy is ready to provide NHS flu vaccines to patients as soon as vaccines are available after the 1st September 2016.
If you have previously informed us that you will be providing the NHS Flu Vaccination Service, we will be posting out resources packs on 30th August 2016. The NHS Flu Service will be available on PharmOutcomes by 1st September 2016.
General Resources
PSNC #getreadyforflu webinar - http://psnc.org.uk/psncs-work/our-events/register-your-interest-in-our-webinar/flu-vaccination-advanced-service-webinar/
NHS England IT platform for patient questionnaires http://psnc.org.uk/our-news/it-platform-launched-for-flu-vaccination-service-patient-questionnaire-responses/
Service specification and PGD http://psnc.org.uk/our-news/service-specification-pgd-for-national-flu-vaccination-service-now-available/
Frequently Asked Questions http://psnc.org.uk/services-commissioning/advanced-services/flu-vaccination-service/flu-vaccination-faqs/
Patient Questionnaire IT Guidance Document
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 (all target groups)
Patient Leaflet - PHE Flu Vaccination (easy read version)
Patient Leaflet - PHE Pregnancy & Flu
Patient Leaflet - Pregnancy & Flu (Kirklees)
CPWY Flu Poster - Heart Condition
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
Flu Service Updates
PharmOutcomes
If you are using PharmOutcomes to record your flu vaccination delivery for the Advanced Service PharmOutcomes will automatically generate the pharmacy monthly return to the BSA in the required format on the first day of every month. You are required to print off the return and submit with your monthly prescription bundle. Details of how to do this are in Provider User Guides on the Help tab on PharmOutcomes.
NHS Pharmacy Flu Service Training
Declaration of Competence
The NHS Flu SLA states that the Declaration of Competence model is used and therefore all pharmacists providing the NHS Flu Service must complete the Declaration of Competence for NHS seasonal influenza vaccination ADVANCED, click here.
Flu Vaccination for Carers
Now that carers can have a free NHS flu jab at their local pharmacy, Carers Trust has produced a range of resources to help pharmacy teams identify carers and offer them support.
Further information can be found at: https://professionals.carers.org/flu-vaccinations-carers-guidance-community-pharmacies
Signing up to provide the serviceBefore signing up to provide NUMSAS there are a number of tasks that communitypharmacy contractors should complete. PSNC Briefing 033/17: Checklist for the NHS UrgentMedicine Supply Advanced Service (NUMSAS) contains a checklist of tasks to completebefore providing NUMSAS.Contractors are able to notify NHS England of their intention to provide the NUMSAS pilot bycompleting the notification form on the NHS Business Services Authority (NHSBSA) website.All contractors that meet the requirements set out in the service specification for theNUMSAS, including the requirement that the pharmacy has a shared NHSmail mailbox, areable to register; however, contractors will only be able to receive referrals from NHS 111 andprovide the service when the service goes live in the contractor’s area (see ‘Roll out of theservice’ section). Requirement for a shared NHSmail mailboxA requirement in the service specification is that if a contractor intends to provide theservice, they must have a shared NHSmail mailbox for each of the pharmacy premises fromwhere the service will be provided. Contractors should not register for the service until theyhave such a mailbox.To access a shared NHSmail mailbox, users must have their own personal NHSmailaddress which is linked to the shared mailbox. This is to allow different staff members toaccess the mailbox without sharing of login details. Currently, only a small number ofpharmacies have premises specific shared NHSmail mailboxes.Information on how to obtain an NHSmail account
http://psnc.org.uk/services-commissioning/urgent- medicine-supply- service/
https://www.england.nhs.uk/wp-content/uploads/2016/11/numsas- service-specification.pdf
https://www.england.nhs.uk/wp-content/uploads/2017/06/numsas- toolkit-pharmacy- staff.pdf
Our guide that we send out to all contractors once they sign up.
PharmOutcomes:Key benefits of using the PharmOutcomes service for community pharmacy contractors are:
Structured service templates – These allow registration and follow up of all patientsaccessing the service. This makes the identification of repeat users easily identifiable that inturn can trigger relevant discussions about medicines management and medicinesoptimisation. Clinical record – A clinical record of all supplies and the ability to show a clear audit trail ofactivity and claims made. Automated GP notification – Saving data will automatically generate and send anotification form to the patient’s GP practice. NUMSAS submission tokens – The PharmOutcomes service will allow the requiredinformation, which needs to be included on the FP10DT EPS dispensing tokens, to beprinted on the forms in a clear legible format. NUMSAS claim submission form generation – The NUMSAS claim form will beautomatically system generated using recorded data and made available for printing on the1st day of every month (please note this form must be posted to the NHS Business ServicesAuthority, it cannot be submitted via PharmOutcomes).Communicating with GP practicesNotifying the patient’s GP practice when a supply of a medicine or appliance is made is arequirement of the NUMSAS. Contractors must ensure that a notification is sent to the patient’s GP practice on the sameday the medicine or appliance is supplied or as soon as possible after the pharmacy openson the following working day. This can be undertaken by secure email or secure electronicdata interchange. If necessary the pharmacy should contact the GP practice for details oftheir secure email address. Where electronic notification is not possible, the pharmacycontractor should send the notification via post, hand delivery or “safe haven” fax (thisshould only happen where the pharmacy has confirmed with the GP practice the number ofthe fax and that it is a “safe haven”).Where the notification to the GP practice is undertaken via hardcopy/fax the national GPPractice Notification Form should be used:NUMSAS – GP practice notification form (Word)NUMSAS – GP practice notification form (PDF)
http://psnc.org.uk/wp-content/uploads/2016/10/GP- practice-briefing- document-NUMSAS.pdf
Claiming paymentTo claim payment for this service, contractors must complete the NHS Urgent MedicinesSupply Advanced Service Pilot claim form and submit it to the NHS BSA, along with thecompleted FP10DT EPS dispensing tokens (completed as part of the NUMSAS), not laterthan the 5th day of the month following that in which the urgent supply was made.The process will be separate to the submission of other FP10 forms, do not send theclaim form with your prescription bundle at the end of the month. The completed formshould be sent to Prescription Services, Bridge House, 152 Pilgrim Street, Newcastle uponTyne, NE1 6SN in a secure manner that enables tracking and tracing of the delivery.
PSNC Briefing 034/17: NHS Urgent Medicine Supply Advanced Service (NUMSAS) –checklist for completing an FP10DT EPS dispensing token and end of month submissionprocess contains a checklist for completing an FP10DT EPS dispensing token after eachreferral and a checklist for submitting the tokens and claim form at the end of the month. PSNC Briefing 035/17: Services Factsheet – NHS Urgent Medicine Supply AdvancedService (NUMSAS) – how much will I be paid? is a quick reference guide to see how muchcontractors will be paid for each referral they receive depending on the outcome of thereferral.
FAQ’s?http://psnc.org.uk/services-commissioning/advanced- services/nhs-urgent- medicine-supply-advanced-service- numsas-faqs/List of pharmacies that provide NUMSAS in WY?Key contacts ie NHS England/ Melissa?