Checked: 08-09-2017 by
vicky.ryan Next Review: 13-09-2019
Community pharmacy NS MOM
Page on Community Pharmacy for use by healthcare staff from different settings to find information on Community Pharmacy and services available. Also for use by Community Pharmacy staff as a resource and place to find useful information
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Efforts are made to ensure the accuracy and agreement of these guidelines. However, we cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties
Batch issues of an eRd prescription can be seen in the EPS tracker (accessed via the spine portal). Each batch issue of an eRD prescription will have the same barcode, each issue can be seen via the EPS tracker. Pharmacies have the option to dispense batch issues earlier than the defined interval if necessary (for example patient going away on holiday)
Prescriptions may be post dated in exactly the same way as a printed FP10, however these prescriptions will not be visible on the EPS tracker (https://portal.national.ncrs.nhs.uk/portal/dt) until 00:01 on the day that the prescription is valid from (the appropriate date).
If practices wish to use EPS2 for acute prescriptions, patients may be given a printed EPS "token" to take to a pharmacy so they can collect it immediately without waiting for the pharmacy to download a full batch of prescriptions. A token may be printed from EMIS by selecting "reprint" on the medication screen. This will print onto an FP10 but this is not a valid prescription and must not be signed
More information on the Electronic Prescription Service is available from
Services Offered by all Community Pharmacies Under the NHS Community Pharmacy Contractual Framework (CPCF)
Disposal of Unwanted Medicines
Public Health (Promotion of Healthy Lifestyles)
Support for Self Care
Services Offered by Some Community Pharmacies Under the NHS Community Pharmacy Contractual Framework (CPCF)
There are six Advanced Services within the NHS community pharmacy contractual framework. 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.
Medicines Use Review (MUR)
New Medicine Service (NMS)
Stoma Appliance Customisation (SAC)
Appliance Use Review (AUR)
NHS Urgent Medicines Supply Advanced Service (NUMSAS)
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.
Not everyone is eligible for an MUR.
Patients must have received pharmaceutical services from the community pharmacy for a period of at least three consecutive months.
Patients must not have more than one MUR consultation in any 12-month period unless it is the registered pharmacist’s reasonable opinion that the patient’s circumstances have changed sufficiently to justify one or more further consultations. During that period If the patient has recently been discharged from hospital and had changes made to their medicine while they were in hospital then this is treated as a change in the patient’s circumstances and the patient can receive a post discharge MUR within 12 months of their last MUR
The MUR service is only to be provided to patients who are being prescribed more than one drug, unless the only drug they are being prescribed is a ‘high risk medicine’
At least 50 per cent of all MURs must be carried out with patients who are in one or more of the national target groups • taking a high risk medicine • recently discharged from hospital who had changes made to their drugs they are taking while they were in hospital • prescribed certain respiratory drugs.
The service provides support for people with long-term conditions newly prescribed a medicine to help improve medicines adherence; it is initially focused on four particular patient groups and conditions.
Asthma and COPD
Type 2 Diabetes Mellitus
The service involves an initial Pharmacist-patient consultation on the use of the new medicine. Then two follow-up appointments/phone consultations to check the patient is using the new medicine, taking correctly, and help with any questions/queries about the new medicine.
Situated on many pharmacy counters in the area. These are for self testing, are taken away by the patient and used at their convenience. Tests are sent away in the post and results received by text or phone call.
All Pharmacies offering chlamydia test kits can be found on the interactive map
This is only available to patients who have had a positive diagnosis confirmed by Avon Chlamydia Screening Service and their sexual contacts.
Avon Chlamydia Screening Office
0117 922 2265
A private over the counter test and treatment for chlamydia is available to buy from pharmacies called Clamelle. But this is roughly £20 for the test, then roughly £20 for treatment following a positive result.
Confidential Teenage Health Service Pharmacies can refer under 21's to for
All pharmacies are able to sell emergency hormonal contraception (EHC), either Levonelle or ellaOne.
Some pharmacies are able to offer EHC free to females under 25 in North Somerset (including under 16s) under a local patient group direction if they are signed up to a Local Authority service specification. These pharmacies can be found on the interactive map
Please note that Pharmacists can refuse to offer EHC because of their religious and moral beliefs, however if they are doing this they must signpost the patient to a provider willing to offer the service.
Always check with a pharmacy that they are able to offer the service that day before referring someone.
The C Card gives young people access to free condoms from local Pharmacies. For under 21's these can be obtained from the No Worries! service, for 17-24 year olds these can be obtained from certain Pharmacies. There is a short training session with the young person on the use of condoms before they are issued a C Card.
Local Pharmacies offering free condoms and Pharmacies able to supply C Cards can be found on the North Somerset interactive map
All Pharmacies can offer 'emergency supplies' of POMs (excluding CDs) to patients requesting them providing certain conditions are met such as - they have had the medication prescribed previously, obtaining a prescription would cause undue delay in their treatment, there is an immediate need. Such supplies are at the Pharmacist's professional discretion and are chargeable by the Pharmacy as they are not NHS supplies.
Patients who present directly to a pharmacy contractor should be offered the standard private emergency supply as per RPS and GPhC guidelines. However, if patients who present directly to a pharmacy contractor and the emergency supply of a repeat POM is in line with GPhC requirements and clinically appropriate but the patient is unable to pay the private charge, accreditied pharmacies can offer an emergency supply under the local emergency supply service. (Please refer to the LES to see the exclusions to the service i.e. CDs). See link below for LES.
This service is aimed at reducing the number of patients presenting at out of hours services and shouldn't be being offered for routine medication or non-emergency requests.
Patients presenting to GP practice in hours should be assisted with their medication in the surgery's existing way. Referring to a pharmacy for an emergency supply may be an option which would need to be discussed with the local pharmacy. Another option would be to contact the patient's home surgery and enquire if they could send an electronic prescription to a local pharmacy. Utilisation of this should increase with the continued roll out of electronic prescribing.
The Joint Formulary has been built in the spirit of cooperative collaboration between Bristol, North Somerset and South Gloucestershire and has been designed as an advisory/guidance tool to assist in promoting cost-effective prescribing within the BNSSG Health Community. It is a joint venture between primary and secondary care, covering all prescribing within the BNSSG Health community. This therefore ensures that patients have continuity of medicines across the primary/secondary care interface.
It is hoped that the Joint Formulary will cover 80-90% of prescribing although it is recognised that there will be instances where prescribing outside of the formulary will be necessary. Where medicines are not listed and therefore non-formulary either complete an IFR application and submit to the relevant IFR panel for individual patient requests where exceptionality can be shown or complete a new drug application form to be considered for Formulary approval.
Information and resources that can be used to help support people to self care
If you are currently worried about a child who you believe is at risk, being ill-treated or neglected, please speak to the Single Point of Access (SPA) on 01275 888808.
Normal office hours are Monday to Thursday 8.45am until 5pm and Friday from 8.45am until 4.30pm.
Outside these hours contact our Emergency Duty Team on 01454 615 165. If the line is engaged please leave your name and number on the answering machine and we will call you back as soon as possible. Alternatively, contact your local police station on 0845 670 000 or if a child is in immediate danger dial 999.