NHS Urgent Medicine Supply Advanced Service (NUMSAS)


Service Objectives

On 20th October 2016, the Department of Health (DH) and NHS England announced that as part of the 2016/17 and 2017/18 community pharmacy funding settlement, money from the Pharmacy Integration Fund (PhIF) would be used to fund a national pilot of a community pharmacy Urgent Medicine Supply Service. The service is being commissioned as an Advanced Service and it will run from 1st December 2016 to 31st March 2018 with a review point to consider progress in September 2017.

The objectives of the service are to:

  • manage appropriately NHS 111 requests for urgent medicine supply;
  • reduce demand on the rest of the urgent care system;
  • resolve problems leading to patients running out of their medicines; and
  • increase patients’ awareness of electronic repeat dispensing.

 

Things to consider

If you are thinking of signing up to provide the service, there are a number of things you should do before you sign-up.  Similarly, if you have signed-up to provide the service, it is important all of these are boxed off before the service is switched on.  A checklist has been produced by the PSNC and can be found on their website, however the essential things can be found below:

NHS Mail Account

All pharmacies wishing to provide the service MUST have a shared NHS Mail account with personal accounts linked to this.  Information on how to achieve this can be found here.

Service Specification

The Service Specification includes all of the information on the service that you will need to know in order to participate.  This will need to be read and understood by all of those offering the service, including locums that work in the out of hours period.

SOP

Develop a Standard Operating Procedure (SOP) for the service (see section 4.3 of the service specification), which should include the key contact details listed in Annex C of the service specification. (The NPA has developed an NUMSAS SOP for NPA members).  If your pharmacy belongs to a multiple chain, this will probably be being done centrally at your head office so check with them.  The SOP will need to be read and understood by all of those staff members involved in the service, including locums.

PharmOutcomes

Across Cheshire and Merseyside the LPC’s have secured, with NHS England support, the fully integrated PharmOutcomes solution for the service.  This will mean the service will run more slickly and make the process within the pharmacy much less onerous than the national paper-based solution.  NHSmail should not need to be used

Ensure all staff, including Locums, that will be offering this service have watched this video.  It provides a step-by-step account of how to action a referral on PharmOutcomes.

The computer terminal where PharmOutcomes will be used needs to be connected to your token printer.

Please ensure all staff and Locums working in the out-of-hours period have access to the pharmacy’s PharmOutcomes username and password.

There are two scenarios where the integrated solution will not work;

1 – where more than four medicines are to be supplied.  The 5th+ items will need to be hand-recorded on a prescription token as per the service specification.

2 – if the pharmacy needs to refer a patient onto another pharmacy, for example if the first pharmacy has no stock of an item requested.  The referral information will need to be sent to the second pharmacy via NHSmail.  The second pharmacy will then need to handwrite the prescription token for the items requested.  Please note, if the second pharmacy is close and has the stock required, it will be far easier for all concerned to borrow the stock from that pharmacy.

 

 

Notification of Intent to Participate

Community pharmacy 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.

Please ensure your pharmacy meets ALL of the requirements as set out in the Service Specification BEFORE applying as the application will be refused if they are not.  Please note, the NHS mail account MUST be a new shared account.  Pharmacies with current nhs.net email addresses must have a new shared inbox for this service.

 

Claiming Payment

For all items recorded on PharmOutcomes, a claim form will be automatically populated and available to print off on the first day of the month.  This should be sent along with your end of month bundle.

Any hand-written tokens created due to either of the reasons listed above will need to be manually claimed for using the NHS Urgent Medicines Supply Advanced Service Pilot claim form.  This form and any hand-written tokens should be submitted along with the electronically printed tokens and automated claim form that has been downloaded from PharmOutcomes.

 

Resources

The NUMSAS Toolkit is a very useful resource in guiding pharmacies through the service.